Brevard County Board of County Commissioners Tourist Development Council (TDC) July 23, 2025 – 2:00 PM Government Center, Building C, 3rd Floor Florida Room, Viera Members: Chair Rob Feltner, Vice Chair Tom Hermansen, Julie Braga, Mayor Andrew Connors, Larry Jarnes, Alex Litras, Mayor Rob Medina, John Moran, Wayne Soard
Agenda I.
Administrative – Chair a. Roll Call b. Agenda Review Board Member’s request to disclose any conflict of interests with agenda items and/or any business relationships between board. c. Approval of Tourist Development Council Minutes of May 28, 2025 (Action Item) d. Subcommittee Appointment (Action Item)
II.
Director’s Report – Peter Cranis a. STR Reports b. May Tourist Tax Collection Revenue Report c. May/June Fiscal Year 2024-2025 Tourist Development Council Budget Report d. FY 2025-2026 Marketing Support Program Grants (Action Item)
III.
Public Comment
IV.
Board Reports a. Commissioner Rob Feltner
b. Julie Braga c. Mayor Andrew Connors d. Vice Chair Tom Hermansen e. Larry Jarnes f. Alex Litras g. Mayor Rob Medina h. John Moran i.
Wayne Soard
j.
Peter Cranis Note: The next TDC meeting will be on August 27, 2025 at 2:00 PM in the Viera Government Center, Building C, 2nd Floor, Space Coast Room. Remaining TDC meeting dates for 2025: September 24, October 22, November 12 Marketing Committee Dates September 25 Beach Committee Dates September 18
I.c Approval of Tourist Development Council Minutes of May 28, 2025 (Action Item)
Tourist Development Council May 28, 2025, at 2:00 PM Brevard County Government Center, Viera The Tourist Development Council met on May 28, 2025, at 2:00 PM, at the Brevard County Government Center, Viera. Members present were Chair Rob Feltner, Vice Chair Tom Hermansen, Larry Jarnes, Alex Litras, Wayne Soard, and Julie Braga via Zoom. The staff present were Justin Caron from the County Attorney’s Office, Peter Cranis, John Giantonio, Juawana Brooks, and Angela Essing from the Tourism Development Office. The guests present were Mike McGarry, Beaches, Boating, and Waterways Programs Manager; Gaell Francois, Brevard County Budget Office; Dave Berman, Florida Today; Sarah Joyner, Brevard Attorney Intern; Sydney Castillo, Brevard County Attorney Intern; Chad Whitaker, Space Coast Cart Rental; and Sandra Sullivan. Pledge of Allegiance Roll Call (Mayor Medina entered the meeting at 2:02 PM) Chair Feltner stated the April meeting minutes needed to be approved. Vice Chair Hermansen stated that the County Attorney's Office noted that I previously voted "present" on the motion to allocate $2.5 million in Capital Facilities funds for the Melbourne Fairgrounds. I want to change my vote to "nay." While I believe the project has merit, it lacked the required background and economic impact studies per Florida Statutes. If those are provided in the future, I may reconsider. For now, I must formally register my vote as "nay." The April minutes will be adjusted to reflect Tom Hermansen’s change in vote: Action: The City of Melbourne requested $2.5 million in funding support from the TDC to be distributed over 10 years. Result: Approved Mover: Chair Feltner Seconder: Mayor Medina Ayes: Braga, Soard, Jarnes, Mayor Medina, Litras, Chair Feltner, and Moran via Zoom. Nays: Vice Chair Hermansen Absent: Mayor Connors
Action: The Board approved the April 23, 2025, Tourist Development Council Minutes. Result: Approved Mover: Mayor Medina Seconder: Vice Chair Hermansen Ayes: Mayor Conners, Soard, Jarnes, Moran, Mayor Medina, Vice Chair Hermansen, Chair Feltner Nays: None Absent: Alex Litras and Julie Braga Director’s Report (Alex Litras entered the meeting at 2:08 PM) Cranis updated the committee that the March TDT numbers had just been received. Collections were just under $50,000 below last year’s March totals. He noted this is a strong result, especially considering the shift in the Easter holiday, which occurred in April this year versus March last year. March 2025 ranks as the third-highest month in TDT history, with all the top months being in March, reinforcing it as a peak tourism period. Given that, the slight year-over-year dip is considered a solid outcome. Looking ahead, while April figures are not yet finalized, internal projections indicate that collections will exceed last year’s April totals, which is encouraging. Cranis added that he typically evaluates March and April together to assess spring performance. If this year’s combined totals are close to last fiscal year's, as he expects, it would be a strong result, particularly in light of the economic challenges discussed in previous meetings. Maintaining this level of revenue would be a positive sign for the local tourism economy. Budget Report Cranis reported there’s not much to note on the budget unless there are specific questions. We're tracking closely with planned expenditures and are currently at about 50% of our marketing spend. That said, the largest portion of our marketing expenditures typically occurs during the summer months. Our summer campaign just began in early May and is focused on promoting summer travel, so I expect we’ll remain on track as we move through the rest of the fiscal year. Other than that, there are no significant budget updates to report currently. Vice Chair Hermansen inquired about the typical timeline for the Tax Collector’s release of TDT data. He asked when the committee might expect to receive the most recent figures. Cranis responded that the release of TDT data varies each month but typically arrives between the 6th and 8th of the month following the month of collection. He noted that he expects to have the figures by the end of next week to report to the committee. If the information is received earlier, he will send it out in advance.
Marketing Committee Report Cranis noted that the second Marketing Committee meeting was held May 22, 2025. The purpose of the meeting was twofold: 1. To review recent research data collected during the last fiscal year. This included a study on space tourism, specifically focused on visitors coming for rocket launches, as well as a day tripper study. Cranis shared that both sets of data will be incorporated into the upcoming marketing plan, and the committee was briefed in advance. 2. To gather feedback and discuss ideas related to the marketing plan, which is currently being developed over the summer. The plan will be presented to the committee on July 22 for review. The intention is to bring the plan to the TDC in July and then to the BOCC in August, assuming no major changes are needed. Additionally, Cranis provided an update on the summer marketing campaign. The campaign began at the end of April and runs through mid-August. Target audiences include: • • • • •
Millennials and Gen X adults Families with children Couples without children Households with incomes between $100K–$250K People with interests in Florida travel, beaches, space, nature, and similar topics
The total marketing budget for this fiscal year is $3.64 million. Cranis continued with an update on the summer marketing campaign. Target regions include the East Coast of Florida (Jacksonville to Miami, excluding Brevard), Orlando to Tampa/St. Petersburg, as well as key markets in the Southeast (Georgia, the Carolinas, Tennessee) and Northeast (Washington, D.C., Philadelphia, New York, Chicago). The focus is on driving overnight stays, rather than day trips. Messaging continues to highlight beaches and rocket launches, but now also includes an affordability message, such as “Affordable Affluence” and “See More for Less,” as shown on page 19 of the packet. Digital ads are being tracked with the Adara pixel to measure conversions like hotel bookings. A campaign performance report will be shared once available. PR and social media efforts are also ramping up to support the campaign. Chair Feltner asked the hoteliers present about the difference between weekday and weekend Average Daily Rates (ADR) during the summer months. Vice Chair Hermansen responded that the Average Daily Rate (ADR) typically differs by $50 to $100 between weekdays and weekends during the summer Chair Feltner inquired about the difference in occupancy rates on the beachside between weekends and weekdays during the summer.
Vice Chair Hermansen responded that while he couldn’t predict exact occupancy, July is typically the secondbest month after March, driven by strong in-state travel. Cocoa Beach often sees occupancy rates over 90% in July, with March reaching the mid-90% range. He noted that August has declined in recent years due to earlier school start dates. Vice Chair Hermansen expressed support for the campaign and praised staff for their effective, data-driven marketing. He noted strong cruise and launch activity, but shared Howard Schwartz’s concern from Kennedy Space Center that frequent launches may be losing their impact. Public Comment Sandra Sullivan spoke regarding the Sarno Road land proposal discussed at the previous TDC meeting. Board Reports No reports Upcoming Meetings Next TDC Meeting: The next Tourist Development Council meeting will be held on July 23, 2025, at 2:00 PM at the Viera Government Center, Building C, 3rd Floor, Florida Room. Marketing Committee Meeting Dates: • July 22 • September 25 Beach Committee Meeting Date: • September 18 The meeting adjourned at 2:22 PM.
II. Director’s Report – Peter Cranis
STR Weekly Report 7/6/2025 Week of 3/2
Week of 3/9
Week of 3/16
Week of 3/23
Week of 3/30
Week of 4/6
Week of 4/13
Week of 4/20
Week of 4/27
Week of 5/4
Week of 5/11
Week of 5/18
Week of 5/25
Week of 6/1
Week of 6/8
Week of 6/15
Week of 6/22
Week of 6/29
Week of 7/6
78.8 76.6 2.9 -3.19%
81.6 79.5 2.6 3.55%
78.3 73 7.2 -4.04%
76 80.9 -6 -2.94%
72 76.4 -5.7 -5.26%
72.1 68.2 5.7 0.14%
68.3 67.4 1.3 -5.27%
69.4 67.1 3.5 1.61%
67.8 65.2 4 -2.31%
62.9 68.4 -8.1 -7.23%
64.3 65.6 -2 2.23%
65.4 66.7 -1.9 1.71%
62.9 63.8 -1.5 -3.82%
67.8 68.2 -0.5 7.79%
70.5 67 5.2 3.98%
66.9 66.6 0.5 -5.11%
71.4 78 -8.4 6.73%
63.3 67.7 -6.3 -11.34%
65.8 69.1 -4.8 3.95%
173.55 173.59 0 0.02%
176.82 177.58 -0.4 1.88%
176.68 175.27 0.8 -0.08%
177.77 183.84 -3.3 0.62%
162.03 160.69 0.8 -8.85%
157.49 146.92 7.2 -2.80%
151.59 145.62 4.1 -3.75%
149.39 147.08 1.6 -1.45%
144.09 147.96 -2.6 -3.55%
143.5 142.39 0.8 -0.41%
144.23 144.21 0 0.51%
145.82 145.68 0.1 1.10%
139.18 144.03 -3.4 -4.55%
142.8 142.8 0 2.60%
144.82 143.88 0.6 1.41%
146.08 146.35 -0.2 0.87%
146.13 153.51 -4.8 0.03%
143.41 149.38 -4 -1.86%
141.22 143.86 -1.8 -1.53%
136.7 132.93 2.8 -3.19%
144.26 141.22 2.2 5.53%
138.29 128.03 8 -4.14%
135.12 148.67 -9.1 -2.29%
116.71 122.73 -4.9 -13.62%
113.53 100.17 13.3 -2.72%
103.58 98.18 5.5 -8.76%
103.71 98.66 5.1 0.13%
97.69 96.42 1.3 -5.80%
90.27 97.42 -7.3 -7.60%
92.73 94.58 -1.9 2.73%
95.36 97.1 -1.8 2.84%
87.51 91.91 -4.8 -8.23%
96.85 97.33 -0.5 10.67%
102.03 96.34 5.9 5.35%
97.78 97.49 0.3 -4.17%
104.36 119.73 -12.8 6.73%
90.75 100.86 -10 -13.04%
92.9 99.41 -6.6 2.37%
Week of 2/25
Week of 3/3
Week of 3/10
Week of 3/17
Week of 3/24
Week of 3/31
Week of 4/7
Week of 4/14
Week of 4/21
Week of 4/28
Week of 5/5
Week of 5/12
Week of 5/19
Week of 5/26
Week of 6/2
Week of 6/9
Week of 6/16
Week of 6/23
Week of 6/30
82.8 87.7 -5.6 2.7%
76.6 85.1 -10.0 -7.5%
79.4 86.3 -8.1 3.7%
73.0 75.8 -3.7 -8.1%
80.9 76.8 5.3 10.8%
76.2 73.8 3.2 -5.8%
68.1 70.4 -3.3 -10.6%
67.3 67.5 -0.3 -1.2%
67.1 67.6 -0.8 -0.3%
65.1 64.9 0.3 -3.0%
68.4 62.3 9.8 5.1%
65.6 63.9 2.6 -4.1%
66.7 67.2 -0.8 1.7%
63.8 59.7 7.0 -4.3%
68.1 67.4 0.9 6.7%
66.8 68.9 -3.0 -1.9%
66.5 70.4 -5.5 -0.4%
78.0 71.6 8.9 17.3%
67.5 61.6 9.7 -13.5%
178.77 182.56 -2.1 2.8%
173.70 188.99 -8.1 -2.8%
178.22 192.12 -7.2 2.6%
175.45 180.44 -2.8 -1.6%
184.02 185.08 -0.6 4.9%
160.94 174.85 -8.0 -12.5%
146.99 162.43 -9.5 -8.7%
145.78 154.80 -5.8 -0.8%
147.18 154.69 -4.9 1.0%
146.34 146.63 -0.2 -0.6%
142.49 140.86 1.2 -2.6%
144.29 147.94 -2.5 1.3%
145.75 148.95 -2.1 1.0%
142.90 141.97 0.7 -2.0%
142.20 143.37 -0.8 -0.5%
143.34 145.18 -1.3 0.8%
146.17 147.53 -0.9 2.0%
153.25 149.40 2.6 4.8%
149.47 146.97 1.7 -2.5%
147.99 160.08 -7.6 5.6%
133.01 160.88 -17.3 -10.1%
141.44 165.83 -14.7 6.3%
128.08 136.81 -6.4 -9.4%
148.8 142.12 4.7 16.2%
122.65 129.11 -5.0 -17.6%
100.10 114.34 -12.5 -18.4%
98.17 104.54 -6.1 -1.9%
98.75 104.59 -5.6 0.6%
95.24 95.18 0.1 -3.6%
97.51 87.82 11 2.4%
94.63 94.6 0 -3.0%
97.15 100.09 -2.9 2.7%
91.21 84.71 7.7 -6.1%
96.77 96.65 0.1 6.1%
95.8 100.03 -4.2 66.5%
97.18 103.83 -6.4 1.4%
119.52 106.97 11.7 23.0%
100.91 90.48 11.5 -15.6%
TOURIST DEVELOPMENT COUNCIL FY 2024-25 BUDGET vs ACTUAL THROUGH MAY 2025 - TOURIST DEVELOPMENT TAX REVENUES FY 2024-25 Budgeted Amount Month Oct-24 $ 1,600,000 Nov-24 $ 1,700,000 Dec-24 $ 2,000,000 Jan-25 $ 2,400,000 Feb-25 $ 2,700,000 Mar-25 $ 3,300,000 Apr-25 $ 2,500,000 May-25 $ 2,200,000 Jun-25 $ 2,400,000 Jul-25 $ 2,600,000 Aug-25 $ 2,000,000 Sep-25 $ 1,600,000 FYTD Totals $ FY 24-25 Budget
$
$ $ $ $ $ $ $ $
18,400,000 $ 27,000,000
Actual Amount 1,715,547 1,783,513 2,010,118 2,378,673 2,570,502 3,098,698 2,399,767 2,172,655
$ $ $ $ $ $ $ $
Variance 115,547 83,513 10,118 (21,327) (129,498) (201,302) (100,233) (27,345)
% 7.2% 4.9% 0.5% -0.9% -4.8% -6.1% -4.0% -1.2%
18,129,473 $
(270,527)
-1.5%
FY 23-24 Actual
Previous FY 2023-24 Actual Variance from Collection Previous Year $1,550,472 $ 165,075 $1,629,695 $ 153,818 $1,827,341 $ 182,777 $2,314,195 $ 64,478 $2,762,558 $ (192,056) $3,148,537 $ (49,839) $2,172,598 $227,169 $2,040,749 $131,906 $2,197,161 $2,131,873 $1,843,320 $1,639,108 $17,446,146 $ $25,257,608
683,328
% 10.6% 9.4% 10.0% 2.8% -7.0% -1.6% 10.5% 6.5%
3.9%
Space Coast Office of Tourism - Budget Versus Actual Expenditure Report - June 2025
1,382,752 2,837,227 2,192,046 845,957 60,000 7,317,982 51,305 61,764 411,122 99,971 101,643 165,717 30,204 532,895 15,955 15,817 0 1,486,393 107,698 107,698 250,000 250,000 1,174,795 1,174,795 10,336,869
FY24-25 Budget
2,300,000 3,552,607 2,516,000 1,200,000 120,000 9,688,607 45,000 70,000 960,000 200,000 250,000 220,000 100,000 805,000 32,000 30,000 500,000 3,212,000 243,000 243,000 250,000 250,000 1,566,393 1,566,393 14,960,000
% Used
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
Promotions/Advertising - Fund 1441
Apr-25
May-25
140,583 65,032 44,522 82,811 0 332,947 99 8,465 4,890 0 13,932 43,915 2,656 88,926 3,433 295 0 166,611 20,916 20,916 0 0 0 0 520,473
Jun-25
140,583 916,497 580,370 156,869 0 1,794,320 0 0 115,123 0 13,177 8,113 0 182,276 1,636 1,025 0 321,350 16,196 16,196 0 0 391,598 391,598 2,523,463
FYTD Actuals
Beach - Fund 1442
Apr-25
May-25
Capital Facilities - Fund 1443
Apr-25
Marketing Contingency Disasters - Fund 1444
Apr-25
Billboard / Outdoor / Airport Broadcast - TV & Radio Digital & Social Media Advertising Creative, Production & Promotional Influencer Marketing & Film Commission Total Media and Production Trade Shows, Meetings and FAMs Website Development/Maintenance & Software International Marketing Strategic/Co-op Marketing Partnerships Public Relations Research & Studies Sports Advertising
140,582 553,386 323,448 108,768 30,000 1,156,184 9,819 6,223 15,166 0 12,122 28,444 380 Marketing Support Program ($565K Funding Cultural & $240K Sp Gr 175,380 Travel, Per Diem, Supplies and Shipping 1,630 Memberships/Training (Non-Travel) 399 Marketing Holdback 0 Total Other Marketing 249,562 Tax Collector Fee 17,350 Total Tax Collector Fee 17,350 Palm Bay Sacrifice Park 135,289 Total Palm Bay Sacrifice Park (Capital Facilities Funded) 135,289 Transfer to Ocean Rescue for Lifeguards (From Mrkg, Cap, & Cultura 0 Total Ocean Rescue Lifeguard Transfer (Mkg, Capital, Cu 0 Grand Total Promotions/Advertising 1,558,385
Beach Improvement, Renourishment and Support Indian River Lagoon Grant for Derilect Vessels and KBB 5 CW Lori Wilson Park Maintenance Natural Resources Support Transfer Travel and Membership Dues For Natural Resources Staff Beach Fund Reserves Total Beach Tax Collector Fee Total Tax Collector Fee Grand Total Beach
US Law Enforcement Foundation Igniting the Flame Veteran's Memorial Museum Cape Canaveral Lighthouse Foundation Phase 2 Brightline Cocoa Station Aquarium Project Other Capital Projects (Net of $710K Lifeguard Transfer) Capital Reserves Viera Park Debt Payment Total Capital Facilities Tax Collector Fee Total Tax Collector Fee Grand Total Capital Facilities
Marketing Contingency for Disasters
22,777 13,089 5,120 0 560 0 41,546 14,459 14,459 56,005
210,805 0 0 0 0 0 0 0 210,805 8,097 8,097 218,902
0
79,464 13,089 2,180 0 0 0 94,732 17,430 17,430 112,162
17,235 0 0 0 0 0 0 0 17,235 9,761 9,761 26,996
0
108,361 13,089 58,175 70,086 0 0 249,710 13,497 13,497 263,207
35,200 0 0 0 0 0 0 250,411 285,611 7,558 7,558 293,170
0
954,192 104,709 181,825 210,258 10,350 0 1,461,334 89,749 89,749 1,551,083
916,160 0 0 0 0 0 0 559,237 1,475,397 50,259 50,259 1,525,656
0
8,694,442 307,064 232,700 280,344 18,950 8,850,000 18,383,500 202,500 202,500 18,586,000
1,000,000 2,381,756 775,000 5,000,000 1,500,000 370,667 2,000,000 559,237 13,586,660 113,400 113,400 13,700,060
1,358,843
60% 80% 87% 70% 50% 76% 114% 88% 43% 50% 41% 75% 30% 66% 50% 53% 0% 46% 44% 44% 100% 100% 75% 75% 69%
11% 34% 78% 75% 55% 0% 8% 44% 44% 8%
92% 0% 0% 0% 0% 0% 0% 100% 11% 44% 44% 11%
0%
Space Coast Office of Tourism - Budget Versus Actual Expenditure Report - June 2025
Apr-25
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
Apr-25
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
Brevard Zoo - Fund 1447
Apr-25
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
Stadium Maintenance - Fund 1448
Apr-25
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
Stadium Capital - Fund 1450
Apr-25
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
Administration - Fund 1440
Apr-25
May-25
Jun-25
FYTD Actuals
FY24-25 Budget
% Used
2,179,126
1,073,810
3,356,013
16,187,843
55,873,874
Visitor Information Center - Fund 1445 Salaries & Benefits
Operating Expenses (Rent, Maintenance, Utilities, Office Supplie Marketing Expenses (Social Media, Brochure Dist, Visitor Guide) Website, Kiosk, Hosting and Maintenance
Chamber of Commerce Grants Total Visitor Information Center Tax Collector Fee Total Tax Collector Fee Grand Total Visitor Information Center
Cultural Marketing - Fund 1446
BCA - Cultural Contracted Services Board Cultural Grants
Unallocated Cultural Funds (Net $300,000 Lifeguard & $565,000 M
Total Cultural Marketing Tax Collector Fee Total Tax Collector Fee Grand Total Cultural Marketing
Tourist Tax Zoo Distribution Total Brevard Zoo Tax Collector Fee Total Tax Collector Fee Grand Total Brevard Zoo
Stadium Maintenance Expense & Solid Waste Assessment Total Stadium Maintenance Tax Collector Fee Total Tax Collector Fee Grand Total Stadium Maintenance
Stadium Capital Enhancements & Repairs Expense Grand Total Stadium Capital
Salaries and Benefits Indirect Cost Assessment (County Allocation) Info Systems Charge (County Allocation)
Admin Other (Rent, Ins, Trg, Office Supplies, SW, Computers)
Grand Total Administrative / General Operations
TOTAL TDO BUDGET VERSUS ACTUALS
6,091 2,379 42,351 6,319 0 57,140 1,157 1,157 58,297
16,833 0 0 16,833 2,313 2,313 19,147
117,417 117,417 2,892 2,892 120,309
0 0 11,567 11,567 11,567
0 0
114,428 0 0 22,087 136,515
5,635 2,365 17,903 6,260 0 32,163 1,394 1,394 33,557
16,833 5,000 0 21,833 2,789 2,789 24,622
143,233 143,233 3,486 3,486 146,719
0 0 13,944 13,944 13,944
0 0
115,468 62,668 0 17,201 195,337
6,654 2,295 2,781 6,022 0 17,752 1,080 1,080 18,832
16,833 (14,335) 0 2,499 2,159 2,159 4,658
109,058 109,058 2,699 2,699 111,757
0 0 10,797 10,797 10,797
0 0
115,349 0 0 14,779 130,129
60,631 21,277 158,635 71,122 100,000 411,665 7,180 7,180 418,845
134,667 0 0 134,667 14,360 14,360 149,026
722,327 722,327 17,950 17,950 740,277
5,502 5,502 71,799 71,799 77,301
0 0
1,075,721 109,670 39,959 163,437 1,388,787
83,011 32,230 298,734 96,472 100,000 610,447 16,200 16,200 626,647
202,000 49,335 61,275 312,610 32,400 32,400 345,010
1,146,300 1,146,300 40,500 40,500 1,186,800
351,400 351,400 162,000 162,000 513,400
2,424,689 2,424,689
1,650,000 188,005 79,918 254,502 2,172,425
73% 66% 53% 74% 100% 67% 44% 44% 67%
67% 0% 0% 43% 44% 44% 43%
63% 63% 44% 44% 62%
2% 2% 44% 44% 15%
0% 0%
65% 58% 50% 64% 64%
29%
II.d FY 2025-2026 Marketing Support Program Grants (Action Item)
Marketing Support Program
FY 2025-26 Cultural Events
2024-25 OOC#
MSP Projection
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Space Coast Super Boats/Thunder on CB National Air Sea Space/CB Air Show Brevard Productions/Space Coast State Fair Merritt Island Wildlife Refuge Brevard Regional Arts Group/HenegarCenter Museum of Dinosaurs and Ancient Cultures Valiant Air Command Titusville Playhouse Melbourne Main Street US Space Walk of Fame/American Space Museum Brevard Symphony Orchestra Cocoa Beach Main Street City of Palm Bay Space Coast Symphony Orchestra Cape Canaveral Lighthouse Florida Surf Museum/Surfing Santas Cocoa Village Playhouse Cocoa Village Main Street
63,237 62,141 26,159 24,255 23,650 21,085 17,059 14,397 7,004 6,049 5,920 5,821 5,813 5,586 5,570 5,561 5,560 5,410
$45,000 $45,000 $22,500 $17,500 $17,500 $17,500 $17,500 $17,500 $12,500 $12,500 $12,500 $12,500 $12,500 $12,500 $12,500 $12,500 $12,500 $12,500
19 20 21 22 23 24 25 26 27 28 29
Field Manor Native Rhythm Festival Space Coast Art Festival 38th Annual Veterans Reunion/Memorial Wall Wizard of Oz Green Gables Melbourne Art Festival Space Coast Birding & Wildlife Festival Small SAT Conference at KSC CSE Maxwell King Center Renaissance Fair
4,493 3,160 2,978 2,990 2,900 1,745 1,520 407 60 21,512 17,497
Missed minimum Missed minimum Missed minimum Missed minimum Missed minimum Missed minimum Missed minimum Missed minimum Missed minimum Withdrawn Withdrawn $325,000
Total Awards District Awards 5,001 – 10,000 (200 - 1,000 room nights) 10,001 – 25,000 (1,001-1,500 room nights) 25,001 – 50,000 (1,501+ room nights) 50,001+ Sports = Room Nights X $15
$572,665 $10,000 $12,500 $17,500 $22,500 $45,000
Did not Apply (that applied or received award last year) American Police Hall of Fame 12,386 Moore Center 3,670 Surfside Playhouse 1,153
Did not apply Did not apply Did not apply
Sports Events 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Cocoa Beach Spring Training Space Coast Spring Games/Softball Space Coast Cup/Soccer Florida Marathon Cocoa Beach Half Marathon Space Coast Clash/Soccer Cocoa Beach Triathlon Central Brevard Soccer/Winter Classic Central Brevard Soccer/Hurricane Classic NKF Rich Salick Surf Fest University of Louisville/Moon Golf USA Beach Running Championships ESA Surf Softball Mag Seniors Softball Mag Spring Training Space Coast Triathlon Foil Surfing Race American JR Golf Association Championship Florida Futures Lacrosse Brevard Soccer Club
21 22 23 24
Bless the Babies Bowl Boxlite Boxing 7v7 Columbia Classic Golf
2024-25 Room Nights 6,953 2,433 1,543 1,366 1,127 1,030 644 544 537 520 442 409 453 372 354 350 300 285 255 250 1,730 New New 230
MSP Projection $25,000 $25,000 $23,145 $20,490 $16,905 $15,450 $9,660 $8,160 $8,055 $7,800 $6,630 $6,135 $6,795 $5,580 $5,310 $5,250 $4,500 $4,275 $3,825 $3,750 Late entry Ineligible Ineligible Missed minimum $247,665
$25,000 $3,750 $3,750 $3,450 $35,950
Marketing Support Program – FY 2025-26 Table of Contents- click on an item below to be redirected to the first page in the packet for that item. Cultural events Space Coast Super Boats/Thunder on CB National Air Sea Space/CB Air Show Brevard Productions/Space Coast State Fair Merritt Island Wildlife Refuge Brevard Regional Arts Group/HenegarCenter Museum of Dinosaurs and Ancient Cultures Valiant Air Command Titusville Playhouse Melbourne Main Street US Space Walk of Fame/ASM Brevard Symphony Orchestra Cocoa Beach Main Street City of Palm Bay Space Coast Symphony Orchestra Cape Canaveral Lighthouse Florida Surf Museum/Surfing Santas Cocoa Village Playhouse Cocoa Village Main Street Field Manor Native Rhythm Festival Space Coast Art Festival 38th Annual Vietnam Reunion/MemorialWall Wizard of Oz Green Gables Melbourne Art Festival Space Coast Birding & Wildlife Festival Small SAT Conference at KSC CSE Sports Events Cocoa Beach Spring Training Space Coast Spring Games Softball Space Coast Cup/Soccer Florida Marathon
Cocoa Beach Half Marathon Space Coast Clash/Soccer Cocoa Beach Triathlon Central Brevard Soccer/Winter Classic Central Brevard Soccer/Hurricane Classic NKF Surf University of Louisville/Moon Golf USA Beach Running Championships ESA Surf Softball Mag Seniors Softball Mag Spring Training Space Coast Triathlon Foil Surfing Race American Jr Golf Association Championship Florida Futures Lacrosse Brevard Soccer Club Bless the Babies Boxlite Boxing 7v7 Columbia Classic Golf
Space Coast Super Boats/Thunder on Cocoa Beach
Return to Table of Contents
For TOO use: PROJECT#- C 1
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Space Coast Super Boats Applicant Event Name: Thunder on Cocoa Beach
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes No X X
X X
Comment
X
NIA
X
N/A
X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:70 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Kerry Bartlett
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Space Coast Super boat LLC Organization address 950 Mullet rd State FL City Cape Canaveral Zip 32920 Primary contact name Kerry Bartlett Primary contact phone number 3218635228
Primary contact email kerry.beachline@gmail.com Secondary contact name Michael Schwarz Secondary contact phone number 3217844533 Secondary contact email fishlipsbar@aol.com Organization website address 610 Glen Cheek Dr
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 80-0656657
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Thunder on Cocoa Beach Event website address (if different from organization website) thunderoncocoabeach.com Event location Port Canaveral/Cocoa Beach
9. (untitled) 8. What is the first date of your event? 05/14/2026
10. (untitled) 9. In total, how many days will your event be held? 4
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Radio Social media (Facebook, Instagram, YouTube, etc.) TV/Video
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : Thunder on Cocoa Beach offshore race Instagram : Thunder on Cocoa Beach YouTube : Thunder on Cocoa Beach
22. (untitled) 13. What hashtags do you currently use? #thunderoncocoabeach
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. 2025_Sunbiz_TOCB.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. 2025_Sunbiz_TOCB.pdf
27. (untitled) 16. Upload your completed W-9 form. W9_TOCB.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. 2025_Thunder_Final_.pdf
29. (untitled) 18. Upload your completed Checklist. 2025_TDC_Checklist.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Kerry Bartlett
31. Thank You! New Send Email Jun 07, 2025 13:52:46 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Marketing Support Program - SPACE COAST SUPER BOATS FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Helicopters
$19,800.06
$18,000.05
$1,800.01
Fishlips
$5,500.00
$5,000.00
$500.00
BC Ocean Rescue/Paramedic
$4,787.68
$4,352.44
Steve Byle Hotels
$2,993.76
$2,721.60
$435.24
FL. Distributers
$5,000.00
$5,000.00
$0.00
$272.16
Grills
$2,000.00
$2,000.00
LLC filing fee
$247.50
$0.00
$225.00
$22.50
Explorer Media
$150,000.00
$124,820.00
$25,180.00
Patrol boat captains APBA Membership
$3,080.00
$2,800.00
$280.00
$0.00
$191.48
$19.15
Motel assco. $5,000.00 Teal Reef (Tickets,vendors ETC $85,000.00
$5,000.00
$210.63
$85,000.00
$0.00
$2,829.06
Merchandise
$6,866.77
$6,242.52
$624.25
Subtotal Income Income Sponsors
$259,366.77
$233,062.52
$26,304.25
$0.00
$0.00
$0.00
Subtotal Expense Other Expenses
$31,119.63
Port Fee
$8,945.20
$8,132.00
$813.20
BCSO
$3,478.20
$3,162.00
$316.20
CCVFD
$6,450.95
$5,864.50
$586.45
United Services Porta Potties
$2,985.40
$2,714.00
$271.40
Tactical Elite night security
$3,238.40
$2,944.00
$294.40
City pool testing
$247.17
$224.70
$22.47
Hampton Inn (Wet pit guard)
$0.00
$0.00
$0.00
Cash in Bank to start Income Other
Cocoa Water utilities
$1,540.00
$1,400.00
$140.00
TDC grant funding
$45,000.00
$50,000.00
-$5,000.00
Catering Beach
$6,250.56
$5,682.33
$568.23
Total Income
$304,366.77
$283,062.52
$21,304.25 $22,843.38
Hotel room for Wet Hot pit guys
$28,290.57
Income
$0.00
$2,111.19
-$2,111.19
$259,366.77
$233,062.52
$26,304.25
$0.00
$0.00
$0.00
Total Expenses Paid
$307,227.19
$284,383.81
Arrive Alive Road Closure **
$6,600.00
$6,000.00
$600.00
Profit/Loss
-$2,860.42
-$1,321.29
Trash/waste pro roll aways
$1,897.50
$1,725.00
$172.50
CCB Chamber
$401.50
$365.00
$36.50
Note: these numbers are the best numbers we can offer at this point
Scorpian Marine Launch site
$4,400.00
$4,000.00
$400.00
but we are still settling things from our May 2025 event which will raise the
Island craft beach chair LWP
$2,640.00
$2,400.00
$240.00
expenses but not increase the income. 6.30.2025.
barricades/tents/chairs
$27,288.80
$24,808.00
$2,480.80
Media/sound beach chalet
$10,555.60
$9,596.00
$959.60
Fishlips break down staff
$3,428.70
$3,117.00
$311.70
CCB Basefall, Lacrosse, etc.
$2,200.00
$2,000.00
$200.00
Right Coast merch
$7,648.48
$6,953.16
$695.32
commission Explorer spons
$34,333.75
$31,212.50
$3,121.25
commission Explorer bonus
$1,100.00
$1,000.00
$100.00
banners, print programs
$6,669.30
$6,063.00
$606.30
Pat Kaury labor
$550.00
$500.00
$50.00
volunteer shirts
$1,805.82
$1,641.65
$164.17
wristbands/ tap and go
$4,092.00
$3,720.00
$372.00
G Daddy Domain renewals
$33.18
$30.16
$3.02
Cocoa Beach event fee
$9,158.11
$8,325.55
$832.56
Florida Today
$2,250.85
$2,046.23
$204.62
MIHS beach volunteers
$1,100.00
$1,000.00
$100.00
Paid social ads - Fb Google
$286.00
$260.00
$26.00
Misc. Teal Reef comm poster distribution
$84.22
$76.56
$7.66
$35,325.04
$32,113.67
$3,211.37
$220.00
$200.00
$20.00
Subtotal Other Expenses
$197,204.71
$179,277.01
$17,927.70
Marketing Out-of-County P1
$73,000.00
$71,450.00
$1,550.00
Florida Today
$2,250.85
$2,046.23
$204.62
Spectrum Ads Orlando/Tampa
$3,300.00
$3,000.00
$300.00
Spectrum commericals Orlando/Tampa $352.00
$320.00
$32.00
Subtotal Marketing
$78,902.85
$76,816.23
$2,086.62
Total Expenses 2025-2026
$307,227.19
$284,383.81
Updated: 6/30/2025
National Air Sea Space/CB Air Show
Return to Table of Contents
For TDO use: PROJECT#- C 2
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: National Air Sea Space Foundation Applicant Event Name: Cocoa Beach Air Show Yes 1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural} or 250 room nights (Sports}. NO
All documents have been submitted, reviewed and/or addressed in the comments.
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:51 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Dawson Pritchett
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming National Air Sea and Space Foundation Organization address 5700 North Harbor City Blvd. Suite 280 State FL City Melbourne Zip 32940 Primary contact name Dawson Pritchett Primary contact phone number 4077617699
Primary contact email Dawson@air.show Secondary contact name Bryan Lilley Secondary contact phone number 321-368-3808 Secondary contact email Bryan@air.show Organization website address www.air.show
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 27-3459716
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Air Dot Show Cocoa Beach Event website address (if different from organization website) air.show/cocoabeach Event location Cocoa Beach, show center at Lori Wilson Park
9. (untitled) 8. What is the first date of your event? 04/11/2026
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video Other - Please be specific.....: Email Marketing
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : @cocoaBeachAirShow & @AirDotShow Instagram : @cocoaBeachAirShow & @AirDotShow YouTube : @AirDotShow
22. (untitled) 13. What hashtags do you currently use? #SpaceCoast, #CocoaBeach, #CocoaBeachAirShow, #AirDotShow
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. NASSF-IRS_Cert_of_Status.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. NASSFI_US_2023_990_Tax_Return.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Sunbiz_National_Air_Sea_Space_Foundation.pdf
27. (untitled) 17. Upload your completed W-9 form. NASSF_Signed_W-9.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 19. Upload your completed Checklist. Cocoa_Grant_applicant_checklist_4.30.2025.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Dawson Pritchett
31. Thank You! New Send Email Jun 05, 2025 12:41:35 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
5/28/25, 12:11 PM
Detail by Entity Name D i v i s i o n o f C o r p o r at i o n s
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation NATIONAL AIR, SEA AND SPACE FOUNDATION, INC. Filing Information
Document Number
N10000007708
FEI/EIN Number
27-3459716
Date Filed
08/13/2010
State
FL
Status
ACTIVE
Principal Address
5700 North Harbor City Blvd Suite 280 Melbourne, FL 32940 Changed: 03/22/2022 Mailing Address
PO Box 360857 Melbourne, FL 32936 Changed: 01/08/2017 Registered Agent Name & Address
NASH, CHARLES I 440 South Babcock Street Melbourne, FL 32901 Name Changed: 02/23/2025 Address Changed: 02/23/2025 Officer/Director Detail
Name & Address Title DIR LILLEY, BRYAN S PO Box 360857 Melbourne, FL 32936 Title DIR https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=NATIONALAIRSEAS…
1/2
5/28/25, 12:11 PM
Detail by Entity Name
HEARD, MARSHALL PO Box 360857 Melbourne, FL 32936 Title Director Griffin, Gwen PO Box 360857 Melbourne, FL 32936 Title Director Plans, Barry PO Box 360857 Melbourne, FL 32936 Annual Reports
Report Year
Filed Date
2023
01/23/2023
2024
04/02/2024
2025
02/23/2025
Document Images 02/23/2025 -- ANNUAL REPORT
View image in PDF format
04/02/2024 -- ANNUAL REPORT
View image in PDF format
01/23/2023 -- ANNUAL REPORT
View image in PDF format
03/22/2022 -- ANNUAL REPORT
View image in PDF format
01/14/2021 -- ANNUAL REPORT
View image in PDF format
01/12/2020 -- ANNUAL REPORT
View image in PDF format
03/18/2019 -- ANNUAL REPORT
View image in PDF format
01/24/2018 -- ANNUAL REPORT
View image in PDF format
01/08/2017 -- ANNUAL REPORT
View image in PDF format
03/25/2016 -- ANNUAL REPORT
View image in PDF format
01/06/2015 -- ANNUAL REPORT
View image in PDF format
01/26/2014 -- ANNUAL REPORT
View image in PDF format
01/20/2013 -- ANNUAL REPORT
View image in PDF format
07/25/2012 -- ANNUAL REPORT
View image in PDF format
09/22/2011 -- ANNUAL REPORT
View image in PDF format
08/13/2010 -- Domestic Non-Profit
View image in PDF format
Florida Department of State, Division of Corporations
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=NATIONALAIRSEAS…
2/2
NASSFI
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
0MB No. 1545-0047
For calendar year 2023, or fiscal year beginning ......... . ...... . .. , 2023, and ending
, 20
2023
Do not send to the IRS. Keep for your records. Go to www.irs. ov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service
NATIONAL AIR SEA SPACE FOUNDATION, INC. Name and title of officer or person subject to tax BRYAN S . LILLEY CHAIRMAN Part I Type of Return and Return Information
EIN or SSN
Name of filer
27-3459716
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return . Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms , enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, Sa, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, Sb, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the
applicable line below. Do not complete more than one line in Part I. 1a Form 990 check here
X b
Total revenue, if any (Form 990, Part VI II, column (A), line 12) .
1b
2a Form 990-EZ check here
b
Total revenue, if any (Form 990-EZ, line 9)
2b
Total tax (Form 1120-POL, line 22) .
3a Form 1120-POL check here
b
4a Form 990-PF check here
b Tax based on investment income (Form 990-PF, Part V, line 5)
5a Form 8868 check here
b
Balance due (Form 8868, line 3c) .
5b
6a Form 990-T check here
b Total tax (Form 990-T, Part 111 , line 4) .
6b
7a Form 4720 check here
7b
Sa Form 5227 check here
b Total tax (Form 4720, Part 111 , line 1) . ...... ................... . . .... . b FMV of assets at end of tax year (Form 5227, Item D)
9a Form 5330 check here
b
Tax due (Form 5330, Part 11, line 19) .
9b
10a Form 8038-CP check here .
b
Amount of credit payment requested (Form 8038-CP, Part Ill, line 22)
10b
Part II
317,861
3b 4b
Sb
Declaration and Si nature Authorization of Officer or Person Sub'ect to Tax
Under penalties of pe~ury, I declare that X I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , (EIN) _ _ _ _ _ _ _ and that I have examined a copy of the 2023 electronic return and accompanying schedules and statements, and , to the best of my knowledge and belief, they are true , correct , and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return . I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission , (b) the reason for any delay in processing the return or refund , and (c) the date of any refund . If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return , and the financial institution to debit the entry to th is account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and , if applicable , the consent to electronic funds withdrawal. PIN : check one box only
~ 1 authorize
HAMILTON & MUSSER,
PC,
CPAS
to enter my PIN
59716
as my signature
Enter five numbers, but do not enter all zeros
ERO 11nm name
on the tax year 2023 el ectronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program , I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen.
D As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return . If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I wi ll enter my PIN on the return's disclosure consent screen. Signature of officer or person subject to tax
Part Ill
Date
11/13/24
Certification and Authentication
ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN .
23319933199 Do not enter all zeros
I certify that the above numeric entry is my PIN , which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting th is return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-fi/e Providers for B ~ s. ERO's signature
~
Jr
i?
~ 0 - ~ L,, ff '
Date
_1_1.....:../_1_3..,_/_2_4__________
ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see back of form. DAA
Form
8879-TE (2023)
NASSFI
Form 990 (2023)
Part III 1
NATIONAL AIR SEA SPACE
27-3459716
Page 2
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Briefly describe the organization's mission:
THE . . . . . . NATIONAL . . . . . . . . . . . . . . . . . . . .AIR, . . . . . . . . . . .SEA . . . . . . . . .AND . . . . . . . . SPACE . . . . . . . . . . . . . .FOUNDATION . . . . . . . . . . . . . . . . . . . . . . . IS . . . . . . . AN . . . . . . .EDUCATIONAL, . . . . . . . . . . . . . . . . . . . . . . . . . . . .NONPROFIT ........................... ORGANIZATION DEDICATED TO THE ADVANCEMENT OF MILITARY, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMMERCIAL, . . . . . . . . . . . . . . . . . . . . . . . . . . AND ................. CIVIL . . . . . . . . . . ENTERPRISES . . . . . . . . . . . . . . . . . . . . . . . . . . IN . . . . . . .AIR, . . . . . . . . . . .SEA, . . . . . . . . . . .AND . . . . . . . . .SPACE. ...................................................................................... 2
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
3
4
Yes
X No
Yes
X No
) (Expenses $ . . . . . . . . . . . .329,100 ) (Revenue $ . . . . . . . . . . . 196,792 . . . . . . . . . . . . . . . including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . ............... ) THE FOUNDATION ACHIEVED ITS PROGRAM SERVICE OBJECTIVES THIS YEAR THROUGH . ............................................................................................................................................................... ONE . . . . . . SIGNATURE . . . . . . . . . . . . . . . . . . . . . .PROGRAM. . . . . . . . . . . . . . . . . . . . THE . . . . . . . . . FOUNDATION . . . . . . . . . . . . . . . . . . . . . . . .CONDUCTED . . . . . . . . . . . . . . . . . . . . . .THE . . . . . . . . COCOA . . . . . . . . . . . . . .BEACH . . . . . . . . . . . . .AIR . . . . . . . . .SHOW, .............. APRIL 15-16, 2023, AN AVIATION EXPEDITION OPEN TO THE PUBLIC WITH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A . . . . .DIVERSE .............. REPRESENTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .OF . . . . . . MILITARY . . . . . . . . . . . . . . . . . . . . AND . . . . . . . . . CIVILIAN . . . . . . . . . . . . . . . . . . . .AIRCRAFT, . . . . . . . . . . . . . . . . . . . . . EDUCATING . . . . . . . . . . . . . . . . . . . . . . OVER . . . . . . . . . . . 175,000 ..................... SPECTATORS . . . . . . . . . . . . . . . . . . . . . ABOUT . . . . . . . . . . . . . THE . . . . . . . . . OPPORTUNITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IN . . . . . . . THE . . . . . . . . . GROWING . . . . . . . . . . . . . . . . . .INDUSTRY . . . . . . . . . . . . . . . . . . . ON . . . . . . ."FLORIDA'S ........................... SPACE COAST". . ...............................................................................................................................................................
4a (Code: . . . . . . . . .
. ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ...............................................................................................................................................................
) (Expenses $ . . . . . . . . . . . . . . . . . . . . . . . . . . . including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . . . . . . . . . 3,400 ........... ) MAJOR STEPHEN "CAJUN" DEL BANGO, THUNDERBIRD #4, WAS KILLED WHEN HIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .F-16 ............ CRASHED . . . . . . . . . . . . . . .JUST . . . . . . . . . . .10 . . . . . . DAYS . . . . . . . . . . . AFTER . . . . . . . . . . . . . PERFORMING . . . . . . . . . . . . . . . . . . . . . . . .IN . . . . . . .THE . . . . . . . . 2018 . . . . . . . . . . . MELBOURNE . . . . . . . . . . . . . . . . . . . . . .AIR . . . . . . . . .SHOW. . . . . . . . . . . . . .IN .......... HONOR . . . . . . . . . . OF . . . . . . . CAJUN, . . . . . . . . . . . . . . . THE . . . . . . . . . NATIONAL . . . . . . . . . . . . . . . . . . . .AIR . . . . . . . . SEA . . . . . . . . . AND . . . . . . . . . SPACE . . . . . . . . . . . . . FOUNDATION . . . . . . . . . . . . . . . . . . . . . . . .IS . . . . . . .PARTNERING ............................. WITH . . . . . . . . THE . . . . . . . . . FLORIDA . . . . . . . . . . . . . . . . . .INSTITUTE . . . . . . . . . . . . . . . . . . . . . OF . . . . . . .TECHNOLOGY . . . . . . . . . . . . . . . . . . . . . . . .AND . . . . . . . . BROWARD . . . . . . . . . . . . . . . . . .COLLEGE . . . . . . . . . . . . . . . . . TO . . . . . . .CREATE . . . . . . . . . . . . . . . THE ........ STEPHEN "CAJUN" DEL BANGO MEMORIAL SCHOLARSHIP. EVERY YEAR THE CAJUN . ............................................................................................................................................................... SCHOLARSHIP . . . . . . . . . . . . . . . . . . . . . . .WILL . . . . . . . . . . .GO . . . . . . .TO . . . . . . HELP . . . . . . . . . . . STUDENTS . . . . . . . . . . . . . . . . . . . .IN . . . . . . NEED . . . . . . . . . . . TO . . . . . . .GET . . . . . . . . .THEIR . . . . . . . . . . . . .WINGS . . . . . . . . . . . . .AND . . . . . . . . .PURSUE .............. A . .FUTURE IN AVIATION. ..............................................................................................................................................................
4b (Code: . . . . . . . . .
. ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ...............................................................................................................................................................
4c (Code: . . . . . . . . .
) (Expenses $ . . . . . . . . . . . . . . . . . . . . . . . . . . .
including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . .
) (Revenue $ . . . . . . . . . . . . . . . . . . . . . . . . . . )
N/A . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ............................................................................................................................................................... . ...............................................................................................................................................................
4d Other program services (Describe on Schedule O.) (Expenses $ including grants of $ 4e Total program service expenses 329,100 DAA
) (Revenue $
) Form
990 (2023)
NASSFI
Form 990 (2023)
Part IV
NATIONAL AIR SEA SPACE
27-3459716
Page 3
Checklist of Required Schedules Yes
1 2 3 4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments—program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . . . . Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . . . . . . . . . . . . . Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2
No
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18
X
19 20a 20b
X X
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DAA
21 Form
X 990 (2023)
NASSFI
Form 990 (2023)
Part IV
NATIONAL AIR SEA SPACE
27-3459716
Page 4
Checklist of Required Schedules (continued) Yes
22 23
24a
b c d 25a b
26
27
28 a b c 29 30 31 32 33 34 35a b 36 37 38
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive more than $25,000 in noncash contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I . . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
22
X
23
X
24a 24b
X
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X X
38
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
1a b c DAA
No
18 Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . . . . . 1a 0 Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . 1b Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c Form
No
X 990 (2023)
NASSFI
Form 990 (2023)
Part V 2a b 3a b 4a b 5a b c 6a b 7 a b c d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
NATIONAL AIR SEA SPACE
27-3459716
Page 5 Yes No
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax 0 Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . . 2a If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the name of the foreign country . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? . . . . . . . . . If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: 10a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” see instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . . . . . . . . . . . . . If “Yes,” complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” complete Form 6069.
2b 3a 3b
X
4a
X
5a 5b 5c
X X
6a
X
6b
7a 7b 7c 7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b
X
15
X
16
X
17 Form
DAA
990 (2023)
NASSFI
Form 990 (2023)
Part VI
NATIONAL AIR SEA SPACE
27-3459716
Page 6
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management Yes Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
b 2
4 Enter the number of voting members included on line 1a, above, who are independent . . . . . . . . . . . . . . . . . . . . . . . . . . 1b Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? . . . . . . . . . . . . . . . . . . Did the organization become aware during the year of a significant diversion of the organization’s assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 4 5 6 7a b 8 a b 9
1a
No
4
1a
2
X
3 4 5 6
X X X X
7a
X
7b
X X X
8a 8b
X
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10a b 11a b 12a b c 13 14 15 a b 16a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . . . . . Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . . . Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions. Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the
10a
organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16b
10b 11a 12a 12b
No
X X X X
12c 13 14
X X X
15a 15b
X X
16a
X
Section C. Disclosure 17 18
19 20
List the states with which a copy of this Form 990 is required to be filed . . . .NONE ................................................................................ Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Another's website Own website Upon request Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records.
BRYAN S. LILLEY MELBOURNE DAA
5700 N US HWY 1, SUITE 280
FL 32935
321-368-3808 Form
990 (2023)
NASSFI
Form 990 (2023)
Part VII
NATIONAL AIR SEA SPACE
27-3459716
Page 7
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. List all of the organization's current key employees, if any. See instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. X Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
• • • • •
(C)
1.00 0.00
Former
X
Highest compensated employee
5.00 0.00
(1) BRYAN
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Institutional trustee
(B)
Individual trustee or director
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(A)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
S. LILLEY
. ......................................................
CHAIRMAN (2) MARSHALL
X
0
0
0
X
0
0
0
1.00 0.00
X
0
0
0
1.00 0.00
X
0
0
0
HEARD
. ......................................................
DIRECTOR (3) GWEN
GRIFFIN
. ......................................................
DIRECTOR (4) BARRY
PLANS
. ......................................................
DIRECTOR (5)
. ......................................................
(6) . ......................................................
(7) . ......................................................
(8) . ......................................................
(9) . ......................................................
(10) . ......................................................
(11) . ......................................................
Form DAA
990 (2023)
NASSFI
27-3459716 Form 990 (2023) NATIONAL AIR SEA SPACE Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII
Page 8
(C)
Former
Highest compensated employee
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(12) ...................................................... .
(13) ...................................................... .
(14) ...................................................... .
(15) ...................................................... .
(16) ...................................................... .
(17) ...................................................... .
(18)
. ......................................................
(19)
. ......................................................
1b c d 2
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total number of individuals (including but not limited to those listed above) who received more than $100,000 of 0 reportable compensation from the organization Yes
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year.
No
3
(A)
Name and business address
2 DAA
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
(B)
3
X
4
X
5
X
(C)
Description of services
Compensation
0 Form
990 (2023)
NASSFI
Form 990 (2023)
Part VIII
NATIONAL AIR SEA SPACE
27-3459716 (A) Total revenue
Contributions, Gifts, Grants and Other Similar Amounts
Page 9
Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a Federated campaigns . . . . . . . . . . . . . . . b Membership dues . . . . . . . . . . . . . . . . . . . c Fundraising events . . . . . . . . . . . . . . . . . . d Related organizations . . . . . . . . . . . . . . . e Government grants (contributions) . . . . . . . . . . . . f All other contributions, gifts, grants,
1a 1b 1c 1d 1e
and similar amounts not included above . . . . . . . .
1f
(B) Related or exempt function revenue
(C) Unrelated business revenue
(D) Revenue excluded from tax under sections 512-514
117,669
g Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g $
h Total. Add lines 1a–1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
117,669
Program Service Revenue
Business Code
713990 2a . .AIR . . . . . .SHOW ............................................... 900099 b . .FLIGHT SUIT SOCIAL ..................................................... c . ...................................................... d . ...................................................... e . ...................................................... f All other program service revenue . . . . . . . . . . . . . . . . . . . g Total. Add lines 2a–2f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Income from investment of tax-exempt bond proceeds . . . . . . . . . . . 5 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) Real
196,792 3,400
196,792 3,400
200,192
(ii) Personal
6a Gross rents 6a b Less: rental expenses 6b c Rental inc. or (loss) 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Gross amount from (i) Securities (ii) Other
Miscellaneous Revenue
Other Revenue
sales of assets other than inventory
7a
b Less: cost or other basis and sales exps. 7b 7c c Gain or (loss) d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ . . . . . . . . . . . . . . . . . . . . . . of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . . . . . . . . . 8a b Less: direct expenses . . . . . . . . . . . . . . . 8b c Net income or (loss) from fundraising events . . . . . . . . . . . . . . . . . . . . . 9a Gross income from gaming activities. See Part IV, line 19 . . . . . . . 9a b Less: direct expenses . . . . . . . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . . . . . . . . . . . . . . . 10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . . . . . . . . . . . . . Business Code
11a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b . ...................................................... c . ...................................................... d All other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Total. Add lines 11a–11d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
317,861
0
0
200,192 990 (2023)
Form DAA
NASSFI
Form 990 (2023)
Part IX
NATIONAL AIR SEA SPACE
27-3459716
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1
(A) Total expenses
(B) Program service expenses
(C) Management and general expenses
(D) Fundraising expenses
Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . . . . . . . . . . .
2 3
4 5 6
7 8 9 10 11 a b c d e f
Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . . Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . Benefits paid to or for members . . . . . . . . . . . . . Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . . . . Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . . . Other salaries and wages . . . . . . . . . . . . . . . . . . . Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) Other employee benefits . . . . . . . . . . . . . . . . . . . . Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fees for services (nonemployees): Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Legal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lobbying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Professional fundraising services. See Part IV, line 17 Investment management fees . . . . . . . . . . . . . . .
18,243
18,243
4,613
4,613
g Other. (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O.) . . . . . . . .
12 13 14 15 16 17 18 19 20 21 22 23 24
Advertising and promotion . . . . . . . . . . . . . . . . . . . Office expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Information technology . . . . . . . . . . . . . . . . . . . . . . Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials Conferences, conventions, and meetings . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments to affiliates . . . . . . . . . . . . . . . . . . . . . . . . Depreciation, depletion, and amortization . . . Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
SITE OPERATIONS a . . .EVENT ............................................ b . . .HOSPITALITY ............................................ OPERATIONS c . . .FLIGHT ............................................ MEALS d . . .VOLUNTEER ............................................ e All other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Total functional expenses. Add lines 1 through 24e . . . . . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) . . . . . . . . . . . . . . . DAA
1,205 16,767 2,097
1,205 15,929
7,313
7,313
6,670
6,670
112,180 99,059 55,296 7,776 5,469 336,688
112,180 99,059 55,296 7,776 5,429 329,100
838 2,097
40 6,750
838
Form
990 (2023)
NASSFI
Form 990 (2023)
Part X
NATIONAL AIR SEA SPACE
27-3459716
Page 11
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) (B) Beginning of year End of year
Net Assets or Fund Balances
Liabilities
Assets
1 2 3 4 5
Cash—non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . . . . . . . . . . . 7 Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . . . . . . . . . . . . . . 10a b Less: accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . 10b 11 Investments—publicly traded securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Investments—other securities. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Investments—program-related. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . . . . . . . . . . . . . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . . 24 Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. 27 Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33. 29 Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Paid-in or capital surplus, or land, building, or equipment fund . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . . . . . . . . . 32 Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50,383 325
1 2 3 4
31,660 325
5 6 7 8 9
50,708
10c 11 12 13 14 15 16 17 18 19 20 21
31,985
610
22 23 24
714
610
25 26
714
27 28
24,662 6,609
29 30 31 32 33
31,271 31,985
50,098
50,098 50,708
Form
DAA
990 (2023)
NASSFI
Form 990 (2023)
Part XI
NATIONAL AIR SEA SPACE
27-3459716
Page 12
Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6 7 8 9 10
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
1 2 3 4 5 6 7 8 9
317,861 336,688 -18,827 50,098
10
31,271
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
X Accrual Accounting method used to prepare the Form 990: Cash Other If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis c If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the
No
1
required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a
X
2b
X
2c
3a 3b Form
DAA
X 990 (2023)
NASSFI
SCHEDULE A (Form 990)
Public Charity Status and Public Support
Part I
2023
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ.
Department of the Treasury Internal Revenue Service Name of the organization
OMB No. 1545-0047
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
NATIONAL AIR SEA SPACE FOUNDATION, INC.
Employer identification number
27-3459716
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) 11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of 12 one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a
b
c d
e f g
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organization listed in your governing document? Yes
(v) Amount of monetary support (see
(vi) Amount of other support (see
instructions)
instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
DAA
Schedule A (Form 990) 2023
NASSFI
Schedule A (Form 990) 2023
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Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . . . . . .
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . . Total. Add lines 1 through 3 . . . . . . . . . . . . The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . . . . . . . .
4 5
6
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
Public support. Subtract line 5 from line 4 . .
Section B. Total Support Calendar year (or fiscal year beginning in) 7 8
Amounts from line 4 . . . . . . . . . . . . . . . . . . . . . Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . . Total support. Add lines 7 through 10
11 12 13
Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 15 16a b 17a
b
18
14 Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 33 1/3% support test — 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 1/3% support test — 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
% %
Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
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Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . . .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . . . . . . . .
3
Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
6
Total. Add lines 1 through 5 . . . . . . . . . . . .
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons . . . . . .
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year . . . Add lines 7a and 7b . . . . . . . . . . . . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c 8
(a) 2019
(b) 2020 4,447
465,290
465,290
4,447
(c) 2021
(d) 2022
(e) 2023
(f) Total
177,617
127,762
117,669
427,495
152,312
222,349
200,192
1,040,143
329,929
350,111
317,861
1,467,638
1,467,638
Section B. Total Support Calendar year (or fiscal year beginning in)
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
9
Amounts from line 6 . . . . . . . . . . . . . . . . . . . . .
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . .
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . . . . . . . .
c
Add lines 10a and 10b . . . . . . . . . . . . . . . . . .
11
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on . . . .
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 465,290 4,447 329,929 350,111 317,861 1,467,638 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 14
465,290
4,447
329,929
350,111
317,861
1,467,638
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15 16
100.00 % 100.00 %
Section D. Computation of Investment Income Percentage 17 17 Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19a 33 1/3% support tests — 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . b 33 1/3% support tests — 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . .
% %
X
Schedule A (Form 990) 2023 DAA
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Schedule A (Form 990) 2023
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Part IV
Supporting Organizations (Complete only if you checked a box on line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
2
3a b
c 4a b
c
5a
b c 6
7
8 9a
b c 10a
b
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer lines 3b and 3c below. Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
No
1
2 3a
3b 3c 4a
4b
4c
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
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Supporting Organizations (continued)
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
Yes
No
Yes
No
Yes
No
Yes
No
11a 11b 11c
Section B. Type I Supporting Organizations 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year. Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
1
2
Section C. Type II Supporting Organizations 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided? Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). By reason of the relationship described on line 2, above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard.
2
3
1
2
3
Section E. Type III Functionally Integrated Supporting Organizations 1 a b c 2 a
b
3 a b DAA
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). The organization satisfied the Activities Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). Activities Test. Answer lines 2a and 2b below. Yes Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined 2a that these activities constituted substantially all of its activities. Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. Parent of Supported Organizations. Answer lines 3a and 3b below. Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
No
2b
3a 3b Schedule A (Form 990) 2023
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Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A – Adjusted Net Income 1 2 3 4 5 6
7 8
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
Net short-term capital gain Recoveries of prior-year distributions Other gross income (see instructions) Add lines 1 through 3. Depreciation and depletion Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) Other expenses (see instructions) Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
(B) Current Year (optional)
(A) Prior Year
(B) Current Year (optional)
1 2 3 4 5
6 7 8
Section B – Minimum Asset Amount Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 3 Subtract line 2 from line 1d. 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by 0.035. 7 Recoveries of prior-year distributions 8 Minimum Asset Amount (add line 7 to line 6)
(A) Prior Year
1
1a 1b 1c 1d
2 3 4 5 6 7 8
Section C – Distributable Amount 1 2 3 4 5 6 7
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 2 Enter 0.85 of line 1. 3 Minimum asset amount for prior year (from Section B, line 8, column A) 4 Enter greater of line 2 or line 3. 5 Income tax imposed in prior year Distributable Amount. Subtract line 5 from line 4, unless subject to 6 emergency temporary reduction (see instructions). Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
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Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D – Distributions Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity 3 Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts paid to acquire exempt-use assets 5 Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) 6 Other distributions (describe in Part VI). See instructions. 7 Total annual distributions. Add lines 1 through 6. 8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. 9 Distributable amount for 2022 from Section C, line 6 10 Line 8 amount divided by line 9 amount (i) Section E – Distribution Allocations (see instructions) Excess Distributions
Current Year
1 2
1 2 3 4 5 6 7 8 9 10 (ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
1 2
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required–explain in Part VI). See instructions. 3 Excess distributions carryover, if any, to 2023 a From 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b From 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c From 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d From 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e From 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2023 distributable amount i Carryover from 2018 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2023 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2023 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. 7 Excess distributions carryover to 2024. Add lines 3j and 4c. 8 Breakdown of line 7: a Excess from 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . b Excess from 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . c Excess from 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . d Excess from 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . e Excess from 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
DAA
NASSFI
Schedule A (Form 990) 2023
Part VI
NATIONAL AIR SEA SPACE
27-3459716
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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DAA
Schedule A (Form 990) 2023
NASSFI
Schedule B
OMB No. 1545-0047
Schedule of Contributors
(Form 990)
2023
Attach to Form 990, 990-EZ, or 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
Employer identification number
NATIONAL AIR SEA SPACE FOUNDATION, INC.
27-3459716
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X 501(c)(
3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule
X For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions. Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering “N/A” in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don’t complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ ...........................
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
DAA
Schedule B (Form 990) (2023)
NASSFI
PAGE 1 OF 2
Schedule B (Form 990) (2023)
Name of organization
NATIONAL AIR SEA SPACE Part I (a) No.
1
. ......
(b) Name, address, and ZIP + 4
2
COCOA BEACH HOTEL ASSOCIATION 3425 N ATLANTIC AVE
(b) Name, address, and ZIP + 4
3
(b) Name, address, and ZIP + 4
4
(b) Name, address, and ZIP + 4
5
(b) Name, address, and ZIP + 4
6
(c) Total contributions
FLORIDA POWER & LIGHT COMPANY 9001 ELLIS ROAD
MELBOURNE FL 32904 . WEST ............................................................................
. ......
$ . . . . . . . . . . . . . . .10,000 .............
. ............................................................................
. ............................................................................
(a) No.
(c) Total contributions
FLORIDA DISTRIBUTING 3964 SHADER RD
FL 32808 . ORLANDO ............................................................................
. ......
$ . . . . . . . . . . . . . . . . .5,000 ...........
. ............................................................................
. ............................................................................
(a) No.
(c) Total contributions
FISHLIPS 610 GLEN CHEEK DR
PORT CANAVERAL FL 32920 . ............................................................................
. ......
$ . . . . . . . . . . . . . . .52,575 .............
. ............................................................................
. ............................................................................
(a) No.
(c) Total contributions
EXPLORER MULTIMEDIA LLC 13615 103RD STREET
FL 32948 . FELLSMERE ............................................................................
. ......
$ . . . . . . . . . . . . . . . . .5,000 ...........
. ............................................................................
. ............................................................................
(a) No.
(c) Total contributions
. ............................................................................
BEACH FL 32931-3455 . COCOA ............................................................................
. ......
27-3459716
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
. ............................................................................
(a) No.
Page 2
Employer identification number
(b) Name, address, and ZIP + 4
$ . . . . . . . . . . . . . . .17,500 .............
(c) Total contributions
LEIDOS 12901 SCIENCE DR
. ............................................................................
. ............................................................................
FL 32826 . ORLANDO ............................................................................
$ . . . . . . . . . . . . . . . . .5,000 ...........
(d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
DAA
NASSFI
PAGE 2 OF 2
Schedule B (Form 990) (2023)
Name of organization
NATIONAL AIR SEA SPACE Part I (a) No.
7
. ......
Page 2
Employer identification number
27-3459716
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(c) Total contributions
SANFORD AIRPORT AUTHORITY 1200 RED CLEVELAND BLVD
. ............................................................................
. ............................................................................
FL 32773 . SANFORD ............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. ............................................................................
. ............................................................................
$ . . . . . . . . . . . . . . .15,000 .............
(c) Total contributions
$ ............................
. ............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. ............................................................................
. ............................................................................
(c) Total contributions
$ ............................
. ............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. ............................................................................
. ............................................................................
(c) Total contributions
$ ............................
. ............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. ............................................................................
. ............................................................................
(c) Total contributions
$ ............................
. ............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. ............................................................................
. ............................................................................ . ............................................................................
(c) Total contributions
$ ............................
(d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
DAA
NASSFI
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
Name of the organization
2023
Open to Public Inspection
Employer identification number
NATIONAL AIR SEA SPACE FOUNDATION, INC. Part I
OMB No. 1545-0047
Complete if the organization answered “Yes” on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
27-3459716
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered “Yes” on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
1 2 3 4 5
Total number at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . . . . . . . . . . . . . . . . . . Aggregate value of grants from (during year) . . . . . . . . . . . . . . . . . . . . . . . . . Aggregate value at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
6
funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II 1
2
Yes
No
Yes
No
Conservation Easements Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year
a Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a b Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b c Number of conservation easements on a certified historic structure included on line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c d Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the 4 5 6
tax year . . . . . . . . . . . . . . . Number of states where property subject to conservation easement is located . . . . . . . . . . . Does the organization have a written policy regarding the periodic monitoring, inspection, handling of Yes violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
No
. ..............
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year . ...........................
8 9
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Part III
Yes
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items. (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items. a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Schedule D (Form 990) 2023 For Paperwork Reduction Act Notice, see the Instructions for Form 990. DAA
NASSFI
Schedule D (Form 990) 2023
Part III 3
NATIONAL AIR SEA SPACE
27-3459716
Page 2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply).
a b
Public exhibition d Loan or exchange program e Scholarly research Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Preservation for future generations 4 Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part IV
Yes
No
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” explain the arrangement in Part XIII and complete the following table.
Yes
No
Amount c Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c 1d 1e 1f
e Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . . . . . . . . . . . . . . . . Yes b If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
No
Endowment Funds Complete if the organization answered “Yes” on Form 990, Part IV, line 10. (a) Current year
(b) Prior year
(c) Two years back
(d) Three years back
(e) Four years back
1a Beginning of year balance . . . . . . . . . . . . . . . b Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Net investment earnings, gains, and losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Grants or scholarships . . . . . . . . . . . . . . . . . . e Other expenditures for facilities and programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Administrative expenses . . . . . . . . . . . . . . . . g End of year balance . . . . . . . . . . . . . . . . . . . . . 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a Board designated or quasi-endowment . . . . . . . . . . . . . . . . % . b Permanent endowment . . . . . . . . . . . . . . . . . % c Term endowment . . . . . . . . . . . . . . . % The percentages on lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
(d) Book value
1a Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Leasehold improvements . . . . . . . . . . . . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule D (Form 990) 2023
DAA
NASSFI
Schedule D (Form 990) 2023
Part VII
NATIONAL AIR SEA SPACE
27-3459716
Page 3
Investments – Other Securities Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category
(b) Book value
(including name of security)
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(A) ........................................................................... . . . .(B) ........................................................................... . . . .(C) ........................................................................... . . . .(D) ........................................................................... . . . .(E) ........................................................................... . . . .(F) ........................................................................... . . . .(G) ........................................................................... . . . .(H) ........................................................................... Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) . . . . . . . . . .
Part VIII
Investments – Program Related Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) . . . . . . . . . .
Part IX
Other Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
(a) Description of liability (b) Book value 1. (1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . . . . . . . . . . . . . DAA
X
Schedule D (Form 990) 2023
NASSFI
Schedule D (Form 990) 2023
Part XI
NATIONAL AIR SEA SPACE
27-3459716
1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a b Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b c Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a b c 5
4a Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . . . . . . . . . . . . . 4b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII 1 2
1
2e 3
4c 5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b 2c Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a b c d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . . . . . . . . . . . . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XIII
Page 4
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1
2e 3
4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
PART X - FIN 48 FOOTNOTE
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MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT THE
. .....................................................................................................................................................................
ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION
. .....................................................................................................................................................................
OR DISCLOSURE.
WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT
. .....................................................................................................................................................................
TO INCOME TAX EXAMINATIONS BY THE U.S FEDERAL, STATE OR LOCAL TAX
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AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2020.
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Schedule D (Form 990) 2023 DAA
NASSFI
Schedule D (Form 990) 2023
Part XIII
NATIONAL AIR SEA SPACE
27-3459716
Page 5
Supplemental Information (continued)
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Schedule D (Form 990) 2023 DAA
NASSFI
SCHEDULE O (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
2023
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
NATIONAL AIR SEA SPACE FOUNDATION, INC.
Employer identification number
27-3459716
FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990
. .....................................................................................................................................................................
BOARD OF DIRECTORS IS PROVIDED WITH A COPY OF THE RETURN PRIOR TO
. .....................................................................................................................................................................
SUBMISSION.
. .....................................................................................................................................................................
. .....................................................................................................................................................................
FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
. .....................................................................................................................................................................
ARTICLES OF INCORPORATION ARE AVAILABLE UNDER SUNBIZ.ORG, THE STATE OF
. .....................................................................................................................................................................
FLORIDA'S WEBSITE FOR CORPORATE REGISTRATION.
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For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. DAA
Schedule O (Form 990) 2023
NASSFI
Form
Two Year Comparison Report
990
For calendar year 2023, or tax year beginning
2022 & 2023
, ending
Name
Taxpayer Identification Number
NATIONAL AIR SEA SPACE FOUNDATION, INC.
27-3459716
Other Information
Expenses
Revenue
2022 1. Contributions, gifts, grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Government contributions and grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. Program service revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Proceeds from tax exempt bonds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Net gain or (loss) from sale of assets other than inventory . . . . . . 8. Net income or (loss) from fundraising events . . . . . . . . . . . . . . . . . . . . 9. Net income or (loss) from gaming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Net gain or (loss) on sales of inventory . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Total revenue. Add lines 1 through 11 13. Grants and similar amounts paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Benefits paid to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15. Compensation of officers, directors, trustees, etc. . . . . . . . . . . . . . . . 16. Salaries, other compensation, and employee benefits . . . . . . . . . . . 17. Professional fundraising fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18. Other professional fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . . . . . . . . . 20. Depreciation and Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21. Other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22. Total expenses. Add lines 13 through 21 . . . . . . . . . . . . . . . . . . . . . . . 23. Excess or (Deficit). Subtract line 22 from line 12 24. Total exempt revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Total unrelated revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Total excludable revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. Number of voting members of governing body . . . . . . . . . . . . . . . . . . . 31. Number of independent voting members of governing body . . . . . 32. Number of employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33. Number of volunteers
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33.
2023
117,669
62,907
73,000 222,349
200,192
-73,000 -22,157
350,111 29,042
317,861
-32,250 -29,042
19,907 5,635
24,061
4,154 -5,635
244,360 298,944 51,167 350,111
312,627 336,688 -18,827 317,861
68,267 37,744 -69,994 -32,250
222,349 50,708 610 50,098
200,192 31,985 714 31,271
-22,157 -18,723 104 -18,827
3 3 0 150
Differences
54,762
4 4 0 150
NASSFI
Form Name
990
2023
Tax Return History
NATIONAL AIR SEA SPACE FOUNDATION, INC. 2019
Employer Identification Number
27-3459716 2021
2022
2023
Contributions, gifts, grants . . . . . . . . . . . . Membership dues . . . . . . . . . . . . . . . . . . . . . Program service revenue Capital gain or loss . . . . . . . . . . . . . . . . . . . . Investment income . . . . . . . . . . . . . . . . . . . . Fundraising revenue (income/loss) . . . Gaming revenue (income/loss) . . . . . . . Other revenue . . . . . . . . . . . . . . . . . . . . . . . Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . Grants and similar amounts paid . . . . . Benefits paid to or for members . . . . . . . Compensation of officers, etc. . . . . . . . . Other compensation . . . . . . . . . . . . . . . . . . Professional fees . . . . . . . . . . . . . . . . . . . . . . Occupancy costs . . . . . . . . . . . . . . . . . . . . . . Depreciation and depletion . . . . . . . . . . . . Other expenses . . . . . . . . . . . . . . . . . . . . . . . Total expenses . . . . . . . . . . . . . . . . . . . . . . . Excess or (Deficit) . . . . . . . . . . . . . . . . . . .
2020
177,617
127,762
117,669
152,312
222,349
200,192
329,929 8,996
350,111 29,042
317,861
23,724 5,129
19,907 5,635
24,061
313,489 351,338 -21,409
244,360 298,944 51,167
312,627 336,688 -18,827
Total exempt revenue . . . . . . . . . . . . . . . . . Total unrelated revenue . . . . . . . . . . . . . . . Total excludable revenue . . . . . . . . . . . . . Total Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Liabilities . . . . . . . . . . . . . . . . . . . . . . . . Net Fund Balances . . . . . . . . . . . . . . . . . . . .
329,929
350,111
317,861
152,312 9,394 10,463 -1,069
222,349 50,708 610 50,098
200,192 31,985 714 31,271
2024
NASSFI National Air Sea Space 27-3459716 FYE: 12/31/2023
Federal Statements
Form 990, Part IX, Line 11g - Other Fees for Service (Non-employee) Total Expenses
Description AIR SHOW SALES COMMISSION TOTAL
$ $
Program Service $
1,205 1,205
$
Management & General $
1,205 1,205
$
Fund Raising $
0
$
0
Form 990, Part IX, Line 24e - All Other Expenses Total Expenses
Description COGS MISC EVENT EXPENSE CHARITABLE CONTRIBUTIONS LICENSES & PERMITS PENALTY TOTAL
$
$
2,318 2,112 945 54 40 5,469
Program Service
Management & General
$
2,318 2,112 945 54
$
$
5,429
$
Fund Raising $
40 40
$
0
HAMILTON & MUSSER, PC Certified Public Accountants · Consultants to Management ________________________________________________________________ DAVID A. HAMILTON, CPA · BARRY E. MUSSER, CPA, CFP® (1959 - 2020) JAMES A. KRIMMEL, MBA, CPA, CFE, CFF · ROBERT D. MAST, CPA · WILLIAM P. ASHMAN, CPA NICHOLAS L. SHEARER, CPA, CGFM, CFE · LISA M. STATLER, CPA · MATTHEW A. WITMER, CPA
November 13, 2024
National Air Sea Space Foundation, Inc. 5700 N US Hwy 1, Suite 280 Melbourne, FL 32935 For professional services rendered in connection with the preparation of the annual regulatory filings for the year ended 12/31/23 : IRS Form 990 & Required Schedules .............................................................$ Amount due
$
1,395.00 1,395.00
MATTHEW A WITMER, CPA NASSFI
Members of the American and Pennsylvania Institutes of CPAs 176 CUMBERLAND PARKWAY · MECHANICSBURG, PA 17055 · Phone (717) 697-3888 · Fax (717) 697-6943 · www.hnmcpas.com
Financial Policy of Hamilton & Musser, PC All fees are due upon receipt of invoice. We accept: cash, check, money order or credit card. (Visa, MasterCard, American Express & Discover) Returned Check Fee: There will be a $25.00 fee for all returned checks. Overdue Accounts: If fees are not received within 30 days, a finance charge will be added to your account balance at a standard monthly rate of 1.5% (Annual Percentage Rate of 18%). If payment of service is not received within 90 days, your account will be turned over to a collection agency. If your account is turned over to our collection agency, collection fees will be added to your account. These fees are up to 100% of your account balance plus $100. If your account has been turned over to a collection agency, services will be suspended and your credit score may be affected.
-------------------------------------------- ----------------INVOICE PAYMENT OPTIONS: If you choose to pay by check, please detach this slip at the dotted line above and return it with your payment. Your cancelled check will be your receipt of payment unless you specifically request a separate receipt. If you choose to pay by credit card, complete the information below. A receipt will be mailed to you at the address you provide, when your credit card payment has been successfully processed. Client ID: NASSFI
Name: National Air Sea Space
Payment by Check #:__________
Send Receipt for Check Payment:____Y ____N
Credit Card Type: ___Visa ___MasterCard ___American Express ___Discover Credit Card #:___________________________________ Exp. Date:___________ Card Id Number: (3 digits on back of card) ____________ Zip Code:____________ Amount to Charge $______________ Address to send receipt: _______________________________________ _______________________________________ _______________________________________
05/29/2025
Marketing Support Program - NATIONAL AIR SEA SPACE FOUNDATION FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2023-2024 actuals
VAR+10% increase
Income
2025-2026 projection
2023-2024 actuals
Event Site Operations
$140,000.00
Flight/Performer Operations
$100,000.00
$135,689.00
$4,311.00
Corporate Partnerships
$160,000.00
$145,000.00
$15,000.00
$146,086.00
-$46,086.00
Premium Ticket Sales
$260,000.00
$322,000.00
-$62,000.00
General Operating Expenses Hospitality Expenses
$75,000.00
$78,900.00
-$3,900.00
Vendor Income
$10,000.00
$18,300.00
-$8,300.00
$80,000.00
$74,567.00
-$5,433.00
Merchandise Sales
$10,000.00
$8,550.00
$1,450.00
Expenses subtotal Other Expenses
$395,000.00
$435,242.00
-$51,108.00 Income subtotal Income Sponsors
$440,000.00
$493,850.00
-$53,850.00
Cash in Bank to start Income Other
$0.00
$0.00
$0.00
TDC grant funding
$45,000.00
$0.00
$45,000.00
Total Income
$485,000.00
$493,850.00
-$8,850.00
Total Expenses Paid
$472,500.00
$513,940.00
-$41,440.00
Profit/Loss
$12,500.00
-$20,090.00
VAR
Marketing - please specify Brevard/Out-of-County Out of County Digital Marketing
$7,500.00
$7,357.00
$143.00
Advertising and Promotion
$70,000.00
$71,341.00
-$1,341.00
Marketing subtotal
$77,500.00
$78,698.00
$1,198.00
Total Expenses 2025-2026
$472,500.00
$513,940.00
.
Updated: 6/25/2025
Brevard Productions/Space Coast State Fair
Return to Table of Contents
For TOO use: PROJECT#- C 3
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Brevard Productions, Inc Applicant Event Name: Space Coast State Fair, Space Coast Strawberry, Space Coast Key Lime Yes
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
No
Comment
X
NIA
X
NIA
X X
X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:39 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Giles Malone
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Brevard Production Inc. Organization address 2230 Sykes Creek Drive State FL City Merritt Island Zip 32953 Primary contact name Giles Malone Primary contact phone number 3213026565
Primary contact email gilesmalone@gmail.com Secondary contact name Tom Palermo Secondary contact phone number 3216158111 Secondary contact email palermo.tom@gmail.com Organization website address 750 Avocado Drive
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 204569017
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event 40th Annual Space Coast State Fair Event website address (if different from organization website) www.SpaceCoastStateFair.com Event location Space Coast Daily Park, 5775 Stadium Parkway, Viera, Fl 32940
9. (untitled) 8. What is the first date of your event? 10/30/2025
10. (untitled) 9. In total, how many days will your event be held? 18
11. (untitled) 10. Do you have a second event? Yes
12. (untitled) 11. EVENT INFORMATION - #2 Name of event Space Coast Key Lime Pie Festival Event website address (if different from organization website) www.SpaceCoastKeyLimePieFestival.com Event location Space Coast Daily Park, 5775 Stadium Parkway, Viera, Fl 32940
13. (untitled) 12. What is the first date of your event? 02/21/2026
14. (untitled) 13. In total, how many days will your event be held? 2
15. (untitled) 14. Do you have a third event? Yes
16. (untitled) 15. EVENT INFORMATION - #3 Name of event Space Coast Strawberry Festival Event website address (if different from organization website) www.SpaceCoastStrawberryFestival.com Event location Space Coast Daily Park, 5775 Stadium Parkway, Viera, Fl 32940
17. (untitled) 16. What is the first date of your event? 03/14/2026
18. (untitled) 17. In total, how many days will your event be held? 2
19. (untitled) 18. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Direct mail Radio Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video Other - Please be specific.....: Posters, fliers, banners, Orlando hotel front desks with discount coupons, fliers etc.
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 19. What are your social media handles?
Facebook : https://www.facebook.com/spacecoastfair Instagram : https://www.instagram.com/spacecoaststatefair?igsh=MXJhaTh2ZHd5OHV3Yw== YouTube : https://www.youtube.com/results?search_query=space+coast+state+fair
22. (untitled) 20. What hashtags do you currently use? #spacecoaststatefair
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 21. Upload a copy of your organization's Articles of Incorporation. BPI_Articles_of_Incorporation.pdf
26. (untitled) 22. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SunBiz_Annual_Report.pdf
27. (untitled) 23. Upload your completed W-9 form. Brevard_Productions_W9.pdf
28. (untitled) 24. Upload your completed Event Income/Expense report. TDC_Grant_request_Income_and_Expenses_-_Sheet1.pdf
29. (untitled) 25. Upload your completed Checklist.
TDC_Checklist.pdf
30. (untitled) 26.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Giles Malone
31. Thank You! New Send Email Jun 01, 2025 21:33:03 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA PROFIT CORPORATION ANNUAL REPORT
FILED Apr 29, 2025 Secretary of State 8825393105CC
DOCUMENT# P05000165265 Entity Name: BREVARD PRODUCTION, INC. Current Principal Place of Business: 750 AVOCADO DR. MERRITT ISLAND, FL 32953
Current Mailing Address: 750 AVOCADO DR. MERRITT ISLAND, FL 32953 FEI Number: 20-4569017
Certificate of Status Desired: No
Name and Address of Current Registered Agent: PALERMO, THOMAS J 750 AVOCADO DR. MERRITT ISLAND, FL 32953 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
P
Title
D
Name
PALERMO, THOMAS J
Name
MALONE, GILES
Address
750 AVOCADO DR.
Address
2230 SYKES CREEK DR.
MERRITT ISLAND FL 32953
City-State-Zip:
MERRITT ISLAND FL 32953
City-State-Zip:
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: THOMAS J PALERMO Electronic Signature of Signing Officer/Director Detail
P
04/29/2025 Date
Marketing Support Program - BREVARD PRODUCTION INC FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Tent, tables, chairs, lights, etc.
$4,000.00
$4,000.00
$0.00
Dumpsters
$5,025.00
$5,025.00
$0.00
Brevard Sheriff
$16,500.00
$16,500.00
$0.00
Rent
$44,745.00
$44,745.00
$0.00
Toilets
$9,425.00
$9,425.00
$0.00
Permits
$1,586.00
$1,586.00
$0.00
Generator-lights
$8,012.00
$8,012.00
$0.00
Subtotal Expense Other Expenses
$89,293.00
$89,293.00
$0.00
Property Tax
$19,064.00
$19,064.00
$0.00
Insurance
$2,931.00
$2,931.00
$0.00
Graphics
$875.00
$875.00
$0.00
Signs
$1,500.00
$1,500.00
$0.00
Gate Programs
$795.00
$795.00
$0.00
2025-2026 projection
2024-2025 actuals
VAR
Gate
$234,000.00
$234,000.00
$0.00
Subtotal Income
$234,000.00
$234,000.00
$0.00
Income Sponsors
Income
$10,000.00
$10,000.00
$0.00
Cash in Bank to start
$0.00
$0.00
$0.00
TDC grant funding
$22,500.00
$25,000.00
-$2,500.00
Total Income
$266,500.00
$269,000.00
-$2,500.00
Total Expenses Paid
$129,597.00
$129,597.00
$0.00
Profit/Loss
$136,903.00
$139,403.00
$0.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$25,165.00
$25,165.00
$0.00
Out of County advertising
$5,000.00
$5,000.00
$0.00
Billboards
$5,000.00
$5,000.00
$0.00
Radio
$5,139.00
$5,139.00
$0.00
Subtotal Marketing
$15,139.00
$15,139.00
$0.00
Total Expenses 2025-2026
$129,597.00 $129,597.00
.
Updated:
Merritt Island Wildlife Refuge
Return to Table of Contents
For TDO use: PROJECT#- C 4
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization N ame: Merritt Island Wildlife Association Applicant Event Name: Year-round programming Yes
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
�k ��
-?{-c(c�1.r
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:83 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Rochelle A. Hood
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Merritt Island Wildlife Association Organization address PO Box 2683 State FL City Titusville Zip 32781 Primary contact name Rochelle Hood Primary contact phone number 321-861-2377
Primary contact email miwascrubjay@gmail.com Secondary contact name Nancy Bray (MIWA Board President) Secondary contact phone number 321-268-1181 Secondary contact email nsbray@bellsouth.net Organization website address https://miwarefuge.org/
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-3289841
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Digital advertising (banner ads, etc.) Radio Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Newsletter (printed and digital)
21. (untitled) 9. What are your social media handles? Facebook : @merrittislandwildlifeassociation Instagram : @merrittislandwildlife
22. (untitled) 10. What hashtags do you currently use? NA
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. FinalLetter_59-3289841_MERRITTISLANDWILDLIFEASSOCIATION_07062023_00_Determination_Letter_IRS.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. FY_Oct_2023_to_Sept_2024_eFiled_Signed_Form_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Florida_Not_For_Profit_Corporation_Sunbiz_Document_number_and_filing_details.pdf
27. (untitled) 14. Upload your completed W-9 form. Merritt_Island_Wildlife_Association_W9_MIWA.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. MIWA_Event_Income_Expense_Report_FY25-26_Rochelle_Hood_Merritt_Island_Wildlife_Association_completed.pdf
29. (untitled) 16. Upload your completed Checklist. MSP_applicant_checklist_4.30.2025_Rochelle_Hood_MIWA_completed.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Rochelle A Hood
Department of the Treasury Internal Revenue Service Tax Exempt and Government Entities P.O. Box 2508 Cincinnati, OH 45201
MERRITT ISLAND WILDLIFE ASSOCIATION PO BOX 2683 TITUSVILLE, FL 32781-2683
Date:
07/20/2023 Employer ID number:
59-3289841 Person to contact:
Name: Customer Service ID number: 31954 Telephone: 877-829-5500 Accounting period ending:
September 30 Public charity status:
170(b)(1)(A)(vi) Form 990 / 990-EZ / 990-N required:
Yes Effective date of exemption:
February 15, 2022 Contribution deductibility:
Yes Addendum applies:
No DLN:
26053591004673
Dear Applicant: We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. Based on the information you submitted with your application, we approved your request for reinstatement under Revenue Procedure 2014-11. Your effective date of exemption, as listed at the top of this letter, is retroactive to your date of revocation. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter.
Letter 947 (Rev. 2-2020) Catalog Number 35152P
For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. We sent a copy of this letter to your representative as indicated in your power of attorney. Sincerely, Stephen A. Martin Director, Exempt Organizations Rulings and Agreements
Letter 947 (Rev. 2-2020) Catalog Number 35152P
Florida Not For Profit Corporation (Sunbiz) MERRITT ISLAND WILDLIFE ASSOCIATION, INC. Filing Information Document NumberN94000005425 FEI/EIN Number59-3289841 Date Filed10/31/1994 StateFL StatusACTIVE Last EventREINSTATEMENT Event Date Filed01/19/2023 Principal Address MERRITT ISLAND WILDLIFE REFUGE VIC 3.5 MILES EAST TITUSVILLE, STATE ROAD 402 TITUSVILLE, FL 32796 Changed: 02/17/2010 Mailing Address P.O. BOX 2683 TITUSVILLE, FL 32781 Changed: 02/17/2010 Registered Agent Name & Address Thomspson, Laurilee MERRIT ISLAND NWR VIC 3.5 MILES EAST, SR 402 TITUSVILLE, FL 32796 Name Changed: 02/11/2021 Address Changed: 04/06/2009 Officer/Director Detail Name & Address Title VP Thompson, Laurilee P.O. Box 307 Mims, FL 32754 Title Treasurer Dunn, Steve 3445 S. Washington Ave Titusville, FL 32780 Title Secretary Stees, Diane 21 Bougainvillea Drive Cocoa Beach, FL 32931 Title President Venuto, Charlie 195 Montecito Dr Satellite Beach, FL 32937
Annual Reports Report Year Filed Date 2021 02/11/2021 2022 01/19/2023 2023 01/19/2023
Taylor & Lockard, PA. 3960 South Banana River Blvd. Cocoa Beach, FL 32931 321-784-4515 February 19, 2025 CONFIDENTIAL Merritt Island Wildlife Association PO Box 2683 TITUSVILLE, FL 32781 Dear Cheryl: We have prepared the following returns from information provided by you without verification or audit. Return of Organization Exempt From Income Tax (Form 990)
We suggest that you examine these returns carefully to fully acquaint yourself with all items contained therein to ensure that there are no omissions or misstatements. Attached are instructions for signing and filing each return. Please follow those instructions carefully. Enclosed is any material you furnished for use in preparing the returns. If the returns are examined, requests may be made for supporting documentation. Therefore, we recommend that you retain all pertinent records for at least seven years. In order that we may properly advise you of tax considerations, please keep us informed of any significant changes in your financial affairs or of any correspondence received from taxing authorities. If you have any questions, or if we can be of assistance in any way, please call. Sincerely,
Taylor & Lockard, PA.
Filing Instructions Merritt Island Wildlife Association Exempt Organization Tax Return Taxable Year Ended September 30, 2024
Date Due:
August 15, 2025
Remittance:
None is required. Your Form 990 for the tax year ended 9/30/24 balance due.
Signature:
You are using a Personal Identification Number (PIN) for signing your return electronically. Form 8879-TE, IRS e-file Signature Authorization for an Exempt Organization should be signed and dated by an authorized officer of the organization and returned to:
shows no
Taylor & Lockard, PA. 3960 South Banana River Blvd. Cocoa Beach, FL 32931 Important: Your return will not be filed with the IRS until the signed Form 8879-TE has been received by this office. Other:
Your return is being filed electronically with the IRS and is not required to be mailed. If you Mail a paper copy of your return to the IRS it will delay the processing of your return.
21508
Form
8879-TE
IRS E-file Signature Authorization for a Tax Exempt Entity For calendar year 2023, or fiscal year beginning . . . . . . .1 . .0 . ./ . .0 . .1 . . . . , 2023, and ending . . . . . .9 . ./ . .3 . .0 . . , 20 .2 . .4 ....
2023
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service
MERRITT ISLAND WILDLIFE ASSOCIATION
Name of filer
Name and title of officer or person subject to tax
Part I
OMB No. 1545-0047
EIN or SSN
59-3289841
CHERYL FORD TREASURER
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a,
3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 1a Form 990 check here . . . . . . . . . . . . . X b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . . . . . . . . . . . . . 1b 2a Form 990-EZ check here . . . . . . . . . 3a Form 1120-POL check here . . . . . . b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b 4a Form 990-PF check here . . . . . . . . . b Tax based on investment income (Form 990-PF, Part V, line 5) . . . . . . . . . . . 4b 5a Form 8868 check here . . . . . . . . . . . . b Balance due (Form 8868, line 3c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b 6a Form 990-T check here . . . . . . . . . . . b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b 7a Form 4720 check here . . . . . . . . . . . . b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b 8a Form 5227 check here . . . . . . . . . . . .
214,153
9a Form 5330 check here . . . . . . . . . . . . 10a Form 8038-CP check here . . . . . . . .
b FMV of assets at end of tax year (Form 5227, Item D) . . . . . . . . . . . . . . . . . . . . 8b b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b Part II Declaration and Signature Authorization of Officer or Person Subject to Tax b Amount of credit payment requested (Form 8038-CP, Part III, line 22) 10b ... Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name
X
of entity) , (EIN) and that I have examined a copy of the 2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-3534537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
PIN: check one box only I authorize
TAYLOR & LOCKARD, PA.
to enter my PIN
89841
as my signature
Enter five numbers, but do not enter all zeros
ERO firm name
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
02/05/25
Certification and Authentication
ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
59385172896 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
DAA
ERROL BANNISTER
Date
02/05/25
21508
Form
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
2023
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.
Open to Public Inspection
Department of the Treasury Internal Revenue Service
A
For the 2023 calendar year, or tax year beginning
B Check if applicable:
C Name of organization
Address change
10/01/23
MERRITT ISLAND ASSOCIATION
, and ending
09/30/24
WILDLIFE
D Employer identification number
59-3289841
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
TITUSVILLE
FL 32781
CHERYL FORD PO BOX 2683 TITUSVILLE FL 32781 501(c) ( ) (insert no.) Tax-exempt status: 4947(a)(1) or X 501(c)(3) WWW.MIWAREFUGE.ORG Website: Form of organization: Trust Association Other X Corporation
Part I
H(a)
Activities & Governance Revenue Expenses
Is this a group return for subordinates?
H(b) Are all subordinates included?
Yes
X No
Yes
No
If "No," attach a list. See instructions 527 H(c) Group exemption number L
Year of formation:
M
State of legal domicile:
Summary
1 Briefly describe the organization's mission or most significant activities:
Net Assets or Fund Balances
315,770
G Gross receipts $
F Name and address of principal officer:
Application pending
K
321-861-2377
City or town, state or province, country, and ZIP or foreign postal code
Amended return
I
E Telephone number
Room/suite
PO BOX 2683
Initial return Final return/ terminated
J
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
990
..................................................................................
TO PROMOTE CONSERVATION AWARENESS AND APPRECIATION OF THE MERRITT ISLAND . .N . .A . .T .I . .O . .N . .A .L . . . .W . .I . .L .D . .L . .I . .F .E . . . .R . .E . .F .U . .G . .E . . . .A .N . .D . . . .T . .O . . . .P .R . .O . .V . .I. D . .E . . . .A . .S .S . .I . .S . .T. A . .N . .C . .E. . . T . .O . . . .R . .E .F . .U . .G . .E ...P . .R . .O . .G .R . .A . .M . .S ................................
. ...........................................................................................................................................................
. ...........................................................................................................................................................
2 Check this box
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior Year
8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . . . . . . . . . . . . . . . . 12 Total revenue – add lines 8 through 11 (must equal Part VIII, column (A), line 12) ............. 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) . . . . . . . . . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) . . . . . . . . . . . . . . . . . . . . .1 . ., . .4 . .2 . .0 ......... 17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 4 5 6 7a 7b
19 19 3 19 Current Year
407,139 3,998 142 79,167 490,446 358,023
90,195 5,714 7,194 111,050 214,153 1,449 314 153,507 0
46,653 120,221 524,897 -34,451
56,330 211,600 2,553
Beginning of Current Year
20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II
End of Year
222,507 0 222,507
489,912 425 489,487
Signature Block
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
Date
CHERYL FORD
TREASURER
Type or print name and title Print/Type preparer's name
Paid
ERROL BANNISTER Firm's name
DAA
Preparer's signature
Date
ERROL BANNISTER
02/19/25 self-employed
TAYLOR & LOCKARD, PA.
if
Check
Firm's EIN
0 0
PTIN
P03175232
59-2519864
21508
Preparer Use Only
Firm's address
3960 SOUTH BANANA RIVER COCOA BEACH, FL 32931
BLVD. Phone no.
321-784-4515
May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
For Paperwork Reduction Act Notice, see the separate
Form
DAA
instructions.
No
990 (2023)
21508
Form 990 (2023)
Part III 1
MERRITT ISLAND WILDLIFE
59-3289841
Page 2
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Briefly describe the organization's mission:
TO. . . . P ..R ..O . . .M . .O . .T . .E ....C . . .O . .N . .S . .E . .R . .V . .A . .T . .I . .O . .N . . . . .A . .W . .A . .R . .E ..N ..E . . .S . .S . . . .A . .N ..D . . . . .A . .P . .P . .R ..E ..C . . .I . .A . .T . .I . .O . .N . . . . .O . .F . . . .T ..H . . .E . . . .M . .E . .R ..R ..I . . .T . .T . . . .I ..S ..L . . .A . .N . .D ........... NA. .T. .I. .O. .N. .A. . L. . . . .W. .I. .L. .D. . L. . I . .F . .E . . . . .R . .E . .F . .U . .G ..E . . . . .A . .N . .D . . . . .T . .O ....P . . .R . .O . .V . .I . .D . .E . . . . .A . .S . .S . .I . .S . .T . .A . .N . .C ..E . . . . .T . .O . . . . .R . .E . .F . .U . .G . .E . . . . .P . .R . .O . .G . .R . .A . .M . .S .................. ............................................................................................................................... ..................................
2
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Yes
No
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O.
4
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. ) (Expenses $ . . . . . . . . . . . . . . 1 including grants of $ . . . . . . . . . . . . . .1 ..1 .., . . .9 . .0 . .0 .. . .1 . ., . .9 . .0 . .0 . . . ) (Revenue $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) ME. .R. .R. .I. .T. .T. . . . .I. .S. .L. .A. .N. . D. . . . .W. .I. .L. .D. . L. . I F E A S S O C I A T I O N I S A S S I S T I N G T H E .......................................................................M . . .E . .R . .R . .I . .T . .T . . . . .I . .S . .L . .A . .N . .D ...................... NA. .T. .I. .O. .N. .A. . L W I L D L I F E R E F U G E W I T H T H E C O N S T R U C T I O N O F T H E N E W C O M M U N I T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Y ...................... CO. .N. .S. .E. .R. .V. . A . .T . .I ..O ..N . . . . .A . .N . .D . . . . .E . .D . .U . .C . .A . .T . .I ..O ..N . . . . .C . .E . .N . .T ..E . . .R . . . .B . .Y . . . . .P . .R . .O . .V . .I . .D . .I ..N ..G . . . . .F . .U . .N . .D ..I ..N . . .G . . . .F . .O . .R . . . . .T . .H . .E . . . . .I . .N . .D . .O . .O . .R . . . . .A . .N . .D ......... OU. .T. .D. .O. .O. .R. . . . .E. . D. . U C A T I O N E X H I B I T S . M E R R I T T I S L A N D W I L D L I F E A S S O C I A T I O N I S .............................................................................................................................................. RE. .C. .E. .I. .V. .I. . N. . G . . . . .G . .R . .A . .N . .T . . . . .F . .U . .N . .D . .S . . . . .F . .R . .O . .M . . . . .T . .H . .E . . . . .B . .R . .E . .V . .A . .R . .D . . . . .C . .O . .U . .N . .T . .Y . . . . .T . .O . .U . .R . .I . .S . .T . . . . .D . .E . .V . .E . .L . .O ..P ..M . . .E . .N . .T .......................... CO. .M. .M. .I. .S. .S. . I O N T O S U P P O R T T H E F U N D I N G O F T H E S E E X H I B I T S . M E R R I T T I S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .L . .A . .N . .D .................... WI. .L. .D. .L. .I. .F. . E A S S O C I A T I O N H A S B E G U N R E C E I V I N G T H E O U T D O O R E X H I B I T S A N D I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S .................... ST. .O. .R. .I. .N. . G. . . . .T. .H. .O. .S. .E. . . . .O. .N. . . . M . .E . .R ..R ..I . . .T . .T . . . .I . .S ..L ..A . . .N . .D . . . .N . .W ..R . . . . .P . .R . .E . .M . .I ..S ..E . . .S . . . .U . .N . .T . .I ..L . . . . .T . .H . .E . . . . .C . .O . .N . .S . .T . .R . .U . .C ..T ..I . . .O . .N . . . .O . .F . . . . .T . .H . .E ....... CO. .M. .M. .U. .N. .I. . T. . Y C O N S E R V A T I O N A N D E D U C A T I O N C E N T E R C O N S T R U C T I O N I S R E A D Y F O R T H E ................................................................................................................................................... OU. .T. .D. .O. .O. .R. . . . . .I. .N. .S. .T. .A. .L. .L. .A. . T. . I . .O ..N ... . . . . . . .T . .H . .E . . . . .I . .N . .D . .O . .O . .R . . . . .E . .X . .H . .I . .B . .I . .T . .S . . . . .H . .A . .V . .E . . . . .B . .E . .E . .N ....D . . .E . .S . .I . .G . .N . .E . .D . . . . .A . .N . .D . . . .O ..R . . .D . .E . .R . .E . .D ......... AN. .D. . . . A R E A W A I T I N G I N S T A L L A T I O N . ...........................................................................................................................................................
4a (Code: . . . . . . . . .
4b (Code: . . . . . . . . .
) (Expenses $ . . . . . . . . . . . . . . . . 8 . . ., . .3 . .9 . .0 ..
including grants of $ . . . . . . . . . . . . . . . . . . . . 9 . .5 . .0 ...
) (Revenue
$ . . . . . . . . . . . . . .1 . .7 . ., . .7 . .4 . .7 ... )
ME. .R. .R. .I. .T. .T. . . . .I. .S. .L. .A. .N. . D. . . . .W. .I. .L. .D. . L. . I . .F . .E . . . . .A . .S . .S . .O . .C ..I ..A . . .T . .I . .O . .N ....P . . .R . .O . .V . .I . .D . .E . .S . . . . .T . .H . .E ....F . . .U . .N . .D . .I . .N . .G . . . . .F . .O . .R ....S . . .E . .L . .E . .C . .T . . . . .Y . .O . .U . .T . .H ......... AN. .D. . . . G U E S T P R O G R A M S M E R R I T T I S L A N D N W R . T H E S E P R O G R A M S A S S I S T M E R R I T T ........................................................................................................................................................... IS. .L. .A. .N. .D. . . . .N. .W. .R. . . . S . .T ..A . . .F . .F . . . .P . .R . .O ..V ..I . . .D . .E . . . .M . .A ..T ..E . . .R . .I . .A . .L . .S ....A . . .N . .D . . . .S . .N . .A ..C . . .K . .S . . . .T . .O . . . . .Y . .O . .U . .T . .H . . . . .A . .N . .D ....A . . .D . .U . .L . .T . . . .P ..R ..O . . .G . .R . .A . .M . .S . .. ....... IN. . . . F I S C A L Y E A R ( F Y ) 2 0 2 4 , M E R R I T T I S L A N D W I L D L I F E A S S O C I A T I O N R A I S E D F U N D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S ....... FO. .R. . . . T ..H ..E . . . . .R . .E . .P . .A ..I ..R . . . . .A . .N . .D . . . . .U . .P . .G . .R . .A . .D . .E . . . . .O . .F ....O . . .U . .R . . . .S . .E ..N ..D . . .L . .E . .R . . . .E ..D ..U . . .C . .A . .T . .I . .O . .N . . . . .O . .U . .T . .P . .O . .S . .T . . . . .E . .D . .U . .C . .A . .T . .I . .O . .N .................. PA. .V. .I. .L. .I. .O. . N. . . . . . . . . .T . .H . .E . . . . .O . .U . .T . .P . .O . .S ..T . . . . .I . .S . . . . .U . .T . .I . .L . .I . .Z . .E . .D . . . . .F . .O . .R . . . . .S . .C . .O . .U . .T . .I . .N . .G . . . . .T . .R . .O . .O . .P . . . . .C . .A . .M . .P ....O ..U . . .T . .S . ., . . . .C ..O ..M . . .M . .U . .N . .I . .T . .Y ....... WI. .L. .D. .L. .I. .F. . E. . . . .&. . . . .C. .O. .N. .S. .E. .R. .V. . A. . T I O N E D U C A T I O N P R O G R A M S , A R C H E R Y T R A I N I N G , A N D H O M E ........................................................................................................................... SC. .H. .O. .O. .L. . . . .L. .E. . A. . R . .N . .I ..N ..G .....A ..C . . .T . .I . .V . .I . .T . .E . .S . .. . . . . . . .T . .H . .E . . . .C ..O ..N . . .S . .T . .R . .U . .C . .T . .I . .O . .N . . . . .P . .R . .O . .J . .E . .C . .T . . . . .W . .I . .L . .L . . . . .B . .E ....C . . .O . .M . .P . .L . .E . .T . .E . .D . . . . .I . .N ......... FI. .S. .C. .A. .L. . . . .Y. .E. .A. .R. . . . .2. .0. .2. .5. ... . . . . . T H E F U N D S R A I S E D W I L L B E U T I L I Z E D T O C O M P L E T E S T R U C T U . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .R . .A . .L ..... DA. .M. .A. .G. .E. . . . .R. .E. .P. .A. .I. .R. . S. . , S T R E N G T H E N S I T E S A F E T Y , A N D E N H A N C E T H E P A V I L I O N ...................................................................................................................................... FU. .N. .C. .T. .I. .O. . N. . A . .L ..I ..T . . .Y . . . .T . .O . . . . .C . .R . .E . .A . .T . .E . . . . .A . .N . . . . .O . .U . .T . .D . .O . .O . .R . . . . .D . .I . .S . .C . .O . .V ..E ..R . . .Y . . . .H . .U . .B ... ............................................................. ) (Expenses $ . . . . . . . . . . . . . . . . 3 including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . . . . . . . . . .1 . . ., . .0 . .0 . .0 .. . ., . .3 . .9 . .0 ... ) ME. .R. .R. .I. .T. .T. . . . .I. .S. .L. .A. .N. . D. . . . .W. .I. .L. .D. .L. . I. . F E A S S O C I A T I O N P R O V I D E S T H E F U N D I N G F O R A N I N T E R N T O ....................................................................................................................... LE. .A. .D. . . . S ..E . . .A . . . .T . .U . .R . .T ..L ..E . . . . .W . .A . .L . .K . .S . . . . .F . .O . .R . . . . .T . .H . .E . . . .M . .E ..R . . .R . .I . .T . .T . . . .I . .S ..L . . .A . .N . .D . . . .N . .W ..R . . . . .A . .T . . . . .T . .H . .E . . . .C . .A ..N ..A . . .V . .E . .R . .A . .L ....N . . .A . .T . .I . .O . .N . .A . .L ....... SE. .A. .S. .H. .O. .R. . E. . . . . . . . . .2 . .9 . .6 . . . . .P . .A . .R . .T . .I . .C ..I . . .P . .A . .N . .T . .S ....A . . .T . .T . .E . .N . .D . .E . .D . . . . .T . .H . .E . .S . .E . . . . .W . .A . .L . .K . .S ....O . . .V . .E . .R . . . .T . .H ..E . . . . .S . .E . .A . .S . .O ..N . . . . .A . .N . .D .................... LE. .A. .R. .N. .E. .D. . . . .A. .B. .O. .U. .T. . . . .O. .U. .R. . . . E . . .N . .D . .A . .N . .G . .E . .R . .E . .D . . . . .S . .E . .A . . . . .T . .U . .R . .T . .L . .E . .S . . . . .A . .N . .D . . . .T ..H . . .E . . . .I . .M . .P ..O ..R . . .T . .A . .N . .C . .E ....O . . .F . . . .P . .R . .O ..T . . .E . .C . .T . .I . .N . .G ......... TH. .E. .I. .R. . . . .H. .A. .B. . I. . T . .A . .T ... .............................................................................................................................. ..........
4c (Code: . . . . . . . . .
................................................................................................................................................................. ............................................................................................................................... .................................. ............................................................................................... .................................................................. ............................................................................................................................... .................................. ............................................................................................................................... .................................. ............................................................................................................................... ..................................
4d Other program services (Describe on Schedule O.) (Expenses $ DAA
99,220
including grants of $
) (Revenue $
) Form
990 (2023)
21508
MERRITT ISLAND WILDLIFE 4e Total program service expenses 122,510
Form 990 (2023)
DAA
59-3289841
Page 3
Form
990 (2023)
21508
Form 990 (2023)
Part IV
MERRITT ISLAND WILDLIFE
59-3289841
Page 4
Checklist of Required Schedules Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 3
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
X
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) 4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
election in effect during the tax year? If "Yes," complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III
..............................
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II
.....................................
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
X X
If the organization's answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more c
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII
...................................................
Did the organization report an amount for investments—program related in Part X, line
13, that is 5% or more
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII
..................................................
d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . . . . . Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . .
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete
e f
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Was the organization included in consolidated, independent audited financial statements
for the tax year? If
"Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
....................
13 Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV
17
.................................................
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on ...........................................
16
X
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
X
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions
If "Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II
......................................
18 19 20a 20b 21
DAA
Form
X X X X 990 (2023)
21508
Form 990 (2023)
Part IV
MERRITT ISLAND WILDLIFE
59-3289841
Page 5
Checklist of Required Schedules (continued) Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
X
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
X
24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I
...........................................
b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
24a 24b 24c 24d 25a
X
25b
X
26
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
X
28
Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions).
27
X
28a 28b
X X
28c 29
X X
30 31
X X
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b c
A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV
.......................................
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29 30
Did the organization receive more than $25,000 in noncash contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31 32
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
X
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
X
34 35a
X X
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....................
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
38
35b
..........................
36
X
37
X
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
38
Part V
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V
..............................................
Yes 1a
b c
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . . . . . . Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . . Did the organization comply with backup withholding rules for reportable payments to vendors and
1a 1b
reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DAA
No
0 1c Form
990 (2023)
21508
Form 990 (2023)
Part V
MERRITT ISLAND WILDLIFE
59-3289841
2a Enter the number of employees reported
on Form W-3, Transmittal of Wage and Tax
If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2b
Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3a 3b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O
..............................
X X
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
b
No
3
2a
Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . . .
b 3a b 4a
Page 5
Yes
Statements Regarding Other IRS Filings and Tax Compliance (continued)
4a
.....................
X
If “Yes,” enter the name of the foreign country . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
b
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c If Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b
gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Organizations that may receive deductible contributions under section 170(c).
b c
If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” indicate the number of Forms 8282 filed during the year
.....................................
the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during
7c
7e 7f g 7g h
f If If
7h
the year? ........................................................................................... 8
Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9a 9b
Section 501(c)(7) organizations. Enter: 10a 10b
against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11b
b
7a 7b
Sponsoring organizations maintaining donor advised funds.
a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . . . . 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Gross income from other sources. (Do not net amounts due or paid to other sources
13 a
X
7d
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . .
the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? . . . . . . . . . .
12a
6a
X X
6b
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 a b 10
5b 5c
If “Yes,” did the organization include with every solicitation an express statement that such contributions or
7 a
d e
5a
11a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the amount of tax-exempt interest received or accrued during the year
................
12a
12b
Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state?
....................................................
13a
Note: See the instructions for additional information the organization must report on Schedule O. b
Enter the amount of reserves the organization is required to maintain by the states in which
the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13b c Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14a 14b
X
15
X
16
X
If “Yes,” see instructions and file Form 4720, Schedule N.
16 17
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If “Yes,” complete Form 4720, Schedule O.
.......................
21508
Form 990 (2023)
MERRITT ISLAND WILDLIFE
59-3289841
Page 6
Section 501(c)(21) organizations. Did the trust, any disqualified or other person engage in any activities DAA
that would result in the imposition of an excise tax under section 4951, 4952 or 4953? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” complete Form 6069.
17 Form
990 (2023)
21508
Form 990 (2023)
Part VI
MERRITT ISLAND WILDLIFE
59-3289841
Page 6
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Governing Body and Management Yes 1a
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
1a
19
b
Enter the number of voting members included on line 1a, above, who are independent . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person?
4
............................
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
...................
6 Did the organization become aware during the year of a significant diversion of the organization’s assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint 5
one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
2
X
3 4 5 6
X X X X
7a
X
7b
X
b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 a b 9
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8a 8b
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
X X X
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
...........................
11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . . . . . . . b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . . . . . c Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 15 a b
Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
No
10a
X
10b 11a
X
12a 12b 12c 13 14
X X X X X
15a 15b
X X
16a
X
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year?
............................................................... .....................................
b If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16b
Section C. Disclosure 17 18
List the states with which a copy of this Form 990 is required to be filed . . . . . N . .O . .N. E ............................................................................
19
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records.
Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. Own website Another's website Upon request Other (explain on Schedule O)
ROCHELLE HOOD TITUSVILLE DAA
PO BOX 2683
FL 32781
321-861-2377 Form
990 (2023)
21508
MERRITT ISLAND WILDLIFE
Form 990 (2023)
Part VII
59-3289841
Page 7
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.
•
List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. all of the organization's current key employees, if any. See instructions for definition of "key employee." • List List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) • who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above.
• •
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C)
(2) THAD
ALTMAN
(3) JIM
BENEDICT
(4) BECKY
BOLT
0
0
2.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
8.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
8.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
DIRECTOR (5) NANCY
BRAY
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
PRESIDENT (6) KATHLEEN
BURSON
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
DIRECTOR (7) STEVE
DUNN
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
DIRECTOR (8) CHERYL
FORD
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
TREASURER (9) SUSAN
GOSSELIN
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
DIRECTOR (10) DAVID
HARTGROVE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
DIRECTOR (11) TIM
KOZUSKO
...................................... . ................
DIRECTOR
(F)
Estimated amount of other compensation from the organization and related organizations
1,609
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
DIRECTOR
(E)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
X
...................................... . ................
DIRECTOR
(D)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
40.00 0.00
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
EXECUTIVE DIRECTOR
Former
HOOD
Highest compensated employee
(1) ROCHELLE
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
X
X
Form DAA
990 (2023)
21508
Form 990 (2023)
Part VII
MERRITT ISLAND WILDLIFE
59-3289841
Page 8
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C) (B)
Name and title
Average hours per week
QUINN
(14)
STAHL
(15)
0
0
2.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
2.00 0.00
X
0
0
0
X
0
0
0
X
0
0
0
0
0
0
0 1,609
0
0
. ...................................... ................
DIRECTOR (16) DIANNE
STEES
(F)
Estimated amount of other compensation from the organization and related organizations
0
. ...................................... ................
DIRECTOR (15) JIM
(E)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
X
. ...................................... ................
DIRECTOR (14) SHAWN
Former
(13)
Key employee
MUSSER
(D)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
2.00 0.00
. ...................................... ................
DIRECTOR (13) BOB
Officer
PAUL LEADER
Institutional trustee
(12) (12)
Individual trustee or director
(list any hours for related organizations below dotted line)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
Highest compensated employee
(A)
8.00 SECRETARY 0.00 X (17) LAURILEE THO PSON 8.00 M (17) . ..................................... ................ 0.00 X VICE PRESIDENT (18) CHARLIE VENUTO 2.00 (18) . ...................................... ................ 0.00 X DIRECTOR (19) LORI WELLER (19) 2.00 . ..................................... . ................ DIRECTOR 0.00 X (16)
. ...................................... ................
1b Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . d Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
1,609
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0 Yes
3 4
5
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
3
X
4
X
5
X
Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more
than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) (B) Name and business address
2 DAA
Total number of independent contractors (including but not limited to those listed received more than $100,000 of compensation from the organization
Description of services
(C)
Compensation
above) who
0 Form
990 (2023)
21508
Form 990 (2023)
Contributions, Gifts, Grants and Other Similar Amounts
Part VIII
MERRITT ISLAND WILDLIFE
59-3289841
Page 9
Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a Federated campaigns . . . . . . . . . . . . . . . b Membership dues . . . . . . . . . . . . . . . . . . . c Fundraising events . . . . . . . . . . . . . . . . . . d Related organizations ............... e Government grants (contributions) f All other contributions, gifts, grants, . . . . . . . . . . . . and similar amounts not included above . . . . . . . .
g Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a 1b 1c 1d 1e
(A)
(B)
(C)
(D)
Total revenue
Related or exempt function revenue
Unrelated business revenue
Revenue excluded from tax under sections 512-514
14,765
75,430
1f 1g $
h Total. Add lines 1a–1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
90,195
Program Service Revenue
Business Code
2,385 1,391 595 420 384 539
g Total. Add lines 2a–2f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2,385 1,391 595 420 384 539 5,714
3
Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7,194
7,194
4 5
Income from investment of tax-exempt bond proceeds . . . . . . . . . . . Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a b c d e
. .B . .U.S . . .T .O . .U. R . .S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .L . .U.M .I . .N. A .R . .I. A .......................................... A R C H B O . .........D . . . .B. I . .O.L .O . .G. I . .C.A .L . . . .R.E .S . .E. A . .R.C .H ................ K R I S T E N H I N E S P H O T O W O R K S H . ................................ ......O . .P. . . . . . . . . . . . . . . .N . .A.T .U . .R. A . .L. . .H. I . .S.T .O . .R. Y ...A . .D. V . .E.N .T . .U. R .E ...................
f All other program service revenue . . . . . . . . . . . . . . . . . . .
(i) Real
(ii) Personal
6a 6a Gross rents b Less: rental expenses 6b 6c c Rental inc. or (loss) d Net rental income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Gross amount from (i) Securities (ii) Other Other Revenue
sales of assets other than inventory
7a
b Less: cost or other basis and sales exps.
c Gain or (loss)
7b 7c
d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ . . . . . . . . . . . . . . . . . . . . . of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . . . . . . . . . b Less: direct expenses . . . . . . . . . . . . . . .
8a 8b
15,259 7,702
c Net income or (loss) from fundraising events . . . . . . . . . . . . . . . . . . . . .
7,557
9a Gross income from gaming 9a activities. See Part IV, line 19 . . . . . . . 9b b Less: direct expenses . . . . . . . . . . . . . . . c Net income or (loss) from gaming activities . . . . . . . . . . . . . . . . . . . . . . . 10a Gross sales of inventory, less
Miscellaneous Revenue
197,156 10a returns and allowances . . . . . . . . . 93,915 10b b Less: cost of goods sold . . . . . . . . c Net income or (loss) from sales of inventory . . . . . . . . . . . . . . . . . . . . . .
103,241
103,241
252
252
252 214,153
116,401
Business Code
11a . . S. .A.L. E . .S. . .T. A . .X. . .C. O . .L.L .E . .C. T . .I.O. N ...A . .L. L . .O.W .. ................ b ....................................................... c ....................................................... d All other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Total. Add lines 11a–11d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0 Form
DAA
990 (2023)
21508
MERRITT ISLAND WILDLIFE
Form 990 (2023)
Part IX
59-3289841
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . .................................................
Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1
Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . .
3
(C)
(D)
Management and general expenses
Fundraising expenses
1,067
1,067
382
382
314
314
97,051
58,231
38,820
56,456
33,874
22,582
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . .
4 5
(B)
Program service expenses
Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . . . . . . . . . .
2
(A)
Total expenses
Benefits paid to or for members . . . . . . . . . . . . . Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . . . .
6
7 8 9 10 11 a b c d e f g 12 13 14 15 16 17 18 19 20 21 22 23 24
Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . . . Other salaries and wages . . . . . . . . . . . . . . . . . . .
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
Other employee benefits . . . . . . . . . . . . . . . . . . . . Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fees for services (nonemployees): Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Legal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounting
..................................
Lobbying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2,998 3,741
2,998 3,741
Professional fundraising services. See Part IV, line 17 Investment management fees . . . . . . . . . . . . . . . Other. (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O.) . . . . . . . .
Advertising and promotion . . . . . . . . . . . . . . . . . . . Office expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Information technology . . . . . . . . . . . . . . . . . . . . . . Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1,230 1,667 2,458 7,104
1,230 1,667
59
59
2,131
2,458 4,973
Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials Conferences, conventions, and meetings . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments to affiliates . . . . . . . . . . . . . . . . . . . . . . . . Depreciation, depletion, and amortization . . . Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column
3,520
3,520
(A) amount, list line 24e expenses on Schedule O.)
PROGRAM EXPENSE SERVICE CHARGES a . . .T . .A .X . .E . .S . . . .A .N . .D . . . .L . .I . .C .E . .N . .S . .E. S .............. b O G S . . .C ............................................ . .............................................. . ..............................................
c All other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . d Total functional expenses. Add lines 1 through 24e . . . . . e 25 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) . . . . . . . . . . . . . . . DAA
19,966 5,220 3,358 2,385 2,624 211,600
19,966 2,385 1,204 122,510
5,220 3,358 1,420 1,420
87,670
Form
990 (2023)
21508
Form 990 (2023)
Part X
MERRITT ISLAND WILDLIFE
59-3289841
Check if Schedule O contains a response or note to any line in this Part X
Assets
Page 11
Balance Sheet ............................................................... ...
1 2 3 4 5
Cash—non-interest-bearing
6
Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . . . . . . . . . . .
7 8 9
Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(A)
(B)
Beginning of year
End of year
6,780 194,709
Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4
Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
..............................................................
Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21,018
6 7 8 9
163,499 303,806
22,607
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . . . . . . . . . . . . . .
b Less: accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . .
Net Assets or Fund Balances
Liabilities
11 12 13 14 15 16 17 18 19 20 21 22
10a 10b
Investments—publicly traded securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investments—other securities. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investments—program-related. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
222,507
Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Escrow or custodial account liability. Complete Part IV of Schedule D
...................
Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23 24 25
Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . .
26
Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10c 11 12 13 14 15 16 17 18 19 20 21
489,912
22 23 24
Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . . . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
425 425
25
0 26
Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. 27 28
Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33. 29 30
27 28
Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund
..........................
Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . . . . . . . . . 32 Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Total
31
liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
222,507 222,507 222,507
29 30 31 32 33
489,487 489,487 489,912 Form
DAA
990 (2023)
21508
MERRITT ISLAND WILDLIFE
59-3289841
Page 12
Form 990 (2023)
Part XI
Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 8 9 10
Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A))
..............................
Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....................
1 2 3 4 5 6 7 8 9
214,153 211,600 2,553 222,507
264,427
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
10
489,487
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
Accounting method used to prepare the Form 990:
X Cash
Yes Accrual
No
Other
If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O.
2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a
X
2b
X
If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis
b Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis
c If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
2c
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits
3a
............................
3b Form
DAA
990 (2023)
21508
Public Charity Status and Public Support
SCHEDULE A (Form 990)
OMB No. 1545-0047
2023
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ.
Department of the Treasury Internal Revenue Service Name of the organization
Part I
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
MERRITT ISLAND WILDLIFE ASSOCIATION
Employer identification number
59-3289841
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1 2 3 4
A church, convention of churches, or association of churches described in section
170(b)(1)(A)(i).
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II.) 6 7
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
8 9
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
10
An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 12
An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c d
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e f
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g
Provide the following information about the supported organization(s).
(i) Name of supported
organization
(ii) EIN
(iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organization listed in your governing document? Yes
(v) Amount of monetary
support (see
(vi) Amount of other support (see
instructions)
instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990
DAA
or 990-EZ.
Schedule A (Form 990) 2023
21508
Schedule A (Form 990) 2023
MERRITT ISLAND WILDLIFE
59-3289841
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . . . . . . .
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
4 5
Total. Add lines 1 through 3 . . . . . . . . . . . .
6
Public support. Subtract line 5 from line 4 . . .
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) 7 8
Amounts from line 4 . . . . . . . . . . . . . . . . . . . . .
9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . . Total support. Add lines 7 through 10
11 12 13
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . . . . . . . . . . . . . . .
12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14
%
15
%
14 15
Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16a
33 1/3% support test — 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 1/3% support test — 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in
b 17a
Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
10%-facts-and-circumstances test — 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
DAA
21508
Schedule A (Form 990) 2023
MERRITT ISLAND WILDLIFE
59-3289841
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in)
(a) 2019
1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . .
69,685
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . . . . . . . . .
179,070
3
Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
6
Total. Add lines 1 through 5 . . . . . . . . . . . .
7a Amounts included on lines 1, 2, and 3
(b) 2020
(c) 2021
186,988
248,755
136,803
186,988
136,803
(d) 2022
(e) 2023
(f) Total
407,139
90,195
890,810
204,872
225,575
609,517
612,011
315,770
1,500,327
received from disqualified persons . . . . . .
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year . . . c Add lines 7a and 7b . . . . . . . . . . . . . . . . . . . . . 8
Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1,500,327
Section B. Total Support Calendar year (or fiscal year beginning in) 9
Amounts from line 6 . . . . . . . . . . . . . . . . . . . . .
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . .
(a) 2019
(b) 2020
248,755
(c) 2021
186,988
136,803
(d) 2022
(e) 2023
612,011
(f) Total
315,770
1,500,327
142
142
142
142
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . . . . . . . .
c
Add lines 10a and 10b . . . . . . . . . . . . . . . . . .
11
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on . . . . .
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . .
13
Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
248,755 186,988 136,803 612,153 315,770 1,500,469 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 15 16
(f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
99.99 % 99.97 %
....................................
17
%
Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
%
Public support percentage for 2023 (line 8, column (f), divided by line 13, column
Section D. Computation of Investment Income Percentage 17 18 19a b
Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f))
33 1/3% support tests — 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . 33 1/3% support tests — 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported
20
organization . . . . . . . . . . . . . . . . . .
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
MERRITT ISLAND WILDLIFE
59-3289841
Page 4
Part IV
Supporting Organizations (Complete only if you checked a box on line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
No
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
3a
2
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer lines 3b and 3c below.
b
3a
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination.
c
purposes?
4a
3b
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) If “Yes,” explain in Part VI what controls the organization put in place to ensure such use.
Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
b
4a
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion
despite being
controlled or supervised by or in connection with its supported organizations.
c
3c
Did the organization support any foreign supported organization that does not have an IRS determination
4b
under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,”
4c
answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
b
5a
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
c 6
Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part
5b 5c
VI.
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990).
6
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line
7
7? If “Yes,” complete Part I of Schedule L (Form 990).
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more
8
disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
10a
9a
VI.
Was the organization subject to the excess business holdings rules of section 4943 because of section
9b 9c
4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business
holdings.)
10a 10b Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part IV 11
MERRITT ISLAND WILDLIFE
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Page 5
Supporting Organizations (continued) Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
b c
A family member of a person described on line 11a above?
11a 11b
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11c
Section B. Type I Supporting Organizations 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
1
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part
VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors
1
or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported
1
organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
By reason of the relationship described on line 2, above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s
3
income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard.
Section E. Type III Functionally Integrated Supporting 1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see
a b c 2
3
Organizations instructions).
The organization satisfied the Activities Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). Activities Test. Answer lines 2a and 2b below.
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify
those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
b
2a
Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s
involvement.
2b
Parent of Supported Organizations. Answer lines 3a and 3b below.
3 a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part
b
VI.
of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this DAA
3a
Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each regard.
3b Schedule A (Form 990) 2023
21508
Schedule A (Form 990) 2023
Part V 1
MERRITT ISLAND WILDLIFE
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Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A – Adjusted Net Income 1 2 3 4 5 6
Net short-term capital gain
7 8
Other expenses (see instructions)
Recoveries of prior-year distributions Other gross income (see instructions) Add lines 1 through 3. Depreciation and depletion Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
(A) Prior Year
(B) Current Year (optional)
(A) Prior Year
(B) Current Year (optional)
1 2 3 4 5
6 7 8
Section B – Minimum Asset Amount 1
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):
a Average monthly value of securities b Average monthly cash balances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 3 4
Acquisition indebtedness applicable to non-exempt-use assets
5 6 7 8
Net value of non-exempt-use assets (subtract line 4 from line 3)
Subtract line 2 from line 1d. Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). Multiply line 5 by 0.035. Recoveries of prior-year distributions
Minimum Asset Amount (add line 7 to line 6)
1a 1b 1c 1d
2 3 4 5 6 7 8
Section C – Distributable Amount 1 2 3 4 5 6
Adjusted net income for prior year (from Section A, line 8, column A) Enter 0.85 of line 1. Minimum asset amount for prior year (from Section B, line 8, column A) Enter greater of line 2 or line 3. Income tax imposed in prior year
Current Year
1 2 3 4 5
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions).
7
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
6
Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part V
MERRITT ISLAND WILDLIFE
59-3289841
Section D – Distributions 1 2
Current Year 1
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 4 5 6 7 8
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
2 3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions.
Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions.
9 10
Line 8 amount divided by line 9 amount
Section E – Distribution Allocations (see instructions) 1
Distributable amount for 2023 from Section C, line 6
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required–explain in Part VI). See instructions.
3
9 10
Distributable amount for 2022 from Section C, line 6
(i) Excess Distributions
(ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Excess distributions carryover, if any, to 2023
a From 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b From 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c From 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d From 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e From 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2023 distributable amount i Carryover from 2018 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4
Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years b Applied to 2023 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions.
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in
Part VI. See instructions. 7
Excess distributions carryover to 2024. Add lines 3j and 4c.
8
Breakdown of line 7:
a Excess from 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . b Excess from 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . c Excess from 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . d Excess from 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . e Excess from 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
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MERRITT ISLAND WILDLIFE
Schedule A (Form 990) 2023
Part VI
59-3289841 Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
. ......................................................................................................................................................................
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DAA
Schedule A (Form 990) 2023
21508
Schedule B
OMB No. 1545-0047
Schedule of Contributors
(Form 990)
2023
Attach to Form 990, 990-EZ, or 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Employer identification number
Name of the organization
MERRITT ISLAND WILDLIFE ASSOCIATION
59-3289841
Organization type (check one): Filers of: Form 990 or 990-EZ
Section: 501(c)(
3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or
(2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering “N/A” in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don’t complete any of the parts unless the
General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form
990).
For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
DAA
Schedule B (Form 990) (2023)
21508
PAGE 1 OF 1 Page 2
Schedule B (Form 990) (2023)
Employer identification number
Name of organization
MERRITT ISLAND WILDLIFE Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space
(a) No.
1
. ......
59-3289841
(b) Name, address, and ZIP + 4
ROBERT C. HUTCHISON 6170 WHISPERING LANE
is needed.
(c) Total contributions
. .............................................................................
. .............................................................................
TITUSVILLE
FL 32780
$ . . . .. . . .. . . . .. .3 ..0 .., . . .0 . .0 . .0 ..
2
. ......
(b) Name, address, and ZIP + 4
ESTATE OF ROSEMARY MALOCSAY DEBRA HOGAN - FIDUCIARY, TTEE PO BOX 1810
(c) Total contributions
. .............................................................................
. .............................................................................
DELAND
FL 32721
$ . . . .. . . . .. . . .. .1 ..2 .., . . .9 . .6 . .6 ..
3
. ......
(b) Name, address, and ZIP + 4
LAURILEE THOMPSON PO BOX 307
(c) Total contributions
. .............................................................................
. .............................................................................
MIMS
FL 32754
$ . . . .. . . . .. . . .. .1 ..0 .., . . .0 . .0 . .0 ..
4
. ......
(b) Name, address, and ZIP + 4
LAYNE HAMILTON 6990 WINDOVER WAY
(c) Total contributions
. .............................................................................
. .............................................................................
TITUSVILLE
FL 32780
$ .................5 . . ., . .0 . .0 . .0 ..
5
. ......
(b) Name, address, and ZIP + 4
(c) Total contributions
. .............................................................................
. .............................................................................
$ .................5 . . ., . .0 . .0 . .0 ..
(b) Name, address, and ZIP + 4
. ......
. .............................................................................
. ............................................................................. . .............................................................................
DAA
X
(d) Type of contribution Person Payroll Noncash
X
(d) Type of contribution Person Payroll Noncash
X
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.)
. .............................................................................
(a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
. .............................................................................
(a) No.
(d) Type of contribution
(Complete Part II for noncash contributions.)
. .............................................................................
(a) No.
X
(Complete Part II for noncash contributions.)
. .............................................................................
(a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
. .............................................................................
(a) No.
(d) Type of contribution
(c) Total contributions
$ ............................
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
21508
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
Name of the organization
2023 Open to Public Inspection
Employer identification number
MERRITT ISLAND WILDLIFE ASSOCIATION Part I
OMB No. 1545-0047
Complete if the organization answered “Yes” on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
59-3289841
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered “Yes” on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
1
Total number at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3 4
Aggregate value of contributions to (during year) . . . . . . . . . . . . . . . . . . . . . . Aggregate value at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
6
funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used
Aggregate value of grants from (during year) . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Yes
No
only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conservation Easements Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
Part II 1
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Protection of natural habitat Preservation of open space
2
Preservation of a historically important land area Preservation of a certified historic structure
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
a Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Number of conservation easements on a certified historic structure included on line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year . . . . . . . . . . . . . . . .
4 5
Number of states where property subject to conservation easement is located
6
Held at the End of the Tax Year
2a 2b 2c 2d
............
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Yes
No
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year ...............
7
Amount of expenses incurred in monitoring, inspecting, handling of violations,
and enforcing conservation easements during the year
............................
8
9
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items.
b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items.
(i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items.
a Revenue included on Form 990, Part VIII, line 1
. ............................. ............................. ...................
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Schedule D (Form 990) 2023
Part III 3
Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply).
a b c
d e
Public exhibition Scholarly research
Loan or exchange program Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preservation for future generations
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part IV
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported 990, Part X, line 21.
Yes
No
an amount on Form
1a Is the organization an agent, trustee, custodian or other intermediary for contributions
or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b If “Yes,” explain the arrangement in Part XIII and complete the following table. Amount
c Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
1c 1d 1e 1f Yes
........................
No
b If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
Endowment Funds Complete if the organization answered “Yes” on Form 990, Part IV, line 10. (a) Current year
(b) Prior year
(c) Two years back
(d) Three years back
(e) Four years back
1a Beginning of year balance . . . . . . . . . . . . . . . b Contributions
............................c
Net investment earnings, gains, and losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d Grants or scholarships . . . . . . . . . . . . . . . . . . e Other expenditures for facilities and programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f Administrative expenses . . . . . . . . . . . . . . . . g End of year balance . . . . . . . . . . . . . . . . . . . . . 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a Board designated or quasi-endowment . . . . . . . . . . . . . . . . .% b Permanent endowment . . . . . . . . . . . . . . . . . % c Term endowment . . . . . . . . . . . . . . . % The percentages on lines 2a, 2b, and 2c should equal 100%.
3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
(d) Book value
1a Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Leasehold improvements . . . . . . . . . . . . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal
Form 990, Part X, line 10c, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule D (Form 990) 2023
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Page 3
Schedule D (Form 990) 2023
Part VII
Investments – Other Securities Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (b) Book value
(a) Description of security or category
(including name of security)
(c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.A . .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.B . .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.C . .). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.D . .). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.E . .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.F . ). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.G . .). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.H . .). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) . . . . . . . . . .
Part VIII
Investments – Program Related Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation:
Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) . . . . . . . . . .
Part IX
Other Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.
(a) Description of liability
(b) Book value
(1) Federal income taxes (2) (3)
400 25
SALES TAX PAYABLE GIFT CARDS OUTSTANDING
(4) (5) (6) (7) (8) (9)
425
Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII
...............
DAA
Schedule D (Form 990) 2023
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Schedule D (Form 990) 2023
Part XI
MERRITT ISLAND WILDLIFE
59-3289841
Reconciliation of Revenue per Audited Financial Statements With Revenue per Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2 a b c d e 3 4
Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
a b c 5
Investment expenses not included on Form 990, Part VIII, line 7b
Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2b 2c 2d
Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2e 3
Amounts included on Form 990, Part VIII, line 12, but not on line 1: .....................
4a
4b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII 1
Page 4
Return
4c 5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b c d e 3 4
Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a b c 5
Investment expenses not included on Form 990, Part VIII, line 7b
Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a 2b 2c 2d
Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2e 3
Amounts included on Form 990, Part IX, line 25, but not on line 1: .....................
4a
Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XIII
4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. . ......................................................................................................................................................................
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Schedule D (Form 990) 2023 DAA
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Schedule D (Form 990) 2023
Part XIII
59-3289841 Page 5
Supplemental Information (continued)
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Schedule D (Form 990) 2023 DAA
21508
SCHEDULE G (Form 990)
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered “Yes” on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Department of the Treasury Internal Revenue Service Name of the organization
Part I 1
MERRITT ISLAND WILDLIFE ASSOCIATION
2023
Employer identification number
59-3289841
Fundraising Activities. Complete if the organization answered “Yes” on Form 990, Part IV, line Form 990-EZ filers are not required to complete this part.
17.
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a
Mail solicitations
e
Solicitation of non-government grants
b
Internet and email solicitations
f
Solicitation of government grants
c
Phone solicitations
g
Special fundraising events
d
In-person solicitations
2a Did the organization have a written or oral agreement with any individual (including
officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (iii) Did fund(v) Amount paid to (i) Name and address of individual
or entity (fundraiser)
(ii) Activity
raiser have custody or control of contributions?
Yes
No
(vi) Amount paid to
(iv) Gross receipts
(or retained by)
(or retained by)
from activity
fundraiser listed in
organization
col. (i)
Yes No 1 2
3
4
5
6
7
8
9
10
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing. . ...................................................................................................................................................................... . .............................................................................................................................. ........................................ . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
F . or Paperwork Reduction Act Notice, see the Instructions for Form
990 or 990-EZ.
Schedule G (Form 990) 2023
21508
Page 2 MERRITT ISLAND WILDLIFE 59-3289841 Fundraising Events. Complete if the organization answered “Yes” on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
Schedule G (Form 990) 2023
Part II
(a) Event #1
(b) Event #2
(c) Other events (d) Total events
TURTLE WALKS
NONE
Revenue
(event type)
(event type)
(total number)
(add col. (a) through col. (c))
1 Gross receipts . . . . . . . . .
9,292
9,292
2 Less: Contributions . . . . 3 Gross income (line 1 minus line 2) . . . . . . . . . . . . . . . . . .
9,292
9,292
3,000
3,000
4 Cash prizes . . . . . . . . . . .
Direct Expenses
5 Noncash prizes . . . . . . . . 6 Rent/facility costs . . . . . . 7 Food and beverages . . 8 Entertainment
. . . . . . . ..
9 Other direct expenses
10 Direct expense summary. Add lines 4 through 9 in column (d)
3,000 6,292
...............................................................
11 Net income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Direct Expenses
Revenue
Part III
Gaming. Complete if the organization answered “Yes” on Form 990, Part IV, line 19, or reported more $15,000 on Form 990-EZ, line 6a. (a) Bingo
(b) Pull tabs/instant
bingo/progressive bingo
(c) Other gaming
than
(d) Total gaming (add
col. (a) through col. (c))
1 Gross revenue . . . . . . . . 2 Cash prizes . . . . . . . . . . . 3 Noncash prizes . . . . . . . . 4 Rent/facility costs . . . . . . 5 Other direct expenses 6 Volunteer labor . . . . . . . .
Yes . . . . . . . . . . . . . . . . % No
7 Direct expense summary. Add lines 2 through 5 in column (d)
Yes . . . . . . . . . . . . . . . . % No
Yes . . . . . . . . . . . . . . . % No
...............................................................
8 Net gaming income summary. Subtract line 7 from line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Enter the state(s) in which the organization conducts gaming activities: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No b If “No,” explain: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................................................................................................................................. .................................................................................................................................................................
10a Were any of the organization’s gaming licenses revoked, suspended, or terminated during the tax year?
................................
Yes
No
b If “Yes,” explain: ................................................................................................................................................................. .................................................................................................................................................................
21508
MERRITT ISLAND WILDLIFE
59-3289841
Page 3
Schedule G (Form 990) 2023
11 12
o
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity
Yes
N
formed to administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
13 Indicate the percentage of gaming activity conducted in: a The organization’s facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b An outside facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
..........................................................................................................................................
Does the organization have a contract with a third party from whom the organization receives revenue?
If “Yes,” enter the amount of gaming revenue received by the organization
Yes
No
Yes
No
$ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and the
$ ..............................
If “Yes,” enter name and address of the third party:
Name
.............................................................................................................................. ..............
Address
16
gaming
.................................................................................................................................
amount of gaming revenue retained by the third party
c
%
.............................................................................................................................. ..............
Address
b
%
Enter the name and address of the person who prepares the organization’s gaming/special events books and records: Name
15a
13a 13b
..........................................................................................................................................
Gaming manager information: Name
.............................................................................................................................. .....
Gaming manager compensation
$ .............................
Description of services provided . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Director/officer
17 a b
Employee
Independent contractor
Mandatory distributions: Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization’s own exempt activities during the tax year
Part IV
$
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
. ...................................................................................................................................................................... . .............................................................................................................................. ........................................ . ...................................................................................................................................................................... . .............................................................................................................................. ........................................ . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . .............................................................................................................................. ........................................ . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
Schedule G (Form 990) 2023
DAA
21508
SCHEDULE O (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
2023
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
MERRITT ISLAND WILDLIFE ASSOCIATION
Employer identification number
59-3289841
FORM 990, PART III, LINE 4D - ALL OTHER ACCOMPLISHMENTS
. ......................................................................................................................................................................
PROMOTED CONSERVATION AWARENESS AND APPRECIATION OF THE MERRITT ISLAND
. ......................................................................................................................................................................
NATIONAL WILDLIFE REFUGE AND PROVIDED ASSISTANCE TO REFUGE PROGRAMS
. ......................................................................................................................................................................
. ...................................................................................................................................................... ................
FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990
. ......................................................................................................................................................................
THE TREASURER OF MERRITT ISLAND WILDLIFE ASSOCIATION REVIEWS THE 990 WITH
. ......................................................................................................................................................................
THE FINANCE COMITTEE AND THE OFFICERS PRIOR TO THE RETURN BEING FILED.
. ......................................................................................................................................................................
FORM 990 IS REVIEWED WITH THE GOVERNING BODY BY THE PRESIDENT.
. ......................................................................................................................................................................
. ......................................................................................................................................................................
FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY
. ......................................................................................................................................................................
ONCE A YEAR ALL OF THE BOARD OF DIRECTORS REVIEW THE CONFLICT OF INTEREST
. ......................................................................................................................................................................
POLICY AND MAKE ANY UPDATES TO CONFLICTS AS NECESSARY.
THE BOD ARE
. ......................................................................................................................................................................
PERIODICALLY REMINDED THROUGHOUT THE YEAR TO MAKE ANY COI UPDATES AS
. ......................................................................................................................................................................
NECESSARY.
. ........................................................................................................ ..............................................................
. ......................................................................................................................................................................
FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
. ......................................................................................................................................................................
MERRITT ISLAND WILDLIFE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS AND
. ......................................................................................................................................................................
FINANCIALS AVAILABLE TO THE PUBLIC UPON REQUEST.
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. .............................................................................................................................. ........................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. .............................................................................................................................. ........................................
.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 DAA
or 990-EZ.
Schedule O (Form 990) 2023
Taylor & Lockard, PA. 3960 South Banana River Blvd. Cocoa Beach, FL 32931
Merritt Island Wildlife Association PO Box 2683 TITUSVILLE , FL 32781
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Merritt IslandWildlife Association
Print or type. See Specific Instructions on page 3.
2
Business name/disregarded entity name, if different from above.
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. ✔
Other (see instructions)
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
501(c)(3) Non-Profit Organization
3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
PO Box 2683 6
City, state, and ZIP code
Titusville FL 32781 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN) Social security number
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
–
or Employer identification number
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
–
5 9
–
3 2 8 9
8
4
1
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments ce other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
03/19/2025
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program - MERRITT ISLAND WILDLIFE FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
Program Expenses
$10,250.00
$4,040.00
$6,210.00
Program Income
$21,600.00
$18,587.00
$3,013.00
Subtotal Expense Other Expenses
$10,250.00
$4,040.00
$6,210.00 Subtotal Income Income Sponsors
$21,600.00
$18,587.00
$3,013.00
Grants & Sponsorship
$9,250.00
$850.00
$8,400.00
Cash in Bank to start
$149,000.00
$148,999.00
$1.00
TDC grant funding
$17,500.00
$20,000.00
-$2,500.00
Total Income
$48,350.00
$39,437.00
$8,913.00
Total Expenses Paid
$23,100.00
$17,233.00
$5,867.00
Profit/Loss
$25,250.00
$22,204.00
Subtotal Other Expenses
$0.00
$0.00
$0.00
Marketing (in & out)
$12,000.00
$12,000.00
$0.00
Habi-Chat Newsletter printing
$850.00
$1,193.00
$343.00
Subtotal Marketing
$12,850.00
$13,193.00
$343.00
Total Expenses 2025-2026
$23,100.00 $17,233.00
Marketing - please specify Brevard/Out-of-County
$0.00
.
Updated: 6/25/2025
Brevard Regional Arts Group/Henegar Center
Return to Table of Contents
For TDO use: PROJECT#- C 5
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Henegar Center Applicant Event Name: Year-round programming
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March
Yes No X X
Comment
NIA
X X X X
2024)
7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
kt"\ e c:,._ ;___
,k!Ns
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:12 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Melinda Benya
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming The Henegar Center Organization address 625 E New Haven Avenue State FL City MELBOURNE Zip 32901 Primary contact name Melinda Benya Primary contact phone number 3217238698
Primary contact email melinda@henegar.org Secondary contact name Douglas Lebo Secondary contact phone number 3217238698 Secondary contact email doug@henegar.org Organization website address www.henegarcenter.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-2306612
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Direct mail Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 9. What are your social media handles? Facebook : The Henegar Instagram : @henegarcenter
22. (untitled) 10. What hashtags do you currently use? n/a
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. BRAG_IRS_Determination_Letter.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. 2023_Federal_Tax_Return_Documents_(BREVARD_REGIONAL_ARTS).pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Detail_by_Entity_Name.pdf
27. (untitled) 14. Upload your completed W-9 form. Henegar_Performing_Arts_Center_Inc_W9.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 16. Upload your completed Checklist. Grant_Check_List.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Melinda Benya
31. Thank You! New Send Email May 16, 2025 14:15:50 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com;
5/16/25, 2:07 PM
Detail by Entity Name Division of Corporations
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation HENEGAR PERFORMING ARTS CENTER, INC. Filing Information
Document Number
768558
FEI/EIN Number
59-2306612
Date Filed
05/20/1983
State
FL
Status
ACTIVE
Last Event
NAME CHANGE AMENDMENT
Event Date Filed
08/16/2024
Event Effective Date
NONE
Principal Address
625 E. NEW HAVEN AVE. MELBOURNE, FL 32901 Changed: 02/25/1994 Mailing Address
625 E. NEW HAVEN AVE. MELBOURNE, FL 32901 Changed: 04/22/2011 Registered Agent Name & Address
Del Brocco, Dominic A 625 E. NEW HAVEN AVE. MELBOURNE, FL 32901 Name Changed: 07/30/2021 Address Changed: 12/08/2016 Officer/Director Detail
Name & Address Title Secretary
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=HENEGA…
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5/16/25, 2:07 PM
Detail by Entity Name
HUFF, STEVE 625 E. NEW HAVEN AVE. MELBOURNE, FL 32901 Title VP DeRoche, Mike 625 E. NEW HAVEN AVE. MELBOURNE, FL 32901 Title President Lebo, Doug 625 E. NEW HAVEN AVE. MELBOURNE, FL 32901 Title Treasurer Riippa, Nick 625 E. NEW HAVEN AVE. MELBOURNE, FL 32901 Annual Reports
Report Year
Filed Date
2023
01/21/2023
2024
02/10/2024
2025
02/06/2025
Document Images 02/06/2025 -- ANNUAL REPORT
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08/16/2024 -- Name Change
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02/10/2024 -- ANNUAL REPORT
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01/21/2023 -- ANNUAL REPORT
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01/23/2022 -- ANNUAL REPORT
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07/30/2021 -- ANNUAL REPORT
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03/18/2020 -- ANNUAL REPORT
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06/25/2019 -- AMENDED ANNUAL REPORT
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02/04/2019 -- ANNUAL REPORT
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02/08/2018 -- ANNUAL REPORT
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01/11/2017 -- ANNUAL REPORT
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12/12/2016 -- Amendment
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12/08/2016 -- AMENDED ANNUAL REPORT
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04/27/2016 -- ANNUAL REPORT
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04/27/2015 -- ANNUAL REPORT
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01/28/2014 -- ANNUAL REPORT
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04/12/2013 -- ANNUAL REPORT
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03/16/2012 -- ANNUAL REPORT
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05/05/2011 -- ANNUAL REPORT
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2023 Filing Instructions BREVARD REGIONAL ARTS GROUP INC Tax year ending 05-31-2024 Form filed: Form 990 and supplemental forms and schedules Filing method: The return will be e-filed once the signed and dated Form 8879-TE has been received by this office. Do not mail the return to the IRS. Due date: 10-15-2024 The return reflects neither a refund nor a balance due. Please note: The Taxpayer First Act requires tax-exempt organizations to electronically file all information returns in the 990 series and related forms for tax years beginning after July 1, 2019. Mailing these returns is no longer allowed.
FILEINST.LD
Form
990
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
2023
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Open to Public Department of the Treasury Internal Revenue Service Go to www.irs.gov/Form990 for instructions and the latest information. Inspection A For the 2023 calendar year, or tax year beginning 06-01 , 2023, and ending 05-31 , 20 24 B Check if applicable: C Name of organization D Employer identification number BREVARD REGIONAL ARTS GROUP INC
THE HENEGAR CENTER FOR THE ARTS
Address change
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Final return/terminated
MELBOURNE, FL 32901
Application pending
F Name and address of principal officer:
SAME AS C ABOVE X 501(c)(3) 501(c) ( ) (insert no.) Website: WWW.HENEGAR.ORG Form of organization: X Corporation Trust Association Other
Part I
Gross receipts
H(a) Is this a group return for subordinates? H(b) Are all subordinates included?
4947(a)(1) or
527
Revenue Expenses
Yes
No
If "No," attach a list. See instructions H(c) Group exemption number
L Year of formation:
1983
M State of legal domicile:
FL
Briefly describe the organization's mission or most significant activities: THE HENEGAR CENTER ENTERTAINS, EDUCATES, AND ENRICHES BY PRODUCING THE HIGHEST QUALITY PERFORMING ARTS EXPERIENCES.
2 Check this box 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) . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) . . . . . . . . . . . . . . . . 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . .
3 4 5 6 7a 7b
4 4 16 3 0 0
Prior Year
Net Assets or Fund Balances
1,825,318 Yes X No
Summary 1
Activities & Governance
G
$
DOUG LEBO
Tax-exempt status:
K
Telephone number
(321)723-8698
City or town, state or province, country, and ZIP or foreign postal code
Amended return
J
E
625 EAST NEW HAVEN AVE
Initial return
I
59-2306612 Room/suite
8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) 0 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . . . . . . . . . . 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . .
Current Year
602,530 1,271,113 114 405 1,874,162 1,321,185 91,465 287,750
609,027 1,208,272 5,724 2,295 1,825,318 0 0 557,560 0
38,416 1,738,816 135,346
1,238,070 1,795,630 29,688
Beginning of Current Year
20 21 22
Part II
Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . .
End of Year
3,618,918 1,318,021 2,300,897
3,850,364 1,507,574 2,342,790
Signature Block
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.
DOUG LEBO
Sign Here
Signature of officer
Date
DOUG LEBO, PRESIDENT Type or print name and title Print/Type preparer's name
Paid SAM O PEWU Preparer Firm's name Use Only Firm's address
Preparer's signature
BLUEFOX 2542 WOODFIELD CIR MELBOURNE FL 32904
May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. EEA
Date
Check
10-02-2024
self-employed
if
PTIN
P02411194
Firm's EIN Phone no.
321-233-3311
. . . . . . . . . . . . . . . . . . . . . . . . . . X Yes
No Form 990 (2023)
Form 990 (2023)
Part III 1
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Page 2
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission:
............................
THE HENEGAR CENTER ENTERTAINS, EDUCATES, AND ENRICHES BY PRODUCING THE HIGHEST QUALITY PERFORMING ARTS EXPERIENCES.
2
3
4
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
Yes
X No
Yes
X No
4a
(Code: ) (Expenses $ ) (Revenue $ 1,625,338 including grants of $ 1,107,204 ) THE HENEGAR CENTER PUT ON 15 PRODUCTIONS (6 MAINSTAGE SHOWS, 3 SPECIAL EVENTS, 1 FELLER SUMMER CAMP, AND 5 SCHOOL YEAR SHOWS) FOR A TOTAL OF 126 PERFORMANCES. 35,000 TICKETS WERE PURCHASED FOR THESE PERFORMANCES, 259 STUDENTS ENROLLED IN FELLER ACADEMY AND ABOUT 26,116 VOLUNTEER HOURS.
4b
(Code:
) (Expenses $
including grants of
$
) (Revenue
$
)
4c
(Code:
) (Expenses $
including grants of
$
) (Revenue
$
)
4d
Other program services (Describe on Schedule O.) (Expenses $ including grants of $ Total program service expenses 1,625,338
4e EEA
) (Revenue $
) Form 990 (2023)
Form 990 (2023)
Part IV
BREVARD REGIONAL ARTS GROUP INC
Page 3
59-2306612
Checklist of Required Schedules Yes
1 2 3 4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18 19 20a b 21 EEA
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. . . . . . . . . . . . . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part . I .............................. Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III. . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part . II . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part . IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part . VII. . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part . VIII ...................... Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ............................... Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part .. X ....... Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part.X. . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional ......... Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E. . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and.IV ................. Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ........................... Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and.IV. . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions ................... Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part.II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization operate one or more hospital facilities? If "Yes," complete Schedule.H ................... If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and . II. . . . . . . . . . . . . . . .
1 2
No
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18
X
19 20a 20b
X X
21 X Form 990 (2023)
Form 990 (2023)
Part IV
BREVARD REGIONAL ARTS GROUP INC
Page 4
59-2306612
Checklist of Required Schedules (continued) Yes
22 23
24a
b c d 25a b
26
27
28 a b c 29 30 31 32 33 34 35a b 36 37 38
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III. . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. . . . . . . . . . . . . . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part.I. . . . . . . . . . . . . . . . . . Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part.II. . . . . . . . . . . . . . . Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III ........................................ Was the organization a party to a business transaction with one of the following parties (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part.IV ................. A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule .M ............ Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part.I . . . . . . . Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part . I ......................... Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line . .2 . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part.VI. . . . . . . . . . Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule . O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
22
X
23
X
24a 24b
X
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X
38
X
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . Yes
1a b c EEA
No
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . . 1a 52 Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . . . . . . . . . . . . 1b 0 Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
1c X Form 990 (2023)
Form 990 (2023)
Part V 2a b 3a b 4a b 5a b c 6a b 7 a b c d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
EEA
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . 2a 16 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule . O. . . . . . . . . . . . At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," indicate the number of Forms 8282 filed during the year. . . . . . . . . . . . . . . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. . . . If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . .
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? .......... If "Yes," enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ............ Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . If "Yes," complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . . . . . . . . . . . . . . . If "Yes," complete Form 6069.
Yes
2b 3a 3b
Page 5 No
X X
4a
X
5a 5b 5c
X X
6a
X
6b
7a 7b
X
7c
X
7e 7f 7g 7h
X X X X
8
X
9a 9b
X X
12a
13a
14a 14b
X
15
X
16
X
17 Form 990 (2023)
Form 990 (2023)
Part VI
BREVARD REGIONAL ARTS GROUP INC
Page 6
59-2306612
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management Yes 1a
b 2 3 4 5 6 7a b 8 a b 9
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . 1a 4 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O. Enter the number of voting members included in line 1a, above, who are independent . . . . . . . . . . . 1b 4 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?. . . . . . . . Did the organization become aware during the year of a significant diversion of the organization's assets? . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O .................
No
2
X
3 4 5 6
X X X X
7a
X
7b
X
8a 8b
X X
9
X
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10a b 11a b 12a b c 13 14 15 a b 16a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If "No," go to line 13. . . . . . . . . . . . . . . . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done .......................................... Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10a
X
10b 11a
X
12a 12b
X X
12c 13 14
X
15a 15b
X
16a
No
X X
X
X
16b
Section C. Disclosure 17 18
19 20
List the states with which a copy of this Form 990 is required to be filed Florida Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Upon request Own website Another's website Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records.
DOUG LEBO (321)723-8698, 625 EAST NEW HAVEN AVE, MELBOURNE, FL 32901 EEA
Form 990 (2023)
Form 990 (2023)
BREVARD REGIONAL ARTS GROUP INC
Page 7
59-2306612
Part VII
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII ...................... Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See the instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
107,722
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
per week Former
Highest compensated employee
Key employee
(1) DOMINIC DEL BROCCO ARTISTIC DIRECTOR (2) GINA BECKLES DIRECTOR (3) RON CLARE DIRECTOR (4) KEITH MCINTYRE DIRECTOR (5) MIKE DEROCHE VICE PRESIDENT (6) DOUG LEBO PRESIDENT (7) STEVE HUFF SECRETARY (8) NICK RIIPPA TREASURER
Officer
below dotted line)
Institutional trustee
related organizations
Individual trustee or director
(list any hours for
40.00 X
X
0.50 0.50
20.00
20.00
(9) (10) (11) (12) (13) (14) EEA
Form 990 (2023)
Form 990 (2023)
Part VII
BREVARD REGIONAL ARTS GROUP INC
Page 8
59-2306612
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
per week Former
Highest compensated employee
Key employee
Officer
below dotted line)
Institutional trustee
related organizations
Individual trustee or director
(list any hours for
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) 1b c d 2
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A .............. Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
107,722 0 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0 1 Yes
3 4
5
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ....................
No
3
X
4
X
5
X
Section B. Independent Contractors 1
2 EEA
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization Form 990 (2023)
Form 990 (2023)
Part VIII
BREVARD REGIONAL ARTS GROUP INC Check if Schedule O contains a response or note to any line in this Part VIII (A) Total revenue
Contributions, Gifts, Grants and Other Similar Amounts
Page 9
59-2306612
Statement of Revenue
1a b c d e f g h
Federated campaigns . . . . . . . . 1a Membership dues . . . . . . . . . . 1b 113,600 Fundraising events . . . . . . . . . 1c Related organizations . . . . . . . . 1d Government grants (contributions) . . 1e 88,062 All other contributions, gifts, grants, and similar amounts not included above 1f 407,365 Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . 1g $ Total. Add lines 1a-1f . . . . . . . . . . . . . . . . . . .
...................... (B)
(C)
(D)
Related or exempt function revenue
Unrelated business revenue
Revenue excluded from tax under sections 512–514
609,027
Program Service Revenue
Business Code
2a BOX OFFICE RECEIPTS 711130 b CONCESSIONS 711130 c TUITION 711130 d SPECIAL EVENT REVE 711130 e f All other program service revenue . . . . . . g Total. Add lines 2a-2f . . . . . . . . . . . . . . . . . . . . 3 4 5
Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . Income from investment of tax-exempt bond proceeds .... Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) Real
847,902 159,916 91,367 109,087
847,902 159,916 91,367 109,087
1,208,272 5,724
5,724
2,295
2,295
2,295 1,825,318
1,216,291
(ii) Personal
Miscellanous Revenue
Other Revenue
6a Gross rents . . . . . . 6a b Less: rental expenses . . 6b c Rental income or (loss) 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . .
EEA
(i) Securities (ii) Other 7a Gross amount from sales of assets other than inventory . . 7a b Less: cost or other basis and sales expenses . . 7b c Gain or (loss) . . . . . 7c d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ of contributions reported on line 8a 1c). See Part IV, line 18 . . . . . . . . b Less: direct expenses . . . . . . . . . 8b c Net income or (loss) from fundraising events . . . . . . . . . 9a Gross income from gaming 9a activities. See Part IV, line 19 . . . . . . b Less: direct expenses . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . .
10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . Business Code 11a OTHER REVENUE 711130 b c d All other revenue . . . . . . . . . . . . . . e Total. Add lines 11a-11d . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . .
0
0 Form 990 (2023)
Form 990 (2023)
Part IX
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ... 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . 3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . . 4 Benefits paid to or for members . . . . . . . . . . . . 5 Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . 6 Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . 7 Other salaries and wages . . . . . . . . . . . . . . 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .. 9 Other employee benefits . . . . . . . . . . . . . . . 10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . 11 Fees for services (nonemployees): a Management . . . . . . . . . . . . . . . . . . . . . b Legal. . . . . . . . . . . . . . . . . . . . . . . . . c Accounting . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17. . f Investment management fees . . . . . . . . . . . . . g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) . . 12 Advertising and promotion . . . . . . . . . . . . . . 13 Office expenses . . . . . . . . . . . . . . . . . . . 14 Information technology . . . . . . . . . . . . . . . . 15 Royalties . . . . . . . . . . . . . . . . . . . . . . . 16 Occupancy . . . . . . . . . . . . . . . . . . . . . . 17 Travel . . . . . . . . . . . . . . . . . . . . . . . . 18 Payments of travel or entertainment expenses for any federal, state, or local public officials ..... 19 Conferences, conventions, and meetings . . . . . . . 20 Interest . . . . . . . . . . . . . . . . . . . . . . . . 21 Payments to affiliates . . . . . . . . . . . . . . . . . 22 Depreciation, depletion, and amortization . . . . . . . 23 Insurance . . . . . . . . . . . . . . . . . . . . . . 24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.) a PRODUCTION COST b BANK & CREDIT CARD CHARGES c TICKET PRINTING ORDER FEES d PROPERTY TAXES e All other expenses 25 Total functional expenses. Add lines 1 through 24e. . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here X if following SOP 98-2 (ASC 958-720) . . . . . . . . . . EEA
(A) Total expenses
(B) Program service expenses
(C) Management and general expenses
107,722
107,722
334,762
284,548
50,214
2,370 112,706
2,133 95,799
237 16,907
53,410
53,410
7,939
X
(D) Fundraising expenses
7,939
119,437 30,642 8,262
119,437 30,642 4,957
196,928 5,545
177,235 5,545
42,638
3,305 19,693
42,638
203,652 25,735
203,652 5,147
294,488 73,096 41,208 1,461 133,629 1,795,630
294,488 65,786 41,208
20,588
7,310 1,461
133,629 1,625,338
170,292
0
Form 990 (2023)
Form 990 (2023)
Part X
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Check if Schedule O contains a response or note to any line in this Part X
........................ (A) Beginning of year
1 2 3 4 5
Liabilities
Assets
6 7 8 9 10a b 11 12 13 14 15 16 17 18 19 20 21 22
23 24 25
Net Assets or Fund Balances
26
EEA
27 28
29 30 31 32 33
Page 11
Balance Sheet
Cash - non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . . . . 10a 7,059,949 Less: accumulated depreciation . . . . . . . . . . 10b 3,675,353 Investments - publicly traded securities . . . . . . . . . . . . . . . . . . . . . Investments - other securities. See Part IV, line 11 . . . . . . . . . . . . . . . Investments - program-related. See Part IV, line 11 . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Secured mortgages and notes payable to unrelated third parties . . . . . . . . Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . X Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33. Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund ......... Retained earnings, endowment, accumulated income, or other funds ...... Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . .
80,338 405,688
(B) End of year 1 2 3 4
73,971 338,980
5 6 7 8 9
52,817
2,863,724 10c
3,384,596
11 12 13 14 15 16 17 18 19 20 21
3,850,364
43,391
225,777 3,618,918
430,425
887,596
1,318,021
639,605
22 23 24
567,769 300,200
25 26
1,507,574
27 28
2,300,897 2,300,897 3,618,918
29 30 31 32 33
2,342,790 2,342,790 3,850,364 Form 990 (2023)
Form 990 (2023)
Part XI
BREVARD REGIONAL ARTS GROUP INC
Check if Schedule O contains a response or note to any line in this Part XI 1 2 3 4 5 6 7 8 9 10
......................
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Page 12
59-2306612
Reconciliation of Net Assets 1 2 3 4 5 6 7 8 9
1,825,318 1,795,630 29,688 2,300,897
10
2,342,790
12,205 0
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII
....................... Yes
1
2a
b
c
3a b EEA
Accounting method used to prepare the Form 990: X Cash Accrual Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . .
No
2a
X
2b
X
2c
3a 3b Form 990 (2023)
SCHEDULE A (Form 990)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
2023
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Department of the Treasury Internal Revenue Service Name of the organization
Employer identification number
BREVARD REGIONAL ARTS GROUP INC
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
59-2306612
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). X An organization that normally receives a substantial part of its support from a governmental unit or from the general public 7 described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: 10 An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) 11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. b Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. c Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. d Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations ....................................... g Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
(v) Amount of monetary support (see instructions)
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 4 Total. Add lines 1 through 3 . . . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . 6 Public support. Subtract line 5 from line 4.
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
447,131
280,415
637,686
602,530
718,114
2,685,876
447,131
280,415
637,686
602,530
718,114
2,685,876
9,345 2,676,531
Section B. Total Support Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total 7 Amounts from line 4 . . . . . . . . . . 447,131 280,415 637,686 602,530 718,114 2,685,876 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . 9 Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . 11 Total support. Add lines 7 through 10 2,685,876 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . 12 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ..............................................
Section C. Computation of Public Support Percentage 14 15 16a
Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) . . . . . . 14 99.65 % Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . 15 % 33 1/3% support test - 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . X b 33 1/3% support test - 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . 17a 10%-facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 10%-facts-and-circumstances test - 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
received. (Do not include any "unusual grants.")
2
3
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose . . . . Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 6 Total. Add lines 1 through 5 . . . . . 7a Amounts included on lines 1, 2, and 3 received from disqualified persons . . b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year
c 8
Add lines 7a and 7b . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . . . . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources .
b
c 11
12
13 14
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . Add lines 10a and 10b . . . . . . . . . Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) ........................................... organization, check this box and stop here
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . . . . . . . Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . .
15 16
% %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . 17 % Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . 18 % 33 1/3% support tests - 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
b
33 1/3% support tests - 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . .
EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
BREVARD REGIONAL ARTS GROUP INC
Page 4
59-2306612
Part IV
Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
2
3a b
c 4a b
c
5a
b c 6
7
8 9a
b c 10a
b EEA
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below. Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked 12a or 12b in Part I, answer lines 4b and 4c below. Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
No
1
2 3a
3b 3c 4a
4b
4c
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part IV
BREVARD REGIONAL ARTS GROUP INC
Page 5
59-2306612
Supporting Organizations (continued) Yes No
11 a b c
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations Yes No 1
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations Yes No 1
2
3
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
1 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 2 By reason of the relationship described in line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard. 3
Section E. Type III Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions). 2 Activities Test. Answer lines 2a and 2b below. Yes No a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. 2a b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 2b 3 Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No," provide details in Part VI. 3a b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard. 3b EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part V
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A - Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B - Minimum Asset Amount (A) Prior Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities 1a b Average monthly cash balances 1b c Fair market value of other non-exempt-use assets 1c d Total (add lines 1a, 1b, and 1c) 1d e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1d. 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by 0.035. 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8 Section C - Distributable Amount 1 2 3 4 5 6 7 EEA
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part V
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Section D - Distributions 1 2 3 4 5 6 7 8 9 10
3 a b c d e f g h i j 4 a b c 5
6
7 8 a b c d e EEA
Current Year
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) - provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. Distributable amount for 2023 from Section C, line 6 Line 8 amount divided by line 9 amount
Section E - Distribution Allocations (see instructions) 1 2
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
(i) Excess Distributions
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required - explain in Part VI). See instructions. Excess distributions carryover, if any, to 2023 From 2018 . . . . . . . . From 2019 . . . . . . . . From 2020 . . . . . . . . From 2021 . . . . . . . . From 2022 . . . . . . . . Total of lines 3a through 3e Applied to underdistributions of prior years Applied to 2023 distributable amount Carryover from 2018 not applied (see instructions) Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2023 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2023 distributable amount Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2024. Add lines 3j and 4c. Breakdown of line 7: Excess from 2019 . . . . Excess from 2020 . . . . Excess from 2021 . . . . Excess from 2022 . . . . Excess from 2023 . . . . Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part VI
EEA
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990) 2023
Schedule of Contributors
Schedule B (Form 990)
OMB No. 1545-0047
2023
Attach to Form 990, 990-EZ, or Form 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
Employer identification number
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X 501(c)( 3
) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule
X For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions. Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "N/A" in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. EEA
Schedule B (Form 990) (2023)
Page 2
Schedule B (Form 990) (2023)
Name of organization
Employer identification number
BREVARD REGIONAL ARTS GROUP INC
Part I (a) No. 1
59-2306612
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(c) Total contributions
STATE OF FLORIDA R.A. GRAY BLDG 500 S BRONOUGH ST
$
63,063
2
(b) Name, address, and ZIP + 4
(c) Total contributions
BREVARD COUNTY 150 COCOA ISLES BOULEVARD SUITE 401
$
25,000
3
(b) Name, address, and ZIP + 4
(c) Total contributions
RICK SKAGGS & KEITH MCINTYRE 525 W YALE STREET
$
5,375
(b) Name, address, and ZIP + 4
(d) Type of contribution Person Payroll Noncash
X
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.)
ORLANDO FL 32804 (a) No.
X
(Complete Part II for noncash contributions.)
COCOA BEACH FL 32931 (a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
TALLAHASSEE FL 32399 (a) No.
(d) Type of contribution
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
EEA
Schedule B (Form 990) (2023)
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Name of the organization
Supplemental Financial Statements
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
2023 Open to Public Inspection
Employer identification number
BREVARD REGIONAL ARTS GROUP INC 59-2306612 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . Aggregate value of grants from (during year) . . . . . Aggregate value at end of year . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6
Part II
Yes
No
Yes
No
Conservation Easements Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
6
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Number of conservation easements on a certified historic structure included on line 2a ........ 2c Number of conservation easements included on line 2c, acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements
2 a b c d 3 4 5
9
Part III
Yes
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2023 EEA
Schedule D (Form 990) 2023
Part III 3 a b c 4 5
b c d e f 2a b
f g 2 a b c 3a
b 4
(b) Prior year
(c) Two years back
(d) Three years back
Beginning of year balance . . . . . . Contributions . . . . . . . . . . . . . Net investment earnings, gains, and losses . . . . . . . . . . . . . . . . Grants or scholarships . . . . . . . . Other expenditures for facilities and programs . . . . . . . . . . . . . . . Administrative expenses . . . . . . . End of year balance . . . . . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % Permanent endowment % Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
No
No
(e) Four years back
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
1a Land . . . . . . . . . . . . . . . . . . . 246,000 b Buildings . . . . . . . . . . . . . . . . . 3,471,701 c Leasehold improvements . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . e Other . . . . . . . . . . . . . . . . . . . 6,813,949 203,652 Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B). . . . . . . . . . . . . . . EEA
No
Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year
d e
Yes
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII and complete the following table. Amount Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . .
Part V
1a b c
Page 2
59-2306612
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply): Public exhibition d Loan or exchange program Scholarly research e Other Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?. . . . . . . . . . . . .
Part IV
1a
BREVARD REGIONAL ARTS GROUP INC
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
(d) Book value
246,000 (3,471,701)
6,610,297 3,384,596 Schedule D (Form 990) 2023
BREVARD REGIONAL ARTS GROUP INC
Schedule D (Form 990) 2023
Part VII
59-2306612
Page 3
Investments - Other Securities Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely-held equity interests . . . . . . . . . . . . . . . . . . . . . . (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column (b) must equal Form 990, Part X, line 12, col.(B)). . . . . . .
Part VIII
Investments - Program Related Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)). . . . . . .
Part IX
Other Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15 col. (B)). . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
1.
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(b) Book value
(1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 25 col. (B)) . .
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII. . . . . . EEA
Schedule D (Form 990) 2023
Schedule D (Form 990) 2023
BREVARD REGIONAL ARTS GROUP INC
59-2306612
Page 4
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . 2a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2b Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) .................
2e 3
4c 5
Part XII
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ................
Part XIII
2e 3
4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
EEA
Schedule D (Form 990) 2023
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
Department of the Treasury Internal Revenue Service
2023 Open to Public Inspection
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Name of the organization
Employer identification number
BREVARD REGIONAL ARTS GROUP INC
59-2306612
01. Form 990 governing body review (Part VI, line 11) THE BOARD AND EXECUTIVE DIRECTOR REVIEW THE 990 PRIOR TO FILING AND APPROVE THE FILING IN ADVANCE.
02. Conflict of interest policy compliance (Part VI, line 12c) THE BOARD MONITORS AND ENFORCES POLICY ON CONFLICTS OF INTEREST THROUGHOUT THE YEAR.
03. CEO, executive director, top management comp (Part VI, line 15a) EXECUTIVE COMPENSATION FOR THE ARTISTIC DIRECTOR IS REVIEWED BY A COMPENSATION COMMITTEE AS PART OF THE ANNUAL BUDGET PROCESS.
04. Governing documents, etc, available to public (Part VI, line 19) DOCUMENTS ARE AVAILABLE UPON REQUEST.
05. List of other expenses (Part IX, line 24e) THESES ARE DIRECT PROGRAM EXPENSES LISTED IN OTHER: SUMMER PROGRAM EXPENSES, SUMMER PROGRAM LABOR, WINER&SPRING PROGRAM EXPENSES, WINTER SPING LABOR, FELLOW SCHOLARSHIP, MOTIVATIONAL MATERIALS & SALES TAXES PAID,WORKER'S COMPENSATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule O (Form 990) 2023
Form
Depreciation and Amortization
4562
Attach to your tax return. Go to www.irs.gov/Form4562 for instructions and the latest information.
Name(s) shown on return
Business or activity to which this form relates
BREVARD REGIONAL ARTS GROUP INC
1 2 3 4 5 6
2023
(Including Information on Listed Property)
Department of the Treasury Internal Revenue Service
Part I
OMB No. 1545-0172
Attachment Sequence No. 179 Identifying number
FORM 990 - 1
59-2306612
Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I. Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property
(b) Cost (business use only)
1 2 3 4 5
(c) Elected cost
7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . . . 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2022 Form 4562 . . . . . . . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions . . . . 11 12 Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 . . . . . . . . . 12 13 Carryover of disallowed deduction to 2024. Add lines 9 and 10, less line 12 . . . 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don't include listed property. See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don't include listed property. See instructions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2023 .......... 17 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B - Assets Placed in Service During 2023 Tax Year Using the General Depreciation System (a) Classification of property
(b) Month and year (c) Basis for depreciation placed in (business/investment use service only-see instructions)
(d) Recovery period
(e) Convention
(f) Method
(g) Depreciation deduction
19a b c d e f g h
3-year property 5-year property 7-year property 10-year property 15-year property 20-year property 25-year property 25 yrs. S/L Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L i Nonresidential real 39 yrs. MM S/L property MM S/L Section C - Assets Placed in Service During 2023 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs. S/L c 30-year 30 yrs. MM S/L d 40-year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 203,652 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions . . 22 203,652 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions. EEA
Form 4562 (2023)
Form 4562 (2023)
Part V
BREVARD REGIONAL ARTS GROUP INC
Page 2
59-2306612
Listed Property (Include automobiles, certain other vehicles, certain aircraft, and property used for entertainment, recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A - Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) 24a
Do you have evidence to support the business/investment use claimed?
(a) Type of property (list vehicles first)
(b) Date placed in service
(c) Business/ investment use percentage
(d) Cost or other basis
Yes
No
24b If "Yes," is the evidence written?
(e) (f) Basis for depreciation Recovery (business/investment period use only)
(g) Method/ Convention
25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use. See instructions . . . . . 26 Property used more than 50% in a qualified business use: % Statement #567
Yes
(h) Depreciation deduction
No
(i) Elected section 179 cost
25 203,652
% %
27 Property used 50% or less in a qualified business use: % % %
S/LS/LS/L-
28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . . . . 28 203,652 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . . . . . . . . . . . . . . . . . . . 29 Section B - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
30 Total business/investment miles driven during
(a) Vehicle 1
(b) Vehicle 2
(c) Vehicle 3
(d) Vehicle 4
(e) Vehicle 5
(f) Vehicle 6
the year (don't include commuting miles). . .
31 Total commuting miles driven during the year . 32 Total other personal (noncommuting) miles driven . . . . . . . . . . . . . . . . 33 Total miles driven during the year. Add lines 30 through 32 . . . . . . . . . . . . 34 Was the vehicle available for personal Yes No Yes No Yes No Yes No Yes No Yes No use during off-duty hours? . . . . . . . . 35 Was the vehicle used primarily by a more than 5% owner or related person?. . . . 36 Is another vehicle available for personal use? Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren't more than 5% owners or related persons. See instructions. 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes No your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners . . . 39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Do you meet the requirements concerning qualified automobile demonstration use? See instructions . . . . . . Note: If your answer to 37, 38, 39, 40, or 41 is "Yes," don't complete Section B for the covered vehicles.
Part VI
Amortization (a) Description of costs
(b) Date amortization begins
(c) Amortizable amount
(d) Code section
(e) Amortization period or percentage
(f) Amortization for this year
42 Amortization of costs that begins during your 2023 tax year (see instructions):
43 Amortization of costs that began before your 2023 tax year . . . . . . . . . . . . . . . . . . . . . . 44 Total. Add amounts in column (f). See the instructions for where to report . . . . . . . . . . . . . EEA
43 44 Form 4562 (2023)
Federal Supporting Statements
2023
Name(s) as shown on return
BREVARD REGIONAL ARTS GROUP INC
59-2306612
FORM 4562 - LINE 26
DATE
%BUS
DEPR BASIS
RP
METHOD
110 LOBBY FIXTURES
04-28-2023
100
2,972
2,972
7
SL
MQ
425
114 DANCE FLOOR REMODEL
05-21-2023
100
10,391
10,391
7
SL
MQ
1,484
114 EXTERIOR WALL UPGRADE
05-31-2023
100
31,500
31,500
39
SL
MM
808
102 STAGE TRUSS SYSTEM
06-01-2021
100
55,610
55,610
7
SL
HY
7,944
8 BUILDING IMPROVEMENTS
01-05-2003
100
20,000
20,000
39
SL
MM
513
9 BUILDING IMPROVEMENTS
05-23-2003
100
4,023
4,023
39
SL
MM
103
15 BUILDING IMPROVEMENTS
09-03-2006
100
258,437
258,437
39
SL
MM
6,627
16 BUILDING IMPROVEMENTS
09-30-2006
100
24,872
24,872
39
SL
MM
638
17 BUILDING IMPROVEMENTS
09-30-2006
100
350
350
39
SL
MM
9
21 ROOF REPLACEMENT
04-02-2012
100
129,085
129,085
39
SL
MM
3,310
41 ROOF WARRANTY
10-30-2012
100
7,843
7,843
39
SL
MM
201
50 BUILDING PAINTING
09-15-2013
100
31,116
31,116
15
SL
HY
2,074
51 BUILDING IMPROVEMENTS
04-01-2013
100
52,974
52,974
15
SL
MQ
3,532
61 BUILDING IMPROVEMENTS
08-05-2016
100
4,180
4,180
39
SL
MM
107
62 HYNESLINE
09-08-2016
100
4,141
4,141
39
SL
MM
106
64
09-24-2016
100
30,147
30,147
7
SL
HY
157
67 NEW FLOORING
11-17-2016
100
1,756
1,756
15
SL
HY
117
68 FRENCH DOOR
12-15-2016
100
2,236
2,236
7
SL
HY
163
69 AC UNIT
02-17-2017
100
4,280
4,280
7
SL
HY
378
70 PARKING LOT
06-14-2017
100
172,842
172,842
15
SL
HY
11,523
71 HEMP SYSTEM
02-02-2017
100
4,535
4,535
7
SL
HY
410
72 BUILDING IMPROVEMENTS
09-30-1986
100
4,909
4,909
40
SL
HY
123
73 BUILDING IMPROVEMENTS
09-30-1987
100
144,507
144,507
40
SL
MM
3,613
74 BUILDING IMPROVEMENTS
09-30-1988
100
166,632
166,632
40
SL
MM
4,166
75 BUILDING IMPROVEMENTS
09-30-1989
100
266,638
266,638
40
SL
MM
6,666
76 BUILDING IMPROVEMENTS
09-30-1990
100
46,067
46,067
40
SL
MM
1,152
77 BUILDING IMPROVEMENTS
09-30-1991
100
823,509
823,509
40
SL
MM
20,588
78 BUILDING IMPROVEMENTS
09-30-1992
100
113,187
113,187
40
SL
MM
2,830
79 BUILDING IMPROVEMENTS
09-30-1993
100
94,128
94,128
40
SL
MM
2,353
80 BUILDING IMPROVEMENTS
12-31-1995
100
48,145
48,145
39
SL
MM
1,234
81 BUILDING IMPROVEMENTS
03-31-1997
100
322,123
322,123
39
SL
MM
8,260
82 BUILDING IMPROVEMENTS
03-31-1999
100
159,969
159,969
39
SL
MM
4,102
83 BUILDING IMPROVEMENTS
03-31-1999
100
11,500
11,500
39
SL
MM
295
STATMNT~.LD
COST
Statement #567
DESCRIPTION
INTERIOR FLOORING
PG01
Tax ID Number
DEDUCTION
179 DED
Federal Supporting Statements
2023
Name(s) as shown on return
BREVARD REGIONAL ARTS GROUP INC
59-2306612
FORM 4562 - LINE 26
DATE
%BUS
DEPR BASIS
RP
METHOD
84 BUILDING IMPROVEMENTS
03-31-2000
100
136,849
136,849
39
SL
MM
3,509
86 BUILDING
01-01-1990
100
634,000
634,000
40
SL
MM
15,850
88 BUILDING IMPROVEMENTS
09-30-1993
100
159,471
159,471
40
SL
MM
3,987
89 BUILDING IMPROVEMENTS
06-01-2019
100
191,481
191,481
39
SL
MM
4,910
90 HVAC UPSTAIRS
02-29-2020
100
12,996
12,996
7
SL
HY
1,857
91 THEATER FIXTURES
06-01-2019
100
55,909
55,909
7
SL
HY
7,987
92 SOUND EQUIPMENT
06-30-2019
100
32,508
32,508
7
SL
HY
4,644
93 OFFICE EQUIPMENT
10-24-2019
100
5,032
5,032
7
SL
HY
719
94 ICE MAKER
07-15-2019
100
2,473
2,473
7
SL
HY
353
101 BALCONY REMODEL
07-01-2021
100
149,985
149,985
39
SL
MM
3,846
103 LOBBY RESTROOM REMODEL
08-26-2022
100
467,093
467,093
39
SL
MM
11,977
104 OFFICE REMODEL
08-26-2022
100
25,396
25,396
39
SL
MM
651
105 STRUCTURAL BEAM IMPROVEMENT
08-26-2022
100
172,275
172,275
39
SL
MM
4,417
106 VIP MEMBER ROOM
08-26-2022
100
1,456
1,456
39
SL
MM
37
111 REPLACEMENT WINDOWS
04-28-2023
100
80,000
80,000
39
SL
MM
2,051
112 LOBBY RENOVATION
04-28-2023
100
389,536
389,536
39
SL
MM
9,988
BUILDING IMPPROVEMENT
06-30-2023
100
378,736
378,736
39
SL
MM
9,306
EQUIPMENT FURNISHING
06-30-2023
100
107,760
107,760
5
200DBHY
_________ 21,552
STATMNT~.LD
COST
Statement #567
DESCRIPTION
TOTAL
PG02
Tax ID Number
DEDUCTION
_________ 203,652 _________
179 DED
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Henegar Performing Arts Center, Inc 2
Business name/disregarded entity name, if different from above.
Print or type. See Specific Instructions on page 3.
Brevard Regional Arts Groups, Inc 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor
✔ C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
625 E New Haven Ave 6
City, state, and ZIP code
Melbourne, FL 32901 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN) Social security number
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
–
or Employer identification number
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
–
5
9
–
2
3
0
6
6
1
2
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
4/3/202
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program - HENEGAR CENTER FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Production Costs
$298,100.00
$338,145.00
-$40,045.00
Administration Cost
$178,934.00
$234,911.00
-$55,977.00
Labor Cost
$946,882.00
$713,983.00
$232,899.00
Education Program
$78,130.00
$70,247.00
$7,883.00
Box Office Sales
$1,352,070.00 $1,478,989.00
-$126,919.00
Expenses
Income
2025-2026 projection
2024-2025 actuals
VAR
Facilities & Maintence
$167,500.00
$172,184.00
-$4,684.00
Memberships
$120,000.00
$131,100.00
-$11,100.00
Expense Subtotal Other Expenses
$1,669,546.00
$1,529,470.00
$140,076.00
Fundraising
$24,600.00
$78,841.00
-$54,241.00
Educational Outreach
$159,100.00
$199,132.00
-$40,032.00
Remaining Expenses
$148,967.00
Income Subtotal Income Sponsors
$1,655,770.00 $1,888,062.00
-$232,292.00
Other Expenses Subtotal
$130,256.00
$18,711.00
$27,500.00
$9,800.00
$17,700.00
Cash in Bank to start Income Other
$185,500.00
$196,124.00
-$10,624.00
TDC grant funding
$17,500.00
$20,000.00
-$2,500.00
Total Income
$1,886,270.00 $2,113,986.00
-$227,716.00
Total Expenses Paid
$1,868,513.00 $1,768,429.00
$100,084.00
$17,757.00
$148,967.00
$130,256.00
$18,711.00
Profit/Loss
$345,557.00
Brevard marketing
$45,000.00
$103,061.00
-$58,061.00
Out-of-county marketing
$5,000.00
$5,642.00
-$642.00
Note: Our fiscal year runs from June 1st to May 31st of every year. The actuals are pulled from June 2024 - April 2025 (6-3-2025)
Marketing Expense Total
$50,000.00
$108,703.00
-$58,703.00
Total Expenses 2025-2026
$1,868,513.00
$1,768,429.00
Marketing - please specify Brevard/Out-of-County
.
Updated: 6/18/2025
Museum of Dinosaurs and Ancient Cultures
Return to Table of Contents
For TDO use: PROJECT#- C 6
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Museum of Dinosaurs and Ancient Cultures Applicant Event Name: Year-round programming
1. Completed application
Yes No
2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X
X
Comment N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
�A �
-le !-c<Ylr
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:54 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Donna Cayer
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Museum of Dinosaurs and Ancient Cultures Organization address 250 W COCOA BEACH CSWY State FL City COCOA BEACH Zip 32931 Primary contact name DONNA CAYER Primary contact phone number 3217837300
Primary contact email donna@dinosaurstore.com Secondary contact name STEVEN CAYER Secondary contact phone number 321-543-9018 Secondary contact email Steve@MuseumofDinosaurs.org Organization website address MuseumofDinosaurs.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 27-3564062
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Digital advertising (banner ads, etc.) Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 9. What are your social media handles? Facebook : TheDinosaurStoreandMuseum Instagram : museumofdinosaurs YouTube : @museumofdinosaurs2544
22. (untitled) 10. What hashtags do you currently use? NA
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. 501c3-MDAC_IRS.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. 2024-Museum_of_Dinosaurs_and_Ancient_Cultures_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. CorporateReportSunbiz.pdf
27. (untitled) 14. Upload your completed W-9 form. W-9_2024-MuseumDAC.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_FY25-26.pdf
29. (untitled) 16. Upload your completed Checklist. MSP_MuseumDinosaurs_checklist_4.30.2025.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Donna Cayer
31. Thank You!
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# N10000009050 Entity Name: MUSEUM OF DINOSAURS AND ANCIENT CULTURES, INC. Current Principal Place of Business:
FILED Apr 09, 2025 Secretary of State 9779252488CC
250 W. COCOA BEACH CSWY COCOA BEACH, FL 32931
Current Mailing Address: 250 W. COCOA BEACH CSWY COCOA BEACH, FL 32931 FEI Number: 27-3564062
Certificate of Status Desired: No
Name and Address of Current Registered Agent: CAYER, DONNA L 250 W. COCOA BEACH CSWY COCOA BEACH, FL 32931 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
CHAIRMAN, DIRECTOR
Title
SECRETARY, DIRECTOR
Name
CAYER, STEVEN L
Name
CAYER, DONNA L
Address
250 W. COCOA BEACH CSWY.
Address
250 W. COCOA BEACH CSWY.
City-State-Zip:
COCOA BEACH FL 32931
City-State-Zip:
COCOA BEACH FL 32931
Title
DIR
Title
DIRECTOR
Name
TURCOTTE, CAROL
Name
PRUETT, KEVIN
Address
250 W. COCOA BEACH CSWY.
Address
250 W. COCOA BEACH CSWY
City-State-Zip:
COCOA BEACH FL 32931
City-State-Zip:
COCOA BEACH FL 32931
Title
DIR
Name
HERNANDEZ, TONY III
Address
503 N ORLANDO AVE STE 106
City-State-Zip:
COCOA BEACH FL 32931
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: DONNA CAYER Electronic Signature of Signing Officer/Director Detail
DIRECTOR
04/09/2025 Date
Rhonda L Hinds & Associates CPA PA 160 McLeod St Merritt Island, FL 32953 (321) 454-2266 rhinds@hindscpa.com May 7, 2025
Museum of Dinosaurs and Ancient Cultures 250 W Cocoa Beach Cswy Cocoa Beach, FL 32931 Dear Client, Enclosed is the 2024 U.S. Form 990, Return of Organization Exempt from Income Tax, for Museum of Dinosaurs and Ancient Cultures for the tax year ending December 31, 2024. Your 2024 U.S. Form 990, Return of Organization Exempt from Income Tax, return will be electronically filed. We very much appreciate the opportunity to serve you. If you have any questions regarding this return, please do not hesitate to call. Sincerely, Rhonda Hinds
Rhonda L Hinds & Associates CPA PA 160 McLeod St Merritt Island, FL 32953 May 7, 2025 Museum of Dinosaurs and Ancient Cultures 250 W Cocoa Beach Cswy Cocoa Beach, FL 32931 RE: Our Privacy Policy, Compliance with the Gramm-Leach-Bliley Act, Public Law 106-102 (FTC 16 CFR Part 313) Dear Client, The privacy of your client information has always been important to us, and we have always been bound by professional standards of confidentiality. However, we are now required by law to formally inform you of our privacy policy. We collect nonpublic personal information about you that is provided by you or obtained by us with your authorization. This information may come from various sources, including information we receive from personal interviews, tax organizers, worksheets and other documents necessary to provide professional services to you. We do not disclose any nonpublic personal information about our clients or former clients to anyone, except as permitted or required by law, or when necessary to process transactions requested by a client. We restrict access to nonpublic personal information about you to members of our firm who need to know that information in order to provide you professional services. We retain records relating to the professional services that we provide you in accordance with accounting and government standards. We employ physical, electronic, and procedural security safeguards to protect your nonpublic personal information. Your confidence and trust are important to us. If you have any questions or concerns regarding the privacy of your nonpublic personal information, please contact us. Sincerely, Rhonda Hinds
Form
990
Return of Organization Exempt From Income Tax Do not enter social security numbers on this form as it may be made public.
For the 2024 calendar year, or tax year beginning
B
Check if applicable:
C Name of organization Museum
Number and street (or P.O. box if mail is not delivered to street address)
Initial return
250 W Cocoa Beach Cswy
Final return/terminated
City or town, state or province, country, and ZIP or foreign postal code
Tax-exempt status:
J
Website:
K
Form of organization:
E Telephone number
(321)783-7300 520,752.
G Gross receipts $
F Name and address of principal officer:
H(a) Is this a group return for subordinates?
Yes
No
Donna Cayer, 250 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 H(b) Are all subordinates included?
Yes
No
501(c)(3)
501(c) (
) (insert no.)
4947(a)(1) or
527
If “No,” attach a list. See instructions. H(c) Group exemption number
N/A Corporation
Trust
Association
Other
2010 M State of legal domicile: FL
L Year of formation:
Summary Briefly describe the organization’s mission or most significant activities:
To expand the awareness and appreciation of prehistoric life and the magnificent accomplishments of the ancient peoples through the integration of exhibits, educational programs, and collections. Check this box 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) . . . . . . . . . Number of independent voting members of the governing body (Part VI, line 1b) . . . . 4 Total number of individuals employed in calendar year 2024 (Part V, line 2a) . . . . . 5 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . 6 Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . 7b
8 9 10 11 12 13 14 15 16a b 17 18 19
Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . Program service revenue (Part VIII, line 2g) . . . . . . . . . . . Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . . Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . 0. Total fundraising expenses (Part IX, column (D), line 25) Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) . . . . . Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) . Revenue less expenses. Subtract line 18 from line 12 . . . . . . . .
20 21 22
Total assets (Part X, line 16) . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20
PY
2 3 4 5 6 7a b
Prior Year
CO
Activities & Governance
Room/suite
Cocoa Beach, FL 32931
I
Revenue
, 20 D Employer identification number
27-3564062
Doing business as
Name change
Application pending
Expenses
, 2024, and ending
of Dinosaurs and Ancient Cultures
Address change
Amended return
Net Assets or Fund Balances
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
A
1
2024
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Department of the Treasury Internal Revenue Service
Part I
OMB No. 1545-0047
Current Year
20,793. 503,163.
26,151. 489,681.
578. 524,534.
1,620. 517,452.
104,848.
108,288.
452,368. 557,216. -32,682.
462,968. 571,256. -53,804. End of Year
Beginning of Current Year
Part II
. . .
. . .
. . .
. . .
. . .
. . .
5 5 0 2 0. 0.
726,196. 164,078. 562,118.
637,392. 129,078. 508,314.
Signature Block
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.
05/07/2025
Sign Here
Date
Signature of officer
Donna Cayer, Treasurer Type or print name and title Preparer’s name
Preparer’s signature
Date
Paid Rhonda Hinds Rhonda Hinds Preparer Firm’s name Rhonda L Hinds & Associates CPA PA Use Only Firm’s address
160 McLeod St, Merritt Island, FL 32953
May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. BAA
.
Check
if
PTIN
05/07/2025 self-employed P00038396 Firm’s EIN 59-3460369 Phone no. (321)454-2266 .
.
.
.
Cat. No. 11282Y
.
.
.
.
.
.
REV 03/12/25 PRO
Yes
No
Form 990 (2024)
Page 2
Form 990 (2024)
Part III 1
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III
. . . . . . . . . . . . .
Briefly describe the organization’s mission:
To expand the awareness and appreciation of prehistoric life and the magnificent accomplishments of the ancient peoples through the integration of exhibits, educational programs, and collections.
3
4
4a
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No If “Yes,” describe these changes on Schedule O. Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. (Code: ) (Expenses $ 569,397. including grants of $ The museum is open to the public and is 100% complete.
0. ) (Revenue $
CO PY
2
517,452. )
4b (Code:
) (Expenses $
including grants of $
) (Revenue $
)
4c
) (Expenses $
including grants of $
) (Revenue $
)
(Code:
4d Other program services (Describe on Schedule O.) (Expenses $ including grants of $ 4e Total program service expenses 569,397. REV 03/12/25 PRO
) (Revenue $
) Form 990 (2024)
Page 3
Form 990 (2024)
Part IV
Checklist of Required Schedules Yes
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If “Yes,” complete Schedule C, Part III . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . .
8 9
1 2 3 4 5
6 7 8
9
10
CO PY
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . 11 If the organization’s answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If “Yes,” complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII . . . . . . . . c Did the organization report an amount for investments—program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII . . . . . . . . d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX . . . . . . . . . . . . . .
No
e f
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered “No” to line 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . 14a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . 15 16 17 18 19
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV. . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . .
20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . . REV 03/12/25 PRO
10
11a 11b 11c 11d 11e 11f 12a 12b 13 14a
14b 15 16 17 18 19 20a 20b 21 Form 990 (2024)
Page 4
Form 990 (2024)
Part IV
Checklist of Required Schedules (continued) Yes
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J . . . . . . . . . . . . . . . . . . . . . .
23
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . .
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . . b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . .
22
23
24a 24b 24c 24d 25a
25b
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . .
26
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . .
27
28
Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . .
PY
26
a
CO
b A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV . . . . c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . 29 30
Did the organization receive more than $25,000 in noncash contributions? If “Yes,” complete Schedule M Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . .
31 32
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33 34
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . b If “Yes” to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O . . . . . . . . . . . . . .
Part V
No
28a 28b 28c 29 30 31 32 33 34 35a 35b 36 37 38
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V
. . . . . . . . . . . . . Yes
No
0 1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . 1a b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . 1b 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . 1c REV 03/12/25 PRO
Form 990 (2024)
Page 5
Form 990 (2024)
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Yes
No
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return 0 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . b If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O . 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If “Yes,” enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . b If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a
Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . .
d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
CO PY
b If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . 10b Section 501(c)(12) organizations. Enter: 11a Gross income from members or shareholders . . . . . . . . . . . . . . . Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . If “Yes,” has it filed a Form 720 to report these payments? If “No,” provide an explanation on Schedule O . Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . If “Yes,” see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If “Yes,” complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . .
2b 3a 3b 4a
5a 5b 5c 6a 6b
7a 7b 7c 7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b 15 16
17
If “Yes,” complete Form 6069. Form 990 (2024) REV 03/12/25 PRO
Page 6 Governance, Management, and Disclosure. For each “Yes” response to lines 2 through 7b below, and for a “No” response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Form 990 (2024)
Part VI
Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . .
Section A. Governing Body and Management Yes
1a
Enter the number of voting members of the governing body at the end of the tax year . . If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
1a
No
5
b Enter the number of voting members included on line 1a, above, who are independent . 1b 5 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization’s assets? . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
CO PY
4 5 6 7a
a The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . .
2 3 4 5 6 7a 7b
8a 8b 9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) 10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . b If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization’s exempt purposes? 11a b 12a b c
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . .
13 14 15
Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . .
Yes
No
10a 10b 11a 12a 12b 12c 13 14
15a 15b
16a
16b
Section C. Disclosure 17 18
List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Own website Another’s website Upon request Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization’s books and records.
Donna Cayer, 250 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 (321)960-1092 REV 03/12/25 PRO
Form 990 (2024)
Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Form 990 (2024)
Part VII
Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year. • List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization’s current key employees, if any. See the instructions for definition of “key employee.” • List the organization’s five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization’s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
CO PY
(6)
Former
Chairman (2) Donna Cayer Secretary (3) Carol Turcotte Director (4) Kevin Pruett Director (5) Tony Hernandez III Director
Highest compensated employee
(1) Steven Cayer
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
8.00 8.00 2.00 2.00 2.00
(7) (8) (9) (10) (11) (12) (13) (14) REV 03/12/25 PRO
Form 990 (2024)
Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Form 990 (2024)
Part VII
(C)
Former
Highest compensated employee
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
(15) (16) (17) (18) (19)
(21) (22) (23) (24) (25)
CO PY
(20)
1b c d 2
Subtotal . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A . . . . . . Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
Yes
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . .
No
3
4 5
Section B. Independent Contractors 1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year. (A) Name and business address
2
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization REV 03/12/25 PRO
Form 990 (2024)
Page 9
Form 990 (2024)
Part VIII Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . .
Contributions, Gifts, Grants, and Other Similar Amounts
(A) Total revenue
1a b c d e f
Federated campaigns . . . . Membership dues . . . . . Fundraising events . . . . . Related organizations . . . . Government grants (contributions) All other contributions, gifts, grants, and similar amounts not included above g Noncash contributions included in lines 1a–1f . . . . . . . . h
Total. Add lines 1a–1f .
.
.
.
.
1a 1b 1c 1d 1e
25,000.
1f
1,151.
1g $ . . .
.
.
.
(B) Related or exempt function revenue
(C) Unrelated business revenue
(D) Revenue excluded from tax under sections 512–514
489,681.
0.
0.
0.
26,151.
900099 2a Admissions b c d e f All other program service revenue . . g Total. Add lines 2a–2f . . . . . . . . . . . 3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . 4 5
Income from investment of tax-exempt bond proceeds Royalties . . . . . . . . . . . . . . .
6a b c d 7a
Gross rents . . 6a Less: rental expenses 6b Rental income or (loss) 6c Net rental income or (loss) . . . . . . . . . (i) Securities (ii) Other Gross amount from sales of assets other than inventory 7a Less: cost or other basis and sales expenses . 7b Gain or (loss) . . 7c Net gain or (loss) . . . . . . . . . . . . Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 . . . 8a Less: direct expenses . . . . 8b Net income or (loss) from fundraising events . . . Gross income from gaming activities. See Part IV, line 19 . 9a Less: direct expenses . . . . 9b Net income or (loss) from gaming activities . . . . Gross sales of inventory, less returns and allowances . . . 4,920. 10a 3,300. Less: cost of goods sold . . . 10b Net income or (loss) from sales of inventory . . . .
Other Revenue
(i) Real
b c d 8a
b c 9a b c 10a
Miscellaneous Revenue
b c
489,681.
489,681.
CO PY
Program Service Revenue
Business Code
(ii) Personal
1,620.
1,620.
0.
517,452.
491,301.
0.
Business Code
11a b c d All other revenue . . . . . e Total. Add lines 11a–11d . . . 12 Total revenue. See instructions
. . .
. . .
. .
. .
. .
. .
. .
REV 03/12/25 PRO
0. Form 990 (2024)
Page 10
Form 990 (2024)
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . 3
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16
4 5
Benefits paid to or for members . . . . Compensation of current officers, directors, trustees, and key employees . . . . .
6
Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . .
7 8
Other salaries and wages . . . . . . Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) Other employee benefits . . . . . . . Payroll taxes . . . . . . . . . . . Fees for services (nonemployees): a Management . . . . . . . . . . b Legal . . . . . . . . . . . . . c Accounting . . . . . . . . . . . d Lobbying . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17 f Investment management fees . . . . . g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) .
108,288.
(B) Program service expenses
(C) Management and general expenses
12 13 14 15 16 17 18
Advertising and promotion . . . . . . Office expenses . . . . . . . . . Information technology . . . . . . . Royalties . . . . . . . . . . . . Occupancy . . . . . . . . . . . Travel . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials
19 20 21 22 23 24
Conferences, conventions, and meetings . Interest . . . . . . . . . . . . Payments to affiliates . . . . . . . . Depreciation, depletion, and amortization . Insurance . . . . . . . . . . . . Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
a Licenses & Permits b c d e All other expenses 25 Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the 26 organization reported in column (B) joint costs from a combined educational campaign and if fundraising solicitation. Check here following SOP 98-2 (ASC 958-720) . . .
(D) Fundraising expenses
108,288.
CO PY
9 10 11
(A) Total expenses
650.
0.
650.
0.
66,966. 28,793. 18,245.
66,966. 28,793. 18,245.
0. 0. 0.
0. 0. 0.
342,354.
342,354.
0.
0.
3,126. 2,572.
1,917. 2,572.
1,209. 0.
0. 0.
262.
262.
0.
0.
571,256.
569,397.
1,859.
0.
REV 03/12/25 PRO
Form 990 (2024)
Page 11
Form 990 (2024)
Part X
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X
. . . . . . . . . . . . .
(A) Beginning of year
1 2 3 4 5
7 Notes and loans receivable, net . . . . . . . . . . . . . 8 Inventories for sale or use . . . . . . . . . . . . . . . 9 Prepaid expenses and deferred charges . . . . . . . . . . 10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . 10a 36,549. 34,929. b Less: accumulated depreciation . . . . . 10b 11 Investments—publicly traded securities . . . . . . . . . . 12 Investments—other securities. See Part IV, line 11 . . . . . . . 13 Investments—program-related. See Part IV, line 11 . . . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . .
CO PY
Net Assets or Fund Balances
Liabilities
Assets
6
Cash—non-interest-bearing . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
(B) End of year
172,722. 1
79,468.
2 3 4
5 6 7 8 9
4,670. 10c 11 12 548,804. 13 14 15 726,196. 16 17 18 19 20 21
1,620.
556,304.
637,392.
22
23 24 25
Secured mortgages and notes payable to unrelated third parties . . Unsecured notes and loans payable to unrelated third parties . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17–24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . .
164,078. 23
26
Total liabilities. Add lines 17 through 25 . . . . . . Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
.
.
.
164,078. 26
129,078.
27 28
Net assets without donor restrictions . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
. .
. .
562,118. 27
508,314.
29 30 31 32 33
Capital stock or trust principal, or current funds . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund . . . Retained earnings, endowment, accumulated income, or other funds . Total net assets or fund balances . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . .
29 30 31 562,118. 32 726,196. 33
.
REV 03/12/25 PRO
129,078.
24
25
28
508,314. 637,392. Form 990 (2024)
Page 12
Form 990 (2024)
Part XI
Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . .
1 2 3 4 5 6 7 8 9 10
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
1 2 3 4 5 6 7 8 9
517,452. 571,256. -53,804. 562,118.
10
508,314.
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . Yes
1
Accounting method used to prepare the Form 990: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant? . . . If “Yes,” check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both.
c
3a
CO PY
Separate basis Consolidated basis Both consolidated and separate basis b Were the organization’s financial statements audited by an independent accountant? . . . . . . . If “Yes,” check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . REV 03/12/25 PRO
No
2a
2b
2c
3a 3b Form 990 (2024)
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Public Charity Status and Public Support Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
2024 Open to Public Inspection
Employer identification number
Museum of Dinosaurs and Ancient Cultures 27-3564062 Part I Reason for Public Charity Status. (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 3 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the 4 hospital’s name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)
8 9
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
10
11 12
CO PY
6 7
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
c d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . g Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organization (v) Amount of monetary listed in your governing support (see document? instructions)
Yes
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. BAA REV 03/12/25 PRO
Schedule A (Form 990) 2024
Page 2
Schedule A (Form 990) 2024
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support
2
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . .
6
Public support. Subtract line 5 from line 4
.
.
.
(a) 2020
(c) 2022
(d) 2023
(e) 2024
(f) Total
202,272. 477,107. 536,789.
523,955. 517,452. 2,257,575.
202,272. 477,107. 536,789.
523,955. 517,452. 2,257,575.
2,257,575.
Section B. Total Support Calendar year (or fiscal year beginning in) 7 Amounts from line 4 . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . .
(b) 2021
(a) 2020
PY
Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . .
(b) 2021
(c) 2022
202,272. 477,107. 536,789.
(d) 2023
(e) 2024
(f) Total
523,955. 517,452. 2,257,575.
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . .
11 12 13
Total support. Add lines 7 through 10 2,258,153. Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . 12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
CO
9
578.
578.
Section C. Computation of Public Support Percentage
99.97 % Public support percentage for 2024 (line 6, column (f), divided by line 11, column (f)) . . . . 14 99.97 % Public support percentage from 2023 Schedule A, Part II, line 14 . . . . . . . . . . 15 331/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . b 331/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . .
14 15 16a
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REV 03/12/25 PRO
Schedule A (Form 990) 2024
Page 3
Schedule A (Form 990) 2024
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) Gifts, grants, contributions, and membership fees 1 received. (Do not include any “unusual grants.”) 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
6 7a
Total. Add lines 1 through 5 . . . . Amounts included on lines 1, 2, and 3 received from disqualified persons .
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
(d) 2023
(e) 2024
(f) Total
c 8
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b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year Add lines 7a and 7b . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . .
Section B. Total Support
Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources
(a) 2020
(b) 2021
(c) 2022
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . c 11
12
Add lines 10a and 10b . . . . . Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
13 14
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2024 (line 8, column (f), divided by line 13, column (f)) . Public support percentage from 2023 Schedule A, Part III, line 15 . . . . . . .
. .
. .
. .
. .
15 16
% %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2024 (line 10c, column (f), divided by line 13, column (f)) . . . 17 % Investment income percentage from 2023 Schedule A, Part III, line 17 . . . . . . . . . . 18 % 331/3% support tests—2024. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line 17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . b 331/3% support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization .
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions REV 03/12/25 PRO
.
Schedule A (Form 990) 2024
Page 4 Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Schedule A (Form 990) 2024
Part IV
Yes No 1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer lines 3b and 3c below.
3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination. c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
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b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
1
2 3a
3b 3c 4a
4b
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization’s organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization’s organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization’s control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. 7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
5b 5c
6
7 8
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9a 9b 9c
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) REV 03/12/25 PRO
10a 10b
Schedule A (Form 990) 2024
Page 5
Schedule A (Form 990) 2024
Part IV
Supporting Organizations (continued) Yes No
11 a
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations Yes No 1
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Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations
Yes No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s), or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
3
By reason of the relationship described on line 2, above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations 1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). c 2 Activities Test. Answer lines 2a and 2b below. Yes No a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
b Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
2a
2b
3
REV 03/12/25 PRO
3a 3b
Schedule A (Form 990) 2024
Page 6
Schedule A (Form 990) 2024
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A—Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B—Minimum Asset Amount (A) Prior Year (optional) 1
Section C—Distributable Amount 1 2 3 4 5 6 7
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Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities 1a 1b b Average monthly cash balances 1c c Fair market value of other non-exempt-use assets 1d d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): Acquisition indebtedness applicable to non-exempt-use assets 2 2 Subtract line 2 from line 1d. 3 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 5 Multiply line 5 by 0.035. 6 6 Recoveries of prior-year distributions 7 7 Minimum Asset Amount (add line 7 to line 6) 8 8
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2024 REV 03/12/25 PRO
Page 7
Schedule A (Form 990) 2024
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D—Distributions
Current Year
1 2
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions.
9 10
Distributable amount for 2024 from Section C, line 6 Line 8 amount divided by line 9 amount (i) Excess Distributions
Section E—Distribution Allocations (see instructions) 1
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2024
(iii) Distributable Amount for 2024
Distributable amount for 2024 from Section C, line 6
2
CO PY
Underdistributions, if any, for years prior to 2024 (reasonable cause required—explain in Part VI). See instructions. 3 Excess distributions carryover, if any, to 2024 a From 2019 . . . . . b From 2020 . . . . . c From 2021 . . . . . d From 2022 . . . . . e From 2023 . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2024 distributable amount i Carryover from 2019 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2024 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2024 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6
7 8 a b c d e
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2025. Add lines 3j and 4c. Breakdown of line 7: Excess from 2020 . . . Excess from 2021 . . . Excess from 2022 . . . Excess from 2023 . . . Excess from 2024 . . . REV 03/12/25 PRO
Schedule A (Form 990) 2024
Page 8 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Part VI
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Schedule A (Form 990) 2024
Schedule A (Form 990) 2024 REV 03/12/25 PRO
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SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ OMB No. 1545-0047
(Rev. December 2024)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection Employer identification number
Museum of Dinosaurs and Ancient Cultures Pt VI, Line 11b: The board reviews the return before it is filed. Pt IX, Line 11g: Description: Leased Labor Total: $66,966 Program services: $66,966
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Museum of Dinosaurs and Ancient Cultures
27-3564062
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Other Service Fees
Form 990 Part IX, Line 11g
2024
Name
Employer Identification No.
Museum of Dinosaurs and Ancient Cultures
27-3564062
(A) Total
Description
66,966.
(C) Management and general
66,966.
CO PY
Leased Labor
(B) Program services
Total to Form 990, Part IX, line 11g
66,966.
66,966.
(D) Fundraising
W•9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.)
MUSEUM OF DINOSAURS AND ANCIENT CULTURES, INC Business name/disregarded entity name, if different from above.
2 C') (I)
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check
g,
only one of the following seven boxes.
0. C
□ Individual/sole proprietor
II)
□ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership)
0 • Q)
C:
1: 1,, ·c: .5 c.. I.)
Q) Q)
-~1
0 Partnership
certain entities, not individuals; see instructions on page 3):
0 Trust/estate
Exempt payee code (if any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification,
(Applies to accounts maintained outside the United States.)
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions □
~ (/)
0 S corporation
Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax_ _ _ classification of lhe LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of Its owner. Other (see instructions) Non-profit corporation □ X
i~ s2 !t: ~
0 C corporation
4 Exemptions (codes apply only to
5 Address (number, street, and apt. or suite no.). See instructions.
250 W COCOA BEACH CSWY
6
City, state, and ZIP code
7
List account number(s) here (optional)
Requester's name and address (optional)
COCOA BEACH, FL 32931
••
Taxpayer Identification Number (TIN)
I Social security number
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
I
[Il]-[D-1 I I I I or
I Employer identification number
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
2 7
3 5 6 4 0 6 2
Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am sub)ect to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
I.
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.lrs.gov/FormW9.
What's New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification. Cat. No. 10231X
5/30/2024
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity !n which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reportlhg requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program - MUSEUM OF DINOSAURS AND ANCIENT CULTURES FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Facilities
$242,400.00
$243,744.00
-$1,344.00
Admissions
$386,000.00
$351,000.00 $35,000.00
Labor
$59,500.00
$54,000.00
$5,500.00
Field Trips
$14,000.00
$12,100.00
$1,900.00
Insurance
$3,800.00
$3,669.00
$131.00
Product Sales
$8,000.00
$7,500.00
$500.00
Equipment Mtce
$4,050.00
$3,832.00
$218.00
$0.00
Card Processing - Business Exp.
$12,900.00
$12,234.00
$666.00
$0.00
Educational Programming
$2,000.00
$1,280.00
$720.00
$0.00
Income
2025-2026 projection
2024-2025 actuals
VAR
$0.00 Subtotal Expense Other Expenses
Subtotal Other Expenses
$324,650.00
$318,759.00
$5,891.00
$0.00 $0.00
$0.00
$0.00
$0.00
Subtotal Income Income Sponsors
$408,000.00
$370,600.00
$37,400.00
$0.00
$0.00
$0.00
Cash in Bank to start
$0.00
$0.00
$0.00
TDC grant funding
$17,500.00
$20,000.00
-$2,500.00
Total Income
$425,500.00
$390,600.00
$34,900.00
Total Expenses Paid
$359,650.00
$353,659.00
$5,991.00
Profit/Loss
$65,850.00
$36,941.00
Marketing - please specify Brevard/Out-of-County Cumulus Media
$24,000.00
$23,000.00
$1,000.00
Billboards
$0.00
$6,300.00
-$6,300.00
Google Ads
$8,000.00
$5,000.00
$3,000.00
Social Media
$3,000.00
$600.00
$2,400.00 $0.00 $0.00 $0.00
Subtotal Marketing
$35,000.00
$34,900.00
Total Expenses 2025-2026
$359,650.00
$353,659.00
$100.00
.
Updated: 6/24/2025
Valiant Air Command
Return to Table of Contents
For TDO use: PROJECT#- C 7
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Valiant Air Command Applicant Event Name: Year-round programming Yes X
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
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Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:58 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: J Ron Davis
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Valiant Air Command, Inc. Organization address 6600 Tico RD State FL City Titusville Zip 32780 Primary contact name Ron Davis Primary contact phone number 321 536 4337
Primary contact email ron.davis@valiantaicommand.com Secondary contact name Tracy Bohrmann Secondary contact phone number 321 268 1941, ext 4103 Secondary contact email tracy.bohrmann@valiantaircommand.com Organization website address www.valiantaircommand.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-1773787
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Billboards Digital advertising (banner ads, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: International aviation pubs
21. (untitled) 9. What are your social media handles? Facebook : /Valiant Air Command Inc Instagram : vac.inc YouTube : @valiantaircommand inc
22. (untitled) 10. What hashtags do you currently use? #valiantaircommand
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. IRS_acknowledge_1977.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. Warbird_museum_IRS_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Detail_by_Entity_Name_Warbird_Museum.pdf
27. (untitled) 14. Upload your completed W-9 form. New_W_9_2025.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. Income&expense_VAC_for_TDC_2025.pdf
29. (untitled) 16. Upload your completed Checklist. VAC_Checklist_complete_06052025.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: J Ron Davis
Detail by Entity Name
1 of 5
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity...
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Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation VALIANT AIR COMMAND, INC. Filing Information
Document Number
740489
FEI/EIN Number
59-1773787
Date Filed
10/21/1977
State
FL
Status
ACTIVE
Principal Address
6600 TICO RD TITUSVILLE, FL 32780 Changed: 06/25/1986 Mailing Address
6600 TICO RD
6/2/2025, 9:47 AM
Detail by Entity Name
2 of 5
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TITUSVILLE, FL 32780 Changed: 06/25/1986 Registered Agent Name & Address
BROSS TRACHTMAN HENDERSON & CHILDRESS PA 1990 WEST NEW HAVEN AVE SUITE 201 MELBOURNE, FL 32904 Name Changed: 03/25/1993 Address Changed: 03/25/1993 Officer/Director Detail
Name & Address Title Finance Officer Schoenewolf-Bohrmann, Tracy 6600 Tico Road Titusville, FL 32780 Title Executive Officer Juhl, Marvin 6600 TICO RD TITUSVILLE, FL 32780 Title Commander
6/2/2025, 9:47 AM
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Boswell, Irving Ward 6600 TICO RD TITUSVILLE, FL 32780 Title Operations Officer Varney, Robert 6600 Tico Rd Titusville, FL 32780 Annual Reports
Report Year
Filed Date
2024
03/07/2024
2024
08/15/2024
2025
02/18/2025
Document Images 02/18/2025 -- ANNUAL REPORT
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12/19/2024 -- AMENDED ANNUAL REPORT
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12/17/2024 -- AMENDED ANNUAL REPORT
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01/24/2023 -- ANNUAL REPORT
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03/23/2020 -- ANNUAL REPORT
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04/21/2017 -- ANNUAL REPORT
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10/11/2016 -- AMENDED ANNUAL REPORT
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09/09/2016 -- Off/Dir Resignation
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09/08/2016 -- AMENDED ANNUAL REPORT
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03/29/2016 -- ANNUAL REPORT
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04/15/2015 -- ANNUAL REPORT
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03/25/2014 -- ANNUAL REPORT
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05/20/2013 -- ANNUAL REPORT
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04/26/2011 -- ANNUAL REPORT
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04/23/2009 -- ANNUAL REPORT
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05/01/2008 -- ANNUAL REPORT
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02/12/2007 -- ANNUAL REPORT
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01/19/2006 -- ANNUAL REPORT
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04/28/2005 -- ANNUAL REPORT
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07/30/2004 -- ANNUAL REPORT
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01/21/2003 -- ANNUAL REPORT
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09/22/2002 -- ANNUAL REPORT
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05/03/2001 -- ANNUAL REPORT
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05/15/2000 -- ANNUAL REPORT
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01/28/1999 -- ANNUAL REPORT
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05/06/1998 -- ANNUAL REPORT
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6/2/2025, 9:47 AM
Detail by Entity Name
5 of 5
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity...
05/07/1997 -- ANNUAL REPORT
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04/29/1996 -- ANNUAL REPORT
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04/13/1995 -- ANNUAL REPORT
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Florida Department of State, Division of Corporations
6/2/2025, 9:47 AM
Marketing Support Program - VALIANT AIR COMMAND FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Payroll
$175,000.00
$149,788.00
$25,212.00
Admissions
$425,000.00
$369,690.00
$55,310.00
Insurance
$90,000.00
$73,384.00
Electricity
$25,000.00
$23,600.00
$16,616.00
Special Events
$50,000.00
$39,390.00
$10,610.00
$1,400.00
Membership
$30,000.00
$25,788.00
C-47 Flight Operations
$170,000.00
$150,517.00
$4,212.00
$19,483.00
Gift Shop
$190,000.00
$186,000.00
$4,000.00 $13,000.00
Income
Accounting SVCS
$6,000.00
$5,950.00
$50.00
Donations
$100,000.00
$87,000.00
Equipment Maintenance
$15,000.00
$12,806.00
$2,194.00
Flight Simulator
$15,000.00
$12,046.00
$2,954.00
Payroll Taxes
$15,500.00
$13,806.00
$1,694.00
Flights/Appearances
$125,000.00
$107,508.00
$17,492.00
Subtotal Expense Other Expenses
$496,500.00
$429,851.00
$66,649.00
Large Corporate Event
$60,000.00
$61,000.00
-$1,000.00
Gift shop cost of goods
$125,000.00
$104,274.00
$20,726.00
Large Corporate Event
$17,000.00
$15,000.00
$2,000.00
Administrative/Other
$24,000.00
$20,493.00
$3,507.00
$995,000.00
$888,422.00
$106,578.00
Special Events
$50,000.00
$31,000.00
$19,000.00
Subtotal Income Income Sponsors
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 -$22,500.00
$0.00
Cash in Bank to start
$0.00 $0.00
TDC grant funding
$17,500.00
$40,000.00
$0.00
Total Income
$1,012,500.00
$928,422.00
$84,078.00
$0.00
Total Expenses Paid
$757,300.00
$628,757.00
$128,543.00
Profit/Loss
$255,200.00
$299,665.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$216,000.00
$170,767.00
$45,233.00
Fun Guide-out
$10,000.00
$9,684.00
$316.00
MLB airport display-out
$6,000.00
$3,000.00
$3,000.00
Yelp-out
$12,000.00
$9,155.00
$2,845.00
Pubs Distribution-both
$1,800.00
$1,800.00
$0.00
Facebook-out
$6,000.00
$1,500.00
$4,500.00
Google-out
$9,000.00
$3,000.00
$6,000.00
Subtotal Marketing Marketing Expense
$44,800.00
$28,139.00
$16,661.00
Total Expenses 2025-2026
$757,300.00 $628,757.00
.
Updated: 6/24/2025
Titusville Playhouse
Return to Table of Contents
For TDO use: PROJECT#- C 8
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Titusville Playhouse Applicant Event Name: Year-round programming
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org {if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes X
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:24 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Marcia Gaedcke
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Titusville Playhouse Organization address 301 Julia Street State fl City Titusville Zip 32796 Primary contact name Marcia Gaedcke Primary contact phone number 3212681125 x104
Primary contact email marcia@titusvilleplayhouse.com Secondary contact name Steven Heron Secondary contact phone number 3212681125 x101 Secondary contact email steven@titusvilleplayhouse.com Organization website address titusvilleplayhouse.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-6177447
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Billboards Direct mail Social media (Facebook, Instagram, YouTube, etc.) Social hashtags
21. (untitled) 9. What are your social media handles? Facebook : titusvilleplayhouse301 Instagram : titusville_playhouse YouTube : titusvilleplayhouse5606
22. (untitled) 10. What hashtags do you currently use? #playhouse61
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. IRSDeterminationLetter.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. TITUSPLAY_US_2023_ArchiveTaxReturn.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SunBiz2025.pdf
27. (untitled) 14. Upload your completed W-9 form. TPI_W9_2024.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 16. Upload your completed Checklist. 25-26Checklist.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Marcia Gaedcke
31. Thank You!
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Apr 29, 2025 Secretary of State 8935615265CC
DOCUMENT# 709505 Entity Name: TITUSVILLE PLAYHOUSE, INC. Current Principal Place of Business: 301 JULIA STREET TITUSVILLE, FL 32796
Current Mailing Address: 301 JULIA STREET TITUSVILLE, FL 32796 US FEI Number: 59-6177447
Certificate of Status Desired: No
Name and Address of Current Registered Agent: HERON, STEVEN TITUSVILLE PLAYHOUSE, INC. 301 JULIA STREET TITUSVILLE, FL 32796 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
VP
Title
TREASURER
Name
LUGO, MELISSA
Name
MACDONALD, KAREN
Address
301 JULIA STREET
Address
301 JULIA STREET
City-State-Zip:
TITUSVILLE FL 32796
City-State-Zip:
TITUSVILLE FL 32796
Title
S
Title
P
Name
BALL, JIM
Name
BALL, KATY
Address
301 JULIA STREET
Address
301 JULIA STREET
TITUSVILLE FL 32796
City-State-Zip:
TITUSVILLE FL 32796
City-State-Zip:
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: KATY BALL Electronic Signature of Signing Officer/Director Detail
PRESIDENT
04/29/2025 Date
TITUSPLAY 04/29/2025 1:21 PM
Forms 990 / 990-EZ Return Summary For calendar year 2023, or tax year beginning
06/01/23
, and ending
05/31/24
59-6177447 TITUSVILLE PLAYHOUSE INC 1,535,358
Net Asset / Fund Balance at Beginning of Year Revenue Contributions Program service revenue Investment income Capital gain / loss Fundraising / Gaming: Gross revenue Direct expenses Net income Other income Total revenue Expenses Program services Management and general Fundraising Total expenses Excess / (deficit)
632,502 1,733,109 2,540 10,570 57,092 15,030 42,062 67,047 2,487,830 1,741,324 605,473 2,346,797 141,033 -670
Changes
1,675,721
Net Asset / Fund Balance at End of Year
Reconciliation of Revenue
Reconciliation of Expenses
Total revenue per financial statements
Total expenses per financial statements
Less:
Less:
Unrealized gains
Donated services
Donated services
Prior year adjustments
Recoveries
Losses
Other
Other
Plus:
Plus:
Investment expenses
Investment expenses
Other
Other
Total revenue per return
2,487,830
Beginning Assets Liabilities Net assets
4,473,191 2,937,833 1,535,358
Total expenses per return
Balance Sheet Ending
4,537,221 2,861,500 1,675,721
Miscellaneous Information Amended return Return / extended due date Failure to file penalty
10/15/24
Differences
140,363
2,346,797
TITUSPLAY 04/29/2025 1:21 PM
Form
8879-TE
IRS E-file Signature Authorization for a Tax Exempt Entity For calendar year 2023, or fiscal year beginning . . . . . . . . .6/01 . . . . . . . . . . , 2023, and ending . . . . . .5/31 . . . . . . . . , 20 .24 ......
2023
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
Name and title of officer or person subject to tax
Part I
OMB No. 1545-0047
TITUSVILLE PLAYHOUSE INC KATY BALL PRESIDENT
59-6177447
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a,
3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 2,487,830 1a Form 990 check here . . . . . . . . . . . . . X b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . . . . . . . . . . . . . 1b 2a Form 990-EZ check here . . . . . . . . . b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b 3a Form 1120-POL check here . . . . . . b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b 4a Form 990-PF check here . . . . . . . . . b Tax based on investment income (Form 990-PF, Part V, line 5) . . . . . . . . . . . 4b 5a Form 8868 check here . . . . . . . . . . . . b Balance due (Form 8868, line 3c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b 6a Form 990-T check here . . . . . . . . . . . b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b 7a Form 4720 check here . . . . . . . . . . . . b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b 8a Form 5227 check here . . . . . . . . . . . . b FMV of assets at end of tax year (Form 5227, Item D) . . . . . . . . . . . . . . . . . . . . 8b 9a Form 5330 check here . . . . . . . . . . . . b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b 10a Form 8038-CP check here . . . . . . . . b Amount of credit payment requested (Form 8038-CP, Part III, line 22) . . . 10b
Part II
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that X I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) , (EIN) and that I have examined a copy of the 2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
PIN: check one box only
X I authorize
BEACH STREET ACCOUNTING LLC
to enter my PIN
77447
as my signature
Enter five numbers, but do not enter all zeros
ERO firm name
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
04/28/25
Certification and Authentication
ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
59234505190 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
SHANNON RUBIN
Date
04/28/25
ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see back of form. DAA
Form
8879-TE (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form
990
Return of Organization Exempt From Income Tax
A For the 2023 calendar year, or tax year beginning B Check if applicable: C Name of organization
06/01/23
, and ending
05/31/24 D Employer identification number
Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
E Telephone number
301 JULIA ST
Initial return Final return/ terminated
City or town, state or province, country, and ZIP or foreign postal code
TITUSVILLE
Amended return
FL 32796
2,502,860
G Gross receipts $
F Name and address of principal officer:
Application pending
KATY BALL 301 JULIA STREET TITUSVILLE FL 32796 X 501(c)(3) Tax-exempt status: 501(c) ( ) (insert no.) 4947(a)(1) or WWW.TITUSVILLEPLAYHOUSE.COM Website: X Corporation Form of organization: Trust Association Other
Part I
59-6177447 321-268-1125
Doing business as
Name change
K
Open to Public Inspection
TITUSVILLE PLAYHOUSE INC
Address change
I
2023
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 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.
Department of the Treasury Internal Revenue Service
J
OMB No. 1545-0047
H(a) Is this a group return for subordinates?
Yes
X No
H(b) Are all subordinates included?
Yes
No
If "No," attach a list. See instructions 527 H(c) Group exemption number L
Year of formation:
1965
M
State of legal domicile:
FL
Summary
Net Assets or Fund Balances
Expenses
Revenue
Activities & Governance
1 Briefly describe the organization's mission or most significant activities: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LIVE THEATRE PERFORMANCES AND EDUCATION
. ........................................................................................................................................................... . ........................................................................................................................................................... . ...........................................................................................................................................................
2 Check this box 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . . . . . . . . . . . . . . . . 12 Total revenue – add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) . . . . . . . . . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ......... 17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 4 5 6 7a 7b
5 5 31 0 0 0
Prior Year
Current Year
668,669 1,357,966 -6,317 105,440 2,125,758
632,502 1,733,109 13,110 109,109 2,487,830 0 0 892,545 0
876,822 1,098,506 1,975,328 150,430
1,454,252 2,346,797 141,033
Beginning of Current Year
20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II
End of Year
4,473,191 2,937,833 1,535,358
4,537,221 2,861,500 1,675,721
Signature Block
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
Date
KATY BALL
PRESIDENT
Type or print name and title Print/Type preparer's name
Paid SHANNON RUBIN Preparer Firm's name Use Only Firm's address
Preparer's signature
Date
SHANNON RUBIN
04/29/25 self-employed
BEACH STREET ACCOUNTING LLC 210 S BEACH ST STE 202 DAYTONA BEACH, FL 32114-4430
if
Check
DAA
P00849623
Firm's EIN
93-4566964
Phone no.
386-267-0531
May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For Paperwork Reduction Act Notice, see the separate instructions.
PTIN
Yes Form
No
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part III 1
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 2
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Briefly describe the organization's mission:
LIVE . . . . . . . . .THEATRE . . . . . . . . . . . . . . . . .PERFORMANCES . . . . . . . . . . . . . . . . . . . . . . . . . . . AND . . . . . . . . . EDUCATION ................................................................................................... ................................................................................................................................................................. .................................................................................................................................................................
2
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
X No
Yes
X No
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O.
4
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. ) (Expenses $ . . . . . . . .1,636,298 including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . 1,429,849 ................... .................... ) PRODUCTION OF LIVE THEATRE PRODUCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FOR . . . . . . . .A . . . . .TOTAL . . . . . . . . . . . . .OF . . . . . . 207 . . . . . . . . . UNIQUE . . . . . . . . . . . . . . .SHOWS . . . . . . . . . . . . .WITH ........... 42,547 AND 2,277 PARTICIPANTS AND VOLUNTEERS . . . . . . . . . . . . .ATTENDEES ....................................................................................................................................................
4a (Code: . . . . . . . . .
................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. .................................................................................................................................................................
) (Expenses $ . . . . . . . . . . . . . . 17,043 including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . . . . . . . .91,929 ............. ............. ) CLASSES, WORKSHOPS AND OTHER ACTIVITIES TO EDUCATE ADULTS AND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONSTRUCTED .............................................................................. CHILDREN ARTISTIC AND TECHINCAL THEATRE. THERE WERE 8 WORKSHOPS, . . . . . . . . . . . . . . . . .ABOUT ................................................................................................................................................ CAMPS AND YOUTH THERE WERE 11 SHOWS WITH 1,568 ATTENDEES, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .EVENTS. ................................................................................................................................. PARTICIPANTS ................................................................................................................................................................. AND . . . . . . .VOLUNTEERS. ..........................................................................................................................................................
4b (Code: . . . . . . . . .
................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. .................................................................................................................................................................
) (Expenses $ . . . . . . . . . . . . . . 87,983 including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . . . . . .211,331 ............. ............... ) SALE OF BEVERAGES AND SNACKS DURING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .LIVE . . . . . . . . . . .PERFORMANCES . . . . . . . . . . . . . . . . . . . . . . . . . . . FOR . . . . . . . . .THE . . . . . . . . .BEENFIT . . . . . . . . . . . . . . . . .AND ............. COMFORT . . . . . . . . . . . . . . .OF . . . . . . PATRONS. . . . . . . . . . . . . . . . . . . . PROCEEDS . . . . . . . . . . . . . . . . . . . .ARE . . . . . . . . USED . . . . . . . . . . . TO . . . . . . .OFFSET . . . . . . . . . . . . . . .PRODUCTION . . . . . . . . . . . . . . . . . . . . . . . COSTS . . . . . . . . . . . . . WHICH ........................ BENEFIT . . . . . . . . . . . . . . .THE . . . . . . . . EXEMPT . . . . . . . . . . . . . . . .PURPOSE . . . . . . . . . . . . . . . . .OF . . . . . . THE . . . . . . . . . ORGANIZATION ..........................................................................................
4c (Code: . . . . . . . . .
................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. .................................................................................................................................................................
4d Other program services (Describe on Schedule O.) (Expenses $ including grants of $ 4e Total program service expenses 1,741,324 DAA
) (Revenue $
) Form
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part IV
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 3
Checklist of Required Schedules Yes
1
complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18 19
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments—program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . . . . . Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . . . . . . . . . . . . . . Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18
X
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DAA
No
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,”
19 20a 20b
X X
21
X
Form
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part IV
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 4
Checklist of Required Schedules (continued) Yes
22
Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on
22
X
23
X
24a 24b
X
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Did the organization receive more than $25,000 in noncash contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I . . . . . . . . . . . . . . . . . . . . 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X X
38
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
1a b c
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . . . . . . Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . .
1a 1b
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DAA
No
22 0 1c Form
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part V 2a
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 5 Yes No
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
31 2a If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the name of the foreign country . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . . .
b 3a b 4a b 5a b c 6a b 7 a b c
If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? . . . . . . . . . . If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: 10a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2b 3a 3b
X X
4a
X
5a 5b 5c
X X
6a
X
6b
7a 7b 7c
If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b
X
15
X
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, any disqualified or other person engage in any activities
16
X
that would result in the imposition of an excise tax under section 4951, 4952 or 4953? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” complete Form 6069.
17
If “Yes,” see instructions and file Form 4720, Schedule N.
16 17
Form DAA
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part VI
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 6
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management Yes 1a
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a
5
1b
5
No
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
b 2
Enter the number of voting members included on line 1a, above, who are independent . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
2
X
3 4 5 6
X X X X
7a
X
7b
X
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6 7a
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? . . . . . . . . . . . . . . . . . . . Did the organization become aware during the year of a significant diversion of the organization’s assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 a b 9
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X X
8a 8b
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
10b 11a
X
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . .
11a b
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . . . . . . .
12a b c
Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 14 15
No
10a
Describe on Schedule O the process, if any, used by the organization to review this Form 990. Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . . . . .
12a 12b
X X
12c 13 14
X
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X X
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a b
The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15a 15b
X X
16a
X
If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16b
Section C. Disclosure 17 18
List the states with which a copy of this Form 990 is required to be filed . . . . . NONE ................................................................................. Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. Own website
19
Another's website
Upon request
Other (explain on Schedule O)
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records.
STEVEN HERON TITUSVILLE DAA
301 JULIA STREET
FL 32796
321-268-1125 Form
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
TITUSVILLE PLAYHOUSE INC
Form 990 (2023)
Part VII
59-6177447
Page 7
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. List all of the organization's current key employees, if any. See instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. X Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
• • • • •
(C)
Former
Highest compensated employee
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(1) JIM
(A)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
BALL 0.00 0.00
X
0
0
0
0.00 0.00
X
0
0
0
0.00 0.00
X
0
0
0
0.00 0.00
X
0
0
0
. ......................................................
SECRETARY (2) KATY
BALL
.......................................................
PRESIDENT (3) MELISSA
LUGO
. ......................................................
VICE PRESIDENT (4) KAREN
MACDONALD
. ......................................................
TREASURER (5)
. ......................................................
(6) . ......................................................
(7) . ......................................................
(8) . ......................................................
(9) . ......................................................
(10) . ......................................................
(11) .......................................................
Form DAA
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
59-6177447 Form 990 (2023) TITUSVILLE PLAYHOUSE INC Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII
Page 8
(C)
Former
Highest compensated employee
Key employee
Officer
Institutional trustee
(B)
Average hours per week (list any hours for related organizations below dotted line)
Individual trustee or director
(A)
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(12) ...................................................... .
(13) ...................................................... .
(14) ...................................................... .
(15) ...................................................... .
(16) ...................................................... .
(17) ...................................................... .
(18)
. ......................................................
(19)
. ......................................................
1b c d 2
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total number of individuals (including but not limited to those listed above) who received more than $100,000 of 0 reportable compensation from the organization
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
4
5
No
3
X
4
X
5
X
Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
Name and business address
2 DAA
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
(B)
(C)
Description of services
Compensation
0 Form
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part VIII
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 9
Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributions, Gifts, Grants and Other Similar Amounts
1a Federated campaigns . . . . . . . . . . . . . . . b Membership dues . . . . . . . . . . . . . . . . . . . c Fundraising events . . . . . . . . . . . . . . . . . . d Related organizations . . . . . . . . . . . . . . . e Government grants (contributions) . . . . . . . . . . . . f All other contributions, gifts, grants,
1a 1b 1c 1d 1e
and similar amounts not included above . . . . . . . .
1f
Program Service Revenue
(A) Total revenue
2a . . BOX . . . . . . OFFICE . . . . . . . . . . ADMISSION ..................................... b . . HOSPITALITY . . . . . . . . . . . . . . . . . .INCOME ................................... c . . CHILDRENS . . . . . . . . . . . . . . .THEATRE ...................................... d . . MERCH . . . . . . . . .INCOME ............................................ e . ...................................................... f All other program service revenue . . . . . . . . . . . . . . . . . . . g Total. Add lines 2a–2f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Income from investment of tax-exempt bond proceeds . . . . . . . . . . . 5 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(B) Related or exempt function revenue
(C) Unrelated business revenue
(D) Revenue excluded from tax under sections 512-514
98,100
534,402
g Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g $
h Total. Add lines 1a–1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
632,502
Business Code
(i) Real
1,429,849 184,810 91,929 26,521
1,429,849 184,810 91,929 26,521
1,733,109 2,540
2,540
10,570
10,570
(ii) Personal
6a Gross rents 6a b Less: rental expenses 6b c Rental inc. or (loss) 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Gross amount from (i) Securities (ii) Other
Miscellaneous Revenue
Other Revenue
sales of assets other than inventory
7a
10,570
b Less: cost or other basis and sales exps. 7b 10,570 7c c Gain or (loss) d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ . . . . . . . . . . . . . . . . . . . . . of contributions reported on line 57,092 1c). See Part IV, line 18 . . . . . . . . . . . . . . . . 8a 15,030 b Less: direct expenses . . . . . . . . . . . . . . . 8b c Net income or (loss) from fundraising events . . . . . . . . . . . . . . . . . . . . . 9a Gross income from gaming activities. See Part IV, line 19 . . . . . . . 9a b Less: direct expenses . . . . . . . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . . . . . . . . . . . . . . . 10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . . . . . . . . . . . . .
42,062
Business Code
11a . . RENT . . . . . . . .INCOME ............................................. b . . COSTUMES ..................................................... c . . MISC . . . . . . . .INCOME ............................................. d All other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Total. Add lines 11a–11d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34,625 22,722 9,700
34,625 22,722 9,700
67,047 2,487,830
1,813,266
0
0 Form
DAA
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part IX
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1
(A) Total expenses
(B) Program service expenses
(C) Management and general expenses
(D) Fundraising expenses
Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . . . . . . . . . .
2
Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . .
3
4 5 6
7 8 9 10 11 a b c d e f
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . . Benefits paid to or for members . . . . . . . . . . . . . Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . . . . Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . . . Other salaries and wages . . . . . . . . . . . . . . . . . . . Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) Other employee benefits . . . . . . . . . . . . . . . . . . . . Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fees for services (nonemployees): Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Legal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lobbying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Professional fundraising services. See Part IV, line 17 Investment management fees . . . . . . . . . . . . . . .
762,873
558,501
204,372
77,705 51,967
145 51,967
77,560
17,100
17,100
973
973
g Other. (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O.) . . . . . . . .
12 13 14 15 16 17 18
Advertising and promotion . . . . . . . . . . . . . . . . . . . Office expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Information technology . . . . . . . . . . . . . . . . . . . . . . Royalties
35,179 156,953 22,779
35,179 156,953
197,252 85,606
12,209 85,606
22,779
....................................
Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
185,043
Payments of travel or entertainment expenses for any federal, state, or local public officials
19 20 21 22 23 24
Conferences, conventions, and meetings . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38,043
Payments to affiliates . . . . . . . . . . . . . . . . . . . . . . . . Depreciation, depletion, and amortization . . . Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
146,209 68,551
146,209 15,863
52,688
497,314 74,661 38,337 29,194 46,101 2,346,797
497,314 74,661 38,337 29,194 39,186 1,741,324
6,915 605,473
Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
COSTS a . . .PRODUCTION ............................................ HOSPITALITY b . . . . . . . . . . . . . . . . . . . . . . . . .EXPENSE ...................... SUB, MEMBERSHIP c . . .DUES, ............................................ LIC d . . .BANK/CC/MERCH/TICKET/ ............................................ e All other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Total functional expenses. Add lines 1 through 24e . . . . . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) . . . . . . . . . . . . . . . DAA
38,043
0
Form
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part X
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 11
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(A) Beginning of year 1 2 3 4 5
Cash—non-interest-bearing
..............................................................
Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
844,581 830
Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20,988
(B) End of year 1 2 3 4
302,254 830 20,718
Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35%
5
controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net Assets or Fund Balances
Liabilities
Assets
6
Loans and other receivables from other disqualified persons (as defined
6 7 8 9
108,616
3,454,418 10c
4,032,817
11 12 13 14 15 16 17 18 19 20 21
71,986 4,537,221 5,168
under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . . . . . . . . . . .
7 8 9
Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10a Land, buildings, and equipment: cost or other 5,523,867 basis. Complete Part VI of Schedule D . . . . . . . . . . . . . . . . 10a 1,491,050 b Less: accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . 10b 11 Investments—publicly traded securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Investments—other securities. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Investments—program-related. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . . . . . . . . . . . . . . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . . 24 Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. 27 Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here X and complete lines 29 through 33. 29 Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Paid-in or capital surplus, or land, building, or equipment fund . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . . . . . . . . . 32 Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
92,205
60,169 4,473,191 15,267 172,982
212,671
2,659,584 90,000
22 23 24
2,523,661 120,000
2,937,833
25 26
2,861,500
27 28
1,535,358 1,535,358 4,473,191
29 30 31 32 33
1,675,721 1,675,721 4,537,221 Form
DAA
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Form 990 (2023)
Part XI
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 12
Reconciliation of Net Assets
X 2,487,830 2,346,797 141,033 1,535,358
Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 8 9 10
Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6 7 8 9
-632 -38
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
10
1,675,721
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
1
Accounting method used to prepare the Form 990:
X Cash
Accrual
No
Other
If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis c If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a
X
2b
X
2c
3a 3b Form
DAA
990 (2023)
TITUSPLAY 04/29/2025 1:21 PM
Public Charity Status and Public Support
SCHEDULE A (Form 990)
OMB No. 1545-0047
2023
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ.
Department of the Treasury Internal Revenue Service Name of the organization
Employer identification number
TITUSVILLE PLAYHOUSE INC Part I
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
59-6177447
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1 2 3 4
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
6 7 8 9
X
10
11 12
section 170(b)(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s).
f g
(i) Name of supported
organization
(ii) EIN
(iii) Type of organization
(described on lines 1–10 above (see instructions))
(iv) Is the organization listed in your governing document? Yes
(v) Amount of monetary
support (see
(vi) Amount of other support (see
instructions)
instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
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Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . . . . . . .
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
4 5
Total. Add lines 1 through 3 . . . . . . . . . . . . The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . . . . . . . .
6
Public support. Subtract line 5 from line 4 . . .
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
Section B. Total Support Calendar year (or fiscal year beginning in) 7 8
Amounts from line 4 . . . . . . . . . . . . . . . . . . . . .
9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . . Total support. Add lines 7 through 10
11 12 13
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . . . . . . . . . . . . . . .
12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 15 16a b 17a
b
18
Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
%
Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
%
33 1/3% support test — 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 1/3% support test — 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
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Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in)
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . .
188,677
459,662
143,631
668,669
717,595
2,178,234
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . . . . . . . . .
1,166,261
609,861
2,106,089
1,465,159
1,429,849
6,777,219
1,354,938
1,069,523
2,249,720
2,133,828
2,147,444
8,955,453
3
Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
6
Total. Add lines 1 through 5 . . . . . . . . . . . .
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons . . . . . .
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year . . . Add lines 7a and 7b . . . . . . . . . . . . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c 8
8,955,453
Section B. Total Support Calendar year (or fiscal year beginning in)
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
9
Amounts from line 6 . . . . . . . . . . . . . . . . . . . . .
1,354,938
1,069,523
2,249,720
2,133,828
2,147,444
8,955,453
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . .
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . . . . . . . .
c
Add lines 10a and 10b . . . . . . . . . . . . . . . . . .
11
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on . . . . .
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . .
13
Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,354,938 1,069,523 2,249,720 2,133,828 2,147,444 8,955,453 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
100.00 % 100.00 %
Section D. Computation of Investment Income Percentage 17 17 Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19a 33 1/3% support tests — 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . b 33 1/3% support tests — 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . .
% %
X
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Part IV
Supporting Organizations (Complete only if you checked a box on line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
No
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
3a
lines 3b and 3c below.
b
2
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer
3a
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination.
3b
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States (“foreign supported organization”)? If
3c
4a
“Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
c
4b
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
5a
4c
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
b c 6
7
8 9a
b c 10a
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
5a 5b 5c
6
7 8
9a 9b 9c
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Supporting Organizations (continued) Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and
11a 11b
11c below, the governing body of a supported organization?
b
A family member of a person described on line 11a above?
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11c
Section B. Type I Supporting Organizations 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
1
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part
VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed
1
the supported organization(s).
Section D. All Type III Supporting Organizations 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the
1
organization’s governing documents in effect on the date of notification, to the extent not previously provided?
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI
2
how the organization maintained a close and continuous working relationship with the supported organization(s). By reason of the relationship described on line 2, above, did the organization’s supported organizations have
3
a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s
3
supported organizations played in this regard.
Section E. Type III Functionally Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
1 a b c
The organization satisfied the Activities Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). Activities Test. Answer lines 2a and 2b below.
2 a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify
b
3 a b DAA
those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. Parent of Supported Organizations. Answer lines 3a and 3b below. Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
2a
2b
3a 3b Schedule A (Form 990) 2023
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Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See
instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A – Adjusted Net Income 1 2 3 4 5 6
Net short-term capital gain Recoveries of prior-year distributions Other gross income (see instructions) Add lines 1 through 3. Depreciation and depletion
(A) Prior Year
(B) Current Year (optional)
1 2 3 4 5
Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
7 8
Other expenses (see instructions)
Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
6 7 8
Section B – Minimum Asset Amount 1
(A) Prior Year
1a 1b 1c 1d
2 3 4 5 6 7 8
Section C – Distributable Amount
7
(optional)
Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 3 Subtract line 2 from line 1d. 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by 0.035. 7 Recoveries of prior-year distributions 8 Minimum Asset Amount (add line 7 to line 6)
1 2 3 4 5 6
(B) Current Year
Adjusted net income for prior year (from Section A, line 8, column A) Enter 0.85 of line 1. Minimum asset amount for prior year (from Section B, line 8, column A) Enter greater of line 2 or line 3. Income tax imposed in prior year
Current Year
1 2 3 4 5
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
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Section D – Distributions 1 2
Current Year 1
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported
2 3 4 5 6 7 8
organizations, in excess of income from activity
3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions.
Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. 9 Distributable amount for 2022 from Section C, line 6 10 Line 8 amount divided by line 9 amount (i) Section E – Distribution Allocations (see instructions) Excess Distributions 1 2
3
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
9 10 (ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required–explain in Part VI). See instructions. Excess distributions carryover, if any, to 2023
a From 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b From 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c From 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d From 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e From 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2023 distributable amount i Carryover from 2018 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2023 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2023 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. 7 Excess distributions carryover to 2024. Add lines 3j and 4c. 8 Breakdown of line 7: a Excess from 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . b Excess from 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . c Excess from 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . d Excess from 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . e Excess from 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part VI
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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Schedule A (Form 990) 2023
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Schedule B
OMB No. 1545-0047
Schedule of Contributors
(Form 990)
2023
Attach to Form 990, 990-EZ, or 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Employer identification number
Name of the organization
TITUSVILLE PLAYHOUSE INC
59-6177447
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X 501(c)(
3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
X For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or
(2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering “N/A” in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don’t complete any of the parts unless the
General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
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Schedule B (Form 990) (2023)
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PAGE 1 OF 3
Schedule B (Form 990) (2023)
TITUSVILLE PLAYHOUSE INC Part I
(b) Name, address, and ZIP + 4
. 1 ......
AMERIRPISE FINANCIAL . KERRY . . . . . . . . . . . . . .KENNEDY ............................................................... 1108 S. WASHINGTON AVENUE
2
$ . . . . . . . . . . . . . . . . . 6,750 ...........
(b) Name, address, and ZIP + 4
(c) Total contributions
TAMI LEILUGA 965 GLENDA DRIVE
. .............................................................................
. .............................................................................
$ . . . . . . . . . . . . . . . 13,000 .............
(b) Name, address, and ZIP + 4
(c) Total contributions
FL 32780 . TITUSVILLE .............................................................................
(a) No.
3
. ......
PARRISH MEDICAL CENTER 951 N. WASHINGTON AVE SUITE 100
. .............................................................................
. .............................................................................
$ . . . . . . . . . . . . . . . 20,000 .............
(b) Name, address, and ZIP + 4
Total contributions
TITUSVILLE FL 32796 . ............................................................................. (a) No.
4
. ......
5
. ......
JAMES BALL 921 INDIAN RIVER AVE
. .............................................................................
$ . . . . . . . . . . . . . . . . . 7,500 ...........
(b) Name, address, and ZIP + 4
Total contributions
6
. ......
(c)
RUSH CONSTRUCTION 6285 RIVERFRONT CENTER BLVD
. .............................................................................
. .............................................................................
$ . . . . . . . . . . . . . . . . . 5,000 ...........
(b) Name, address, and ZIP + 4
Total contributions
TITUSVILLE FL 32780 . ............................................................................. (a) No.
(c)
. .............................................................................
TITUSVILLE FL 32796 . .............................................................................
(a) No.
(c) Total contributions
. .............................................................................
FL 32780 . TITUSVILLE .............................................................................
. ......
59-6177447
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.
(a) No.
Page 2
Employer identification number
Name of organization
(c)
JAY SCHLESINGER PO BOX 2079
. .............................................................................
. .............................................................................
TITUSVILLE FL 32781 . .............................................................................
$ . . . . . . . . . . . . . . . 13,881 .............
(d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
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PAGE 2 OF 3
Schedule B (Form 990) (2023)
TITUSVILLE PLAYHOUSE INC Part I (a) No.
7
. ......
8
. ......
(b) Name, address, and ZIP + 4
9
. ......
(c) Total contributions
FRANK STEELE 980 NORTH DIXIE AVE
. .............................................................................
. .............................................................................
$ . . . . . . . . . . . . . . . 10,000 .............
(b) Name, address, and ZIP + 4
(c) Total contributions
ROBERT DILLOW 2950 SERENO POINT DRVE
. .............................................................................
. .............................................................................
$ . . . . . . . . . . . . . . . . . 5,000 ...........
(b) Name, address, and ZIP + 4
(c) Total contributions
FL 32796 . TITUSVILLE .............................................................................
(a) No.
59-6177447
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
FL 32780 . TITUSVILLE .............................................................................
(a) No.
BRIDGET GRIFFIN 5125 KIRKWOOD TRAIL
. .............................................................................
. .............................................................................
$ . . . . . . . . . . . . . . . . . 5,000 ...........
(a) No.
(b) Name, address, and ZIP + 4
Total contributions
10
. .............................................................................
TITUSVILLE FL 32780 . .............................................................................
. ......
(c)
VICKI HUDSON 3030 KELLEY STREET
. .............................................................................
$ . . . . . . . . . . . . . . . . . 5,000 ...........
(a) No.
(b) Name, address, and ZIP + 4
Total contributions
11
. .............................................................................
TITUSVILLE FL 32780 . .............................................................................
. ......
(c)
RANDA MAALI- ITANI 6735 RIVEREDGE DR
. .............................................................................
$ . . . . . . . . . . . . . . . . . 5,000 ...........
(a) No.
(b) Name, address, and ZIP + 4
Total contributions
12
. .............................................................................
TITUSVILLE FL 32780 . .............................................................................
. ......
Page 2
Employer identification number
Name of organization
(c)
CATHERINE SPENCER 2621 SUSSANA LANE
. .............................................................................
TITUSVILLE FL 32780 . .............................................................................
$ . . . . . . . . . . . . . . . . . 5,000 ...........
(d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
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PAGE 3 OF 3
Schedule B (Form 990) (2023)
TITUSVILLE PLAYHOUSE INC Part I
59-6177447
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.
(b) Name, address, and ZIP + 4
13
. .............................................................................
. ......
Page 2
Employer identification number
Name of organization
(c) Total contributions
JENNIFER URBAUER- PARSONS 5815 WHISPERING LANE
. .............................................................................
$ . . . . . . . . . . . . . . . . . 5,000 ...........
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
. ......
. .............................................................................
FL 32780 . TITUSVILLE .............................................................................
. .............................................................................
$............................
. .............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. .............................................................................
. .............................................................................
(c) Total contributions
$............................
. .............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. .............................................................................
. .............................................................................
(c) Total contributions
$............................
. .............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. .............................................................................
. .............................................................................
(c) Total contributions
$............................
. .............................................................................
(a) No.
(b) Name, address, and ZIP + 4
. ......
. .............................................................................
. ............................................................................. . .............................................................................
(c) Total contributions
$............................
(d) Type of contribution
X Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
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SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
Name of the organization
59-6177447
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered “Yes” on Form 990, Part IV, line 6. (a) Donor advised funds
1 2 3 4 5 6
2023
Open to Public Inspection
Employer identification number
TITUSVILLE PLAYHOUSE INC Part I
OMB No. 1545-0047
Complete if the organization answered “Yes” on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . . . . . . . . . . . . . . . . . . . Aggregate value of grants from (during year) . . . . . . . . . . . . . . . . . . . . . . . . . . Aggregate value at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used
Yes
No
Yes
No
only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II 1
Conservation Easements Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education)
Preservation of a historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Tax Year
a Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a b Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b c Number of conservation easements on a certified historic structure included on line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c d Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year
4 5
................
Number of states where property subject to conservation easement is located . . . . . . . . . . . . Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Yes
No
Yes
No
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year ...............
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year ............................
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items. (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items. a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Schedule D (Form 990) 2023 For Paperwork Reduction Act Notice, see the Instructions for Form 990. DAA
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Schedule D (Form 990) 2023
Part III 3
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply).
a b
Public exhibition Scholarly research
d e
Loan or exchange program
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Preservation for future generations 4 Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part IV
Yes
No
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” explain the arrangement in Part XIII and complete the following table.
Yes
No
Amount
c Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c 1d 1e 1f
e Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . . . . . . . . . . . . . . . . . Yes b If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
Endowment Funds Complete if the organization answered “Yes” on Form 990, Part IV, line 10. (a) Current year
68,601
(b) Prior year
(c) Two years back
50,469
(d) Three years back
50,469
1a Beginning of year balance . . . . . . . . . . . . . . . b Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Net investment earnings, gains, and 3,385 18,132 losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Grants or scholarships . . . . . . . . . . . . . . . . . . e Other expenditures for facilities and programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Administrative expenses . . . . . . . . . . . . . . . . 71,986 68,601 g End of year balance . . . . . . . . . . . . . . . . . . . . . 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a Board designated or quasi-endowment . . . 100.00 . . . . . . . . . . . . . .% b Permanent endowment . . . . . . . . . . . . . . . . . % c Term endowment . . . . . . . . . . . . . . . % The percentages on lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the
(e) Four years back
50,469
organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI
No
50,469
Yes 3a(i) 3a(ii) 3b
No
X X
Land, Buildings, and Equipment Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
255,362 1a Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Leasehold improvements . . . . . . . . . . . . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,268,505 1,491,050 e Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(d) Book value
255,362
3,777,455 4,032,817 Schedule D (Form 990) 2023
DAA
TITUSPLAY 04/29/2025 1:21 PM
Schedule D (Form 990) 2023
Part VII
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 3
Investments – Other Securities Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category
(b) Book value
(including name of security)
(c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) ........................................................................... . . . . (B) ........................................................................... . . . . (C) ........................................................................... . . . . (D) ........................................................................... . . . . (E) ........................................................................... . . . . (F) ........................................................................... . . . . (G) ........................................................................... . . . . (H) ........................................................................... Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) . . . . . . . . . .
Part VIII
Investments – Program Related Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation:
Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) . . . . . . . . . .
Part IX
Other Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
(a) Description of liability (b) Book value 1. (1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . . . . . . . . . . . . . . .
DAA
Schedule D (Form 990) 2023
TITUSPLAY 04/29/2025 1:21 PM
Schedule D (Form 990) 2023
Part XI
TITUSVILLE PLAYHOUSE INC
59-6177447
1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a b Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b c Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a b c 5
Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . . . . . . . . . . . . . . Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2e 3
4a 4b
Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Page 4
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
4c 5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a b c d e 3 4
Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a b c 5
Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . . . . . . . . . . . . . .
1
Amounts included on line 1 but not on Form 990, Part IX, line 25: Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a 2b 2c 2d
Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2e 3
Amounts included on Form 990, Part IX, line 25, but not on line 1: Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4a 4b
Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XIII
4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS
. ......................................................................................................................................................................
TO SUPPORT THE ORGINZATION'S MISSION STATEMENT
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Schedule D (Form 990) 2023 DAA
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Schedule D (Form 990) 2023
Part XIII
TITUSVILLE PLAYHOUSE INC
59-6177447
Page 5
Supplemental Information (continued)
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Schedule D (Form 990) 2023 DAA
TITUSPLAY 04/29/2025 1:21 PM
SCHEDULE G (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered “Yes” on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
TITUSVILLE PLAYHOUSE INC Part I 1
2023
59-6177447
Fundraising Activities. Complete if the organization answered “Yes” on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part.
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a
Mail solicitations
e
Solicitation of non-government grants
b
Internet and email solicitations
f
Solicitation of government grants
c
Phone solicitations
g
Special fundraising events
d
In-person solicitations
2a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (iii) Did fund(i) Name and address of individual
or entity (fundraiser)
(ii) Activity
raiser have custody or control of contributions?
Yes
(v) Amount paid to
(vi) Amount paid to
(iv) Gross receipts
(or retained by)
(or retained by)
from activity
fundraiser listed in
organization
No
col. (i)
Yes No 1 2
3
4
5
6
7
8
9
10
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. . DAA
Schedule G (Form 990) 2023
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Schedule G (Form 990) 2023
Part II
TITUSVILLE PLAYHOUSE INC
Page 2
59-6177447
Fundraising Events. Complete if the organization answered “Yes” on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1
(b) Event #2
(c) Other events (d) Total events
CASINO NIGHT Revenue
(event type)
NONE (event type)
(add col. (a) through col. (c))
(total number)
1 Gross receipts . . . . . . . . .
57,092
57,092
2 Less: Contributions . . . . 3 Gross income (line 1 minus line 2) . . . . . . . . . . . . . . . . . .
57,092
57,092
15,030
15,030
4 Cash prizes . . . . . . . . . . .
Direct Expenses
5 Noncash prizes . . . . . . . . 6 Rent/facility costs . . . . . . 7 Food and beverages . . 8 Entertainment
.........
9 Other direct expenses
15,030 42,062
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Net income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Direct Expenses
Revenue
Part III
Gaming. Complete if the organization answered “Yes” on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (a) Bingo
(b) Pull tabs/instant
bingo/progressive bingo
(d) Total gaming (add
(c) Other gaming
col. (a) through col. (c))
1 Gross revenue . . . . . . . . 2 Cash prizes . . . . . . . . . . . 3 Noncash prizes . . . . . . . . 4 Rent/facility costs . . . . . . 5 Other direct expenses 6 Volunteer labor . . . . . . . .
Yes . . . . . . . . . . . . . . . . % No
Yes . . . . . . . . . . . . . . . . % No
Yes . . . . . . . . . . . . . . . % No
7 Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Net gaming income summary. Subtract line 7 from line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Enter the state(s) in which the organization conducts gaming activities: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No b If “No,” explain: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................................................................................................................................. .................................................................................................................................................................
10a Were any of the organization’s gaming licenses revoked, suspended, or terminated during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” explain:
Yes
No
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Schedule G (Form 990) 2023
11 12
TITUSVILLE PLAYHOUSE INC
Page 3
59-6177447
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . formed to administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 a b 14
Yes
No
Yes
No
Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity Indicate the percentage of gaming activity conducted in: The organization’s facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . An outside facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13a 13b
% %
Enter the name and address of the person who prepares the organization’s gaming/special events books and records: Name
............................................................................................................................................
Address
15a
..........................................................................................................................................
Does the organization have a contract with a third party from whom the organization receives gaming revenue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
If “Yes,” enter the amount of gaming revenue received by the organization amount of gaming revenue retained by the third party
c
No
Yes
No
$..............................
If “Yes,” enter name and address of the third party: Name
............................................................................................................................................
Address
16
Yes
$ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and the
..........................................................................................................................................
Gaming manager information: Name
...................................................................................................................................
Gaming manager compensation
$ .............................
Description of services provided . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Director/officer
17 a
Employee
Independent contractor
Mandatory distributions: Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization’s own exempt activities during the tax year
Part IV
$
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
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Schedule G (Form 990) 2023
DAA
TITUSPLAY 04/29/2025 1:21 PM
SCHEDULE O (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
2023
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
TITUSVILLE PLAYHOUSE INC
59-6177447
FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990
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FORM 990 HAS BEEN PRESENTED TO BOARD OF DIRECTORS AND PRESIDENT.
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FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY
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BOARD OF DIRECTORS MONITORS AND ENFORCES POLICY ON CONFLICTS OF INTEREST.
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FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
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DOCUMENTS ARE AVAILABLE UPON REQUEST.
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FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION
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BOOK / TAX DEPRECIATION DIFFERENCE
$
-38
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For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. DAA
Schedule O (Form 990) 2023
TITUSPLAY 04/29/2025 1:21 PM
Form
Depreciation and Amortization
4562
OMB No. 1545-0172
(Including Information on Listed Property)
2023
Attach to your tax return. Go to www.irs.gov/Form4562 for instructions and the latest information.
Department of the Treasury Internal Revenue Service
Name(s) shown on return
Attachment Sequence No.
179
Identifying number
TITUSVILLE PLAYHOUSE INC
59-6177447
Business or activity to which this form relates
INDIRECT DEPRECIATION Part I 1 2 3 4 5 6
Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I. 1 2 3 4 5
Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . (a) Description of property
(b) Cost (business use only)
Part II
2,890,000
(c) Elected cost
7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Carryover of disallowed deduction from line 13 of your 2022 Form 4562 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions . . . . . . . 12 Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Carryover of disallowed deduction to 2024. Add lines 9 and 10, less line 12 . . . . . . . . . . . . . . . . 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. 14
1,160,000
8 9 10 11 12
Special Depreciation Allowance and Other Depreciation (Don’t include listed property. See instructions.)
Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15 16
Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III
14 15 16
8,891
17
133,865
MACRS Depreciation (Don’t include listed property. See instructions.) Section A
17 18
MACRS deductions for assets placed in service in tax years beginning before 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here
................
Section B—Assets Placed in Service During 2023 Tax Year Using the General Depreciation System (a) Classification of property
(b) Month and year placed in service
19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property
(c) Basis for depreciation (business/investment use only–see instructions)
(d) Recovery
(e) Convention
(f) Method
7.0
MQ
200DB
211
17,800 15.0
HY
150DB
890
5,927
period
25 yrs.
h Residential rental property i Nonresidential real property
05/15/24
692,028
(g) Depreciation deduction
S/L
27.5 yrs.
MM
S/L
27.5 yrs.
MM
S/L
39 yrs.
MM
S/L
739
MM S/L Section C—Assets Placed in Service During 2023 Tax Year Using the Alternative Depreciation System
20a b c d
Class life 12 yrs.
30-year
30 yrs.
MM
S/L
40-year
40 yrs.
MM
S/L
Part IV 21 22
S/L
12-year
S/L
Summary (See instructions.)
Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . . . . . . . . . . . . . . . . . . . . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions. DAA
21
1,613
22
146,209 Form 4562 (2023)
TITUSPLAY 04/29/2025 1:21 PM
TITUSVILLE PLAYHOUSE INC
59-6177447 Page 2
Form 4562 (2023)
Part V
Listed Property (Include automobiles, certain other vehicles, certain aircraft, and property used for entertainment, recreation, or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A—Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.)
24a
Yes
Do you have evidence to support the business/investment use claimed? (a)
Type of property (list vehicles first)
(b) Date placed in service
(c) Business/ investment use percentage
No
(e) Basis for depreciation (business/investment use only)
(d)
Cost or other basis
24b
(h)
(i)
Method/ Convention
Depreciation deduction
Elected section 179 cost
Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use. See instructions . . . . . . . . . . . . . . . . . . . . . . . .
26
Property used more than 50% in a qualified business use:
27
5,041
5,041
25
5.0 200DBHY
1,613
% Property used 50% or less in a qualified business use: S/L-
%
28 29
No
(g)
25
VEHICLES 06/27/22 100.00 %
Yes
If "Yes," is the evidence written?
(f) Recovery period
S/L% Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . . . . . . . . . . . . . . . . . . . . . . . .
1,613
28
29
Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section B—Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other “more than 5% owner,” or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. 30
Total business/investment miles driven during
(a)
(b)
(c)
(d)
(e)
(f)
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
Vehicle 5
Vehicle 6
the year (don't include commuting miles) . . . . . . . . . . . .
31 32
Total commuting miles driven during the year . . . . . . . . Total other personal (noncommuting) miles driven . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
Total miles driven during the year. Add lines 30 through 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34
Yes
Was the vehicle available for personal
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
use during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35
Was the vehicle used primarily by a more than 5% owner or related person? . . . . . . . . . . . . . . . . . . .
36
Is another vehicle available for personal use? . . . . . . . .
Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren't more than 5% owners or related persons. See instructions. 37
Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39 40
Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41
Do you meet the requirements concerning qualified automobile demonstration use? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Note: If your answer to 37, 38, 39, 40, or 41 is “Yes,” don’t complete Section B for the covered vehicles.
Part VI
Amortization (a)
Description of costs
(b) Date amortization begins
(c)
(d)
Amortizable amount
Code section
(e) Amortization period or percentage
42
Amortization of costs that begins during your 2023 tax year (see instructions):
43 44
Amortization of costs that began before your 2023 tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add amounts in column (f). See the instructions for where to report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DAA
(f)
Amortization for this year
43 44 Form 4562 (2023)
TITUSPLAY TITUSVILLE PLAYHOUSE INC Federal Asset Report 59-6177447 Form 990, Page 1 FYE: 5/31/2024 Asset
Description
Date In Service
Cost
04/29/2025 1:21 PM
Bus Sec Basis % 179Bonus for Depr
PerConv Meth
X
7 MQ200DB
0 0
9,102 9,102
Prior
Current
7-year GDS Property: 95 THEATRE SEATS
5/30/24
14,818 14,818
15-year GDS Property: 94 PORTABLE TOILETS
7/26/23
17,800 17,800
17,800 15 HY 150DB 17,800
0 0
890 890
Non-Residential Real Property: 93 IMPROVEMENTS
5/15/24
692,028 692,028
692,028 39 MM S/L 692,028
0 0
739 739
Prior MACRS: 1 SOUND EQUIPMENT 2 OFFICE FURNITURE 3 RESTROOM EQUIP/ FIXTURE 4 CHANDELIER LIFT 5 FURN FIXTURES 6 IMPROVEMENTS 7 CHAIRS 8 BUILDING IMPROVEMENTS 9 311 JULIA ST BLDG 10 BUILDING IMPROVEMENTS 11 SOUND SYSTEM 12 EQUIPMENT (VARIOUS) 13 IMPROVEMENTS 14 LIGHTING 16 BALCONY IMPROVEMENT 17 BUILDING IMPROVEMENTS 18 EXTERIOR REPAIR 19 INTERIOR REP EL 20 ROOF 21 ROOF 22 FLOORS 23 FLOORS 24 TILE 25 AIR CONDITIONER 26 CARPET 27 CEILING TILE 28 IMPROVEMENTS 29 IMPROVEMENTS 30 IMPROVEMENTS 31 IMPROVEMENTS 32 WINDOWS 33 IMPROVEMENTS 34 FLOORS 35 FASCADE 36 MICROPHONES 38 GENIE LIFT 39 PROJECTOR 40 SOUND EQUIPMENT 41 COMPUTER 42 LIGHTING 43 TICKET PRINTER 44 TRUSSES 45 EQUIPMENT 48 ICE MAKER 49 SIGN 50 BUILDING IMPROVEMENTS 51 SOUND EQUIPMENT 52 GENIE LIFT 53 CAMERA 54 LIGHTING EQUIPMENT 55 COMPUTER
1/26/17 3/14/17 8/29/16 3/17/17 3/27/17 5/31/17 5/27/14 11/05/13 11/21/14 4/30/15 12/22/14 3/05/15 5/12/16 10/15/15 1/21/89 1/21/89 11/01/91 1/08/04 5/20/05 6/01/05 5/29/06 6/02/06 6/02/06 6/13/06 6/13/06 6/20/06 6/27/06 8/07/06 8/07/06 8/21/06 8/28/06 9/12/06 10/16/06 7/31/11 7/31/11 10/02/12 10/26/12 12/12/12 2/28/13 2/28/13 2/28/13 6/26/13 5/29/14 7/24/17 8/31/17 5/30/18 10/03/17 10/23/17 11/27/17 12/06/17 3/28/18
1,500 11,384 4,341 1,425 2,569 317,901 9,836 35,726 68,000 169,064 24,418 27,255 108,595 2,900 6,938 93,734 35,235 3,100 14,150 26,278 1,300 4,139 2,220 1,880 1,471 1,700 2,078 3,000 2,605 2,767 2,900 1,000 2,467 10,575 4,890 3,250 3,000 1,420 433 10,066 1,485 29,727 6,477 2,450 6,240 336,559 930 9,995 4,641 5,279 2,549
1,462 10,927 4,322 1,368 2,466 208,026 7,915 20,750 14,896 35,222 24,195 19,806 81,457 2,900 6,144 89,267 27,678 2,938 13,942 26,278 1,279 4,139 2,220 1,880 1,471 1,700 2,078 3,000 2,605 2,767 2,900 1,000 2,467 9,358 4,327 3,020 2,783 1,314 421 9,316 1,446 13,850 5,128 2,122 5,404 43,506 806 8,657 4,020 4,572 2,549
0 457 19 57 103 8,152 0 1,191 1,743 4,335 0 0 3,620 0 0 0 1,119 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,059 0 219 557 8,629 83 892 414 471 0
X X X X X X X X X X X
X X X X X X X X X X X X X X X X X
5,927 5,927
750 5,692 2,170 712 1,284 317,901 4,918 17,863 68,000 169,064 12,209 13,627 54,297 1,450 6,938 93,734 35,235 3,100 14,150 26,278 1,300 4,139 2,220 1,880 1,471 1,700 2,078 3,000 2,605 2,767 2,900 1,000 2,467 1,217 563 1,625 1,500 710 216 5,033 742 15,877 3,238 1,225 3,120 336,559 124 1,338 621 707 0
5 7 7 7 7 39 7 15 39 39 7 7 15 5 31 31 31 39 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 7 7 7 7 7 5 7 5 15 7 7 7 39 7 7 7 7 5
HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB MM S/L HY 200DB HY S/L MM S/L MM S/L HY 200DB HY 200DB HY S/L HY 200DB MM S/L MM S/L MM S/L MM S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY S/L HY 200DB HY 200DB HY 200DB MM S/L HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB
TITUSPLAY TITUSVILLE PLAYHOUSE INC Federal Asset Report 59-6177447 Form 990, Page 1 FYE: 5/31/2024 Asset Description 57 BUILDING IMPROVEMENTS 58 ROLLER 59 COMPUTER 60 BUILDING IMPROVEMENTS 61 PROJECTOR 62 SOUND BOARD 63 SCENIC AUTOMATION 64 SCENIC AUTOMATION 65 413 S. PALM AVE 67 415 S. PALM AVE 69 WINDOWS 70 DOORS 71 BAR REMODEL 72 321 WILSON AVE 74 313 WILSON AVE 75 420 JULIA ST 76 422 JULIA ST 77 428 JULIA ST 79 312/314 S PALM AVE 81 IMPROVEMENTS 82 VIDEO SERVER 83 LIGHTING EQUIP 84 APAV EQUIPMENT 85 APPLE COMPUTERS 87 SCENIC AUTOMATION 88 DELL COMPUTERS 89 KEYBOARD/ PIANO 90 KEYBOARD/ PIANO 91 PORT LIGHTING SYSTEM 92 APPLE COMPUTER
Date In Service 8/20/18 6/20/18 11/23/18 5/08/20 12/17/19 12/17/19 2/11/20 8/01/20 9/30/20 8/31/20 7/15/20 1/18/21 4/12/22 5/18/22 7/15/21 7/15/21 7/15/21 7/15/21 7/02/21 5/31/23 6/17/22 6/13/22 10/13/22 7/19/22 2/06/23 6/30/22 6/27/22 6/15/22 6/15/22 2/14/23
ACRS: 15 BUILDING Total ACRS Depreciation
6/01/84
Other Depreciation: 37 LIGHTING SOFTWARE 8/28/12 46 311 JULIE ST (LAND) 11/21/14 47 313 JULIA STREET (LAND) 4/11/16 56 LAND 6/01/84 66 413 S PALM AVE LAND 9/30/20 68 415 S. PALM AVE LAND 8/31/20 73 321 WILSON AVE LAND 5/18/22 78 420/422/428/313 JULIA WILSON LAND 7/15/21 80 312/314 S, PALM AVE 7/02/21 Total Other Depreciation Total ACRS and Other Depreciation Listed Property: 86 VEHICLES
Grand Totals Less: Dispositions and Transfers Less: Start-up/Org Expense Net Grand Totals
6/27/22
Cost 82,440 13,775 1,056 174,772 7,374 8,512 28,075 28,075 191,607 201,769 16,230 13,481 20,000 138,922 250,000 450,000 150,000 150,000 179,730 536,426 14,028 3,802 6,436 6,798 1,570 4,394 3,050 2,426 26,075 3,316 4,147,981
Bus Sec Basis % 179Bonus for Depr PerConv Meth X 58,985 15 HY S/L X 3,075 7 HY 200DB X 0 5 HY 200DB X 140,919 15 HY S/L X 2,303 7 HY 200DB X 2,659 7 HY 200DB X 8,769 7 HY 200DB X 12,276 7 HY 200DB 191,607 39 MM S/L 201,769 39 MM S/L 16,230 39 MM S/L 13,481 39 MM S/L 20,000 39 MM S/L 138,922 39 MM S/L 250,000 39 MM S/L 450,000 39 MM S/L 150,000 39 MM S/L 150,000 39 MM S/L 179,730 39 MM S/L 536,426 39 MM S/L 14,028 5 HY 200DB 3,802 7 HY 200DB 6,436 7 HY 200DB 6,798 5 HY 200DB 1,570 7 HY 200DB 4,394 5 HY 200DB 3,050 7 HY 200DB 2,426 7 HY 200DB 26,075 7 HY 200DB 3,316 5 HY 200DB 3,852,360
390,000 390,000
837 10,000 112,500 22,459 10,000 10,000 10,000 60,403 20,000 256,199
04/29/2025 1:21 PM
390,000 18 MM PRE 390,000
X
418 10,000 112,500 22,459 10,000 10,000 10,000 60,403 20,000 255,780
646,199
645,780
5,041 5,041
5,041 5,041
5,523,867 0 0 5,523,867
5,218,936 0 0 5,218,936
3 0 0 0 0 0 0 0 0
MOAmort -- Land -- Land -- Land -- Land -- Land -- Land -- Land -- Land
5 HY 200DB
Prior 23,455 10,700 1,056 33,853 5,071 5,853 19,306 15,799 13,311 14,449 1,197 822 577 3,711 12,028 21,650 7,217 7,217 8,647 573 2,806 543 919 1,360 224 879 436 347 3,725 663 972,458
Current 3,933 1,230 0 9,394 658 760 2,505 3,507 4,913 5,173 416 345 513 3,562 6,411 11,539 3,846 3,846 4,609 13,755 4,489 931 1,577 2,175 385 1,406 747 594 6,386 1,061 133,865
370,500 370,500
0 0
837 0 0 0 0 0 0 0 0 837
0 0 0 0 0 0 0 0 0 0
371,337
0
1,008 1,008
1,613 1,613
1,344,803 0 0 1,344,803
146,209 0 0 146,209
TITUSPLAY TITUSVILLE PLAYHOUSE INC AMT Asset Report 59-6177447 Form 990, Page 1 FYE: 5/31/2024 Asset
Description
Date In Service
Cost
04/29/2025 1:21 PM
Bus Sec Basis % 179Bonus for Depr
PerConv Meth
X
7 MQ200DB
0 0
9,102 9,102
Prior
Current
7-year GDS Property: 95 THEATRE SEATS
5/30/24
14,818 14,818
15-year GDS Property: 94 PORTABLE TOILETS
7/26/23
17,800 17,800
17,800 15 HY 150DB 17,800
0 0
890 890
Non-Residential Real Property: 93 IMPROVEMENTS
5/15/24
692,028 692,028
692,028 39 MM S/L 692,028
0 0
739 739
Prior MACRS: 1 SOUND EQUIPMENT 2 OFFICE FURNITURE 3 RESTROOM EQUIP/ FIXTURE 4 CHANDELIER LIFT 5 FURN FIXTURES 6 IMPROVEMENTS 7 CHAIRS 8 BUILDING IMPROVEMENTS 9 311 JULIA ST BLDG 10 BUILDING IMPROVEMENTS 11 SOUND SYSTEM 12 EQUIPMENT (VARIOUS) 13 IMPROVEMENTS 14 LIGHTING 16 BALCONY IMPROVEMENT 17 BUILDING IMPROVEMENTS 18 EXTERIOR REPAIR 19 INTERIOR REP EL 20 ROOF 21 ROOF 22 FLOORS 23 FLOORS 24 TILE 25 AIR CONDITIONER 26 CARPET 27 CEILING TILE 28 IMPROVEMENTS 29 IMPROVEMENTS 30 IMPROVEMENTS 31 IMPROVEMENTS 32 WINDOWS 33 IMPROVEMENTS 34 FLOORS 35 FASCADE 36 MICROPHONES 38 GENIE LIFT 39 PROJECTOR 40 SOUND EQUIPMENT 41 COMPUTER 42 LIGHTING 43 TICKET PRINTER 44 TRUSSES 45 EQUIPMENT 48 ICE MAKER 49 SIGN 50 BUILDING IMPROVEMENTS 51 SOUND EQUIPMENT 52 GENIE LIFT 53 CAMERA 54 LIGHTING EQUIPMENT 55 COMPUTER
1/26/17 3/14/17 8/29/16 3/17/17 3/27/17 5/31/17 5/27/14 11/05/13 11/21/14 4/30/15 12/22/14 3/05/15 5/12/16 10/15/15 1/21/89 1/21/89 11/01/91 1/08/04 5/20/05 6/01/05 5/29/06 6/02/06 6/02/06 6/13/06 6/13/06 6/20/06 6/27/06 8/07/06 8/07/06 8/21/06 8/28/06 9/12/06 10/16/06 7/31/11 7/31/11 10/02/12 10/26/12 12/12/12 2/28/13 2/28/13 2/28/13 6/26/13 5/29/14 7/24/17 8/31/17 5/30/18 10/03/17 10/23/17 11/27/17 12/06/17 3/28/18
1,500 11,384 4,341 1,425 2,569 317,901 9,836 35,726 68,000 169,064 24,418 27,255 108,595 2,900 6,938 93,734 35,235 3,100 14,150 26,278 1,300 4,139 2,220 1,880 1,471 1,700 2,078 3,000 2,605 2,767 2,900 1,000 2,467 10,575 4,890 3,250 3,000 1,420 433 10,066 1,485 29,727 6,477 2,450 6,240 336,559 930 9,995 4,641 5,279 2,549
1,462 10,927 4,322 1,368 2,466 208,026 7,915 20,750 14,896 35,222 24,195 19,806 81,457 2,900 6,144 89,267 27,678 2,938 13,942 26,278 1,279 4,139 2,220 1,880 1,471 1,700 2,078 3,000 2,605 2,767 2,900 1,000 2,467 9,358 4,327 3,020 2,783 1,314 421 9,316 1,446 13,850 5,128 2,122 5,404 43,506 806 8,657 4,020 4,572 2,549
0 457 19 57 103 8,152 0 1,191 1,743 4,335 0 0 3,620 0 0 0 1,119 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,059 0 219 557 8,629 83 892 414 471 0
X X X X X X X X X X X
X X X X X X X X X X X X X X X X X
5,927 5,927
750 5,692 2,170 712 1,284 317,901 4,918 17,863 68,000 169,064 12,209 13,627 54,297 1,450 6,938 93,734 35,235 3,100 14,150 26,278 1,300 4,139 2,220 1,880 1,471 1,700 2,078 3,000 2,605 2,767 2,900 1,000 2,467 1,217 563 1,625 1,500 710 216 5,033 742 15,877 3,238 1,225 3,120 336,559 124 1,338 621 707 0
5 7 7 7 7 39 7 15 39 39 7 7 15 5 40 40 40 39 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 7 7 7 7 7 5 7 5 15 7 7 7 39 7 7 7 7 5
HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB MM S/L HY 200DB HY S/L MM S/L MM S/L HY 200DB HY 200DB HY S/L HY 200DB MM S/L MM S/L MM S/L MM S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY S/L HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB HY S/L HY 200DB HY 200DB HY 200DB MM S/L HY 200DB HY 200DB HY 200DB HY 200DB HY 200DB
TITUSPLAY TITUSVILLE PLAYHOUSE INC AMT Asset Report 59-6177447 Form 990, Page 1 FYE: 5/31/2024 Asset Description 57 BUILDING IMPROVEMENTS 58 ROLLER 59 COMPUTER 60 BUILDING IMPROVEMENTS 61 PROJECTOR 62 SOUND BOARD 63 SCENIC AUTOMATION 64 SCENIC AUTOMATION 65 413 S. PALM AVE 67 415 S. PALM AVE 69 WINDOWS 70 DOORS 71 BAR REMODEL 72 321 WILSON AVE 74 313 WILSON AVE 75 420 JULIA ST 76 422 JULIA ST 77 428 JULIA ST 79 312/314 S PALM AVE 81 IMPROVEMENTS 82 VIDEO SERVER 83 LIGHTING EQUIP 84 APAV EQUIPMENT 85 APPLE COMPUTERS 87 SCENIC AUTOMATION 88 DELL COMPUTERS 89 KEYBOARD/ PIANO 90 KEYBOARD/ PIANO 91 PORT LIGHTING SYSTEM 92 APPLE COMPUTER
Date In Service 8/20/18 6/20/18 11/23/18 5/08/20 12/17/19 12/17/19 2/11/20 8/01/20 9/30/20 8/31/20 7/15/20 1/18/21 4/12/22 5/18/22 7/15/21 7/15/21 7/15/21 7/15/21 7/02/21 5/31/23 6/17/22 6/13/22 10/13/22 7/19/22 2/06/23 6/30/22 6/27/22 6/15/22 6/15/22 2/14/23
ACRS: 15 BUILDING Total ACRS Depreciation
6/01/84
Other Depreciation: 46 311 JULIE ST (LAND) 11/21/14 47 313 JULIA STREET (LAND) 4/11/16 56 LAND 6/01/84 66 413 S PALM AVE LAND 9/30/20 68 415 S. PALM AVE LAND 8/31/20 73 321 WILSON AVE LAND 5/18/22 78 420/422/428/313 JULIA WILSON LAND 7/15/21 80 312/314 S, PALM AVE 7/02/21 Total Other Depreciation Total ACRS and Other Depreciation Listed Property: 86 VEHICLES
Grand Totals Less: Dispositions and Transfers Net Grand Totals
6/27/22
Cost 82,440 13,775 1,056 174,772 7,374 8,512 28,075 28,075 191,607 201,769 16,230 13,481 20,000 138,922 250,000 450,000 150,000 150,000 179,730 536,426 14,028 3,802 6,436 6,798 1,570 4,394 3,050 2,426 26,075 3,316 4,147,981
390,000 390,000
04/29/2025 1:21 PM
Bus Sec Basis % 179Bonus for Depr PerConv Meth X 58,985 15 HY S/L X 3,075 7 HY 200DB X 0 5 HY 200DB X 140,919 15 HY S/L X 2,303 7 HY 200DB X 2,659 7 HY 200DB X 8,769 7 HY 200DB X 12,276 7 HY 200DB 191,607 39 MM S/L 201,769 39 MM S/L 16,230 39 MM S/L 13,481 39 MM S/L 20,000 39 MM S/L 138,922 39 MM S/L 250,000 39 MM S/L 450,000 39 MM S/L 150,000 39 MM S/L 150,000 39 MM S/L 179,730 39 MM S/L 536,426 39 MM S/L 14,028 5 HY 200DB 3,802 7 HY 200DB 6,436 7 HY 200DB 6,798 5 HY 200DB 1,570 7 HY 200DB 4,394 5 HY 200DB 3,050 7 HY 200DB 2,426 7 HY 200DB 26,075 7 HY 200DB 3,316 5 HY 200DB 3,852,360
390,000 18 MM S/L 390,000
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
390,000
390,000
5,041 5,041
5,041 5,041
5,267,668 0 5,267,668
4,963,156 0 4,963,156
0 0 0 0 0 0 0 0
HY HY HY HY HY HY HY HY
5 HY 200DB
Prior 23,455 10,700 1,056 33,853 5,071 5,853 19,306 15,799 13,311 14,449 1,197 822 577 3,711 12,028 21,650 7,217 7,217 8,647 573 2,806 543 919 1,360 224 879 436 347 3,725 663 972,458
Current 3,933 1,230 0 9,394 658 760 2,505 3,507 4,913 5,173 416 345 513 3,562 6,411 11,539 3,846 3,846 4,609 13,755 4,489 931 1,577 2,175 385 1,406 747 594 6,386 1,061 133,865
370,500 370,500
0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
370,500
0
1,008 1,008
1,613 1,613
1,343,966 0 1,343,966
146,209 0 146,209
TITUSPLAY TITUSVILLE PLAYHOUSE INC Bonus Depreciation Report 59-6177447 Form 990, Page 1 FYE: 5/31/2024 Asset Property Description 1 SOUND EQUIPMENT 2 OFFICE FURNITURE 3 RESTROOM EQUIP/ FIXTURE 4 CHANDELIER LIFT 5 FURN FIXTURES 7 CHAIRS 8 BUILDING IMPROVEMENTS 11 SOUND SYSTEM 12 EQUIPMENT (VARIOUS) 13 IMPROVEMENTS 14 LIGHTING 35 FASCADE 36 MICROPHONES 37 LIGHTING SOFTWARE 38 GENIE LIFT 39 PROJECTOR 40 SOUND EQUIPMENT 41 COMPUTER 42 LIGHTING 43 TICKET PRINTER 44 TRUSSES 45 EQUIPMENT 48 ICE MAKER 49 SIGN 51 SOUND EQUIPMENT 52 GENIE LIFT 53 CAMERA 54 LIGHTING EQUIPMENT 55 COMPUTER 57 BUILDING IMPROVEMENTS 58 ROLLER 59 COMPUTER 60 BUILDING IMPROVEMENTS 61 PROJECTOR 62 SOUND BOARD 63 SCENIC AUTOMATION 64 SCENIC AUTOMATION 95 THEATRE SEATS
Date In Service 1/26/17 3/14/17 8/29/16 3/17/17 3/27/17 5/27/14 11/05/13 12/22/14 3/05/15 5/12/16 10/15/15 7/31/11 7/31/11 8/28/12 10/02/12 10/26/12 12/12/12 2/28/13 2/28/13 2/28/13 6/26/13 5/29/14 7/24/17 8/31/17 10/03/17 10/23/17 11/27/17 12/06/17 3/28/18 8/20/18 6/20/18 11/23/18 5/08/20 12/17/19 12/17/19 2/11/20 8/01/20 5/30/24 Grand Total
Tax Bus Cost Pct 1,500 11,384 4,341 1,425 2,569 9,836 35,726 24,418 27,255 108,595 2,900 10,575 4,890 837 3,250 3,000 1,420 433 10,066 1,485 29,727 6,477 2,450 6,240 930 9,995 4,641 5,279 2,549 82,440 13,775 1,056 174,772 7,374 8,512 28,075 28,075 14,818 693,090
Tax Sec 179 Exp
04/29/2025 1:21 PM
Current Bonus
Prior Bonus
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8,891
750 5,692 2,171 713 1,285 4,918 17,863 12,209 13,628 54,298 1,450 9,358 4,327 419 1,625 1,500 710 217 5,033 743 13,850 3,239 1,225 3,120 806 8,657 4,020 4,572 2,549 23,455 10,700 1,056 33,853 5,071 5,853 19,306 15,799 0
Tax - Basis for Depr 750 5,692 2,170 712 1,284 4,918 17,863 12,209 13,627 54,297 1,450 1,217 563 418 1,625 1,500 710 216 5,033 742 15,877 3,238 1,225 3,120 124 1,338 621 707 0 58,985 3,075 0 140,919 2,303 2,659 8,769 12,276 5,927
0
8,891
296,040
388,159
TITUSPLAY TITUSVILLE PLAYHOUSE INC Depreciation Adjustment Report 59-6177447 All Business Activities FYE: 5/31/2024
Form
Unit
Asset
Description
Tax
AMT
04/29/2025 1:21 PM
AMT Adjustments/ Preferences
MACRS Adjustments: Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 38 39 40 41 42 43 44 45 48 49 50 51 52 53 54 55 57 58 59 60 61 62 63 64 65 67 69 70 71 72 74
SOUND EQUIPMENT OFFICE FURNITURE RESTROOM EQUIP/ FIXTURE CHANDELIER LIFT FURN FIXTURES IMPROVEMENTS CHAIRS BUILDING IMPROVEMENTS 311 JULIA ST BLDG BUILDING IMPROVEMENTS SOUND SYSTEM EQUIPMENT (VARIOUS) IMPROVEMENTS LIGHTING BALCONY IMPROVEMENT BUILDING IMPROVEMENTS EXTERIOR REPAIR INTERIOR REP EL ROOF ROOF FLOORS FLOORS TILE AIR CONDITIONER CARPET CEILING TILE IMPROVEMENTS IMPROVEMENTS IMPROVEMENTS IMPROVEMENTS WINDOWS IMPROVEMENTS FLOORS FASCADE MICROPHONES GENIE LIFT PROJECTOR SOUND EQUIPMENT COMPUTER LIGHTING TICKET PRINTER TRUSSES EQUIPMENT ICE MAKER SIGN BUILDING IMPROVEMENTS SOUND EQUIPMENT GENIE LIFT CAMERA LIGHTING EQUIPMENT COMPUTER BUILDING IMPROVEMENTS ROLLER COMPUTER BUILDING IMPROVEMENTS PROJECTOR SOUND BOARD SCENIC AUTOMATION SCENIC AUTOMATION 413 S. PALM AVE 415 S. PALM AVE WINDOWS DOORS BAR REMODEL 321 WILSON AVE 313 WILSON AVE
0 457 19 57 103 8,152 0 1,191 1,743 4,335 0 0 3,620 0 0 0 1,119 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,059 0 219 557 8,629 83 892 414 471 0 3,933 1,230 0 9,394 658 760 2,505 3,507 4,913 5,173 416 345 513 3,562 6,411
0 457 19 57 103 8,152 0 1,191 1,743 4,335 0 0 3,620 0 0 0 1,119 79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,059 0 219 557 8,629 83 892 414 471 0 3,933 1,230 0 9,394 658 760 2,505 3,507 4,913 5,173 416 345 513 3,562 6,411
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TITUSPLAY TITUSVILLE PLAYHOUSE INC Depreciation Adjustment Report 59-6177447 All Business Activities FYE: 5/31/2024
Form Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1 Page 1
Unit 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Asset 75 76 77 79 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
Description 420 JULIA ST 422 JULIA ST 428 JULIA ST 312/314 S PALM AVE IMPROVEMENTS VIDEO SERVER LIGHTING EQUIP APAV EQUIPMENT APPLE COMPUTERS VEHICLES SCENIC AUTOMATION DELL COMPUTERS KEYBOARD/ PIANO KEYBOARD/ PIANO PORT LIGHTING SYSTEM APPLE COMPUTER IMPROVEMENTS PORTABLE TOILETS THEATRE SEATS
Tax 11,539 3,846 3,846 4,609 13,755 4,489 931 1,577 2,175 1,613 385 1,406 747 594 6,386 1,061 739 890 9,102 146,209
AMT 11,539 3,846 3,846 4,609 13,755 4,489 931 1,577 2,175 1,613 385 1,406 747 594 6,386 1,061 739 890 9,102 146,209
04/29/2025 1:21 PM
AMT Adjustments/ Preferences 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TITUSPLAY TITUSVILLE PLAYHOUSE INC Future Depreciation Report FYE: 59-6177447 Form 990, Page 1 FYE: 5/31/2024 Asset
Description
Date In Service
Cost
1/26/17 3/14/17 8/29/16 3/17/17 3/27/17 5/31/17 5/27/14 11/05/13 11/21/14 4/30/15 12/22/14 3/05/15 5/12/16 10/15/15 1/21/89 1/21/89 11/01/91 1/08/04 5/20/05 6/01/05 5/29/06 6/02/06 6/02/06 6/13/06 6/13/06 6/20/06 6/27/06 8/07/06 8/07/06 8/21/06 8/28/06 9/12/06 10/16/06 7/31/11 7/31/11 10/02/12 10/26/12 12/12/12 2/28/13 2/28/13 2/28/13 6/26/13 5/29/14 7/24/17 8/31/17 5/30/18 10/03/17 10/23/17 11/27/17 12/06/17 3/28/18 8/20/18 6/20/18 11/23/18 5/08/20 12/17/19 12/17/19 2/11/20 8/01/20 9/30/20 8/31/20 7/15/20 1/18/21 4/12/22 5/18/22 7/15/21 7/15/21
1,500 11,384 4,341 1,425 2,569 317,901 9,836 35,726 68,000 169,064 24,418 27,255 108,595 2,900 6,938 93,734 35,235 3,100 14,150 26,278 1,300 4,139 2,220 1,880 1,471 1,700 2,078 3,000 2,605 2,767 2,900 1,000 2,467 10,575 4,890 3,250 3,000 1,420 433 10,066 1,485 29,727 6,477 2,450 6,240 336,559 930 9,995 4,641 5,279 2,549 82,440 13,775 1,056 174,772 7,374 8,512 28,075 28,075 191,607 201,769 16,230 13,481 20,000 138,922 250,000 450,000
Tax
04/29/2025 1:21 PM
5/31/25
AMT
Prior MACRS: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 38 39 40 41 42 43 44 45 48 49 50 51 52 53 54 55 57 58 59 60 61 62 63 64 65 67 69 70 71 72 74 75
SOUND EQUIPMENT OFFICE FURNITURE RESTROOM EQUIP/ FIXTURE CHANDELIER LIFT FURN FIXTURES IMPROVEMENTS CHAIRS BUILDING IMPROVEMENTS 311 JULIA ST BLDG BUILDING IMPROVEMENTS SOUND SYSTEM EQUIPMENT (VARIOUS) IMPROVEMENTS LIGHTING BALCONY IMPROVEMENT BUILDING IMPROVEMENTS EXTERIOR REPAIR INTERIOR REP EL ROOF ROOF FLOORS FLOORS TILE AIR CONDITIONER CARPET CEILING TILE IMPROVEMENTS IMPROVEMENTS IMPROVEMENTS IMPROVEMENTS WINDOWS IMPROVEMENTS FLOORS FASCADE MICROPHONES GENIE LIFT PROJECTOR SOUND EQUIPMENT COMPUTER LIGHTING TICKET PRINTER TRUSSES EQUIPMENT ICE MAKER SIGN BUILDING IMPROVEMENTS SOUND EQUIPMENT GENIE LIFT CAMERA LIGHTING EQUIPMENT COMPUTER BUILDING IMPROVEMENTS ROLLER COMPUTER BUILDING IMPROVEMENTS PROJECTOR SOUND BOARD SCENIC AUTOMATION SCENIC AUTOMATION 413 S. PALM AVE 415 S. PALM AVE WINDOWS DOORS BAR REMODEL 321 WILSON AVE 313 WILSON AVE 420 JULIA ST
0 0 0 0 0 8,151 0 1,191 1,744 4,335 0 0 3,619 0 0 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 990 0 109 279 8,630 41 446 207 236 0 3,670 1,230 0 8,769 658 760 2,506 2,506 4,913 5,174 416 346 512 3,562 6,410 11,538
0 0 0 0 0 8,151 0 1,191 1,744 4,335 0 0 3,619 0 173 2,343 880 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 990 0 109 279 8,630 41 446 207 236 0 3,670 1,230 0 8,769 658 760 2,506 2,506 4,913 5,174 416 346 512 3,562 6,410 11,538
TITUSPLAY TITUSVILLE PLAYHOUSE INC Future Depreciation Report FYE: 59-6177447 Form 990, Page 1 FYE: 5/31/2024 Asset 76 77 79 81 82 83 84 85 87 88 89 90 91 92 93 94 95
Description 422 JULIA ST 428 JULIA ST 312/314 S PALM AVE IMPROVEMENTS VIDEO SERVER LIGHTING EQUIP APAV EQUIPMENT APPLE COMPUTERS SCENIC AUTOMATION DELL COMPUTERS KEYBOARD/ PIANO KEYBOARD/ PIANO PORT LIGHTING SYSTEM APPLE COMPUTER IMPROVEMENTS PORTABLE TOILETS THEATRE SEATS
Date In Service 7/15/21 7/15/21 7/02/21 5/31/23 6/17/22 6/13/22 10/13/22 7/19/22 2/06/23 6/30/22 6/27/22 6/15/22 6/15/22 2/14/23 5/15/24 7/26/23 5/30/24
04/29/2025 1:21 PM
5/31/25
Cost 150,000 150,000 179,730 536,426 14,028 3,802 6,436 6,798 1,570 4,394 3,050 2,426 26,075 3,316 692,028 17,800 14,818 4,872,627
Tax 3,846 3,846 4,608 13,754 2,693 665 1,126 1,305 274 843 533 424 4,561 637 17,745 1,691 1,633 143,212
AMT 3,846 3,846 4,608 13,754 2,693 665 1,126 1,305 274 843 533 424 4,561 637 17,745 1,691 1,633 146,608
6/01/84
390,000 390,000
0 0
0 0
8/28/12 11/21/14 4/11/16 6/01/84 9/30/20 8/31/20 5/18/22 7/15/21 7/02/21
837 10,000 112,500 22,459 10,000 10,000 10,000 60,403 20,000 256,199
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
646,199
0
0
5,041 5,041
968 968
968 968
5,523,867
144,180
147,576
ACRS: 15
BUILDING Total ACRS Depreciation
Other Depreciation: 37 46 47 56 66 68 73 78 80
LIGHTING SOFTWARE 311 JULIE ST (LAND) 313 JULIA STREET (LAND) LAND 413 S PALM AVE LAND 415 S. PALM AVE LAND 321 WILSON AVE LAND 420/422/428/313 JULIA WILSON LAND 312/314 S, PALM AVE Total Other Depreciation Total ACRS and Other Depreciation
Listed Property: 86
VEHICLES
Grand Totals
6/27/22
TITUSPLAY 04/29/2025 1:21 PM
Form
990
Two Year Comparison Report 06/01/23 For calendar year 2023, or tax year beginning , ending
2022 & 2023 05/31/24
Name
Taxpayer Identification Number
TITUSVILLE PLAYHOUSE INC
59-6177447
Other Information
Expenses
Revenue
2022 1. Contributions, gifts, grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Government contributions and grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. Program service revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Proceeds from tax exempt bonds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Net gain or (loss) from sale of assets other than inventory . . . . . . . . 8. Net income or (loss) from fundraising events . . . . . . . . . . . . . . . . . . . . . . 9. Net income or (loss) from gaming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Net gain or (loss) on sales of inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Total revenue. Add lines 1 through 11 13. Grants and similar amounts paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Benefits paid to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15. Compensation of officers, directors, trustees, etc. . . . . . . . . . . . . . . . . . 16. Salaries, other compensation, and employee benefits . . . . . . . . . . . . 17. Professional fundraising fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18. Other professional fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . . . . . . . . . . . 20. Depreciation and Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21. Other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22. Total expenses. Add lines 13 through 21 . . . . . . . . . . . . . . . . . . . . . . . . 23. Excess or (Deficit). Subtract line 22 from line 12 24. Total exempt revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Total unrelated revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Total excludable revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. Number of voting members of governing body . . . . . . . . . . . . . . . . . . . . 31. Number of independent voting members of governing body . . . . . . 32. Number of employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33. Number of volunteers
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33.
391,445 83,800 193,424 1,357,966 1,753
2023
534,402 98,100
Differences
1,733,109 2,540
142,957 14,300 -193,424 375,143 787
-8,070
10,570 42,062
18,640 42,062
105,440 2,125,758
67,047 2,487,830
-38,393 362,072
876,822
892,545
15,723
25,934 169,465 117,281 785,826 1,975,328 150,430 2,125,758
18,073 197,252 146,209 1,092,718 2,346,797 141,033 2,487,830
-7,861 27,787 28,928 306,892 371,469 -9,397 362,072
1,457,089 4,473,191 2,937,833 1,535,358 5 5 36
1,813,266 4,537,221 2,861,500 1,675,721 5 5 31
356,177 64,030 -76,333 140,363
TITUSPLAY 04/29/2025 1:21 PM
Form
990
2023 & 2024
Tax Projection Worksheet
Name
Taxpayer Identification Number
Other
Expenses
Revenue
TITUSVILLE PLAYHOUSE INC 1. Contributions, gifts, grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Government contributions and grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. Program service revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Proceeds from tax exempt bonds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Net gain or (loss) from sale of assets other than inventory . . . . . . . . 8. Net income or (loss) from fundraising events . . . . . . . . . . . . . . . . . . . . . . 9. Net income or (loss) from gaming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Net gain or (loss) on sales of inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Total revenue. Add lines 1 through 11 13. Grants and similar amounts paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Benefits paid to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15. Compensation of officers, directors, trustees, etc. . . . . . . . . . . . . . . . . . 16. Salaries, other compensation, and employee benefits . . . . . . . . . . . . 17. Professional fundraising fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18. Other professional fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . . . . . . . . . . . 20. Depreciation and Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21. Other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22. Total expenses. Add lines 13 through 21 . . . . . . . . . . . . . . . . . . . . . . . . 23. Excess or (Deficit). Subtract line 22 from line 12 24. Total exempt revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25. Total unrelated revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Total excludable revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. Number of voting members of governing body . . . . . . . . . . . . . . . . . . . . 31. Number of independent voting members of governing body . . . . . . 32. Number of employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33. Number of volunteers
59-6177447 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33.
2023
2024
534,402 98,100
534,402 98,100
1,733,109 2,540
1,733,109 2,540
10,570 42,062
10,570 42,062
67,047 2,487,830
67,047 2,487,830
892,545
892,545
18,073 197,252 146,209 1,092,718 2,346,797 141,033 2,487,830
18,073 197,252 146,209 1,092,718 2,346,797 141,033 2,487,830
1,813,266 4,537,221 2,861,500 1,675,721 5 5 31
1,813,266 4,537,221 2,861,500 1,675,721 5 5 31
Differences
TITUSPLAY 04/29/2025 1:21 PM
Form
990
2023
Tax Return History
Name
Employer Identification Number
TITUSVILLE PLAYHOUSE INC 2019 Contributions, gifts, grants . . . . . . . . . . . . Membership dues . . . . . . . . . . . . . . . . . . . . . Program service revenue Capital gain or loss . . . . . . . . . . . . . . . . . . . . Investment income . . . . . . . . . . . . . . . . . . . .
59-6177447 2020
2021
2022
2023
2024
584,869 83,800 1,357,966 -8,070 1,753
534,402 98,100 1,733,109 10,570 2,540 42,062
534,402 98,100 1,733,109 10,570 2,540 42,062
105,440 2,125,758
67,047 2,487,830
67,047 2,487,830
876,822 25,934 169,465 117,281 785,826 1,975,328 150,430
892,545 18,073 197,252 146,209 1,092,718 2,346,797 141,033
892,545 18,073 197,252 146,209 1,092,718 2,346,797 141,033
2,125,758
2,487,830
2,487,830
1,457,089 4,473,191 2,937,833 1,535,358
1,813,266 4,537,221 2,861,500 1,675,721
1,813,266 4,537,221 2,861,500 1,675,721
Fundraising revenue (income/loss) . . . Gaming revenue (income/loss) . . . . . . . . Other revenue . . . . . . . . . . . . . . . . . . . . . . .
Total revenue . . . . . . . . . . . . . . . . . . . . . . . . Grants and similar amounts paid . . . . . . Benefits paid to or for members . . . . . . . Compensation of officers, etc. . . . . . . . . Other compensation . . . . . . . . . . . . . . . . . . Professional fees . . . . . . . . . . . . . . . . . . . . . . Occupancy costs . . . . . . . . . . . . . . . . . . . . . . Depreciation and depletion . . . . . . . . . . . . Other expenses . . . . . . . . . . . . . . . . . . . . . . . Total expenses . . . . . . . . . . . . . . . . . . . . . . . Excess or (Deficit) . . . . . . . . . . . . . . . . . . . Total exempt revenue . . . . . . . . . . . . . . . . . Total unrelated revenue . . . . . . . . . . . . . . . Total excludable revenue . . . . . . . . . . . . . Total Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Liabilities . . . . . . . . . . . . . . . . . . . . . . . . Net Fund Balances . . . . . . . . . . . . . . . . . . . .
TITUSPLAY TITUSVILLE PLAYHOUSE INC 59-6177447 FYE: 5/31/2024
4/29/2025 1:21 PM
Federal Statements
Form 990, Part IX, Line 24e - All Other Expenses Total Expenses
Description WORKSHOPS & SUMMER CAMP SALES TAXES MOTIVATIONAL COSTS ADMINISTRATIVE COSTS TOTAL
$
$
17,043 13,322 8,821 6,915 46,101
Program Service $
$
17,043 13,322 8,821 39,186
Management & General $
$
Fund Raising $
6,915 6,915
$
0
Marketing Support Program - TITUSVILLE PLAYHOUSE FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
Production Expense
$406,940.00
$215,003.00
$191,937.00
Box Office Sales
$1,939,190.00 $1,435,163.00
$504,027.00
Facilities & maintenance
$242,500.00
$174,208.00
$68,292.00
Memberships
$132,600.00
$141,000.00
-$8,400.00
Administrative
$353,200.00
$278,980.00
$74,220.00
Fundraising Events
$108,355.00
$255,643.00
-$147,288.00
Labor
$1,262,356.00
$859,704.00
$402,652.00
Educational Outreach
$63,950.00
$78,315.00
-$14,365.00
$6,200.00
$3,335.00
$2,865.00
Other
$254,200.00
$236,905.00
$17,295.00
Income Subtotal Sponsorships
$2,498,295.00 $2,147,026.00
$351,269.00
$126,000.00
$294,000.00
-$168,000.00
TDC grant funding
$17,500.00
$20,000.00
-$2,500.00
Total Income
$2,641,795.00 $2,461,026.00
Total Expenses Paid
$2,640,196.00 $1,951,385.00
Educational Program Expenses Subtotal Other Expenses
$2,271,196.00 $1,531,230.00
$739,966.00
Other
$254,000.00
-$54,457.00
$308,457.00
2025-2026 projection
2024-2025 actuals
VAR
Cash in Bank to start
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$254,000.00
$308,457.00
-$54,457.00
In county mailer
$40,000.00
$0.00
$40,000.00
Out of county mailer
$30,000.00
$0.00
$30,000.00
Social media
$7,500.00
$0.00
$7,500.00
Other marketing
$37,500.00
$111,698.00
-$74,198.00
Profit/Loss
$1,599.00
$180,769.00
$509,641.00
Note: 2024-2025 actuals are 6-24 - 3-25
$0.00 $0.00 $0.00 $115,000.00
$111,698.00
$3,302.00
Marketing Expense Total Expenses 2025-2026
$2,640,196.00 $1,951,385.00
.
Updated: 6/19/2025
Melbourne Main Street
Return to Table of Contents
For TOO use: PROJECT#- C 9
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Melbourne Main Street Applicant Event Name: Candlelight Shopping, Food & Wine Fest, Botanical Festival
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes X
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). Lll�_N_O__. All documents have been submitted, reviewed and/or addressed in the comments.
�b �
7fifrotr
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:64 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Kimberly Meehan Agee
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Melbourne Main Street Organization address 2004 Vernon Place, Melbourne, FL, USA State Florida City Melbourne Zip 32901 Primary contact name Kimberly Agee Primary contact phone number 3218069144
Primary contact email kim@downtownmelbourne.com Secondary contact name Tara Weigner Secondary contact phone number 330-990-0148 Secondary contact email events@downtownmelbourne.com Organization website address www.DowntownMelbourne.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-1977660
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Candlelight Shopping Event website address (if different from organization website) www.DowntownMelbourne.com Event location Melbourne, FL
9. (untitled) 8. What is the first date of your event? 11/29/2025
10. (untitled) 9. In total, how many days will your event be held? 4
11. (untitled) 10. Do you have a second event? Yes
12. (untitled) 11. EVENT INFORMATION - #2 Name of event Food and Wine Festival Event website address (if different from organization website) www.DowntownMelbourne.com Event location Melbourne, FL
13. (untitled) 12. What is the first date of your event? 11/08/2025
14. (untitled) 13. In total, how many days will your event be held? 1
15. (untitled) 14. Do you have a third event? Yes
16. (untitled) 15. EVENT INFORMATION - #3 Name of event Botanical Fest Event website address (if different from organization website) www.DowntownMelbourne.com Event location Melbourne, FL
17. (untitled) 16. What is the first date of your event? 04/11/2026
18. (untitled) 17. In total, how many days will your event be held? 1
19. (untitled) 18. What types of marketing do you plan to do for this event? Billboards Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Print Ads, Constant Contact Direct Email, Website Event Listings (various sites, including DowntownMelbourne.com, Space Coast Office of Tourism, BCA, Destination Brevard, etc.
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 19. What are your social media handles? Facebook : melbournemainstreet & downtownmelborunemelbournemainstreet Instagram : melbournemainstreet
22. (untitled) 20. What hashtags do you currently use? #melbournemainstreet, #downtownmelbourne
23. (untitled) 21. Upload a copy of your organization's IRS Determination letter. 3._MMS_IRS_Determination_Ltr.pdf
24. (untitled) 22. Upload a copy of your organization's 990 form. 5._MMS_2023_Tax_Return_Documents_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 23. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. 4._MMS_SunBiz_2024-2025.pdf
27. (untitled) 24. Upload your completed W-9 form. 6._MMS_W9_2024_Form.pdf
28. (untitled) 25. Upload your completed Event Income/Expense report. 7._MMS_Income_Expense_Report_FY25-26.pdf
29. (untitled) 26. Upload your completed Checklist. 8._MMS_MSP_Checklist_2025-2026.pdf
30. (untitled) 27.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Kimberly Meehan Agee
31. Thank You! New Send Email Jun 06, 2025 15:14:22 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
INTERNAL REVENUE SERVICE P. 0. BOX 2508 CINCINNATI, OH 45201 Date:
MAY 2 1 2004
MELBOURNE MAIN STREET INC 1908 MUNICIPAL LN MELBOURNE, FL 32902-0754
DEPARTMENT OF THE TREASURY
Employer Identification Number: 34-1977660 DLN: 17053118051044 Contact Person: ZENIA LUK ID# 31522 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Foundation Status Classification: 509(a) (1) Advance Ruling Period Begins: Octobe:::- 31, 2003 Advance Ruling Period Ends: December 31, 2007 Addendum Applies: No
Dear Applicant: Based on information you supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from federal income tax under section 50l(a) of the Internal Revenue Code as an organization described in section 50l(c) (3). Because you are a newly created organization, we are not now making a final determination of your foundation status under section 509(a) of the Code. However, we have determined that you can reasonably expect to be a publicly supported organization described in sections 509(a) (1) and 170(b) (1) (A) (vi) Accordingly, during an advance ruling period you will be treated as a publicly supported organizati�n, and not as a private foundation. This advance ruling period begins and ends on the dates shown above. Within 90 days after the end of your advance ruling period, you must send us the information needed to determine whether you have met the require ments of the applicable support test during the advance ruling period. If you establish that you :1ave been a publicly st:.pported orgar,ization, we will classi fy you as a section 509(a) (1) or 509(a) (2) organization as long as you continue to meet the requirements of the applicable support test. If you do not meet the public support requirements during the advance ruling period, we will classify you as a private foundation for future periods. Also, if we classify you as a private foundation, we will treat you as a private foundation from your beginning date for purposes of section 507(d) and 4940. Grantors and contributors may rely on our determination that you are not a private foundation until 90 days after the end of your advance ruling period. If you send us the required information within the 90 days, grantors and contributors may continue to rely on the advance determination until we make Letter 1045 (DO/CG)
6/6/25, 2:55 PM
Detail by Entity Name Division of Corporations
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation MELBOURNE MAIN STREET, INC. Filing Information
Document Number
N03000009650
FEI/EIN Number
34-1977660
Date Filed
10/31/2003
State
FL
Status
ACTIVE
Principal Address
2004 Vernon Place Melbourne, FL 32901 Changed: 02/20/2018 Mailing Address
P O BOX 754 Melbourne, FL 32902 Changed: 01/20/2021 Registered Agent Name & Address
Agee, Kimberly 2004 Vernon Place Melbourne, FL 32901 Name Changed: 03/11/2024 Address Changed: 04/25/2019 Officer/Director Detail
Name & Address Title Vice Chair McGuire, Alexis P O BOX 754 Melbourne, FL 32902 Title Past Chair https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…
1/4
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Detail by Entity Name
Runte, Corey P O BOX 754 Melbourne, FL 32902 Title Director Cable, David PO BOX 754 Melbourne, FL 32902 Title Immediate Past Chair Luer, Albert PO BOX 754 Melbourne, FL 32902 Title Board Chair Hartford, Cassandra PO BOX 754 Melbourne, FL 32902 Title Director Williams, Jason PO BOX 754 Melbourne, FL 32902 Title Director Frazier, Jr, John PO BOX 754 Melbourne, FL 32902 Title Director Trauger, Erin PO Box 754 Melbourne, FL 32902 Title Treasurer Milton, Lory PO BOX 754 Melbourne, FL 32902 Title Secretary Williams, Jordan PO Box 754 Melbourne, FL 32902 https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…
2/4
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Detail by Entity Name
Title Director Butler, Kat PO Box 754 Melbourne, FL 32902 Title Director Flores, Matthew PO Box 754 Melbourne, FL 32902 Title Director Hemmenway, Don PO Box 754 Melbourne, FL 32902 Title Director Hill, Mike PO Box 754 Melbourne, FL 32902 Title Director Ex-Officio Agee, Kimberly 2004 Vernon Place Melbourne, FL 32901 Annual Reports
Report Year
Filed Date
2023
01/09/2023
2024
03/11/2024
2025
02/07/2025
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03/11/2024 -- ANNUAL REPORT
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01/09/2023 -- ANNUAL REPORT
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04/29/2022 -- ANNUAL REPORT
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01/20/2021 -- ANNUAL REPORT
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06/02/2020 -- ANNUAL REPORT
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04/25/2019 -- ANNUAL REPORT
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02/20/2018 -- ANNUAL REPORT
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02/08/2017 -- ANNUAL REPORT
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03/28/2016 -- ANNUAL REPORT
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04/09/2015 -- ANNUAL REPORT
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04/23/2014 -- ANNUAL REPORT
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Detail by Entity Name
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Florida Department of State, Division of Corporations
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…
4/4
Form
990
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
2023
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Open to Public Department of the Treasury Internal Revenue Service Go to www.irs.gov/Form990 for instructions and the latest information. Inspection A For the 2023 calendar year, or tax year beginning , 2023, and ending , 20 B Check if applicable: C Name of organization D Employer identification number MELBOURNE MAIN STREET INC
34-1977660
Address change
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Final return/terminated
MELBOURNE, FL 32901
Application pending
X 501(c)(3) 501(c) ( ) (insert no.) Website: WWW.DOWNTOWNMELBOURNE.COM Form of organization: X Corporation Trust Association Other
Part I Activities & Governance Revenue Expenses
Gross receipts
H(a) Is this a group return for subordinates?
553,395 Yes X No
4947(a)(1) or
H(b) Are all subordinates included?
Yes
527
No
If "No," attach a list. See instructions H(c) Group exemption number
L Year of formation:
2003
M State of legal domicile:
FL
Summary 1
Net Assets or Fund Balances
G
$
ALBERT LUER PO BOX 754 MELBOURNE FL 32902
F Name and address of principal officer:
Tax-exempt status:
K
Telephone number
(321)724-1741
City or town, state or province, country, and ZIP or foreign postal code
Amended return
J
E
2004 VERNON PLACE
Initial return
I
Room/suite
Briefly describe the organization's mission or most significant activities:
SEE SCHEDULE O
Y P
2 Check this box 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) . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) . . . . . . . . . . . . . . . . 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . .
O C
8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) 24,427 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . . . . . . . . . . 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . .
3 4 5 6 7a 7b
14 14 4 0 0
Prior Year
Current Year
111,179 21,217
184,831 30,141 0 117,873 332,845 0 0 208,752 0
126,387 258,783
209,562
100,278 309,840 (51,057)
123,354 332,106 739
Beginning of Current Year
20 21 22
Part II
Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . .
End of Year
84,609 330 84,279
104,953 19,935 85,018
Signature Block
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.
KIMBERLY AGEE
Sign Here
Signature of officer
Date
KIMBERLY AGEE, EXECUTIVE DIRECTOR Type or print name and title Print/Type preparer's name
Preparer's signature
Date
Paid SHERRILL A BULLOCK CPA SHERRILL A BULLOCK CPA 12-09-2024 Preparer Firm's name BULLOCK & LESLIE TAX & ACCOUNTING Use Only Firm's address 1490 HIGHWAY A1A SUITE 302 SATELLITE BEACH FL 32937 May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. EEA
Check
if
self-employed
PTIN
P00524441
Firm's EIN Phone no.
321-752-5553
. . . . . . . . . . . . . . . . . . . . . . . . . . X Yes
No Form 990 (2023)
Form 990 (2023)
Part III 1
MELBOURNE MAIN STREET INC
34-1977660
Page 2
Statement of Program Service Accomplishments ............................
Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission:
SEE SCHEDULE O
2
3
4
4a
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
Y P
O C
(Code:
) (Expenses $
including grants of
$
4c
(Code:
) (Expenses $
including grants of
$
4d
Other program services (Describe on Schedule O.) (Expenses $ including grants of $ Total program service expenses 261,911
EEA
X No
Yes
X No
(Code: ) (Expenses $ ) (Revenue $ 261,911 including grants of $ 294,366 ) MELBOURNE MAIN STREET IS A 501(C)3 NON-PROFIT THAT WORKS TO BUILD PUBLIC AND PRIVATE PARTNERSHIPS TO REVITALIZE HISTORIC DOWNTOWN MELBOURNE, AN ACCREDITED MAIN STREET, PART OF THE NATIONAL TRUST FOR HISTORIC PRESERVATION. OUR MISSION IS TO FUEL ECONOMIC GROWTH BY CAPITALIZING ON THE COMMUNITY'S ASSETS AND PAYING PARTICULAR ATTENTION TO THE PHYSICAL, CULTURAL, AND SOCIAL IDENTITY OF DOWNTOWN MELBOURNE.
4b
4e
Yes
) (Revenue $
) (Revenue
$
)
) (Revenue
$
)
) Form 990 (2023)
Form 990 (2023)
Part IV
MELBOURNE MAIN STREET INC
Page 3
34-1977660
Checklist of Required Schedules Yes
1 2 3 4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18 19 20a b 21 EEA
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. . . . . . . . . . . . . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part . I .............................. Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III. . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part . II . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part . IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part . VII. . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part . VIII ...................... Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ............................... Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part .. X ....... Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part.X. . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional ......... Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E. . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and.IV ................. Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ........................... Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and.IV. . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions ................... Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part.II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization operate one or more hospital facilities? If "Yes," complete Schedule.H ................... If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and . II. . . . . . . . . . . . . . . .
O C
Y P
1 2
No
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18 19 20a 20b
X X X
21 X Form 990 (2023)
Form 990 (2023)
Part IV
MELBOURNE MAIN STREET INC
Page 4
34-1977660
Checklist of Required Schedules (continued) Yes
22 23
24a
b c d 25a b
26
27
28 a b c 29 30 31 32 33 34 35a b 36 37 38
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III. . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. . . . . . . . . . . . . . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part.I. . . . . . . . . . . . . . . . . . Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part.II. . . . . . . . . . . . . . . Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III ........................................ Was the organization a party to a business transaction with one of the following parties (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part.IV ................. A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule .M ............ Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part.I . . . . . . . Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part . I ......................... Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line . .2 . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part.VI. . . . . . . . . . Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule . O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Y P
O C
Part V
22
X
23
X
24a 24b
X
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X
38
X
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . Yes
1a b c EEA
No
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . . 1a 2 Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . . . . . . . . . . . . 1b 0 Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
1c X Form 990 (2023)
Form 990 (2023)
Part V 2a b 3a b 4a b 5a b c 6a b 7 a b c d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
EEA
MELBOURNE MAIN STREET INC
34-1977660
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . 2a 4 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule . O. . . . . . . . . . . . At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," indicate the number of Forms 8282 filed during the year. . . . . . . . . . . . . . . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. . . .
O C
Y P
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . .
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? .......... If "Yes," enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ............ Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . If "Yes," complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . . . . . . . . . . . . . . . If "Yes," complete Form 6069.
Yes
2b 3a 3b
Page 5 No
X X
4a
X
5a 5b 5c
X X
6a
X
6b
7a 7b 7c 7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b
X
15
X
16
X
17 Form 990 (2023)
Form 990 (2023)
Part VI
MELBOURNE MAIN STREET INC
Page 6
34-1977660
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management Yes 1a
b 2 3 4 5 6 7a b 8 a b 9
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . 1a 14 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O. Enter the number of voting members included in line 1a, above, who are independent . . . . . . . . . . . 1b 14 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?. . . . . . . . Did the organization become aware during the year of a significant diversion of the organization's assets? . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O .................
Y P
O C
No
2
X
3 4 5 6
X X X X
7a
X
7b
X
8a 8b
X X
9
X
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) 10a b 11a b 12a b c 13 14 15 a b 16a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If "No," go to line 13. . . . . . . . . . . . . . . . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done .......................................... Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
10a
X
10b 11a
X
12a 12b
X
12c 13 14
X X
15a 15b
X X
16a
X
16b
Section C. Disclosure 17 18
19 20
List the states with which a copy of this Form 990 is required to be filed Florida Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Upon request Own website Another's website Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records.
KIMBERLY AGEE (321)724-1741, 2004 VERNON PLACE, MELBOURNE, FL 32901 EEA
Form 990 (2023)
Form 990 (2023)
MELBOURNE MAIN STREET INC
Page 7
34-1977660
Part VII
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII ...................... Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See the instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
X
(C) (A)
(B)
Name and title
Average hours
Y P
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(E)
(F)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
per week
Highest compensated employee
EEA
Key employee
(1) ERIN TRAUGER DIRECTOR (2) SARAH HOUSTON DIRECTOR (3) JASON WILLIAMS DIRECTOR (4) LORY MILTON DIRECTOR (5) MARTI WATTS DIRECTOR (6) JORDAN WILLIAMS DIRECTOR (7) TERRY O'GRADY DIRECTOR (8) WHITNEY WAITE DIRECTOR (9) DAVID CABLE DIRECTOR (10) COREY RUNTE IMMEDIATE PAST CHAIR (11) JOHN FRAZIER JR. DIRECTOR (12) ALBERT LUER BOARD CHAIR (13) CASSANDRA HARTFORD VICE CHAIR (14) TERRY LOCKE TREASURER
Officer
below dotted line)
Institutional trustee
related organizations
Individual trustee or director
(list any hours for
O C X
Former
(D)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
0 Form 990 (2023)
Form 990 (2023)
Part VII
MELBOURNE MAIN STREET INC
Page 8
34-1977660
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
0
0
0
0
0
0
0 0 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0
per week Former
(15) ALEXIS MCGUIRE SECRETARY (16) KIMBERLY AGEE EXECUTIVE DIRECTOR
Highest compensated employee
below dotted line)
Key employee
related organizations
Officer
hours for
Institutional trustee
Individual trustee or director
(list any
X 40.00 X
(17) (18)
Y P
(19) (20) (21)
O C
(22) (23) (24) (25) 1b c d 2
3 4
5
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A .............. Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 Yes
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ....................
No
3
X
4
X
5
X
Section B. Independent Contractors 1
2 EEA
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization Form 990 (2023)
Form 990 (2023)
Part VIII
MELBOURNE MAIN STREET INC Check if Schedule O contains a response or note to any line in this Part VIII (A) Total revenue
Contributions, Gifts, Grants and Other Similar Amounts
Page 9
34-1977660
Statement of Revenue
1a b c d e f g h
Federated campaigns . . . . . . . . 1a Membership dues . . . . . . . . . . 1b 15,073 Fundraising events . . . . . . . . . 1c Related organizations . . . . . . . . 1d Government grants (contributions) . . 1e 161,483 All other contributions, gifts, grants, and similar amounts not included above 1f 8,275 Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . 1g $ Total. Add lines 1a-1f . . . . . . . . . . . . . . . . . . .
...................... (B)
(C)
(D)
Related or exempt function revenue
Unrelated business revenue
Revenue excluded from tax under sections 512–514
184,831
Program Service Revenue
Business Code
2a DOWNTOWN DIRECTORY 561499 b WAYFINDING SIGNS 561499 c d e f All other program service revenue . . . . . . g Total. Add lines 2a-2f . . . . . . . . . . . . . . . . . . . . 3 4 5
Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . Income from investment of tax-exempt bond proceeds .... Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) Real
Other Revenue Miscellanous Revenue
28,161 1,980
Y P
30,141
O C
(ii) Personal
6a Gross rents . . . . . . 6a b Less: rental expenses . . 6b c Rental income or (loss) 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . .
EEA
28,161 1,980
(i) Securities (ii) Other 7a Gross amount from sales of assets other than inventory . . 7a b Less: cost or other basis and sales expenses . . 7b c Gain or (loss) . . . . . 7c d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . 8a 338,423 b Less: direct expenses . . . . . . . . . 8b 220,550 c Net income or (loss) from fundraising events . . . . . . . . . 9a Gross income from gaming activities. See Part IV, line 19 . . . . . . 9a b Less: direct expenses . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . .
10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . Business Code 11a b c d All other revenue . . . . . . . . . . . . . . e Total. Add lines 11a-11d . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . .
117,873
332,845
117,873
30,141
0
117,873 Form 990 (2023)
Form 990 (2023)
Part IX
MELBOURNE MAIN STREET INC
34-1977660
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ... 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . 3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . . 4 Benefits paid to or for members . . . . . . . . . . . . 5 Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . 6 Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . 7 Other salaries and wages . . . . . . . . . . . . . . 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .. 9 Other employee benefits . . . . . . . . . . . . . . . 10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . 11 Fees for services (nonemployees): a Management . . . . . . . . . . . . . . . . . . . . . b Legal. . . . . . . . . . . . . . . . . . . . . . . . . c Accounting . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17. . f Investment management fees . . . . . . . . . . . . . g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) . . 12 Advertising and promotion . . . . . . . . . . . . . . 13 Office expenses . . . . . . . . . . . . . . . . . . . 14 Information technology . . . . . . . . . . . . . . . . 15 Royalties . . . . . . . . . . . . . . . . . . . . . . . 16 Occupancy . . . . . . . . . . . . . . . . . . . . . . 17 Travel . . . . . . . . . . . . . . . . . . . . . . . . 18 Payments of travel or entertainment expenses for any federal, state, or local public officials ..... 19 Conferences, conventions, and meetings . . . . . . . 20 Interest . . . . . . . . . . . . . . . . . . . . . . . . 21 Payments to affiliates . . . . . . . . . . . . . . . . . 22 Depreciation, depletion, and amortization . . . . . . . 23 Insurance . . . . . . . . . . . . . . . . . . . . . . 24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.) a HOLIDAY LIGHTS LEASE b TELEPHONE AND INTERNET c BANK AND CREDIT CARD FEES d PRINTING e All other expenses 25 Total functional expenses. Add lines 1 through 24e. . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) . . . . . . . . . . EEA
(A) Total expenses
(B) Program service expenses
(C) Management and general expenses
(D) Fundraising expenses
119,406
95,524
11,941
11,941
74,546
59,638
7,454
7,454
1,480
1,480
Y P
16,244
3,716 5,821 3,402 1,497
110 1,455 671 187
110
12,287 3,562
9,829 26
1,229 3,533
1,229 3
3,473
2,689
448
336
2,082
2,082
47,300 1,856 7,889 9,187 1,647 332,106
47,300 1,484 6,603 9,187 1,273 261,911
186 643
186 643
187 45,768
187 24,427
14,800
O C 16,244
3,936 7,276 4,744 1,871
11,840
671 187
Form 990 (2023)
Form 990 (2023)
Part X
MELBOURNE MAIN STREET INC
34-1977660
Check if Schedule O contains a response or note to any line in this Part X
........................ (A) Beginning of year
1 2 3 4 5
Liabilities
Assets
6 7 8 9 10a b 11 12 13 14 15 16 17 18 19 20 21 22
23 24 25
Net Assets or Fund Balances
26
EEA
27 28
29 30 31 32 33
Page 11
Balance Sheet
Cash - non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . . . . 10a 3,784 Less: accumulated depreciation . . . . . . . . . . 10b 3,784 Investments - publicly traded securities . . . . . . . . . . . . . . . . . . . . . Investments - other securities. See Part IV, line 11 . . . . . . . . . . . . . . . Investments - program-related. See Part IV, line 11 . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Secured mortgages and notes payable to unrelated third parties . . . . . . . . Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33. Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund ......... Retained earnings, endowment, accumulated income, or other funds ...... Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . .
O C
Y P
82,583
971
(B) End of year 1 2 3 4
35,219
68,412
5 6 7 8 9
10c 11 12 13 14 1,055 15 84,609 16 330 17 18 19 20 21
267
1,055 104,953 10,720 9,215
22 23 24
330
25 26
19,935
75,903 8,376
27 28
76,642 8,376
84,279 84,609
29 30 31 32 33
85,018 104,953 Form 990 (2023)
Form 990 (2023)
Part XI
MELBOURNE MAIN STREET INC
Check if Schedule O contains a response or note to any line in this Part XI 1 2 3 4 5 6 7 8 9 10
......................
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Page 12
34-1977660
Reconciliation of Net Assets 1 2 3 4 5 6 7 8 9
332,845 332,106 739 84,279
10
85,018
0
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII
....................... Yes
1
2a
b
c
3a b EEA
X Accrual Accounting method used to prepare the Form 990: Cash Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. X Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . .
O C
Y P
2a
No
X
2b
X
2c
X
3a
X
3b Form 990 (2023)
SCHEDULE A (Form 990)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
2023
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Department of the Treasury Internal Revenue Service Name of the organization
Employer identification number
MELBOURNE MAIN STREET INC
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
34-1977660
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: X An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross 10 receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) 11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. b Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. c Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. d Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations ....................................... g Provide the following information about the supported organization(s).
Y P
O C
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
(v) Amount of monetary support (see instructions)
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
MELBOURNE MAIN STREET INC
34-1977660
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 4 Total. Add lines 1 through 3 . . . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . 6 Public support. Subtract line 5 from line 4.
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
Y P
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total 7 Amounts from line 4 . . . . . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . 9 Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . 11 Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . 12 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ..............................................
O C
Section C. Computation of Public Support Percentage 14 15 16a
Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) . . . . . . 14 % Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . 15 % 33 1/3% support test - 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . b 33 1/3% support test - 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . 17a 10%-facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 10%-facts-and-circumstances test - 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
MELBOURNE MAIN STREET INC
34-1977660
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.")
2
3
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose . . . . Gross receipts from activities that are not an unrelated trade or business under section 513
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 6 Total. Add lines 1 through 5 . . . . . 7a Amounts included on lines 1, 2, and 3 received from disqualified persons . . b Amounts included on lines 2 and 3
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
15,676
135,988
110,910
132,396
214,972
609,942
276,979
50,485
372,799
329,057
338,423
1,367,743
292,655
186,473
483,709
461,453
553,395
1,977,685
4
Y P
received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year
c 8
Add lines 7a and 7b . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . . . . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources .
b
c 11
12
13 14
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . Add lines 10a and 10b . . . . . . . . . Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
O C
(a) 2019 292,655
(b) 2020 186,473
(c) 2021 483,709
(d) 2022 461,453
1,977,685 (e) 2023 553,395
(f) Total 1,977,685
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . 292,655 186,473 483,709 461,453 553,395 1,977,685 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ...........................................
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . . . . . . . Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . .
15 16
100.00 % 100.00 %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . 17 0.00 % Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . 18 0.00 % 33 1/3% support tests - 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization X
b
33 1/3% support tests - 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . .
EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
MELBOURNE MAIN STREET INC
Page 4
34-1977660
Part IV
Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
2
3a b
c 4a b
c
5a
b c 6
7
8 9a
b c 10a
b EEA
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below. Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked 12a or 12b in Part I, answer lines 4b and 4c below. Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
O C
Y P
No
1
2 3a
3b 3c 4a
4b
4c
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part IV
MELBOURNE MAIN STREET INC
Page 5
34-1977660
Supporting Organizations (continued) Yes No
11 a b c
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Y P
Section C. Type II Supporting Organizations 1
Section D. All Type III Supporting Organizations 1
2
3
Yes No
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
O C
1 Yes No
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
1 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 2 By reason of the relationship described in line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard. 3
Section E. Type III Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions). 2 Activities Test. Answer lines 2a and 2b below. Yes No a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. 2a b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 2b 3 Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No," provide details in Part VI. 3a b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard. 3b EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part V
MELBOURNE MAIN STREET INC
34-1977660
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A - Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B - Minimum Asset Amount (A) Prior Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities 1a b Average monthly cash balances 1b c Fair market value of other non-exempt-use assets 1c d Total (add lines 1a, 1b, and 1c) 1d e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1d. 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by 0.035. 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8
Y P
Section C - Distributable Amount 1 2 3 4 5 6 7 EEA
O C
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part V
MELBOURNE MAIN STREET INC
34-1977660
Section D - Distributions 1 2 3 4 5 6 7 8 9 10
Current Year
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) - provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. Distributable amount for 2023 from Section C, line 6 Line 8 amount divided by line 9 amount (i) Excess Distributions
Section E - Distribution Allocations (see instructions) 1 2
3 a b c d e f g h i j 4 a b c 5
6
7 8 a b c d e EEA
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required - explain in Part VI). See instructions. Excess distributions carryover, if any, to 2023 From 2018 . . . . . . . . From 2019 . . . . . . . . From 2020 . . . . . . . . From 2021 . . . . . . . . From 2022 . . . . . . . . Total of lines 3a through 3e Applied to underdistributions of prior years Applied to 2023 distributable amount Carryover from 2018 not applied (see instructions) Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2023 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2023 distributable amount Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2024. Add lines 3j and 4c. Breakdown of line 7: Excess from 2019 . . . . Excess from 2020 . . . . Excess from 2021 . . . . Excess from 2022 . . . . Excess from 2023 . . . .
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Y P
O C
Schedule A (Form 990) 2023
Page 8
Schedule A (Form 990) 2023
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Y P
O C EEA
Schedule A (Form 990) 2023
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Name of the organization
Supplemental Financial Statements
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
2023 Open to Public Inspection
Employer identification number
MELBOURNE MAIN STREET INC 34-1977660 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . Aggregate value of grants from (during year) . . . . . Aggregate value at end of year . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6
Part II
Yes
No
Yes
No
Conservation Easements Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Y P
6
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Number of conservation easements on a certified historic structure included on line 2a ........ 2c Number of conservation easements included on line 2c, acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements
2 a b c d 3 4 5
9
O C
Part III
Yes
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2023 EEA
Schedule D (Form 990) 2023
Part III 3 a b c 4 5
b c d e f 2a b
f g 2 a b c 3a
b 4
No
Y P
(b) Prior year
(c) Two years back
(d) Three years back
Beginning of year balance . . . . . . Contributions . . . . . . . . . . . . . Net investment earnings, gains, and losses . . . . . . . . . . . . . . . . Grants or scholarships . . . . . . . . Other expenditures for facilities and programs . . . . . . . . . . . . . . . Administrative expenses . . . . . . . End of year balance . . . . . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % Permanent endowment % Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
No
No
Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year
d e
Yes
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII and complete the following table. Amount Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . .
Part V
1a b c
Page 2
34-1977660
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply): Public exhibition d Loan or exchange program Scholarly research e Other Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?. . . . . . . . . . . . .
Part IV
1a
MELBOURNE MAIN STREET INC
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
(e) Four years back
O C
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
(d) Book value
1a Land . . . . . . . . . . . . . . . . . . . b Buildings . . . . . . . . . . . . . . . . . c Leasehold improvements . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . 3,784 3,784 e Other . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B). . . . . . . . . . . . . . . EEA
Schedule D (Form 990) 2023
MELBOURNE MAIN STREET INC
Schedule D (Form 990) 2023
Part VII
Page 3
34-1977660
Investments - Other Securities Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely-held equity interests . . . . . . . . . . . . . . . . . . . . . . (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column (b) must equal Form 990, Part X, line 12, col.(B)). . . . . . .
Part VIII
Investments - Program Related Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)). . . . . . .
Part IX
O C
Y P
(c) Method of valuation: Cost or end-of-year market value
Other Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(1)DEPOSITS (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15 col. (B)). . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
1.
(b) Book value
1,055
1,055
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(b) Book value
(1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 25 col. (B)) . .
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII. . . . . . EEA
Schedule D (Form 990) 2023
Schedule D (Form 990) 2023
MELBOURNE MAIN STREET INC
34-1977660
Page 4
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . 2a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2b Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) .................
2e 3
4c 5
Part XII
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ................
Part XIII
Supplemental Information
O C
Y P
2e 3
4c 5
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
EEA
Schedule D (Form 990) 2023
SCHEDULE G (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
MELBOURNE MAIN STREET INC
Part I 1 a b c d 2a b
34-1977660
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations e Solicitation of non-government grants Internet and email solicitations f Solicitation of government grants Phone solicitations g Special fundraising events In-person solicitations Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization.
(i) Name and address of individual or entity (fundraiser)
(ii) Activity
(iii) Did fundraiser have custody or control of contributions?
Yes
(iv) Gross receipts from activity
2 3
5 6 7 8 9 10
(v) Amount paid to (or retained by) fundraiser listed in col. (i)
Yes
No
(vi) Amount paid to (or retained by) organization
Y P
No
1
4
2023
O C
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule G (Form 990) 2023
MELBOURNE MAIN STREET INC 34-1977660 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
Schedule G (Form 990) 2023
Part II
Direct Expenses
Revenue
(a) Event #1
FLAVOR EXP
(event type)
(event type)
2 (total number)
262,402
73,670
31,959
368,031
2 3
Less: Contributions . . . . . Gross income (line 1 minus line 2) . . . . . . . . .
262,402
73,670
31,959
368,031
146,515
45,396
28,938
220,849
....................... .......................
220,849 147,182
.........
4
Cash prizes
5
Noncash prizes
6
Rent/facility costs . . . . . . .
7
Food and beverages . . . . .
8
Entertainment
9
Other direct expenses
10 11
Direct expense summary. Add lines 4 through 9 in column (d) Net income summary. Subtract line 10 from line 3, column (d)
.......
Y P
........ ....
O C
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (b) Pull tabs/instant bingo/progressive bingo
(d) Total gaming (add col. (a) through col. (c))
(c) Other gaming
1
Gross revenue . . . . . . . .
2
Cash prizes
3
Noncash prizes
.......
4
Rent/facility costs
......
5
Other direct expenses
6
Volunteer labor
7
Direct expense summary. Add lines 2 through 5 in column (d)
8
Net gaming income summary. Subtract line 7 from line 1, column (d) . . . . . . . . . . . . . . . . . . . .
.........
....
.......
Yes No
%
Yes No
%
Yes No
%
.......................
9 a b
Enter the state(s) in which the organization conducts gaming activities: Is the organization licensed to conduct gaming activities in each of these states? If "No," explain:
10a b
Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? If "Yes," explain:
EEA
(d) Total events (add col. (a) through col. (c))
Gross receipts . . . . . . . .
(a) Bingo
Revenue
(c) Other events
1
Part III
Direct Expenses
(b) Event #2
FOOD & WINE
Page 2
.....................
Yes
No
.........
Yes
No
Schedule G (Form 990) 2023
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
2023 Open to Public Inspection
Name of the organization
Employer identification number
MELBOURNE MAIN STREET INC
34-1977660
01. Form 990 governing body review (Part VI, line 11) NO REVIEW WAS OR WILL BE CONDUCTED
02. Governing documents, etc, available to public (Part VI, line 19) COPIES ARE AVAILABLE IN THE ADMINISTRATIVE OFFICE FOR REVIEW DURING NORMAL BUSINESS HOURS WITH APPROPRIATE ADVANCE NOTICE
Y P
03. General explanation attachment
FORM 990 - ORGANIZATION'S MISSION OR MOST SIGNIFICAN ACTIVITIES
MELBOURNE MAIN STREET IS RESPONSIBLE FOR THE REVITALIZATION EFFORTS IN HISTORIC DOWNTOWN
O C
MELBOURNE THROUGH THE 4-POINT APPROACH. THIS INCLUDES, BUT IS NOT LIMITED TO, HOSTING LARGE SCALE EVENTS, BUSINESS DEVELOPMENT, AND ADVOCACY ON BEHALF OF DOWNTOWN; CARRYING OUT THE MELBOURNE MURAL PROJECT, ADDRESSING ISSUES SUCH AS CHRONIC HOMELESSNESS, PARKING MANAGEMENT, AND OTHERS; WORKING TO IMPROVE DOWNTOWN THROUGH DESIGN AND AESTHETICS AND WORKING TO INFORM THE PUBLIC ON ALL THINGS DOWNTOWN, AND WORKING WITH THE BUSISNESSES TO BUILD A VIBRANT DOWNTOWN DISRICT.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule O (Form 990) 2023
* Item is included in UBIA for Section 199A calculations. See "UBIA" in lower right corner.
Depreciation Detail Listing
2023
Management & General
PAGE
Name(s) as shown on return
Social security number/EIN
MELBOURNE MAIN STREET INC No.
1
Description
1
(This page is not filed with the return. It is for your records only.) 34-1977660 Date
FURNITURE AND EQUIPME 07-31-2015
Basis
Business
Section
Adjustment
percentage
179
Y P
Cost
3,785
100.00
Bonus
Depreciable
depreciation
Basis
Life
3,785 7
Method
Rate
0
Prior
Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
3,785
3,785
O C Totals Land Amount Net Depreciable Cost
3,785 3,785
3,785
3,785 CY 179 and CY Bonus TOTAL CY Depr including 179/bonus
3,785 ST ADJ:
Marketing Support Program - MELBOURNE MAIN STREET FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
Salary/Wages and Payroll Tax
$15,000.00
$14,765.63
$234.37
Ticket Sales
$105,000.00
$99,896.20
$5,103.80
Contractors
$30,000.00
$27,165.75
$2,834.25
Vendor Fees
$14,000.00
$13,315.00
$685.00
Security services
$5,500.00
$5,113.30
$386.70
Non-Inventory Sales
$420.00
$418.00
$2.00
Processing Fees
$75.00
$66.00
$9.00
In-Kind Professional services
$60,000.00
$59,628.60
$371.40
In-Kind Use of Facilities
$12,500.00
$12,200.00
$300.00
Subtotal Income Income Sponsors
$191,995.00
$185,523.80
$6,471.20
$150,000.00
$146,746.00
$3,254.00
Subtotal Expense Other Expenses
$50,500.00
$47,044.68
$3,455.32
Supplies
$21,500.00
$20,410.28
$1,089.72
Food and Refreshments
$17,000.00
$16,486.54
$513.46
Telephone and Internet
$165.00
$152.40
$12.60
Postage and Shipping
$30.00
$23.90
$6.10
Equipment Rental
$63,000.00
$61,824.20
$1,175.80
Sponsorships
Printing and Copying
$8,000.00
$7,534.44
$465.56
Cash in Bank to start
Rent
$300.00
$300.00
$0.00
Meals
$550.00
$519.02
$30.98
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
Hotel and Lodging
$200.00
$193.50
$6.50
Total Income
$354,495.00
$347,269.80
$7,225.20
In-Kind Pro Services
$60,000.00
$59,628.60
371.4
Total Expenses Paid
$257,245.00
$248,247.37
$8,997.63
Profit/Loss
$97,250.00
$99,022.43
In-Kind Goods
$13,000.00
$12,200.00
$800.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$183,745.00
$179,272.88
$4,472.12
Advertising - Brevard
$16,000.00
$15,350.87
$649.13
Advertising - out of Brevard(30%estimate)
$7,000.00
$6,578.94
$421.06
Subtotal Marketing Marketing Expense
$23,000.00
$21,929.81
$1,070.19
Total Expenses 2025-2026
$257,245.00
$248,247.37
$0.00
.
Updated: 6/20/2025
US Space Walk of Fame Foundation/ASM
Return to Table of Contents
For TDO use: PROJECT#- C 10
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: US Space Walk of Fame Foundation Applicant Event Name: Year-round programming
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes No X
X
Comment N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
NO All documents have been submitted, reviewed and/or addressed in the comments.
fk �
7kf-r.o-tr
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:43 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Gabriel Rothblatt
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming US Space Walk of Fame Foundation Inc Organization address 308 Pine St State FL City Titusville Zip 32796 Primary contact name Gabriel Rothblatt Primary contact phone number 3212640434
Primary contact email gabriel@americanspacemuseum.org Secondary contact name Mark Marquette Secondary contact phone number 3212640434 Secondary contact email Mark@americanspacemuseum.org Organization website address www.spacewalkoffame.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-3267408
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Digital advertising (banner ads, etc.) Radio Search advertising (pay-per-click, etc.) Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 9. What are your social media handles? Facebook : SpaceWalkofFame Instagram : AmericanSpaceMuseuem YouTube : AmericanSpaceMuseum
22. (untitled) 10. What hashtags do you currently use? n/a
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. IRS_501c3_TAX_EXEMPT_LETTER.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. 2024US_XC7033_U.S._SPACE_WALK_OF_FAME_FOUNDATION_TAX_RETURN-CLIENT_COPY.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SunBiz_USSWOF_2025.pdf
27. (untitled) 14. Upload your completed W-9 form. SWOF_W-9.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. ASM_Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 16. Upload your completed Checklist. HP476_Scan0277.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Gabriel Rothblatt
31. Thank You!
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Jan 03, 2025 Secretary of State 3534685318CC
DOCUMENT# N94000000114 Entity Name: U.S. SPACE WALK OF FAME FOUNDATION, INC. Current Principal Place of Business: 308 PINE ST TITUSVILLE, FL 32796
Current Mailing Address: 308 PINE STREET TITUSVILLE, FL 32796 US FEI Number: 59-3267408
Certificate of Status Desired: No
Name and Address of Current Registered Agent: ROTHBLATT, GABRIEL 308 PINE ST TITUSVILLE, FL 32796 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: GABRIEL ROTHBLATT
01/03/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
DIRECTOR
Title
TREASURER
Name
OSTARLY, LARRY
Name
KING, BONNIE
Address
3758 IMPERATA DRIVE
Address
1945 HOLT DR.
City-State-Zip:
ROCKLEDGE FL 32955
City-State-Zip:
MERRITT ISLAND FL 32952
Title
CHAIRMAN
Title
VC
Name
POST, TROY
Name
STEVE, LLOYD
Address
5533 YAUPON HOLLY DRIVE
Address
190 S. SYKES CREEK PKWY STE. 3
City-State-Zip:
COCOA FL 32927
City-State-Zip:
MERRITT ISLAND FL 32952
Title
SECRETARY
Title
DIRECTOR
Name
SALTSMAN, JOSH
Name
WINKEL, MARTY
Address
6472 FLORA VISTA PL
Address
308 PINE ST
City-State-Zip:
COCOA FL 32927
City-State-Zip:
TITUSVILLE FL 32796
Title
DIRECTOR
Title
DIRECTOR
Name
CARNEY, EMILY
Name
MANDERNACK, DAVID
Address
308 PINE ST
Address
308 PINE ST
City-State-Zip:
TITUSVILLE FL 32796
City-State-Zip:
TITUSVILLE FL 32796
Continues on page 2
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: GABRIEL ROTHBLATT Electronic Signature of Signing Officer/Director Detail
EXECUTIVE DIRECTOR
01/03/2025 Date
Officer/Director Detail Continued : Title
DIRECTOR
Title
DIRECTOR
Name
ROBINSON, STEPHANIE
Name
SIECK, BOB
Address
308 PINE ST
Address
308 PINE ST
City-State-Zip:
TITUSVILLE FL 32796
City-State-Zip:
TITUSVILLE FL 32796
Title
DIRECTOR
Title
DIRECTOR
Name
JEFFREY, CHUCK
Name
MARS, CHARLES
Address
308 PINE ST
Address
308 PINE ST
City-State-Zip:
TITUSVILLE FL 32796
City-State-Zip:
TITUSVILLE FL 32796
Title
DIRECTOR
Title
DIRECTOR
Name
SHERBY, STEPHANIE DR.
Name
CUNNINGHAM, SUZY
Address
308 PINE ST
Address
308 PINE ST
City-State-Zip:
TITUSVILLE FL 32796
City-State-Zip:
TITUSVILLE FL 32796
Title
DIRECTOR
Name
ROTHBLATT, GABRIEL
Address
308 PINE ST
City-State-Zip:
TITUSVILLE FL 32796
CO
PY
FPT SERVICES, CPA PO BOX 562665 ROCKLEDGE, FL 32956-2665
NT
U.S. SPACE WALK OF FAME FOUNDATION, INC. 308 PINE STREET TITUSVILLE, FL 32796
CL IE
!327963!
426340 04-01-24
CL IE
NT
CO
CLIENT'S COPY
PY
Caution: Forms printed from within Adobe Acrobat products may not meet IRS or state taxing agency specifications. When using Acrobat, select the "Actual Size" in the Adobe "Print" dialog.
10250529 152165 C7033
2024.03050 U.S. SPACE WALK OF FAME F C7033__1
May 29, 2025
PY
U.S. SPACE WALK OF FAME FOUNDATION, INC. 308 PINE STREET TITUSVILLE, FL 32796
CO
U.S. SPACE WALK OF FAME FOUNDATION, INC.:
Enclosed are the original and one copy of the 2024 exempt organization return, as follows... 2024 Form 990
The enclosed Form(s) 2848 should be signed by the appropriate filer.
IE
FPT Services, CPAs
CL
Very truly yours,
NT
The original return should be dated, signed and filed in accordance with the filing instructions. The copy should be retained for your files.
May 29, 2025
PY
U.S. SPACE WALK OF FAME FOUNDATION, INC. 308 PINE STREET TITUSVILLE, FL 32796 U.S. SPACE WALK OF FAME FOUNDATION, INC.:
CO
It is our firm policy to bill separately for responding to IRS Notices and Inquiries which are not as a result of errors or omissions on our part. Responding to an Internal Revenue Service (IRS) inquiry or audits may greatly exceed the cost of the original tax return preparation. As an additional service we are pleased to offer a way for you to minimize your accounting and tax preparation fees should you receive a notice, audit or other inquiry from the IRS.
NT
For an advance fee we will represent you before the IRS with respect to 1) IRS Letter of Inquiry or Notice; or 2) IRS Letter of Inquiry/Notice and/or IRS Audit. In consideration of the advance fee we will represent you before the IRS with respect to any IRS inquiry and/or audit, depending on the option selected, for the tax return as noted below. We will represent you at no additional cost, except for the advance fee. Our representation will continue until the inquiry and/or audit have been resolved, or until it is necessary for you to hire legal counsel to resolve the matter.
Sincerely,
CL
FPT Services Certified Public Accountants
IE
To take advantage of this service simply select your representation option, sign this letter and remit the fee noted below. Please note that this offer is only valid for the tax returns prepared by us and must be selected within 5 days of preparation of your return. This offer does not apply to any notices received prior to the election of this service.
Tax Return Year: 2024
□ Option 1: Representation for Inquiry/Notice Only □ Option 2: Representation for Inquiry/Notice Only and Audit
Tax Return Form: 990 Fee
$85.00
Fee
$135.00
I HAVE READ THE ABOVE TERMS AND CONDITIONS FOR SELECTING THIS ADDITIONAL SERVICE AND AGREE TO THE TERMS AND CONDITIONS HEREIN. Signature
Date:
PY
PRIVACY POLICY CPAs, like all providers of personal financial services, are now required by law to inform their clients of their policies regarding privacy of client information. CPAs have been and continue to be bound by professional standards of confidentiality that are even more stringent than those required by law. Therefore, we have always protected your right to privacy.
CO
TYPES OF NONPUBLIC PERSONAL INFORMATION WE COLLECT
We collect nonpublic personal information about you that is either provided to us by you or obtained by us with your authorization. PARTIES TO WHOM WE DISCLOSE INFORMATION
NT
For current and former clients, we do not disclose any nonpublic personal information obtained in the course of our practice except as required or permitted by law. Permitted disclosures include, for instance, providing information to our employees and, in limited situations, to unrelated third parties who need to know that information to assist us in providing services to you. In all such situations, we stress the confidential nature of information being shared. PROTECTING THE CONFIDENTIALITY AND SECURITY OF CURRENT AND FORMER CLIENTS' INFORMATION
IE
We retain records relating to professional services that we provide so that we are better able to assist you with your professional needs and, in some cases, to comply with professional guidelines. In order to guard your nonpublic personal information, we maintain physical, electronic, and procedural safeguards that comply with our professional standards.
CL
*************
Please call if you have any questions, because your privacy, our professional ethics, and the ability to provide you with quality financial services are very important to us.
TAX RETURN FILING INSTRUCTIONS FORM 990
FOR THE YEAR ENDING December 31, 2024 Prepared For: U.S. SPACE WALK OF FAME FOUNDATION, INC. 308 PINE STREET TITUSVILLE, FL 32796
PY
Prepared By: FPT SERVICES, CPA PO Box 562665 Rockledge, FL 32956-2665
Not applicable Make Check Payable To: Not applicable
Not applicable Return Must be Mailed On or Before:
Special Instructions:
IE
Not applicable
NT
Mail Tax Return and Check (if applicable) To:
CO
Amount Due or Refund:
CL
This return has qualified for electronic filing. After you have reviewed the return for completeness and accuracy, please sign, date and return Form 8879-TE to our office. We will transmit the return electronically to the IRS and no further action is required. Return Form 8879-TE to us by November 17, 2025
TAX RETURN FILING INSTRUCTIONS
POWER OF ATTORNEY AND DECLARATION OF REPRESENTATIVE FOR THE YEAR ENDING December 31, 2024
U.S. SPACE WALK OF FAME FOUNDATION, INC. 308 PINE STREET TITUSVILLE, FL 32796
FPT SERVICES, CPA PO Box 562665 Rockledge, FL 32956-2665 Mail Tax Return To:
Return Must be Mailed On or Before:
NT
Internal Revenue Service 5333 Getwell Road Stop 8423 Memphis, TN 38118
CO
Prepared By:
PY
Prepared For:
Please mail as soon as possible. Special Instructions:
CL
IE
The Form(s) 2848 should be signed by the appropriate corporate officer(s).
Form
8879-TE
IRS E-file Signature Authorization for a Tax Exempt Entity For calendar year 2024, or fiscal year beginning
OMB No. 1545-0047
, 2024, and ending
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service
Name of filer
2024
, 20
EIN or SSN
U.S. SPACE WALK OF FAME FOUNDATION, INC. GABRIEL GODDARD ROTHBLATT Name and title of officer or person subject to tax EXECUTIVE DIRECTOR Part I Type of Return and Return Information
59-3267408
X
Form 1120-POL check here
4a
Form 990-PF check here ~ Form 8868 check here ~~
b Tax based on investment income (Form 990-PF, Part V, line 5) ~~~~ b Balance due (Form 8868, line 3c) ~~~~~~~~~~~~~~~~~~~~
4b
Form 990-T check here ~~ Form 4720 check here ~~
b Total tax (Form 990-T, Part III, line 4) ~~~~~~~~~~~~~~~~~~ b Total tax (Form 4720, Part III, line 1)
6b
b FMV of assets at end of tax year (Form 5227, Item D) ~~~~~~~~~ b Tax due (Form 5330, Part II, line 19) ~~~~~~~~~~~~~~~~~~
8b
9a
Form 5227 check here ~~ Form 5330 check here ~~
10a
Form 8038-CP check here
b Amount of credit payment requested (Form 8038-CP, Part III, line 22)
10b
2a
5a 6a 7a 8a
Part II
CO
3a
b Total revenue, if any (Form 990, Part VIII, column (A), line 12) ~~~~~~ 1b b Total revenue, if any (Form 990-EZ, line 9) ~~~~~~~~~~~~~~~ 2b b Total tax (Form 1120-POL, line 22) ~~~~~~~~~~~~~~~~~~~ 3b
1a
Form 990 check here ~~~ Form 990-EZ check here ~
PY
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I.
187,184.
5b 7b 9b
Declaration and Signature Authorization of Officer or Person Subject to Tax Under penalties of perjury, I declare that X I am an officer of the above entity or I am a person subject to tax with respect to (name of entity)
, (EIN)
and that I have examined a copy of the
PIN: check one box only X I authorize FPT
CL IE
NT
2024 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
SERVICES, CPA
to enter my PIN
70331 Enter five numbers, but do not enter all zeros
ERO firm name
as my signature on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen. Date
Signature of officer or person subject to tax
Part III
Certification and Authentication
ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
59591610383 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2024 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
B. EUGENE BURKETT, CPA
Date
05/29/25
ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see instructions. LHA
Form 8879-TE (2024)
402521 12-26-24
10250529 152165 C7033
2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Form
990
Department of the Treasury Internal Revenue Service
Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 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 2024 calendar year, or tax year beginning applicable: Address change Name change Initial return Final return/ terminated Amended return Application pending
2024
Open to Public Inspection
and ending
C Name of organization
B Check if
OMB No. 1545-0047
D Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC. AMERICAN SPACE MUSEUM Doing business as Number and street (or P.O. box if mail is not delivered to street address)
59-3267408
Room/suite E Telephone number
308 PINE STREET
321-720-4038
CO
PY
TITUSVILLE, FL
Check this box
3
Number of voting members of the governing body (Part VI, line 1a)
if the organization discontinued its operations or disposed of more than 25% of its net assets. ~~~~~~~~~~~~~~~~~~~~
3
4
Number of independent voting members of the governing body (Part VI, line 1b) ~~~~~~~~~~~~~~
4
5
Total number of individuals employed in calendar year 2024 (Part V, line 2a) ~~~~~~~~~~~~~~~~
5
6
Total number of volunteers (estimate if necessary) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
7 a Total unrelated business revenue from Part VIII, column (C), line 12 ~~~~~~~~~~~~~~~~~~~~ b Net unrelated business taxable income from Form 990-T, Part I, line 11 Prior Year
7a
NT
2
8
Contributions and grants (Part VIII, line 1h)
9 10
Program service revenue (Part VIII, line 2g) ~~~~~~~~~~~~~~~~~~~~~ Investment income (Part VIII, column (A), lines 3, 4, and 7d) ~~~~~~~~~~~~~
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~
12
Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)
13
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
14
Benefits paid to or for members (Part IX, column (A), line 4)
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ~~~
~~~~~~~~~~~
~~~~~~~~~~~~~
16a Professional fundraising fees (Part IX, column (A), line 11e) ~~~~~~~~~~~~~~
13,404. b Total fundraising expenses (Part IX, column (D), line 25) 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) ~~~~~~~~~~~~~ 18
Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) ~~~~~~~
19
Revenue less expenses. Subtract line 18 from line 12
145,848. 331,802. -24,253. Beginning of Current Year
20
Total assets (Part X, line 16)
21
Total liabilities (Part X, line 26)
22
Net assets or fund balances. Subtract line 21 from line 20
Part II
7b
101,510. 56,471. 1,657. 147,911. 307,549. 0. 0. 185,954. 0.
~~~~~~~~~~~~~~~~~~~~~
CL IE
Net Assets or Fund Balances
Expenses
Revenue
Activities & Governance
302,728. G 32796 H(a) Is this a group return for subordinates? ~~ F Name and address of principal officer: GABRIEL GODDARD ROTHBLAT Yes X No SAME AS C ABOVE H(b) Are all subordinates included? Yes No ) If "No," attach a list. See instructions 501(c) ( (insert no.) 4947(a)(1) or 527 I Tax-exempt status: X 501(c)(3) SPACEWALKOFFAME.ORG H(c) Group exemption number J Website: Trust Association Other K Form of organization: X Corporation L Year of formation: 1994 M State of legal domicile: FL Part I Summary 1 Briefly describe the organization's mission or most significant activities: OUR PURPOSE AND GOVERNING MISSION ARE "PRESERVING ACHIEVEMENT; INSPIRING INNOVATION." City or town, state or province, country, and ZIP or foreign postal code
Gross receipts $
653,620. 263,148. 390,472.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~
18 18 7 0 6,334. 0. Current Year
61,375. 103,284. 6,334. 16,191. 187,184. 0. 0. 142,409. 0. 85,822. 228,231. -41,047.
End of Year
624,231. 211,832. 412,399.
Signature Block
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
Date
GABRIEL GODDARD ROTHBLATT, EXECUTIVE DIRECTOR Type or print name and title Preparer's name
Date
Preparer's signature
B. EUGENE BURKETT B. EUGENE BURKETT FPT SERVICES, CPA Preparer Firm's name Use Only Firm's address PO BOX 562665 ROCKLEDGE, FL 32956-2665 Paid
Check if
PTIN
05/29/25 self-employed P00649848 Firm's EIN 20-4070478 Phone no. 321-631-0383
May the IRS discuss this return with the preparer shown above? See instructions
LHA For Paperwork Reduction Act Notice, see the separate instructions.
432001 12-10-24
SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT CONTINUATION
X Yes
No Form 990 (2024)
U.S. SPACE WALK OF FAME FOUNDATION, INC. Part III Statement of Program Service Accomplishments
Form 990 (2024)
59-3267408
Check if Schedule O contains a response or note to any line in this Part III 1
2
X
Briefly describe the organization's mission:
OUR PURPOSE AND GOVERNING MISSION ARE "PRESERVING ACHIEVEMENT; INSPIRING INNOVATION." TO PRESERVE THE HISTORY OF THE UNITED STATES' SPACE PROGRAM; TO HONOR OUR NATION'S ASTRONAUTS AND AEROSPACE INNOVATORS; (CONTINUED ON SCHEDULE O) Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
X No
Yes
X No
If "Yes," describe these new services on Schedule O. 3
Page 2
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ~~~~~~ If "Yes," describe these changes on Schedule O.
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.
PY
4
Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
172,806. including grants of $ 158,786. ) (Code: ) (Expenses $ ) (Revenue $ WE PRESERVE AND PROMOTE SPACE HISTORY AND HONOR THOSE WHO BUILT THE EARLY SPACE PROGRAM THROUGH OUR MONUMENTS AT SPACE VIEW PARK AND THROUGH THE MUSEUM. OUR COLLECTIONS DEPARTMENT IS IN THE PROCESS OF BEING ACCESSIONED, NUMBERED, PHOTOGRAPHED, AND PROPERLY IDENTIFIED AND PLACED, ACCORDING TO NATIONAL MUSEUM STANDARDS. THIS IS AN ONGOING PROCESS THAT IS RAISING THE PROFILE OF THE FACILITY AND INCREASING OUR VALUE AS AN HISTORICAL INSTITUTION.
NT
CO
4a
4b
(Code:
) (Expenses $
4c
(Code:
) (Expenses $
4d
Other program services (Describe on Schedule O.)
4e
Total program service expenses
(Expenses $
432002 12-10-24
10250529 152165 C7033
CL IE
including grants of $
including grants of $
including grants of $
172,806.
) (Revenue $
) (Revenue $
)
) (Revenue $
)
) Form 990 (2024)
2 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Part IV Checklist of Required Schedules
Form 990 (2024)
59-3267408
Page 3 Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1
2
Is the organization required to complete Schedule B, Schedule of Contributors ? See instructions ~~~~~~~~~~~~~~
2
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
X
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4
X
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III ~~~~~~~~~~~~~~~~~~~
5
X
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I
6
X
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II ~~~~~~~~~~~~~~
7
X
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete
4 5
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6
Schedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8
X X
X
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for
amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9
X
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10
X
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9
10
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X,
11
11a
b Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII ~~~~~~~~~~~~~~~~~~~~~~~~~
11b
X
c Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII ~~~~~~~~~~~~~~~~~~~~~~~~~
11c
X
11d
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as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X ~~~~~~
X
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X ~~~~
11f
X
12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12a
X
f
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11e
X X
b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional ~~~~~ 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ~~~~~~~~~~~~~~
14a
X X X
investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14b
X
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15
X
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~
16
X
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions ~~~~~~~~~~~~~~~~~~~~
17
X
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes,"
14a Did the organization maintain an office, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~ b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,
15 16 17
complete Schedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H ~~~~~~~~~~~~~~~~~ b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ~~~~~~~~~~ 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II ~~~~~~~~~~~~~~ 432003 12-10-24
10250529 152165 C7033
12b 13
19 20a
X X X
20b
X 21 990 Form (2024)
3 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Part IV Checklist of Required Schedules (continued)
Form 990 (2024)
59-3267408
Page 4 Yes
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~
No
22
X
Schedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
23
X
24 a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24a
X
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? ~~~~~~~~~~~ c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
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any tax-exempt bonds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? ~~~~~~~~~~~ 25 a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~
26
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b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
25a
X
25b
X
26
X
27
X
28a
X X
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If "Yes," complete Schedule L, Part III ~~~
28
24c 24d
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current
or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II ~~~~~~~~~~~~~ 27
24b
Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV,
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instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
28b
29
Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule M ~~~~~~~~~
29
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
30
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I ~~~~~~
31
X X
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
32
X
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~
33
X
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
34
~~~~~~~~~~~~~~~~~~ 35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)? b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~
35a
X X
35b
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
36
X
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI ~~~~~~~~
37
X
36 37 38
CL IE
b A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~ c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O
Part V
38
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V
(gambling) winnings to prize winners?
10250529 152165 C7033
X
1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ~~~~~~~~~~~ 1a b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable ~~~~~~~~~~ 1b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming 432004 12-10-24
X X
28c
0 0
Yes
No
1c Form 990 (2024)
4 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Statements Regarding Other IRS Filings and Tax Compliance (continued)
Form 990 (2024)
Part V
59-3267408
Page 5 Yes
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~
7 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? ~~~~~~~~~~ 3a Did the organization have unrelated business gross income of $1,000 or more during the year? ~~~~~~~~~~~~~~ b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule O ~~~~~~~~~~ 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ~~~~~~~
2b 3a
X
No
X
3b 4a
X
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ~~~~~~~~~~~~ b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? ~~~~~~~~~
5a
X X
c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
5c
any contributions that were not tax deductible as charitable contributions?
6a
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6b
Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? b If "Yes," did the organization notify the donor of the value of the goods or services provided? ~~~~~~~~~~~~~~~
d If "Yes," indicate the number of Forms 8282 filed during the year ~~~~~~~~~~~~~~~~ 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
~~~~~~~
7e
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~ g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ~ h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
7g
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9
Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? ~~~~~~~~~~~~~~~~~~~ b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? ~~~~~~~~~~~~~
CL IE
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~
Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 ~~~~~~~~~~~~~~~ b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities ~~~~~~ Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ b Gross income from other sources. (Do not net amounts due or paid to other sources against
X X
7f 7h 8 9a 9b
10a 10b 11a
amounts due or received from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11b 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? b If "Yes," enter the amount of tax-exempt interest received or accrued during the year 12b 13
X
7b 7c
8
11
7a
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?
f
10
5b
~~~~~~~~~~~~~~~~~~~~~~~~
CO
7
PY
b If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
12a
Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? ~~~~~~~~~~~~~~~~~~~~~ Note: See the instructions for additional information the organization must report on Schedule O.
13a
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ~~~~~~~~~~~~~~~~~~~~~~
13b c Enter the amount of reserves on hand ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? ~~~~~~~~~~~~~~~~ b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ~~~~~~~~~ 15
14a 14b
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or 15
X
~~~~~~
16
X
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953? ~~~~~~~~~~~~~~~~~~~
17
excess parachute payment(s) during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," see the instructions and file Form 4720, Schedule N. 16
X
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If "Yes," complete Form 4720, Schedule O.
17
If "Yes," complete Form 6069. 432005 12-10-24
10250529 152165 C7033
Form 990 (2024) 5 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Page 6 Part VI Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response
Form 990 (2024)
to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI
X
Section A. Governing Body and Management 1a Enter the number of voting members of the governing body at the end of the tax year ~~~~~~ If there are material differences in voting rights among members of the governing body, or if the governing
Yes
18
1a
body delegated broad authority to an executive committee or similar committee, explain on Schedule O. 1b b Enter the number of voting members included on line 1a, above, who are independent ~~~~~~ 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other
No
18 X
2
3
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization delegate control over management duties customarily performed by or under the direct supervision
3
4
of officers, directors, trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~~ Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ~~~~~
5
Did the organization become aware during the year of a significant diversion of the organization's assets?
~~~~~~~~~
5
Did the organization have members or stockholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
X X X X
7a
X
b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7b
X
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officer, director, trustee, or key employee?
8
9
CO
6
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Each committee with authority to act on behalf of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O
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Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
4
8a 8b
X X X
9 Yes
10a Did the organization have local chapters, branches, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates,
10a
and branches to ensure their operations are consistent with the organization's exempt purposes? ~~~~~~~~~~~~~ 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? If "No," go to line 13 ~~~~~~~~~~~~~~~~~~~~~
10b 11a
X
12a
X
No
X
12b
X
12c
13
Did the organization have a written whistleblower policy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13
X X
14
Did the organization have a written document retention and destruction policy? ~~~~~~~~~~~~~~~~~~~~~~
14
15
Did the process for determining compensation of the following persons include a review and approval by independent
CL IE
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ~~~~~~ c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
X
persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official ~~~~~~~~~~~~~~~~~~~~~~~~~~ b Other officers or key employees of the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15b
X X
16a
X
15a
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements?
Section C. Disclosure
16b
FL
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. Own website
19
Another's website
X Upon request
Other (explain on Schedule O)
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records
THE ORGANIZATION - 321-720-4038 308 PINE STREET, TITUSVILLE, FL
432006 12-10-24
10250529 152165 C7033
32796 Form 990 (2024) 6 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Form 990 (2024)
Check if Schedule O contains a response or note to any line in this Part VII
Page 7
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Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. ¥ List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. ¥ List all of the organization's current key employees, if any. See the instructions for definition of "key employee." ¥ List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. ¥ List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ¥ List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
432007 12-10-24
10250529 152165 C7033
2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 40.00
Former
Highest compensated employee
Key employee
Institutional trustee
X
(E) Reportable compensation from related organizations (W-2/1099-MISC/ 1099-NEC)
(F) Estimated amount of other compensation from the organization and related organizations
32,931.
0.
0.
NT
2.00
(D) Reportable compensation from the organization (W-2/1099-MISC/ 1099-NEC)
CO
40.00 X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
0.
0.
0.
CL IE
(1) KARIN CONKLIN PAST EXECUTIVE DIRECTOR (2) TROY PROST CHAIRMAN (3) STEVE LLOYD VICE CHAIR (4) BONNIE KING TREASURER (5) JOSH SALTSMAN SECRETARY (6) LARRY OSTARLY DIRECTOR (7) BOB SIECK DIRECTOR (8) CHARLES MARS DIRECTOR (9) CHUCK JEFFREY DIRECTOR (10) DR. STEPHANIE SHERBY DIRECTOR (11) EMILY CARNEY DIRECTOR (12) DAVID MANDERNACK DIRECTOR (13) STEPHANIE ROBINSON DIRECTOR (14) MARTY WINKEL DIRECTOR (15) SUZY CUNNINGHAM DIRECTOR (16) G. GODDARD ROTHBLATT EXECUTIVE DIRECTOR
Officer
(B) (C) Position Average (do not check more than one box, unless person is both an hours per officer and a director/trustee) week (list any hours for related organizations below line) Individual trustee or director
(A) Name and title
X
Form 990 (2024) 7 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Page 8
Form 990 (2024)
(D) Reportable compensation from the organization (W-2/1099-MISC/ 1099-NEC)
(E) Reportable compensation from related organizations (W-2/1099-MISC/ 1099-NEC)
(F) Estimated amount of other compensation from the organization and related organizations
NT
CO
PY
Former
Highest compensated employee
Key employee
Institutional trustee
Individual trustee or director
Officer
(B) (C) Position Average (do not check more than one hours per box, unless person is both an officer and a director/trustee) week (list any hours for related organizations below line)
(A) Name and title
1b Subtotal ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Total from continuation sheets to Part VII, Section A ~~~~~~~~~~~ 2
d Total (add lines 1b and 1c) ~ Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable
4
CL IE
compensation from the organization 3
32,931. 0. 32,931.
0. 0. 0.
0 Yes
No
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
X
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~
4
X
5
X
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person Section B. Independent Contractors 1
0. 0. 0.
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) Name and business address
2
NONE
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
0
Form 990 (2024) 432008 12-10-24
10250529 152165 C7033
8 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Statement of Revenue
Form 990 (2024)
Part VIII
59-3267408
Page 9
1 a Federated campaigns ~~~~~ b Membership dues ~~~~~~~
1a
c Fundraising events ~~~~~~~ d Related organizations ~~~~~
1c
similar amounts not included above ~
1f
1b
1d e Government grants (contributions) 1e f All other contributions, gifts, grants, and
16,286.
1g $
Noncash contributions included in lines 1a-1f
h Total. Add lines 1a-1f
ADMISSIONS/EDUCATIONAL CONSIGNER REVENUE c EVO d MEMORABILIA SHOW e MEMBERSHIP DUES
2 a b
f
Business Code
900099 459420 459420 459420 459420
All other program service revenue ~~~~~
g Total. Add lines 2a-2f Investment income (including dividends, interest, and 3 other similar amounts) ~~~~~~~~~~~~~~~~~~ Income from investment of tax-exempt bond proceeds
5
Royalties (i) Real (ii) Personal
6 a Gross rents ~~~~~ b Less: rental expenses ~
6a
assets other than inventory
7a
57,625. 20,145. 18,284. 3,918. 3,312.
57,625. 20,145. 18,284. 3,918. 3,312.
103,284. 6,334.
6,334.
NT
4
61,375.
PY
g
45,089.
CO
Program Service Revenue
Contributions, Gifts, Grants and Other Similar Amounts
Check if Schedule O contains a response or note to any line in this Part VIII (A) (B) (C) (D) Revenue excluded Related or exempt Unrelated Total revenue function revenue business revenue from tax under sections 512 - 514
Other Revenue
b Less: cost or other basis and sales expenses ~~~
CL IE
6b c Rental income or (loss) 6c d Net rental income or (loss) (i) Securities (ii) Other 7 a Gross amount from sales of
7b c Gain or (loss) ~~~~~ 7c d Net gain or (loss) 8 a Gross income from fundraising events (not including $ of contributions reported on line 1c). See
Part IV, line 18 ~~~~~~~~~~~~
42,561. 8b 81,872. 8a
b Less: direct expenses ~~~~~~~~ c Net income or (loss) from fundraising events
-39,311.
-39,311.
9 a Gross income from gaming activities. See Part IV, line 19 ~~~~~~~~~~~~ 9a b Less: direct expenses ~~~~~~~~ 9b
c Net income or (loss) from gaming activities 10 a Gross sales of inventory, less returns and allowances ~~~~~~~~~~~~ 10a 78,170.
Miscellaneous Revenue
b Less: cost of goods sold ~~~~~~~ 10b 33,672. c Net income or (loss) from sales of inventory
11 a
12
MANAGEMENT/GEN CR BAL
Business Code
900099
44,498.
44,498.
11,004.
11,004.
11,004. 187,184.
158,786.
b c d All other revenue ~~~~~~~~~~~~~ e Total. Add lines 11a-11d Total revenue. See instructions
432009 12-10-24
10250529 152165 C7033
6,334. -39,311. Form 990 (2024)
9 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Part IX Statement of Functional Expenses
59-3267408
Form 990 (2024)
Page 10
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX (A) (B) (C) (D) Do not include amounts reported on lines 6b, Total expenses Program service Management and Fundraising 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses expenses Grants and other assistance to domestic organizations
1
and domestic governments. See Part IV, line 21
~
Grants and other assistance to domestic
2
individuals. See Part IV, line 22 ~~~~~~~ Grants and other assistance to foreign
3
organizations, foreign governments, and foreign Benefits paid to or for members ~~~~~~~
5
Compensation of current officers, directors, trustees, and key employees ~~~~~~~~
PY
individuals. See Part IV, lines 15 and 16 ~~~ 4
32,931.
21,405.
6,586.
104,507.
83,557.
20,950.
Compensation not included above to disqualified
6
persons described in section 4958(c)(3)(B)
~~~
7
Other salaries and wages ~~~~~~~~~~
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
9
Other employee benefits ~~~~~~~~~~
10
Payroll taxes ~~~~~~~~~~~~~~~~
4,971.
Fees for services (nonemployees):
11
c Accounting ~~~~~~~~~~~~~~~~~ d Lobbying ~~~~~~~~~~~~~~~~~~ e Professional fundraising services. See Part IV, line 17 f Investment management fees ~~~~~~~~ g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Sch O.) Advertising and promotion ~~~~~~~~~
13
Office expenses ~~~~~~~~~~~~~~~
14
Information technology ~~~~~~~~~~~
15
Royalties ~~~~~~~~~~~~~~~~~~
16
Occupancy ~~~~~~~~~~~~~~~~~ Travel ~~~~~~~~~~~~~~~~~~~
17 18
Payments of travel or entertainment expenses for any federal, state, or local public officials ~
19
Conferences, conventions, and meetings ~~
20
Interest
21
Payments to affiliates ~~~~~~~~~~~~
22
Depreciation, depletion, and amortization ~~ Insurance
24
Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
~~~~~~~~~~~~~~~~~
BOD MEETING b PROFESSSIONAL DUES/SERV c LANDSCAPE WORK d EDUCATIONAL EXPENSES a
e All other expenses 26
114.
511.
8,350.
3,885. 28,265. 1,406.
6,407.
12,722.
11,866.
856.
10,676. 6,652.
8,541. 6,319.
2,135. 333.
~~~~~~~~~~~~~~~~~~
23
25
994.
12,746. 28,265. 7,813.
CL IE
12
3,863.
NT
a Management ~~~~~~~~~~~~~~~~ b Legal ~~~~~~~~~~~~~~~~~~~~
CO
persons (as defined under section 4958(f)(1)) and
4,940.
Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the organization
2,045. 1,975. 1,125. 819. 984. 228,231.
1,975. 819. 905. 172,806.
2,045. 1,125. 79. 42,021.
13,404.
reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) 432010 12-10-24
10250529 152165 C7033
Form 990 (2024) 10 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Form 990 (2024)
Part X
U.S. SPACE WALK OF FAME FOUNDATION, INC.
59-3267408
Balance Sheet
Page 11
Check if Schedule O contains a response or note to any line in this Part X (A) Beginning of year
119,117. 162,357.
(B) End of year
1
Cash - non-interest-bearing ~~~~~~~~~~~~~~~~~~~~~~~~~
2
Savings and temporary cash investments ~~~~~~~~~~~~~~~~~~
3
Pledges and grants receivable, net ~~~~~~~~~~~~~~~~~~~~~
3
4
Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~
4
5
Loans and other receivables from any current or former officer, director,
1 2
156,981. 105,780.
trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
~~~~~~~~~
Assets
under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
~~
7
Notes and loans receivable, net ~~~~~~~~~~~~~~~~~~~~~~~
8
Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~
9
Prepaid expenses and deferred charges
~~~~~~~~~~~~~~~~~~
10 a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D ~~~
510,008. 148,538.
10a
6 7 8 9
372,146. 10c
CO
b Less: accumulated depreciation ~~~~~~ 10b 11 Investments - publicly traded securities ~~~~~~~~~~~~~~~~~~~
12
13
Investments - program-related. See Part IV, line 11
~~~~~~~~~~~~~
13
14
Intangible assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14
15
Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~
16 17
Total assets. Add lines 1 through 15 (must equal line 33) Accounts payable and accrued expenses ~~~~~~~~~~~~~~~~~~
653,620. 16 23,482. 17
18
Grants payable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18
19
Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
19
20
Tax-exempt bond liabilities ~~~~~~~~~~~~~~~~~~~~~~~~~
20
21
Escrow or custodial account liability. Complete Part IV of Schedule D ~~~~ Loans and other payables to any current or former officer, director,
21
NT
Investments - other securities. See Part IV, line 11 ~~~~~~~~~~~~~~
22
361,470.
11
12
15
624,231. 991.
trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
~~~~~~~~~
22
23
Secured mortgages and notes payable to unrelated third parties
~~~~~~
239,666. 23
24
Unsecured notes and loans payable to unrelated third parties ~~~~~~~~
24
25
Other liabilities (including federal income tax, payables to related third
CL IE
Liabilities
5
Loans and other receivables from other disqualified persons (as defined
PY
6
210,841.
parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Net Assets or Fund Balances
26
Total liabilities. Add lines 17 through 25 Organizations that follow FASB ASC 958, check here
X
25
263,148. 26
211,832. 412,399.
27
and complete lines 27, 28, 32, and 33. Net assets without donor restrictions ~~~~~~~~~~~~~~~~~~~~
390,472. 27
28
Net assets with donor restrictions ~~~~~~~~~~~~~~~~~~~~~~
28
Organizations that do not follow FASB ASC 958, check here 29
and complete lines 29 through 33. Capital stock or trust principal, or current funds ~~~~~~~~~~~~~~~
29
30
Paid-in or capital surplus, or land, building, or equipment fund ~~~~~~~~
30
31
Retained earnings, endowment, accumulated income, or other funds
32
Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~
33
Total liabilities and net assets/fund balances
432011 12-10-24
10250529 152165 C7033
~~~~
31
390,472. 32 653,620. 33
412,399. 624,231. Form 990 (2024)
11 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Part XI Reconciliation of Net Assets
Form 990 (2024)
59-3267408
Page 12
Check if Schedule O contains a response or note to any line in this Part XI 1
Total revenue (must equal Part VIII, column (A), line 12) ~~~~~~~~~~~~~~~~~~~~~~~~~~
1
2
Total expenses (must equal Part IX, column (A), line 25) ~~~~~~~~~~~~~~~~~~~~~~~~~~
2
3
Revenue less expenses. Subtract line 2 from line 1
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ~~~~~~~~~~
4
5
Net unrealized gains (losses) on investments
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5
6
Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
7
Investment expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7
8
Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8
9
Other changes in net assets or fund balances (explain on Schedule O)
9
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32,
PY
~~~~~~~~~~~~~~~~~~
column (B))
Part XII Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII 1
Accounting method used to prepare the Form 990:
X Cash
Accrual
10
187,184. 228,231. -41,047. 390,472.
62,974. 0. 412,399.
Yes Other
CO
If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O.
2 a Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: Separate basis
Consolidated basis
Consolidated basis
X
2b
X
Both consolidated and separate basis
NT
Separate basis
2a
Both consolidated and separate basis
b Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
No
c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? ~~~~~~~~~~~~~~~
2c
If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits
432012 12-10-24
10250529 152165 C7033
3a
X
3b Form 990 (2024)
12 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
2024
Open to Public Inspection Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC. Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
59-3267408
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name,
4
PY
city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
5
section 170(b)(1)(A)(iv). (Complete Part II.)
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
8
section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college
CO
6
or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or 10
X
university:
An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
12
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or
NT
11
more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) . See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting
CL IE
organization. You must complete Part IV, Sections A and B. b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
f Enter the number of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ g Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
Total LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
No
(v) Amount of monetary support (see instructions)
432021 01-14-25
(vi) Amount of other support (see instructions)
Schedule A (Form 990) 2024
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Schedule A (Form 990) 2024
Part II
Page 2
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~
(a) 2020
(b) 2021
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~
4 Total. Add lines 1 through 3 ~~~ 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ~~~~~~~~~~~~ 6 Public support. Subtract line 5 from line 4.
Calendar year (or fiscal year beginning in) 7 Amounts from line 4 ~~~~~~~ 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~ 9 Net income from unrelated business activities, whether or not the ~
(d) 2023
CL IE
business is regularly carried on
(c) 2022
(e) 2024
(f) Total
NT
Section B. Total Support
CO
PY
3 The value of services or facilities furnished by a governmental unit to the organization without charge ~
10 Other income. Do not include gain or loss from the sale of capital
assets (Explain in Part VI.) ~~~~
11 Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructions)
~~~~~~~~~~~~~~~~~~~~~~~
12
13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here
Section C. Computation of Public Support Percentage
14 Public support percentage for 2024 (line 6, column (f), divided by line 11, column (f)) ~~~~~~~~~~~ 15 Public support percentage from 2023 Schedule A, Part II, line 14 ~~~~~~~~~~~~~~~~~~~~~
14
%
15
%
16a 33 1/3% support test - 2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b 33 1/3% support test - 2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17a 10% -facts-and-circumstances test - 2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization
~~~~~~~~~~~~~~~~~
b 10% -facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization
~~~~~~~~~~~
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions Schedule A (Form 990) 2024
432022 01-14-25
10250529 152165 C7033
14 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Part III Support Schedule for Organizations Described in Section 509(a)(2)
59-3267408 Page 3
Schedule A (Form 990) 2024
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~ 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
(a) 2020
(b) 2021
(c) 2022
PY CO
Section B. Total Support
(a) 2020
NT
c Add lines 7a and 7b ~~~~~~~ 8 Public support. (Subtract line 7c from line 6.)
(b) 2021
c Add lines 10a and 10b ~~~~~~ 11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on ~~~~~~~ 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ~~~~ 13 Total support. (Add lines 9, 10c, 11, and 12.)
(c) 2022
0. 0. 0. 3308497.
(d) 2023
(e) 2024
(f) Total
626,723. 903,649. 781,463. 711,272. 285,390. 3308497.
CL IE
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 ~~~~
61,375. 417,195.
626,723. 903,649. 781,463. 711,272. 285,390. 3308497.
from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year ~~~~~~
Calendar year (or fiscal year beginning in) 9 Amounts from line 6 ~~~~~~~ 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~
(f) Total
578,702. 800,778. 678,045. 609,762. 224,015. 2891302.
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~
6 Total. Add lines 1 through 5 ~~~ 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received
(e) 2024
48,021. 102,871. 103,418. 101,510.
3 Gross receipts from activities that are not an unrelated trade or business under section 513 ~~~~~
5 The value of services or facilities furnished by a governmental unit to the organization without charge ~
(d) 2023
645.
2,030.
420.
1,657.
6,334.
11,086.
645.
2,030.
420.
1,657.
6,334.
11,086.
43,732. 1,355. 1,153. 1,484. 11,004. 58,728. 671,100. 907,034. 783,036. 714,413. 302,728. 3378311.
14 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here
Section C. Computation of Public Support Percentage
15 Public support percentage for 2024 (line 8, column (f), divided by line 13, column (f)) ~~~~~~~~~~~ 16 Public support percentage from 2023 Schedule A, Part III, line 15
15
17 Investment income percentage for 2024 (line 10c, column (f), divided by line 13, column (f)) ~~~~~~~~ 18 Investment income percentage from 2023 Schedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~
17
Section D. Computation of Investment Income Percentage
16
97.93 97.86
%
.33 .14
%
18 19 a 33 1/3% support tests - 2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
~~~~~~~~~~~~
%
%
X
b 33 1/3% support tests - 2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~ 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions 432023 01-14-25
10250529 152165 C7033
Schedule A (Form 990) 2024
15 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Supporting Organizations
Schedule A (Form 990) 2024
Part IV
59-3267408 Page 4
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations Yes 1
class or purpose, describe the designation. If historic and continuing relationship, explain. 2
No
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by 1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2 3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
PY
3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
CO
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
3c 4a
4b
purposes.
NT
c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)
4c
5a Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action
CL IE
was accomplished (such as by amendment to the organizing document).
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
5a 5b 5c
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in 7
Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
6
(as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990).
7
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990).
8
9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI.
9a
b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI.
9b
c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI.
9c
8
10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 432024 01-14-25
10250529 152165 C7033
10a 10b Schedule A (Form 990) 2024
16 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Supporting Organizations (continued)
Schedule A (Form 990) 2024
Part IV 11
59-3267408 Page 5
a A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
Section B. Type I Supporting Organizations
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in
PY
1
CO
Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
Section C. Type II Supporting Organizations 1
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons? 11a 11b 11c
1
2
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
NT
Section D. All Type III Supporting Organizations
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
the organization maintained a close and continuous working relationship with the supported organization(s). 3
1
Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how
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2
2
By reason of the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard.
Section E. Type III Functionally Integrated Supporting Organizations 1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). The organization satisfied the Activities Test. Complete line 2 below. a The organization is the parent of each of its supported organizations. Complete line 3 below. b The organization supported a governmental entity. Describe in Part VI how you supported a governmental c entity (see instructions).
2
Activities Test. Answer lines 2a and 2b below. a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify
3
those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3
2b
Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No," provide details in Part VI .
3a
b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
432025 01-14-25
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17 Schedule A (Form 990) 2024 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Part V
U.S. SPACE WALK OF FAME FOUNDATION, INC. Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 ( explain in Part VI ). See instructions.
Schedule A (Form 990) 2024
59-3267408 Page 6
All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (A) Prior Year
Section A - Adjusted Net Income 1
Net short-term capital gain
1
2
Recoveries of prior-year distributions
2
3
Other gross income (see instructions)
3
4
Add lines 1 through 3.
4
5
Depreciation and depletion
5
6
Portion of operating expenses paid or incurred for production or
(B) Current Year (optional)
maintenance of property held for production of income (see instructions)
6
7
Other expenses (see instructions)
7
8
Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
8
(A) Prior Year
Section B - Minimum Asset Amount 1
Aggregate fair market value of all non-exempt-use assets (see 1a
1b
c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c)
1c
1d
e Discount claimed for blockage or other factors (explain in detail in Part VI ): 2
Acquisition indebtedness applicable to non-exempt-use assets
3
Subtract line 2 from line 1d.
4
Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount,
2
see instructions).
NT
3 4
5
Net value of non-exempt-use assets (subtract line 4 from line 3)
5
6
Multiply line 5 by 0.035.
6
7
Recoveries of prior-year distributions
8
Minimum Asset Amount (add line 7 to line 6)
7
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8
Current Year
1
Adjusted net income for prior year (from Section A, line 8, column A)
1
2
Enter 0.85 of line 1.
2
3
Minimum asset amount for prior year (from Section B, line 8, column A)
3
4
Enter greater of line 2 or line 3.
4
5
Income tax imposed in prior year
6
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions).
7
(B) Current Year (optional)
CO
instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances
Section C - Distributable Amount
PY
collection of gross income or for management, conservation, or
5
6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions).
Schedule A (Form 990) 2024
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18 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Schedule A (Form 990) 2024
Part V
Section D - Distributions 1 Amounts paid to supported organizations to accomplish exempt purposes
Current Year 1
Amounts paid to perform activity that directly furthers exempt purposes of supported
2
organizations, in excess of income from activity
2
3
Administrative expenses paid to accomplish exempt purposes of supported organizations
3
4
Amounts paid to acquire exempt-use assets
4
5
Qualified set-aside amounts (prior IRS approval required - provide details in Part VI )
5
6
Other distributions (describe in Part VI ). See instructions.
6
7
7
8
Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI ). See instructions.
9
Distributable amount for 2024 from Section C, line 6
10
Line 8 amount divided by line 9 amount
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required - explain in Part VI ). See instructions.
Excess Distributions
Excess distributions carryover, if any, to 2024
3
a From 2019 b From 2020
g Applied to under distributions of prior years h Applied to 2024 distributable amount i
Carryover from 2019 not applied (see instructions)
j
Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2024 from Section D, $
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line 7:
(iii) Distributable Amount for 2024
NT
c From 2021 d From 2022 e From 2023 f Total of lines 3a through 3e
(ii) Underdistributions Pre-2024
CO
Distributable amount for 2024 from Section C, line 6
PY
9
(i)
1
8 10
Section E - Distribution Allocations (see instructions)
4
Page 7
a Applied to underdistributions of prior years b Applied to 2024 distributable amount 5
c Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2024, if
any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI . See instructions.
7 8
Excess distributions carryover to 2025. Add lines 3j and 4c. Breakdown of line 7: a Excess from 2020 b Excess from 2021 c Excess from 2022 d Excess from 2023 e Excess from 2024
Schedule A (Form 990) 2024
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19 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12;
Schedule A (Form 990) 2024
Page 8
Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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NT
CO
PY
Part VI
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Schedule A (Form 990) 2024
20 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Schedule B (Form 990)
Schedule of Contributors
(Rev. December 2024)
OMB No. 1545-0047
Attach to Form 990, 990-EZ, or 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC.
59-3267408
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X
501(c)(
3 ) (enter number) organization
PY
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation
501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
CO
4947(a)(1) nonexempt charitable trust treated as a private foundation
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
X
NT
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
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Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "N/A" in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~~~
$
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
LHA
423451 01-09-25
Schedule B (Form 990) (Rev. 12-2024)
Page 2
Schedule B (Form 990) (Rev. 12-2024) Name of organization
Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC.
Part I (a) No.
1
59-3267408
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(c) Total contributions
BREVARD COUNTY TOURIST DEVELOPMENT OFFICE 150 COCOA ISLES BLVD. STE 401
19,808.
$
PY
2
(b) Name, address, and ZIP + 4
(c) Total contributions
STATE OF FLORIDA DIVISION FOR CULTURAL AFFAIRS
25,281.
CO
500 S BRONOUGH STREET
$
TALLAHASSEE, FL 32399-0250 (b) Name, address, and ZIP + 4
(c) Total contributions
$
(a) No.
(b) Name, address, and ZIP + 4
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(a) No.
X
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.) (d) Type of contribution Person Payroll Noncash
NT
(a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
COCOA BEACH, FL 32931 (a) No.
(d) Type of contribution
(Complete Part II for noncash contributions.)
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
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Schedule B (Form 990) (Rev. 12-2024)
22 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Page 3
Schedule B (Form 990) (Rev. 12-2024) Name of organization
Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC.
Part II (a) No. from Part I
59-3267408
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (c) FMV (or estimate) (See instructions.)
(b) Description of noncash property given
(d) Date received
(b) Description of noncash property given
(c) FMV (or estimate) (See instructions.)
(d) Date received
(b) Description of noncash property given
CO
(a) No. from Part I
PY
$
(d) Date received
$
(c) FMV (or estimate) (See instructions.)
NT
(a) No. from Part I
(a) No. from Part I
(a) No. from Part I
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$
(b) Description of noncash property given
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
$
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ 423453 01-09-25
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Schedule B (Form 990) (Rev. 12-2024)
23 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Page 4
Schedule B (Form 990) (Rev. 12-2024) Name of organization
Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations
completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this info. once.)
$
Use duplicate copies of Part III if additional space is needed. (a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(a) No. from Part I
Relationship of transferor to transferee
CO
Transferee's name, address, and ZIP + 4
PY
(e) Transfer of gift
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
NT
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(b) Purpose of gift
(c) Use of gift
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(a) No. from Part I
Relationship of transferor to transferee
(d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
(c) Use of gift
Relationship of transferor to transferee
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
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Relationship of transferor to transferee
Schedule B (Form 990) (Rev. 12-2024)
24 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
SCHEDULE D
(Form 990)
(Rev. December 2024) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Part I
Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds 1
Total number at end of year ~~~~~~~~~~~~~~~
2
Aggregate value of contributions to (during year)
3
Aggregate value of grants from (during year)
(b) Funds and other accounts
~~~~
~~~~~~
Aggregate value at end of year ~~~~~~~~~~~~~
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only
PY
4
are the organization's property, subject to the organization's exclusive legal control? ~~~~~~~~~~~~~~~~~~ for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? Part II Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. Purpose(s) of conservation easements held by the organization (check all that apply).
No
Preservation of a historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a Total number of conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Total acreage restricted by conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~
2a
c Number of conservation easements on a certified historic structure included on line 2a ~~~~~~~~~ d Number of conservation easements included on line 2c acquired after July 25, 2006, and not
2c
NT
3
Yes
Preservation of land for public use (for example, recreation or education) Preservation of open space 2
No
CO
1
Yes
2b
on a historic structure listed in the National Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year
Number of states where property subject to conservation easement is located
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
6
violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Yes Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i)
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4
and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9
Yes
No
No
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items. (i) Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (ii) Assets included in Form 990, Part X ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2
$ $
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Assets included in Form 990, Part X
For Paperwork Reduction Act Notice, see the Instructions for Form 990. 432051 01-02-25 LHA
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$ $
Schedule D (Form 990) (Rev. 12-2024)
25 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Schedule D (Form 990) (Rev. 12-2024) U.S.
SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Part III
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its
3
collection items (check all that apply). a b c
X Public exhibition
Scholarly research
X Preservation for future generations
d
Loan or exchange program
e
Other
4
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets
X Yes Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or
to be sold to raise funds rather than to be maintained as part of the organization's collection?
Part IV
No
reported an amount on Form 990, Part X, line 21.
PY
1a Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," explain the arrangement in Part XIII and complete the following table:
Yes
No
Amount
c Beginning balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Additions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1c
e Distributions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ f Ending balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1e
1d
CO
1f 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ~~~~~ Yes No b If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII Part V Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back 1a Beginning of year balance ~~~~~~~ b Contributions ~~~~~~~~~~~~~~
NT
c Net investment earnings, gains, and losses d Grants or scholarships ~~~~~~~~~ e Other expenditures for facilities and programs ~~~~~~~~~~~~~ f
Administrative expenses ~~~~~~~~
g End of year balance ~~~~~~~~~~ 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: %
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a Board designated or quasi-endowment b Permanent endowment
%
% c Term endowment The percentages on lines 2a, 2b, and 2c should equal 100%.
3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (ii) Related organizations? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4
b If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? ~~~~~~~~~~~~~~~~~~~~ Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(d) Book value
97,693.
42,799. 318,671.
50,845. 50,845. e Other (Column (d) must equal Form 990, Part X, line 10c, column (B)) Total. Add lines 1a through 1e.
0. 361,470.
1a Land ~~~~~~~~~~~~~~~~~~~~ b Buildings ~~~~~~~~~~~~~~~~~~ c Leasehold improvements ~~~~~~~~~~ d Equipment ~~~~~~~~~~~~~~~~~
42,799. 416,364.
(c) Accumulated depreciation
Schedule D (Form 990) (Rev. 12-2024)
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Schedule D (Form 990) (Rev. 12-2024) U.S.
SPACE WALK OF FAME FOUNDATION, INC. Part VII Investments - Other Securities
59-3267408
Page 3
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives ~~~~~~~~~~~~~~~ (2) Closely held equity interests ~~~~~~~~~~~ (3) Other (A) (B) (C) (D) (E) (F)
PY
(G) (H) Total. (Col. (b) must equal Form 990, Part X, line 12, col. (B))
Part VIII Investments - Program Related.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation: Cost or end-of-year market value
CO
(1) (2) (3) (4) (5) (6) (7) (9) Total. (Col. (b) must equal Form 990, Part X, line 13, col. (B))
Other Assets
Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(1) (2) (3) (4) (5) (6) (7) (8)
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Part IX
NT
(8)
(b) Book value
(9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B))
Part X
1.
Other Liabilities
Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(b) Book value
(1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII Schedule D (Form 990) (Rev. 12-2024) 432053 01-02-25
10250529 152165 C7033
27 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Schedule D (Form 990) (Rev. 12-2024) U.S.
Part XI
SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
1
Total revenue, gains, and other support per audited financial statements
2
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
~~~~~~~~~~~~~~~~~~~
a Net unrealized gains (losses) on investments ~~~~~~~~~~~~~~~~~~ b Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~
2a
c Recoveries of prior year grants ~~~~~~~~~~~~~~~~~~~~~~~~~ d Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~
2c
1
2b
2d e Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4
Page 4
2e 3
Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ b Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~
4a
PY
4b c Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
4c 5
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
Total expenses and losses per audited financial statements ~~~~~~~~~~~~~~~~~~~~~~~~~~
2
Amounts included on line 1 but not on Form 990, Part IX, line 25:
CO
1
a Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~ b Prior year adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2a
c Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~
2c
2b
2d e Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4
Amounts included on Form 990, Part IX, line 25, but not on line 1:
4b c Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)
Part XIII Supplemental Information
2e 3
4a
NT
a Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ b Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~
1
4c 5
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
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PART III, LINE 4: WE HOLD A COLLECTION OF SPACE PROGRAM RELATED MEMORABILIA THAT SERVES THE PURPOSE OF PRESERVING THE HISTORY INVOLVED THERE AND GIVING US THE OPPORTUNITY AS A MUSEUM TO SHARE THESE ITEMS WITH THE PUBLIC AND HOPEFULLY INSPIRE FURTHER ENDEAVORS.
432054 01-02-25
10250529 152165 C7033
Schedule D (Form 990) (Rev. 12-2024)
28 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
SCHEDULE G (Form 990) (Rev. December 2024)
Supplemental Information Regarding Fundraising or Gaming Activities
Department of the Treasury Internal Revenue Service
Name of the organization
Part I
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
Open to Public Inspection
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Employer identification number
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part.
1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations Solicitation of nongovernment grants e a Internet and email solicitations
f
Solicitation of government grants
c
Phone solicitations
g
Special fundraising events
d
In-person solicitations
PY
b
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
Yes
No
b If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization.
(ii) Activity
(iii) Did fundraiser have custody or control of contributions?
(iv) Gross receipts from activity
(v) Amount paid to (or retained by) fundraiser listed in col. (i)
CO
(i) Name and address of individual or entity (fundraiser)
No
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NT
Yes
(vi) Amount paid to (or retained by) organization
Total 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. LHA
432081 01-14-25
10250529 152165 C7033
Schedule G (Form 990) (Rev. 12-2024)
29 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Schedule G (Form 990) (Rev. 12-2024) U.S.
Part II
SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 Page 2 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000
of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1
(b) Event #2
(c) Other events
(event type)
(event type)
(total number)
Revenue
AUCTION-JANU AUCTION-FEBR ARY 2024 UARY 2024
1 Gross receipts ~~~~~~~~~~~~~~
8
(d) Total events (add col. (a) through col. (c))
3,905.
24,539.
14,117.
42,561.
3,905.
24,539.
14,117.
42,561.
2 Less: Contributions ~~~~~~~~~~~
PY
3 Gross income (line 1 minus line 2) 4 Cash prizes ~~~~~~~~~~~~~~~
6 Rent/facility costs ~~~~~~~~~~~~ 7 Food and beverages
CO
Direct Expenses
5 Noncash prizes ~~~~~~~~~~~~~
~~~~~~~~~~
8 Entertainment ~~~~~~~~~~~~~~ 9 Other direct expenses ~~~~~~~~~~
29,222.
18,759.
33,891.
NT
(b) Pull tabs/instant bingo/progressive bingo
(a) Bingo
1 Gross revenue 2 Cash prizes ~~~~~~~~~~~~~~~
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Direct Expenses
Revenue
10 Direct expense summary. Add lines 4 through 9 in column (d) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 11 Net income summary. Subtract line 10 from line 3, column (d) Part III Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
81,872. 81,872. -39,311.
(d) Total gaming (add col. (a) through col. (c))
(c) Other gaming
3 Noncash prizes ~~~~~~~~~~~~~
4 Rent/facility costs ~~~~~~~~~~~~
5 Other direct expenses
%
Yes
6 Volunteer labor ~~~~~~~~~~~~~
No
7 Direct expense summary. Add lines 2 through 5 in column (d)
Yes No
%
Yes
%
No
~~~~~~~~~~~~~~~~~~~~~~~~~~
8 Net gaming income summary. Subtract line 7 from line 1, column (d) 9
Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states? ~~~~~~~~~~~~~~~~~~~~ b If "No," explain:
Yes
No
10 a Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? ~~~~~~~~~ b If "Yes," explain:
Yes
No
432082 01-14-25
10250529 152165 C7033
Schedule G (Form 990) (Rev. 12-2024)
30 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
Schedule G (Form 990) (Rev. 12-2024) U.S.
SPACE WALK OF FAME FOUNDATION, INC.
59-3267408 Page 3
11
Does the organization conduct gaming activities with nonmembers?~~~~~~~~~~~~~~~~~~~~~~~~~~~
12
Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to administer charitable gaming? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13
No
Yes
No
Indicate the percentage of gaming activity conducted in: a The organization's facility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b An outside facility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14
Yes
13a
%
13b
%
Enter the name and address of the person who prepares the organization's gaming/special events books and records: Name Address
b If "Yes," enter the amount of gaming revenue received by the organization of gaming revenue retained by the third party $
$
c If "Yes," enter the name and address of the third party:
Address 16
Gaming manager information: Name
Mandatory distributions:
Employee
Yes
No
Independent contractor
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17
and the amount
$
Description of services provided
Director/officer
No
NT
Gaming manager compensation
Yes
CO
Name
PY
15 a Does the organization have a contract with a third party from whom the organization receives gaming revenue? ~~~~~~
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year $ Part IV Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
432083 01-14-25
10250529 152165 C7033
Schedule G (Form 990) (Rev. 12-2024)
31 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
U.S. SPACE WALK OF FAME FOUNDATION, INC. Supplemental Information (continued)
Schedule G (Form 990)
59-3267408 Page 4
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NT
CO
PY
Part IV
Schedule G (Form 990) 432084 01-28-25
10250529 152165 C7033
32 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ
(Rev. December 2024) Department of the Treasury Internal Revenue Service
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
OMB No. 1545-0047
Open to Public Inspection Employer identification number
PY
U.S. SPACE WALK OF FAME FOUNDATION, INC. 59-3267408 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO PRESERVE THE HISTORY OF THE UNITED STATES' SPACE PROGRAM; TO HONOR OUR NATION'S ASTRONAUTS AND AEROSPACE INNOVATORS; TO EDUCATE CURRENT AND FUTURE GENERATIONS ABOUT THE SACRIFICE AND COOPERATION NECESSARY TO BUILD THE EARLY SPACE PROGRAM; TO INSPIRE THE NEXT GENERATION OF SCIENTISTS, INNOVATORS, AND EXPLORERS WHO WILL TAKE OUR NATION, AND THE WORLD, IN NEW AND EXCITING DIRECTIONS.
CO
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO EDUCATE CURRENT AND FUTURE GENERATIONS ABOUT THE SACRIFICE AND COOPERATION NECESSARY TO BUILD THE EARLY SPACE PROGRAM; TO INSPIRE THE NEXT GENERATION OF SCIENTISTS, INNOVATORS, AND EXPLORERS WHO WILL TAKE OUR NATION, AND THE WORLD, IN NEW AND EXCITING DIRECTIONS. FORM 990, PART VI, SECTION B, LINE 11B: A COPY OF THE RETURN IS REVIEWED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE IRS.
NT
FORM 990, PART VI, SECTION C, LINE 18: THE FOUNDATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
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FORM 990, PART VI, SECTION C, LINE 19: THE FOUNDATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 432211 01-15-25 LHA
10250529 152165 C7033
Schedule O (Form 990) (Rev. 12-2024)
33 2024.03050 U.S. SPACE WALK OF FAME F C7033__1
2024 DEPRECIATION AND AMORTIZATION REPORT
FORM 990 PAGE 10 Asset No.
990 Description
Date Acquired
Method
Life
C o n v
Line No.
Unadjusted Cost Or Basis
Bus % Excl
Section 179 Expense
* Reduction In Basis
Basis For Depreciation
Beginning Accumulated Depreciation
Current Sec 179 Expense
Current Year Deduction
Ending Accumulated Depreciation
1 20 CHAIRS
11/03/98 200DB 7.00
HY17
300.
300.
300.
0.
300.
2 KIOSK CABINET
12/10/98 200DB 7.00
HY17
1,000.
1,000.
1,000.
0.
1,000.
3 OFFICE COPIER
06/23/00 200DB 7.00
HY17
500.
500.
500.
0.
500.
4 TELEVISION/VCR
06/23/00 200DB 7.00
HY17
220.
220.
220.
0.
220.
5 PORTABLE COMPUTER
11/03/98 200DB 5.00
HY17
1,200.
1,200.
0.
1,200.
6 DESK TOP COMPUTER
11/03/98 200DB 5.00
HY17
600.
600.
0.
600.
7 KIOSK COMPUTER
12/10/98 200DB 5.00
HY17
3,014.
3,014.
3,014.
0.
3,014.
8 OFFICE PRINTER
12/10/98 200DB 5.00
HY17
450.
450.
450.
0.
450.
9 OFFICE SCANNER
12/10/98 200DB 5.00
HY17
450.
450.
450.
0.
450.
10 OFFICE COMPUTER
12/10/98 200DB 7.00
HY17
1,000.
1,000.
1,000.
0.
1,000.
11 COMPUTER SOFTWARE
12/10/98
60M
HY43
3,800.
3,800.
3,800.
0.
3,800.
12 MS OFFICE/PUBLISHER
12/10/98
60M
HY43
950.
950.
950.
0.
950.
13 COMPUTER SYSTEM
01/10/08 200DB 7.00
HY17
11,041.
5,521.
5,520.
5,520.
0.
5,520.
14 2 HP PRINTERS APOLLO MONUMENT MONITORING 15 SYSTEM
03/07/12 200DB 5.00
HY17
507.
254.
253.
253.
0.
253.
02/16/14 200DB 5.00
HY17
1,021.
1,021.
1,021.
0.
1,021.
16 SWOFF COMPUTER 423 S. PALM AVE., 17 TITUSVILLE, FL
11/05/13 200DB 5.00
HY17
578.
289.
289.
0.
289.
39.00 MM16
385,190.
385,190.
83,954.
9,877.
93,831.
18 LAND
07/14/15 L
42,799.
42,799.
428111 04-01-24
C
07/14/15 SL
O C 1,200. 600.
T N
E I L
289.
(D) - Asset disposed
34
Y P
0.
* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone
2024 DEPRECIATION AND AMORTIZATION REPORT
FORM 990 PAGE 10 Asset No.
990 Description
Date Acquired
Method
C o n v
Line No.
Unadjusted Cost Or Basis
39.00 MM16
31,174.
Life
19 ROOF REPLACEMENT
02/27/20 SL
20 CARPET REPLACEMENT * TOTAL 990 PAGE 10 DEPR & AMORT
07/21/22 200DB 5.00
HY17
Bus % Excl
Section 179 Expense
* Reduction In Basis
24,214.
24,214.
510,008.
30,278.
T N
C 428111 04-01-24
Basis For Depreciation
Beginning Accumulated Depreciation
31,174.
3,063.
Current Sec 179 Expense
Y P
479,730.
107,584.
Current Year Deduction
Ending Accumulated Depreciation
799.
3,862.
0. 10,676.
118,260.
O C
E I L
(D) - Asset disposed
35
* ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone
Form
2848
Power of Attorney and Declaration of Representative
(Rev. January 2021)
Department of the Treasury Internal Revenue Service
Part I
Power of Attorney
OMB No. 1545-0150
For IRS Use Only Received by:
| Go to www.irs.gov/Form2848 for instructions and the latest information.
Name Telephone
Caution: A separate Form 2848 must be completed for each taxpayer. Form 2848 will not be honored for any purpose other than representation before the IRS. 1 Taxpayer information. Taxpayer must sign and date this form on page 2, line 7. Taxpayer name and address
Function Date
/
/
Taxpayer identification number(s)
59-3267408
U.S. SPACE WALK OF FAME FOUNDATION, INC. 308 PINE STREET TITUSVILLE, FL 32796
Daytime telephone number
Plan number (if applicable)
PY
321-720-4038
hereby appoints the following representative(s) as attorney(s)-in-fact: 2 Representative(s) must sign and date this form on page 2, Part II. Name and address
0303-42478R CAF No. ~~~~~~~~~~~~~~~~~~
B. EUGENE BURKETT PO BOX 562665 ROCKLEDGE, FL 32956-2665
PTIN
P00649848 ~~~~~~~~~~~~~~~~~~~
321-631-0383 ~~~~~~~~~~~~~~~ 321-632-9662 Fax No. ~~~~~~~~~~~~~~~~~~ Telephone No.
CO
X
Check if to be sent copies of notices and communications Name and address
Check if new: Address
Telephone No.
Fax No.
CAF No. ~~~~~~~~~~~~~~~~~~ PTIN
~~~~~~~~~~~~~~~~~~~
Telephone No. Fax No.
Check if new: Address
Check if to be sent copies of notices and communications Name and address
~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~ Telephone No.
Fax No.
CAF No. ~~~~~~~~~~~~~~~~~~
NT
PTIN
(Note: IRS sends notices and communications to only two representatives.) Name and address
~~~~~~~~~~~~~~~~~~~
Telephone No. Fax No.
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Check if new: Address
Telephone No.
Fax No.
CAF No. ~~~~~~~~~~~~~~~~~~ PTIN
~~~~~~~~~~~~~~~~~~~
Telephone No. Fax No.
(Note: IRS sends notices and communications to only two representatives.) to represent the taxpayer before the Internal Revenue Service and perform the following acts:
~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
Check if new: Address
Telephone No.
Fax No.
3 Acts authorized (you are required to complete line 3). Except for the acts described in line 5b, I authorize my representative(s) to receive and inspect my confidential tax information and to perform acts I can perform with respect to the tax matters described below. For example, my representative(s) shall have the authority to sign any agreements, consents, or similar documents (see instructions for line 5a for authorizing a representative to sign a return). Description of Matter (Income, Employment, Payroll, Excise, Estate, Gift, Whistleblower, Practitioner Discipline, PLR, FOIA, Civil Penalty, Sec. 4980H Shared Responsibility Payment, etc.) (see instructions)
INCOME
Tax Form Number
Year(s) or Period(s) (if applicable)
(1040, 941, 720, etc.) (if applicable)
(see instructions)
990
2023-2025
4 Specific use not recorded on the Centralized Authorization File (CAF). If the power of attorney is for a specific use not recorded on CAF, check this box. See Line 4. Specific Use Not Recorded on CAF in the instructions
9
5a Additional acts authorized. In addition to the acts listed on line 3 above, I authorize my representative(s) to perform the following acts (see instructions for line 5a for more information): Access my IRS records via an Intermediate Service Provider; Authorize disclosure to third parties;
Substitute or add representative(s);
Sign a return;
Other acts authorized:
413961 04-01-24
LHA For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
Form 2848 (Rev. 1-2021)
Page 2
Form 2848 (Rev. 1-2021)
b
Specific acts not authorized. My representative(s) is (are) not authorized to endorse or otherwise negotiate any check (including directing or accepting payment by any means, electronic or otherwise, into an account owned or controlled by the representative(s) or any firm or other entity with whom the representative(s) is (are) associated) issued by the government in respect of a federal tax liability. List any other specific deletions to the acts otherwise authorized in this power of attorney (see instructions for line 5b):
6
Retention/revocation of prior power(s) of attorney. The filing of this power of attorney automatically revokes all earlier power(s) of attorney on file with the Internal Revenue Service for the same matters and years or periods covered by this form. If you do not want to revoke a prior power of attorney, check here
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT. Taxpayer declaration and signature. If a tax matter concerns a year in which a joint return was filed, each spouse must file a separate power of attorney even if they are appointing the same representative(s). If signed by a corporate officer, partner, guardian, tax matters partner, partnership representative (or designated individual, if applicable), executor, receiver, administrator, trustee, or individual other than the taxpayer, I certify I have the legal authority to execute this form on behalf of the taxpayer. IF NOT COMPLETED, SIGNED, AND DATED, THE IRS WILL RETURN THIS POWER OF ATTORNEY TO THE TAXPAYER.
9
1111111111111111111111111111111111 Signature GABRIEL G. ROTHBLATT 1111111111111111111111111111111111 Print name
Part II
B B B B
EXECUTIVE DIRECTOR 1111111 DateSPACE 1111111111111111111111 Title (if applicable) U.S. WALK OF FAME FOUNDATION, INC. 1111111111111111111111111111111 Print name of taxpayer from line 1 if other than individual
PY
7
9
Declaration of Representative
CO
Under penalties of perjury, by my signature below I declare that: I am not currently suspended or disbarred from practice, or ineligible for practice, before the Internal Revenue Service;
I am subject to regulations in Circular 230 (31 CFR, Subtitle A, Part 10), as amended, governing practice before the Internal Revenue Service; I am authorized to represent the taxpayer identified in Part I for the matter(s) specified there; and I am one of the following:
Attorney - a member in good standing of the bar of the highest court of the jurisdiction shown below.
b
Certified Public Accountant - a holder of an active license to practice as a certified public accountant in the jurisdiction shown below.
c
Enrolled Agent - enrolled as an agent by the IRS per the requirements of Circular 230.
d
Officer - a bona fide officer of the taxpayer organization.
e
Full-Time Employee - a full-time employee of the taxpayer.
f
Family Member - a member of the taxpayer's immediate family (spouse, parent, child, grandparent, grandchild, step-parent, step-child, brother, or sister).
g
Enrolled Actuary - enrolled as an actuary by the Joint Board for the Enrollment of Actuaries under 29 U.S.C. 1242 (the authority
NT
a
to practice before the IRS is limited by section 10.3(d) of Circular 230). h
Unenrolled Return Preparer - Authority to practice before the IRS is limited. An unenrolled return preparer may represent, provided the preparer (1) prepared and signed the return or claim for refund (or prepared if there is no signature space on the form); (2) was eligible to sign the return or
CL IE
claim for refund; (3) has a valid PTIN; and (4) possesses the required Annual Filing Season Program Record of Completion(s). See Special Rules and Requirements for Unenrolled Return Preparers in the instructions for additional information. Qualifying Student or Law Graduate - receives permission to represent taxpayers before the IRS by virtue of his/her status as a law, business, or
k
accounting student, or law graduate working in a LITC or STCP. See instructions for Part II for additional information and requirements. Enrolled Retirement Plan Agent - enrolled as a retirement plan agent under the requirements of Circular 230 (the authority to practice before the
r
Internal Revenue Service is limited by section 10.3(e)).
| IF THIS DECLARATION OF REPRESENTATIVE IS NOT COMPLETED, SIGNED, AND DATED, THE IRS WILL RETURN THE POWER OF ATTORNEY. REPRESENTATIVES MUST SIGN IN THE ORDER LISTED IN PART I, LINE 2. Note: For designations d-f, enter your title, position, or relationship to the taxpayer in the "Licensing jurisdiction" column. Designation Insert above letter (a-r).
B
Licensing jurisdiction (State) or other licensing authority (if applicable)
Bar, license, certification, registration, or enrollment number (if applicable)
FLORIDA
AC34371
Signature
Date
Form 2848 (Rev. 1-2021)
413962 04-01-24
2024 DEPRECIATION AND AMORTIZATION REPORT
- CURRENT YEAR FEDERAL -
Asset No.
Description
Date Acquired
Method
Life
Line No.
U.S. SPACE WALK OF FAME FOUNDATION, INC.
Unadjusted Cost Or Basis
Bus % Excl
* Reduction In Basis
Basis For Depreciation
Accumulated Depreciation
Current Sec 179
Current Year Deduction
1 20 CHAIRS
110398200DB7.00 17
300.
300.
300.
0.
2 KIOSK CABINET
121098200DB7.00 17
1,000.
1,000.
1,000.
0.
3 OFFICE COPIER
062300200DB7.00 17
500.
500.
500.
0.
4 TELEVISION/VCR
062300200DB7.00 17
220.
220.
220.
0.
5 PORTABLE COMPUTER
110398200DB5.00 17
1,200.
1,200.
1,200.
0.
6 DESK TOP COMPUTER
110398200DB5.00 17
600.
600.
600.
0.
7 KIOSK COMPUTER
121098200DB5.00 17
3,014.
3,014.
3,014.
0.
8 OFFICE PRINTER
121098200DB5.00 17
450.
450.
450.
0.
9 OFFICE SCANNER
121098200DB5.00 17
450.
450.
450.
0.
10 OFFICE COMPUTER
121098200DB7.00 17
1,000.
1,000.
1,000.
0.
11 COMPUTER SOFTWARE
121098
60M
43
3,800.
3,800.
3,800.
0.
12 MS OFFICE/PUBLISHER 121098
60M
43
950.
950.
950.
0.
13 COMPUTER SYSTEM
011008200DB7.00 17
11,041.
5,521.
5,520.
5,520.
0.
14 2 HP PRINTERS APOLLO MONUMENT 15 MONITORING SYSTEM
030712200DB5.00 17
507.
254.
253.
253.
0.
021614200DB5.00 17
1,021.
1,021.
1,021.
0.
16 SWOFF COMPUTER 423 S. PALM AVE., 17 TITUSVILLE, FL
110513200DB5.00 17
578.
289.
289.
0.
385,190.
385,190.
83,954.
9,877.
18 LAND
071415L
42,799.
42,799.
428102 04-01-24
C
071415SL
T N
E I L
39.0016
Y P
(D) - Asset disposed
O C 289.
0.
* ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction
2024 DEPRECIATION AND AMORTIZATION REPORT
- CURRENT YEAR FEDERAL -
Asset No.
Description
19 ROOF REPLACEMENT
Date Acquired
Method
022720SL
Life
Line No.
U.S. SPACE WALK OF FAME FOUNDATION, INC.
Unadjusted Cost Or Basis
39.0016
31,174.
20 CARPET REPLACEMENT 072122200DB5.00 17 * TOTAL 990 PAGE 10 DEPR & AMORT
24,214. 510,008.
Bus % Excl
* Reduction In Basis
428102 04-01-24
Accumulated Depreciation
31,174.
Current Sec 179
Current Year Deduction
3,063.
799.
Y P
0.
24,214.
30,278. 479,730. 107,584.
T N
C
Basis For Depreciation
10,676.
O C
E I L
(D) - Asset disposed
* ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction
2025 DEPRECIATION AND AMORTIZATION REPORT
U.S. SPACE WALK OF FAME FOUNDATION, INC.
- NEXT YEAR FEDERAL Asset No.
Date Acquired
Description
1 20 CHAIRS 2 KIOSK CABINET 3 OFFICE COPIER 4 TELEVISION/VCR 5 PORTABLE COMPUTER 6 DESK TOP COMPUTER 7 KIOSK COMPUTER 8 OFFICE PRINTER 9 OFFICE SCANNER 10 OFFICE COMPUTER 11 COMPUTER SOFTWARE 12 MS OFFICE/PUBLISHER 13 COMPUTER SYSTEM 14 2 HP PRINTERS 15 APOLLO MONUMENT MONITORING SYSTEM 16 SWOFF COMPUTER 17 423 S. PALM AVE., TITUSVILLE, FL 18 LAND 19 ROOF REPLACEMENT 20 CARPET REPLACEMENT * TOTAL 990 PAGE 10 DEPR & AMORT
C 428103 04-01-24
Method
Life
Unadjusted Cost Or Basis
* Reduction In Basis
Basis For Depreciation
Accumulated Depreciation
110398200DB7.00 300. 300. 300. 121098200DB7.00 1,000. 1,000. 1,000. 062300200DB7.00 500. 500. 500. 062300200DB7.00 220. 220. 220. 110398200DB5.00 1,200. 1,200. 1,200. 110398200DB5.00 600. 600. 600. 121098200DB5.00 3,014. 3,014. 3,014. 121098200DB5.00 450. 450. 450. 121098200DB5.00 450. 450. 450. 121098200DB7.00 1,000. 1,000. 1,000. 121098 60M 3,800. 3,800. 3,800. 121098 60M 950. 950. 950. 011008200DB7.00 11,041. 5,521. 5,520. 5,520. 030712200DB5.00 507. 254. 253. 253. 021614200DB5.00 1,021. 1,021. 1,021. 110513200DB5.00 578. 289. 289. 289. 071415SL 39.00 385,190. 385,190. 93,831. 071415L 42,799. 42,799. 022720SL 39.00 31,174. 31,174. 3,862. 072122200DB5.00 24,214.24,214. 510,008.30,278. 479,730. 118,260.
Y P
T N
E I L
(D) - Asset disposed
O C
Amount Of Depreciation
0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 9,877. 0. 799. 0. 10,676.
* ITC, Section 179, Salvage, HR 3090, Commercial Revitalization Deduction, GO Zone
Marketing Support Program - US SPACE WALK OF FAME FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Personnel
$185,000.00
$150,000.00
$35,000.00
Contracted Services
$5,000.00
$3,950.00
$1,050.00
Admissions
$50,000.00
$42,131.00
$7,869.00
Gift Shop
$30,000.00
$25,702.00
$4,298.00
Utilities
$17,500.00
$15,203.16
Space Rental/Mortgage
$36,000.00
$22,694.16
$2,296.84
Membership
$15,000.00
$14,340.00
$660.00
$13,305.84
Engravings
$1,500.00
$1,484.00
$16.00
Insurance General Liability
$7,500.00
$5,576.20
Insurance D & O
$1,200.00
$1,070.60
$1,923.80
Consignment
$35,000.00
$24,500.00
$10,500.00
$129.40
Interest/Investment
$8,500.00
$6,667.00
$1,833.00
Subtotal Expense Other Expenses
$252,200.00
$198,494.12
$53,705.88
Donations:
Equipment/Supplies
Corp. contributions
$25,000.00
$18,500.00
$6,500.00
$10,000.00
$6,250.00
$3,750.00
Ind. Contributions
$75,000.00
$68,300.00
$6,700.00
Inventory
$18,000.00
$20,000.00
-$2,000.00
Special Events
$20,000.00
$12,500.00
$7,500.00
$240,000.00
$201,624.00
$38,376.00
$0.00
Subtotal Income Income Sponsors
$0.00
Cash in Bank to start
$260,000.00
$257,850.18
$2,149.82
$0.00
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
$0.00
Total Income
$252,500.00
$216,624.00
$35,876.00
$0.00
Total Expenses Paid
$319,279.00
$251,253.62
$68,025.38
Profit/Loss
-$66,779.00
-$34,629.62
Income
$0.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$48,000.00
$38,750.00
$9,250.00
CFPM
$10,000.00
$7,400.00
$2,600.00
Gannet
$2,500.00
$999.50
$1,500.50
Belden Communications
$6,579.00
$5,610.00
$969.00 $0.00 $0.00 $0.00 $0.00
Subtotal Marketing Marketing Expense
$19,079.00
$14,009.50
Total Expenses 2025-2026
$319,279.00
$251,253.62
$5,069.50
.
Updated: 6/20/2025
Brevard Symphony Orchestra
Return to Table of Contents
For TDO use: PROJECT#- C 11
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Brevard Symphony Orchestra Applicant Event Name: Year-round programming Yes X
1. Completed application
2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
No
Comment
X
NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
NO All documents have been submitted, reviewed and/or addressed in the comments.
Pb�
7{gtQ(s-
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:13 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Hadassah Etienne
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Brevard Symphony Orchestra Organization address 780 S Apollo Blvd Ste 218 State Florida City Melbourne Zip 32901 Primary contact name Hadassah Etienne Primary contact phone number 321-345-5052
Primary contact email hetienne@brevardsymphony.com Secondary contact name Laura Sayer Secondary contact phone number 321-345-5052 Secondary contact email lsayer@brevardsymphony.com Organization website address www.brevardsymphony.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-1149727
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Billboards Digital advertising (banner ads, etc.) Direct mail Radio Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video Other - Please be specific.....: EDDM
21. (untitled) 9. What are your social media handles? Facebook : Brevard Symphony Orchestra Instagram : @brevardsymphony YouTube : @BrevardSymphonyOrchestra
22. (untitled) 10. What hashtags do you currently use? #yourBSO, #musiconthespacecoast
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. IRS_Determination_Letter.pdf
24. (untitled)
12. Upload a copy of your organization's 990 form. US_Tax_Return_2022-23_-_Public_Disclosure_Copy.PDF
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SunBiz_BSO_Page.pdf
27. (untitled) 14. Upload your completed W-9 form. __W-9_Apollo_signed.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. 25-26_Event_Income_Expense_Report_Complete.pdf
29. (untitled) 16. Upload your completed Checklist. MSP_Checklist_Completed.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Hadassah Etienne
31. Thank You! New Send Email May 27, 2025 10:15:43 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Division of Corporations
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation BREVARD SYMPHONY ORCHESTRA, INC. Filing Information
Document Number
710274
FEI/EIN Number
59-1149727
Date Filed
01/28/1966
State
FL
Status
ACTIVE
Last Event
AMENDED AND RESTATEDARTICLES/NAME CHANGE
Event Date Filed
01/26/1998
Event Effective Date
NONE
Principal Address
780 S Apollo Blvd Suite 218 Melbourne, FL 32901 Changed: 01/29/2021 Mailing Address
PO Box 361965 Melbourne, FL 32936-1965 Changed: 06/04/2020 Registered Agent Name & Address
Brevard Symphony Orchestra, Inc. 780 S Apollo Blvd Suite 218 Melbourne, FL 32901 Name Changed: 01/25/2022 Address Changed: 01/29/2021 Officer/Director Detail
Name & Address Title Immediate Past Board Chair
Zies, Philip PO Box 361965 Melbourne, FL 32936-1965 Title Board Chair Forrer, Janet PO Box 361965 Melbourne, FL 32936-1965 Title Treasurer Proctor, Travis PO Box 361965 Melbourne, FL 32936-1965 Title Board Vice Chair Johnson, Nancy, Dr. PO Box 361965 Melbourne, FL 32936-1965 Title Board Vice Chair Caldwell, Debbie PO Box 361965 Melbourne, FL 32936-1965 Title Board Secretary Allen, Dorothy PO Box 361965 Melbourne, FL 32936-1965 Title Director Anderson, J. Patrick PO Box 361965 Melbourne, FL 32936-1965 Title Director Anderson, Roger PO Box 361965 Melbourne, FL 32936-1965 Title Orchestra Representative Apelgren, Christina PO Box 361965 Melbourne, FL 32936-1965
Title Director Blanchard, Geraldine PO Box 361965 Melbourne, FL 32936-1965 Title Director Brush, Ann-Marie PO Box 361965 Melbourne, FL 32936-1965 Title Director Clayborne, Yvonne PO Box 361965 Melbourne, FL 32936-1965 Title Director Fanelli, Alfredo, Dr. PO Box 361965 Melbourne, FL 32936-1965 Title Director Hart, Lauri PO Box 361965 Melbourne, FL 32936-1965 Title Director Hughes, Tess PO Box 361965 Melbourne, FL 32936-1965 Title Director Jobson, Joanna PO Box 361965 Melbourne, FL 32936-1965 Title Director Jones Francey, Darcia PO Box 361965 Melbourne, FL 32936-1965 Title Director
Kitchel, Marilyn PO Box 361965 Melbourne, FL 32936-1965 Title Orchestra Representative Korczynski, Sasha PO Box 361965 Melbourne, FL 32936-1965 Title Director Lamb, Robert, Dr. PO Box 361965 Melbourne, FL 32936-1965 Title Director McAlpine, Christopher PO Box 361965 Melbourne, FL 32936-1965 Title Director Nash, Charles PO Box 361965 Melbourne, FL 32936-1965 Title Director Normile, Hugh PO Box 361965 Melbourne, FL 32936-1965 Title Director Ramirez, Alexies, Dr. PO Box 361965 Melbourne, FL 32936-1965 Title Director Reeve, Carol PO Box 361965 Melbourne, FL 32936-1965 Title Director McApline, Lisa PO Box 361965 Melbourne, FL 32936-1965
Title Director Wieseler, Jason, Dr. PO Box 361965 Melbourne, FL 32936-1965 Title Director Carey, Jason PO Box 361965 Melbourne, FL 32936-1965 Title Director LeGros, Brian PO Box 361965 Melbourne, FL 32936-1965 Title Director Strickhausen, Laura PO Box 361965 Melbourne, FL 32936-1965 Title Director Taylor, Heather PO Box 361965 Melbourne, FL 32936-1965 Title CEO Etienne, Hadassah PO Box 361965 Melbourne, FL 32936-1965 Annual Reports
Report Year
Filed Date
2023
04/06/2023
2024
04/01/2024
2025
05/21/2025
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Florida Department of State, Division of Corporations
** PUBLIC DISCLOSURE COPY **
Form
990
Department of the Treasury Internal Revenue Service
Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 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 2022 calendar year, or tax year beginning
JUL 1, 2022
and ending
C Name of organization
B Check if
applicable: Address change Name change Initial return Final return/ terminated Amended return Application pending
OMB No. 1545-0047
JUN 30, 2023
2022
Open to Public Inspection
D Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC.
59-1149727
Doing business as Number and street (or P.O. box if mail is not delivered to street address)
P.O. BOX 361965
Room/suite E Telephone number
City or town, state or province, country, and ZIP or foreign postal code
G
Expenses
Revenue
Activities & Governance
32936 H(a) Is this a group return for subordinates? ~~ F Name and address of principal officer: DAVID SCHILLHAMMER Yes X No P.O. BOX 361965, MELBOURNE, FL 32936 H(b) Are all subordinates included? Yes No ) If "No," attach a list. See instructions 501(c) ( (insert no.) 4947(a)(1) or 527 I Tax-exempt status: X 501(c)(3) WWW.BREVARDSYMPHONY.COM H(c) Group exemption number J Website: Trust Association Other K Form of organization: X Corporation L Year of formation: 1966 M State of legal domicile: FL Part I Summary 1 Briefly describe the organization's mission or most significant activities: CLASSICAL MUSIC FOR COMMUNITY, FAMILY CONCERTS & MUSICAL EDUCATION.
Net Assets or Fund Balances
MELBOURNE, FL
321-242-2024 1,225,739.
Gross receipts $
2
Check this box
3
Number of voting members of the governing body (Part VI, line 1a)
if the organization discontinued its operations or disposed of more than 25% of its net assets. ~~~~~~~~~~~~~~~~~~~~
3
4
Number of independent voting members of the governing body (Part VI, line 1b) ~~~~~~~~~~~~~~
4
5
Total number of individuals employed in calendar year 2022 (Part V, line 2a) ~~~~~~~~~~~~~~~~
5
6
Total number of volunteers (estimate if necessary) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
7 a Total unrelated business revenue from Part VIII, column (C), line 12 ~~~~~~~~~~~~~~~~~~~~ b Net unrelated business taxable income from Form 990-T, Part I, line 11 Prior Year
7a
8
Contributions and grants (Part VIII, line 1h)
9
Program service revenue (Part VIII, line 2g)
~~~~~~~~~~~~~~~~~~~~~
10
~~~~~~~~~~~~~~~~~~~~~ Investment income (Part VIII, column (A), lines 3, 4, and 7d) ~~~~~~~~~~~~~
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~
12
Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)
13
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
14
Benefits paid to or for members (Part IX, column (A), line 4)
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ~~~
~~~~~~~~~~~
~~~~~~~~~~~~~
16a Professional fundraising fees (Part IX, column (A), line 11e) ~~~~~~~~~~~~~~
0. b Total fundraising expenses (Part IX, column (D), line 25) 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) ~~~~~~~~~~~~~ 18
Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) ~~~~~~~
19
Revenue less expenses. Subtract line 18 from line 12
525,051. 482,180. 59,339. 52,217. 1,118,787. 0. 0. 232,784. 0. 836,260. 1,069,044. 49,743.
Beginning of Current Year
20
Total assets (Part X, line 16)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
21
Total liabilities (Part X, line 26)
~~~~~~~~~~~~~~~~~~~~~~~~~~~
22
Net assets or fund balances. Subtract line 21 from line 20
Part II
7b
2,322,892. 188,704. 2,134,188.
28 28 5 228 0. 0. Current Year
328,344. 465,069. 8,451. 67,425. 869,289. 0. 0. 244,032. 0.
896,090. 1,140,122. -270,833. End of Year
2,303,520. 255,067. 2,048,453.
Signature Block
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
Date
DAVID SCHILLHAMMER, EXECUTIVE DIRECTOR Type or print name and title Print/Type preparer's name
Preparer's signature
Date
Check if
PTIN
ROMAN G CARRAWAY, CPA ROMAN G CARRAWAY, CP 05/14/24 self-employed P00448173 CARR, RIGGS & INGRAM, LLC Preparer Firm's name Firm's EIN 72-1396621 Use Only Firm's address 215 BAYTREE DRIVE MELBOURNE, FL 32940 Phone no. 321-255-0088 X Yes May the IRS discuss this return with the preparer shown above? See instructions No 232001 12-13-22 LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2022) Paid
BREVARD SYMPHONY ORCHESTRA, INC. Part III Statement of Program Service Accomplishments
59-1149727
Form 990 (2022)
Page 2
Check if Schedule O contains a response or note to any line in this Part III 1
2
Briefly describe the organization's mission:
CLASSICAL MUSIC FOR COMMUNITY, FAMILY CONCERTS & MUSICAL EDUCATION.
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
X No
Yes
X No
If "Yes," describe these new services on Schedule O. 3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ~~~~~~ If "Yes," describe these changes on Schedule O.
4
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a
823,102. including grants of $ 465,069. ) (Code: ) (Expenses $ ) (Revenue $ SYMPHONY CONCERTS ATTENDED BY APPROXIMATELY 32,000 PEOPLE INCLUDING CHILDREN'S CONCERTS AND OUTREACH PROGRAMS.
4b
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4c
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4d
Other program services (Describe on Schedule O.)
4e
Total program service expenses
(Expenses $
including grants of $
232002 12-13-22
08120514 794202 72-02006.000
823,102.
) (Revenue $
) Form 990 (2022)
2 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Part IV Checklist of Required Schedules
Form 990 (2022)
59-1149727
Page 3 Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1
2
Is the organization required to complete Schedule B, Schedule of Contributors ? See instructions ~~~~~~~~~~~~~~
2
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
X
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4
X
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III ~~~~~~~~~~~~~~~~~~~
5
X
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I
6
X
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II ~~~~~~~~~~~~~~
7
X
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete 8
X
amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9
X
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi endowments? If "Yes," complete Schedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
10
X
as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11a
X
b Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII ~~~~~~~~~~~~~~~~~~~~~~~~~
11b
X
c Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII ~~~~~~~~~~~~~~~~~~~~~~~~~
11c
X
11d
4 5 6
Schedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
X X
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for
9
10
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X,
11
d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X ~~~~~~
11e
X X
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X ~~~~
11f
X
12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12a
X
f
b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional ~~~~~ 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ~~~~~~~~~~~~~~
14a
X X X
investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14b
X
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15
X
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~
16
X
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions ~~~~~~~~~~~~~~~~~~~~
17
X
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes,"
14a Did the organization maintain an office, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~ b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,
15 16 17
complete Schedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H ~~~~~~~~~~~~~~~~~ b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ~~~~~~~~~~ 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II ~~~~~~~~~~~~~~ 232003 12-13-22
08120514 794202 72-02006.000
12b 13
19 20a
X X X
20b
X 21 990 Form (2022)
3 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Part IV Checklist of Required Schedules (continued)
Form 990 (2022)
59-1149727
Page 4 Yes
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~
No
22
X
Schedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
23
X
24 a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24a
X
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? ~~~~~~~~~~~ c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
24b
any tax-exempt bonds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24c
d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? ~~~~~~~~~~~ 25 a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~
24d
b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 26
25b
X
26
X
27
X
28a
X X
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If "Yes," complete Schedule L, Part III ~~~
28
X
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II ~~~~~~~~~~~~~
27
25a
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~ c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
28b
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M ~~~~~~~~~
29
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
30
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I ~~~~~~
31
X X
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
32
X
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~
33
X
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
34
~~~~~~~~~~~~~~~~~~ 35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)? b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~
35a
X X
35b
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
36
X
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI ~~~~~~~~
37
X
36 37 38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V
127 0
(gambling) winnings to prize winners?
08120514 794202 72-02006.000
38
X
1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ~~~~~~~~~~~ 1a b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable ~~~~~~~~~~ 1b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming 232004 12-13-22
X X
28c
Yes
No
X 1c 990 Form (2022)
4 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Statements Regarding Other IRS Filings and Tax Compliance (continued)
59-1149727
Form 990 (2022)
Part V
Page 5 Yes
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~
5 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? ~~~~~~~~~~ 3a Did the organization have unrelated business gross income of $1,000 or more during the year? ~~~~~~~~~~~~~~ b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule O ~~~~~~~~~~ 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ~~~~~~~
2b 3a
X
No
X
3b 4a
X
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ~~~~~~~~~~~~ b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? ~~~~~~~~~
5a
X X
c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
5c
b If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
any contributions that were not tax deductible as charitable contributions?
7
~~~~~~~~~~~~~~~~~~~~~~~~
6a
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6b
Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? b If "Yes," did the organization notify the donor of the value of the goods or services provided? ~~~~~~~~~~~~~~~
d If "Yes," indicate the number of Forms 8282 filed during the year ~~~~~~~~~~~~~~~~ 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
~~~~~~~
7e
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~ g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ~ h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
7g
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~
9
Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? ~~~~~~~~~~~~~~~~~~~ b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? ~~~~~~~~~~~~~ Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 ~~~~~~~~~~~~~~~ b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities ~~~~~~ Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ b Gross income from other sources. (Do not net amounts due or paid to other sources against
X X
7f 7h 8 9a 9b
10a 10b 11a
amounts due or received from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11b 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? b If "Yes," enter the amount of tax-exempt interest received or accrued during the year 12b 13
X
7b 7c
8
11
7a
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?
f
10
5b
12a
Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? ~~~~~~~~~~~~~~~~~~~~~ Note: See the instructions for additional information the organization must report on Schedule O.
13a
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ~~~~~~~~~~~~~~~~~~~~~~
13b c Enter the amount of reserves on hand ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? ~~~~~~~~~~~~~~~~ b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ~~~~~~~~~ 15
14a 14b
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or 15
X
~~~~~~
16
X
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953? ~~~~~~~~~~~~~~~~~~~
17
excess parachute payment(s) during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," see the instructions and file Form 4720, Schedule N. 16
X
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If "Yes," complete Form 4720, Schedule O.
17
If "Yes," complete Form 6069. 232005 12-13-22
08120514 794202 72-02006.000
Form 990 (2022) 5 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Page 6 Part VI Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response
Form 990 (2022)
to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI
X
Section A. Governing Body and Management 1a Enter the number of voting members of the governing body at the end of the tax year ~~~~~~ If there are material differences in voting rights among members of the governing body, or if the governing
Yes
28
1a
body delegated broad authority to an executive committee or similar committee, explain on Schedule O. 1b b Enter the number of voting members included on line 1a, above, who are independent ~~~~~~ 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other
No
28 X
officer, director, trustee, or key employee?
2
3
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization delegate control over management duties customarily performed by or under the direct supervision
3
4
of officers, directors, trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~~ Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ~~~~~
5
Did the organization become aware during the year of a significant diversion of the organization's assets?
~~~~~~~~~
5
Did the organization have members or stockholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
X X X X
7a
X
b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7b
X
6
8
9
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Each committee with authority to act on behalf of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
4
8a 8b
X X X
9 Yes
10a Did the organization have local chapters, branches, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates,
10a
and branches to ensure their operations are consistent with the organization's exempt purposes? ~~~~~~~~~~~~~ 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? If "No," go to line 13 ~~~~~~~~~~~~~~~~~~~~~
10b
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ~~~~~~ c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12b
13
Did the organization have a written whistleblower policy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13
14
Did the organization have a written document retention and destruction policy? ~~~~~~~~~~~~~~~~~~~~~~
14
15
Did the process for determining compensation of the following persons include a review and approval by independent
X X
12c
persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official ~~~~~~~~~~~~~~~~~~~~~~~~~~ b Other officers or key employees of the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
X X
11a 12a
No
X X X
15b
X X
16a
X
15a
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements?
Section C. Disclosure
16b
NONE
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. Own website
19
Another's website
X Upon request
Other (explain on Schedule O)
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records
DAVID SCHILLHAMMER - 321-345-5052 PO BOX 361965, MELBOURNE, FL 32936
232006 12-13-22
08120514 794202 72-02006.000
Form 990 (2022) 6 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Form 990 (2022)
Check if Schedule O contains a response or note to any line in this Part VII
Page 7
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. ¥ List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. ¥ List all of the organization's current key employees, if any. See the instructions for definition of "key employee." ¥ List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. ¥ List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ¥ List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(1) DAVID SCHILLHAMMER EXECUTIVE DIRECTOR (2) PHILIP ZIES CHAIR (3) DEBBIE CALDWELL VICE CHAIR (4) DR. NANCY J JOHNSON VICE CHAIR (5) TRAVIS PROCTOR TREASURER (6) DOTTY ALLEN SECRETARY (7) DR. JASON WIESELER PAST CHAIR (8) GERALDINE BLANCHARD DIRECTOR (9) ANN-MARIE BRUSH DIRECTOR (10) YVONNE CLAYBORNE DIRECTOR (11) DR. ALFREDO FANELLI DIRECTOR (12) JANET FORRER DIRECTOR (13) PEDRO GUIROLA DIRECTOR (14) LAURI HART DIRECTOR (15) TESS HUGHES GUILD REP (16) JOANNA JOBSON DIRECTOR (17) DARCIA JONES FRANCEY DIRECTOR 232007 12-13-22
08120514 794202 72-02006.000
40.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
(D) Reportable compensation from the organization (W-2/1099-MISC/ 1099-NEC)
(E) Reportable compensation from related organizations (W-2/1099-MISC/ 1099-NEC)
Former
Highest compensated employee
Key employee
Institutional trustee
Officer
(B) (C) Position Average (do not check more than one box, unless person is both an hours per officer and a director/trustee) week (list any hours for related organizations below line) Individual trustee or director
(A) Name and title
(F) Estimated amount of other compensation from the organization and related organizations
X
95,000.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0. 990 Form (2022)
7 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Page 8
Form 990 (2022)
(18) MARILYN KITCHEL DIRECTOR (19) SASHA KORCZYNSKI MUSICIAN (20) DR. ROBERT LAMB DIRECTOR (21) CHRISTOPHER MCALPINE DIRECTOR (22) LISA MCALPINE BSYO REP (23) CHARLES NASH PAST CHAIR (24) HUGH NORMILE DIRECTOR (25) JACKIE PANTELLO DIRECTOR (26) CAROL REEVE DIRECTOR
3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
(D) Reportable compensation from the organization (W-2/1099-MISC/ 1099-NEC)
(F) Estimated amount of other compensation from the organization and related organizations
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0. 95,000. 0. 95,000.
0. 0. 0. 0.
0. 0. 0. 0.
1b Subtotal ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Total from continuation sheets to Part VII, Section A ~~~~~~~~~~~ 2
(E) Reportable compensation from related organizations (W-2/1099-MISC/ 1099-NEC)
Former
Highest compensated employee
Institutional trustee
Key employee
3.00
Officer
(B) (C) Position Average (do not check more than one hours per box, unless person is both an officer and a director/trustee) week (list any hours for related organizations below line) Individual trustee or director
(A) Name and title
d Total (add lines 1b and 1c) ~ Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable
0
compensation from the organization Yes 3 4
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
X
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~
4
X
5
X
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person Section B. Independent Contractors 1
No
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) Name and business address
2
NONE
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than
0 SEE PART VII, SECTION A CONTINUATION SHEETS
$100,000 of compensation from the organization 232008 12-13-22
08120514 794202 72-02006.000
Form 990 (2022)
8 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC.
Form 990
59-1149727
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
3.00
(27) PATRICK ANDERSON DIRECTOR (28) CHRISTINA APELGREN DIRECTOR (29) DR. ALEXIS RAMIREZ DIRECTOR (30) KEVIN SMITH BOARD CHAIR (31) DAVID FREDERICKS DIRECTOR (32) KENDALL MARTIN DIRECTOR (33) MARY HELEN MCCAY DIRECTOR
Total to Part VII, Section A, line 1c
3.00 3.00 3.00 3.00 3.00 3.00
(D) Reportable compensation from the organization (W-2/1099-MISC)
(E) Reportable compensation from related organizations (W-2/1099-MISC)
(F) Estimated amount of other compensation from the organization and related organizations
Former
Highest compensated employee
Key employee
(C) Position (check all that apply)
Institutional trustee
(B) Average hours per week (list any hours for related organizations below line)
Officer
(A) Name and title
Individual trustee or director
Part VII Section A.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
232201 04-01-22
08120514 794202 72-02006.000
9 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Statement of Revenue
59-1149727
Form 990 (2022)
Part VIII
Page 9
Program Service Revenue
Contributions, Gifts, Grants and Other Similar Amounts
Check if Schedule O contains a response or note to any line in this Part VIII (A) (B) (C) (D) Revenue excluded Related or exempt Unrelated Total revenue function revenue business revenue from tax under sections 512 - 514 1 a Federated campaigns ~~~~~ b Membership dues ~~~~~~~
1a
c Fundraising events ~~~~~~~ d Related organizations ~~~~~
1c
similar amounts not included above ~
1f
1b
1d e Government grants (contributions) 1e f All other contributions, gifts, grants, and g
113,333. 215,011.
1g $
Noncash contributions included in lines 1a-1f
h Total. Add lines 1a-1f
SELF FUNDED INCOME EVE PERFORMANCE INCOME c SPONSORED EVENTS d SPONSORSHIPS e CONCERT CLUB
2 a b
f
Business Code
711190 711190 711190 711190 711190
All other program service revenue ~~~~~
g Total. Add lines 2a-2f Investment income (including dividends, interest, and 3 other similar amounts) ~~~~~~~~~~~~~~~~~~ 4
Income from investment of tax-exempt bond proceeds
5
Royalties (i) Real (ii) Personal
6 a Gross rents ~~~~~ b Less: rental expenses ~
328,344. 248,627. 153,893. 53,701. 6,601. 2,247.
248,627. 153,893. 53,701. 6,601. 2,247.
465,069. 40,870.
40,870.
-32,419.
-32,419.
67,425.
67,425.
6a
Other Revenue
6b c Rental income or (loss) 6c d Net rental income or (loss) (i) Securities (ii) Other 7 a Gross amount from sales of assets other than inventory
7a 311,614.
b Less: cost or other basis and sales expenses ~~~
7b 344,033.
c Gain or (loss) ~~~~~ 7c -32,419. d Net gain or (loss) 8 a Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ~~~~~~~~~~~~
79,842. 8b 12,417. 8a
b Less: direct expenses ~~~~~~~~ c Net income or (loss) from fundraising events
9 a Gross income from gaming activities. See Part IV, line 19 ~~~~~~~~~~~~ 9a b Less: direct expenses ~~~~~~~~ 9b c Net income or (loss) from gaming activities 10 a Gross sales of inventory, less returns and allowances ~~~~~~~~~~~~ 10a
Miscellaneous Revenue
b Less: cost of goods sold ~~~~~~~ 10b c Net income or (loss) from sales of inventory Business Code
11 a
12
b c d All other revenue ~~~~~~~~~~~~~ e Total. Add lines 11a-11d Total revenue. See instructions
232009 12-13-22
08120514 794202 72-02006.000
869,289.
465,069.
0.
75,876. Form 990 (2022)
10 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Part IX Statement of Functional Expenses
Form 990 (2022)
59-1149727
Page 10
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX (A) (B) (C) (D) Do not include amounts reported on lines 6b, Total expenses Program service Management and Fundraising 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses expenses
X
Grants and other assistance to domestic organizations
1
and domestic governments. See Part IV, line 21
~
Grants and other assistance to domestic
2
individuals. See Part IV, line 22 ~~~~~~~ Grants and other assistance to foreign
3
organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ~~~ 4
Benefits paid to or for members ~~~~~~~
5
Compensation of current officers, directors, trustees, and key employees ~~~~~~~~
95,000.
95,000.
129,750.
129,750.
19,282.
19,282.
Compensation not included above to disqualified
6
persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
~~~
7
Other salaries and wages ~~~~~~~~~~
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
9
Other employee benefits ~~~~~~~~~~
10
Payroll taxes ~~~~~~~~~~~~~~~~ Fees for services (nonemployees):
11
a Management ~~~~~~~~~~~~~~~~ b Legal ~~~~~~~~~~~~~~~~~~~~ c Accounting ~~~~~~~~~~~~~~~~~ d Lobbying ~~~~~~~~~~~~~~~~~~ e Professional fundraising services. See Part IV, line 17 f Investment management fees ~~~~~~~~ g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Sch O.) 12
Advertising and promotion ~~~~~~~~~
13
Office expenses ~~~~~~~~~~~~~~~
14
Information technology ~~~~~~~~~~~
15
Royalties ~~~~~~~~~~~~~~~~~~
16
Occupancy ~~~~~~~~~~~~~~~~~ Travel ~~~~~~~~~~~~~~~~~~~
17 18
Payments of travel or entertainment expenses for any federal, state, or local public officials ~
19
Conferences, conventions, and meetings ~~
20
Interest
21
Payments to affiliates ~~~~~~~~~~~~
22
Depreciation, depletion, and amortization ~~
23
Insurance
24
Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
~~~~~~~~~~~~~~~~~
CONCERT/PERFORMANCE b OFFICE SUPPLIES c SECURITY d MUSIC EQUIPMENT e All other expenses 26
283,274. 35,459.
12,538.
12,538.
41,427. 40,294.
30,656. 40,294.
186. 5,959.
186.
392,873. 31,356. 13,262. 9,740. 29,722. 1,140,122.
392,873. 8,466. 13,262. 9,740. 8,892. 823,102.
10,771.
~~~~~~~~~~~~~~~~~~
a
25
283,274. 35,459.
Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the organization
5,959.
22,890. 20,830. 317,020.
0.
reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) 232010 12-13-22
08120514 794202 72-02006.000
Form 990 (2022) 11 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Form 990 (2022)
Part X
BREVARD SYMPHONY ORCHESTRA, INC.
59-1149727
Balance Sheet
Page 11
Check if Schedule O contains a response or note to any line in this Part X (A) Beginning of year
182,849.
(B) End of year
1
Cash - non-interest-bearing ~~~~~~~~~~~~~~~~~~~~~~~~~
2
Savings and temporary cash investments ~~~~~~~~~~~~~~~~~~
2
3
Pledges and grants receivable, net ~~~~~~~~~~~~~~~~~~~~~
3
4
Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~
4
5
Loans and other receivables from any current or former officer, director,
1
232,971.
trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons 6
~~~~~~~~~
Assets
under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
~~
6
7
Notes and loans receivable, net ~~~~~~~~~~~~~~~~~~~~~~~
7
8
Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~
9
Prepaid expenses and deferred charges
~~~~~~~~~~~~~~~~~~
10 a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D ~~~
74,134. 63,636.
10a
b Less: accumulated depreciation ~~~~~~ 10b 11 Investments - publicly traded securities ~~~~~~~~~~~~~~~~~~~
Liabilities
5
Loans and other receivables from other disqualified persons (as defined
14,699.
8 9
10,684. 10c 789,981. 11 1,324,290. 12
12
Investments - other securities. See Part IV, line 11 ~~~~~~~~~~~~~~
13
Investments - program-related. See Part IV, line 11
14
Intangible assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15
Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~
16 17
Total assets. Add lines 1 through 15 (must equal line 33) Accounts payable and accrued expenses ~~~~~~~~~~~~~~~~~~
18
Grants payable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
19
Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
174,882. 19
20
Tax-exempt bond liabilities ~~~~~~~~~~~~~~~~~~~~~~~~~
20
21
Escrow or custodial account liability. Complete Part IV of Schedule D ~~~~ Loans and other payables to any current or former officer, director,
21
22
~~~~~~~~~~~~~
19,336. 10,498. 2,040,326.
13 14
389. 15 2,322,892. 16 13,822. 17 18
389. 2,303,520. 15,831. 239,236.
trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
~~~~~~~~~
22
23
Secured mortgages and notes payable to unrelated third parties
~~~~~~
23
24
Unsecured notes and loans payable to unrelated third parties ~~~~~~~~
24
25
Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Net Assets or Fund Balances
26
Total liabilities. Add lines 17 through 25 Organizations that follow FASB ASC 958, check here
X
27
and complete lines 27, 28, 32, and 33. Net assets without donor restrictions ~~~~~~~~~~~~~~~~~~~~
28
Net assets with donor restrictions ~~~~~~~~~~~~~~~~~~~~~~
25
188,704. 26
255,067.
1,534,188. 27 600,000. 28
1,448,453. 600,000.
Organizations that do not follow FASB ASC 958, check here 29
and complete lines 29 through 33. Capital stock or trust principal, or current funds ~~~~~~~~~~~~~~~
29
30
Paid-in or capital surplus, or land, building, or equipment fund ~~~~~~~~
30
31
Retained earnings, endowment, accumulated income, or other funds
32
Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~
33
Total liabilities and net assets/fund balances
232011 12-13-22
08120514 794202 72-02006.000
~~~~
31
2,134,188. 32 2,322,892. 33
2,048,453. 2,303,520. Form 990 (2022)
12 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Part XI Reconciliation of Net Assets
Form 990 (2022)
59-1149727
Page 12
Check if Schedule O contains a response or note to any line in this Part XI
869,289. 1,140,122. -270,833. 2,134,188. 186,640.
1
Total revenue (must equal Part VIII, column (A), line 12) ~~~~~~~~~~~~~~~~~~~~~~~~~~
1
2
Total expenses (must equal Part IX, column (A), line 25) ~~~~~~~~~~~~~~~~~~~~~~~~~~
2
3
Revenue less expenses. Subtract line 2 from line 1
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ~~~~~~~~~~
4
5
Net unrealized gains (losses) on investments
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5
6
Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
7
Investment expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7
8
Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8
9
Other changes in net assets or fund balances (explain on Schedule O)
9
-1,542. 0.
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, 10
2,048,453.
~~~~~~~~~~~~~~~~~~
column (B))
Part XII Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII 1
Accounting method used to prepare the Form 990:
Cash
X Accrual
Yes
No
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. 2 a Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a
2a
X
2b
X
separate basis, consolidated basis, or both: Separate basis
Consolidated basis
Both consolidated and separate basis
b Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Separate basis
Consolidated basis
Both consolidated and separate basis
c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? ~~~~~~~~~~~~~~~
2c
If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits
232012 12-13-22
08120514 794202 72-02006.000
3a
X
3b Form 990 (2022)
13 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
2022
Open to Public Inspection Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC. Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
59-1149727
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name,
4
city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
5
section 170(b)(1)(A)(iv). (Complete Part II.) 6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
8
section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or
10
X
university: An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.
11
See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
12
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) . See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
f Enter the number of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ g Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
Total LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
No
(v) Amount of monetary support (see instructions)
232021 12-09-22
(vi) Amount of other support (see instructions)
Schedule A (Form 990) 2022
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Schedule A (Form 990) 2022
Part II
Page 2
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~
(a) 2018
(b) 2019
(c) 2020
(d) 2021
(e) 2022
(f) Total
(a) 2018
(b) 2019
(c) 2020
(d) 2021
(e) 2022
(f) Total
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~ 3 The value of services or facilities furnished by a governmental unit to the organization without charge ~ 4 Total. Add lines 1 through 3 ~~~ 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ~~~~~~~~~~~~ 6 Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year (or fiscal year beginning in) 7 Amounts from line 4 ~~~~~~~ 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~ 9 Net income from unrelated business activities, whether or not the business is regularly carried on
~
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ~~~~ 11 Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructions)
~~~~~~~~~~~~~~~~~~~~~~~
12
13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here
Section C. Computation of Public Support Percentage
14 Public support percentage for 2022 (line 6, column (f), divided by line 11, column (f)) ~~~~~~~~~~~ 15 Public support percentage from 2021 Schedule A, Part II, line 14 ~~~~~~~~~~~~~~~~~~~~~
14
%
15
%
16a 33 1/3% support test - 2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b 33 1/3% support test - 2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17a 10% -facts-and-circumstances test - 2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization
~~~~~~~~~~~~~~~~~
b 10% -facts-and-circumstances test - 2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization
~~~~~~~~~~~
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions Schedule A (Form 990) 2022
232022 12-09-22
08120514 794202 72-02006.000
15 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Part III Support Schedule for Organizations Described in Section 509(a)(2)
59-1149727 Page 3
Schedule A (Form 990) 2022
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support (a) 2018
(b) 2019
(c) 2020
(d) 2021
(e) 2022
(f) Total
Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~
778,457. 186,382. 270,516. 525,051. 328,344. 2088750.
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
475,651. 495,953. 329,728. 503,178. 465,070. 2269580.
3 Gross receipts from activities that are not an unrelated trade or business under section 513 ~~~~~
79,842.
79,842.
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~ 5 The value of services or facilities furnished by a governmental unit to the organization without charge ~ 6 Total. Add lines 1 through 5 ~~~ 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received
1254108. 682,335. 600,244. 1028229. 873,256. 4438172. 0.
from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year ~~~~~~
0. 0. 4438172.
c Add lines 7a and 7b ~~~~~~~ 8 Public support. (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in) 9 Amounts from line 6 ~~~~~~~ 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~
(a) 2018
(b) 2019
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 ~~~~ c Add lines 10a and 10b ~~~~~~ 11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on ~~~~~~~ 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ~~~~ 13 Total support. (Add lines 9, 10c, 11, and 12.)
(c) 2020
(d) 2021
(e) 2022
(f) Total
38,341.
40,870.
79,211.
38,341.
40,870.
79,211.
1254108. 682,335. 600,244. 1028229. 873,256. 4438172.
1254108. 682,335. 600,244. 1066570. 914,126. 4517383.
14 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here
Section C. Computation of Public Support Percentage
15 Public support percentage for 2022 (line 8, column (f), divided by line 13, column (f)) ~~~~~~~~~~~ 16 Public support percentage from 2021 Schedule A, Part III, line 15
15
17 Investment income percentage for 2022 (line 10c, column (f), divided by line 13, column (f)) ~~~~~~~~ 18 Investment income percentage from 2021 Schedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~
17
Section D. Computation of Investment Income Percentage
16
98.25 99.11
%
1.75 .89
%
18 19 a 33 1/3% support tests - 2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
~~~~~~~~~~~~
%
%
X
b 33 1/3% support tests - 2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~ 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions 232023 12-09-22
08120514 794202 72-02006.000
Schedule A (Form 990) 2022
16 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Supporting Organizations
Schedule A (Form 990) 2022
Part IV
59-1149727 Page 4
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations Yes 1
class or purpose, describe the designation. If historic and continuing relationship, explain. 2
No
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by 1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
3c 4a
4b
c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5a Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
5a 5b 5c
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in 7
Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
6
(as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990).
7
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990).
8
9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI.
9a
b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI.
9b
c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI.
9c
8
10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 232024 12-09-22
08120514 794202 72-02006.000
10a 10b Schedule A (Form 990) 2022
17 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Supporting Organizations (continued)
Schedule A (Form 990) 2022
Part IV
59-1149727 Page 5 Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons?
11
a A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11b 11c
Section B. Type I Supporting Organizations 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
1
2
Section C. Type II Supporting Organizations
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control
1
or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
1
organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
1
Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how
2
the organization maintained a close and continuous working relationship with the supported organization(s).
2
By reason of the relationship described on line 2, above, did the organization's supported organizations have a
3
significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
1 a
The organization satisfied the Activities Test. Complete line 2 below.
b
The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions).
c 2
Activities Test. Answer lines 2a and 2b below. a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes,
Yes
No
how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3
2b
Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No" provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
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3a 3b Schedule A (Form 990) 2022
18 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Part V
BREVARD SYMPHONY ORCHESTRA, INC. Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 ( explain in Part VI ). See instructions.
Schedule A (Form 990) 2022
59-1149727 Page 6
All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A - Adjusted Net Income 1
Net short-term capital gain
1
2
Recoveries of prior-year distributions
2
3
Other gross income (see instructions)
3
4
Add lines 1 through 3.
4
5
Depreciation and depletion
5
6
Portion of operating expenses paid or incurred for production or
(A) Prior Year
(B) Current Year (optional)
(A) Prior Year
(B) Current Year (optional)
collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
6
7
Other expenses (see instructions)
7
8
Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
8
Section B - Minimum Asset Amount 1
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances
1b
c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c)
1d
1a 1c
e Discount claimed for blockage or other factors (explain in detail in Part VI ): 2
Acquisition indebtedness applicable to non-exempt-use assets
2
3
Subtract line 2 from line 1d.
3
4
Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).
4
5
Net value of non-exempt-use assets (subtract line 4 from line 3)
5
6
Multiply line 5 by 0.035.
6
7
Recoveries of prior-year distributions
7
8
Minimum Asset Amount (add line 7 to line 6)
8 Current Year
Section C - Distributable Amount 1
Adjusted net income for prior year (from Section A, line 8, column A)
1
2
Enter 0.85 of line 1.
2
3
Minimum asset amount for prior year (from Section B, line 8, column A)
3
4
Enter greater of line 2 or line 3.
4
5
Income tax imposed in prior year
5
6
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions).
7
6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2022
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19 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Schedule A (Form 990) 2022
Part V
Section D - Distributions 1 Amounts paid to supported organizations to accomplish exempt purposes
Page 7
Current Year 1
Amounts paid to perform activity that directly furthers exempt purposes of supported
2
organizations, in excess of income from activity
2
3
Administrative expenses paid to accomplish exempt purposes of supported organizations
3
4
Amounts paid to acquire exempt-use assets
4
5
Qualified set-aside amounts (prior IRS approval required - provide details in Part VI ) Other distributions ( describe in Part VI ). See instructions.
5 7
8
Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI ). See instructions.
9
Distributable amount for 2022 from Section C, line 6
9
10
Line 8 amount divided by line 9 amount
10
6 7
(i) Section E - Distribution Allocations (see instructions) 1
Distributable amount for 2022 from Section C, line 6
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required - explain in Part VI ). See instructions.
Excess Distributions
6
8
(ii) Underdistributions Pre-2022
(iii) Distributable Amount for 2022
Excess distributions carryover, if any, to 2022
3
a From 2017 b From 2018 c From 2019 d From 2020 e From 2021 f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2022 distributable amount
4
i
Carryover from 2017 not applied (see instructions)
j
Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years b Applied to 2022 distributable amount 5
c Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions.
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI . See instructions.
7 8
Excess distributions carryover to 2023. Add lines 3j and 4c. Breakdown of line 7: a Excess from 2018 b Excess from 2019 c Excess from 2020 d Excess from 2021 e Excess from 2022 Schedule A (Form 990) 2022
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20 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12;
Schedule A (Form 990) 2022
Part VI
Page 8
Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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Schedule A (Form 990) 2022
21 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Schedule B
Schedule of Contributors
(Form 990)
OMB No. 1545-0047
2022
Attach to Form 990 or Form 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC.
59-1149727
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X
501(c)(
3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule
X
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "N/A" in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~~~
$
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). LHA For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
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Schedule B (Form 990) (2022)
Page 2
Schedule B (Form 990) (2022) Name of organization
Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC.
Part I (a) No.
59-1149727
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(c) Total contributions
1 $
53,000.
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
2 $
10,000.
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
3 $
10,000.
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
4 $
10,000.
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
5 $
10,000.
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
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Schedule B (Form 990) (2022)
23 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Page 3
Schedule B (Form 990) (2022) Name of organization
Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC.
Part II (a) No. from Part I
59-1149727
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (b) Description of noncash property given
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ 223453 11-15-22
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Schedule B (Form 990) (2022)
24 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Page 4
Schedule B (Form 990) (2022) Name of organization
Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations
completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this info. once.)
$
Use duplicate copies of Part III if additional space is needed. (a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
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Relationship of transferor to transferee
Schedule B (Form 990) (2022)
25 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
OMB No. 1545-0047
2022
Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the
Part I
organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds 1
Total number at end of year ~~~~~~~~~~~~~~~
2
Aggregate value of contributions to (during year)
3
Aggregate value of grants from (during year)
(b) Funds and other accounts
~~~~
~~~~~~
4
Aggregate value at end of year ~~~~~~~~~~~~~
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only
are the organization's property, subject to the organization's exclusive legal control? ~~~~~~~~~~~~~~~~~~ for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? Part II Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1
Yes
No
Yes
No
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education)
Preservation of a historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space 2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a Total number of conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Total acreage restricted by conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~
2a
c Number of conservation easements on a certified historic structure included in (a) ~~~~~~~~~~~~ d Number of conservation easements included in (c) acquired after July 25,2006, and not on a
2c
2b
historic structure listed in the National Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3
2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year
4
Number of states where property subject to conservation easement is located
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
6
violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Yes Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9
Yes
No
No
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (ii) Assets included in Form 990, Part X ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2
$ $
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Assets included in Form 990, Part X
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$ $ Schedule D (Form 990) 2022
26 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2022
Part III
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its
3
collection items (check all that apply): a
Public exhibition
d
Loan or exchange program
b
Scholarly research
e
Other
c
Preservation for future generations
4
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?
Part IV
Yes
No
Yes
No
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or
reported an amount on Form 990, Part X, line 21.
1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Additions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1c
e Distributions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ f Ending balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1e
1d
1f 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ~~~~~ Yes No b If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII Part V Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
360,599.
1,513,139. 264,992. 200,508.
1,081,310. 623,281. 108,820.
237,836.
144,512.
300,272.
2,040,327. 2,114,272. 1,956,890. g End of year balance ~~~~~~~~~~ 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
1,834,127.
1,513,139.
1a Beginning of year balance ~~~~~~~ b Contributions ~~~~~~~~~~~~~~
2,114,272.
1,956,890.
1,834,127.
195,074.
225,335.
269,019.
67,953.
c Net investment earnings, gains, and losses d Grants or scholarships ~~~~~~~~~ e Other expenditures for facilities and programs ~~~~~~~~~~~~~ f
Administrative expenses ~~~~~~~~
a Board designated or quasi-endowment 47.0000 b Permanent endowment
53.0000
%
%
.0000 % c Term endowment The percentages on lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by:
Yes
(i) Unrelated organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (ii) Related organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? ~~~~~~~~~~~~~~~~~~~~ 4 Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
3a(i) 3a(ii)
No
X X
3b
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(c) Accumulated depreciation
(d) Book value
1a Land ~~~~~~~~~~~~~~~~~~~~ b Buildings ~~~~~~~~~~~~~~~~~~ c Leasehold improvements ~~~~~~~~~~ d Equipment ~~~~~~~~~~~~~~~~~
74,134.
63,636.
e Other Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.)
10,498. 10,498.
Schedule D (Form 990) 2022
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27 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Part VII Investments - Other Securities.
Schedule D (Form 990) 2022
59-1149727
Page 3
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives ~~~~~~~~~~~~~~~ (2) Closely held equity interests ~~~~~~~~~~~ (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Col. (b) must equal Form 990, Part X, col. (B) line 12.)
Part VIII Investments - Program Related.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Col. (b) must equal Form 990, Part X, col. (B) line 13.)
Part IX
Other Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.)
Part X
1.
Other Liabilities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(b) Book value
(1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.) 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII Schedule D (Form 990) 2022 232053 09-01-22
08120514 794202 72-02006.000
28 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Schedule D (Form 990) 2022
Part XI
Page 4
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1
Total revenue, gains, and other support per audited financial statements
2
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
~~~~~~~~~~~~~~~~~~~
a Net unrealized gains (losses) on investments ~~~~~~~~~~~~~~~~~~ b Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~
2a
c Recoveries of prior year grants ~~~~~~~~~~~~~~~~~~~~~~~~~ d Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
2c
2b
2d e Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4
1
2e 3
Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ b Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
4a
4b c Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
4c 5
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1
Total expenses and losses per audited financial statements ~~~~~~~~~~~~~~~~~~~~~~~~~~
2
Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~ b Prior year adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2a
c Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
2c
2b
2d e Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4
1
2e 3
Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ b Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
4a
4b c Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)
Part XIII Supplemental Information.
4c 5
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
PART V, LINE 4: IT IS BOARD POLICY THAT IT IS ACCEPTABLE TO USE 4% OF THE CORPUS FOR ANNUAL OPERATIONS.
232054 09-01-22
08120514 794202 72-02006.000
Schedule D (Form 990) 2022
29 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
SCHEDULE G (Form 990)
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
2022
Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
Department of the Treasury Internal Revenue Service
Name of the organization
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection Employer identification number
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not
Part I
required to complete this part.
1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations Solicitation of non-government grants a e b
Internet and email solicitations
f
Solicitation of government grants
c
Phone solicitations
g
Special fundraising events
d
In-person solicitations
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
Yes
No
b If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (i) Name and address of individual or entity (fundraiser)
(ii) Activity
(iii) Did fundraiser have custody or control of contributions? Yes
(iv) Gross receipts from activity
(v) Amount paid to (or retained by) fundraiser listed in col. (i)
(vi) Amount paid to (or retained by) organization
No
Total 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 232081 10-27-22
08120514 794202 72-02006.000
Schedule G (Form 990) 2022
30 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. 59-1149727 Page 2 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000
Schedule G (Form 990) 2022
Part II
of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1
DREAM DRAWING
Direct Expenses
Revenue
(event type) 1
Gross receipts ~~~~~~~~~~~~~~
2
Less: Contributions ~~~~~~~~~~~
3
Gross income (line 1 minus line 2)
4
Cash prizes ~~~~~~~~~~~~~~~
5
Noncash prizes ~~~~~~~~~~~~~
6
Rent/facility costs ~~~~~~~~~~~~
7
Food and beverages
8
Entertainment ~~~~~~~~~~~~~~
9
Other direct expenses ~~~~~~~~~~
(b) Event #2
(c) Other events
(event type)
(total number)
FORKS & CORKS
(d) Total events (add col. (a) through
NONE
col. (c))
26,106.
53,736.
79,842.
26,106.
53,736.
79,842.
1,793.
10,623.
12,416. 12,416. 67,426.
~~~~~~~~~~
Direct Expenses
Revenue
10 Direct expense summary. Add lines 4 through 9 in column (d) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 11 Net income summary. Subtract line 10 from line 3, column (d) Part III Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (b) Pull tabs/instant bingo/progressive bingo
(a) Bingo
1
Gross revenue
2
Cash prizes ~~~~~~~~~~~~~~~
3
Noncash prizes ~~~~~~~~~~~~~
4
Rent/facility costs ~~~~~~~~~~~~
5
Other direct expenses
6
Volunteer labor ~~~~~~~~~~~~~
7
Direct expense summary. Add lines 2 through 5 in column (d)
8
Net gaming income summary. Subtract line 7 from line 1, column (d)
%
Yes
9
(d) Total gaming (add col. (a) through col. (c))
(c) Other gaming
No
Yes No
%
Yes
%
No
~~~~~~~~~~~~~~~~~~~~~~~~~~
Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states? ~~~~~~~~~~~~~~~~~~~~ b If "No," explain:
Yes
No
10 a Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? ~~~~~~~~~ b If "Yes," explain:
Yes
No
232082 10-27-22
08120514 794202 72-02006.000
Schedule G (Form 990) 2022
31 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Schedule G (Form 990) 2022
BREVARD SYMPHONY ORCHESTRA, INC.
59-1149727 Page 3
11
Does the organization conduct gaming activities with nonmembers?~~~~~~~~~~~~~~~~~~~~~~~~~~~
12
Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to administer charitable gaming? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13
No
Yes
No
Indicate the percentage of gaming activity conducted in: a The organization's facility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b An outside facility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14
Yes
13a
%
13b
%
Enter the name and address of the person who prepares the organization's gaming/special events books and records: Name Address
15 a Does the organization have a contract with a third party from whom the organization receives gaming revenue? ~~~~~~ b If "Yes," enter the amount of gaming revenue received by the organization of gaming revenue retained by the third party $
$
Yes
No
Yes
No
and the amount
c If "Yes," enter name and address of the third party: Name Address 16
Gaming manager information: Name Gaming manager compensation
$
Description of services provided
Director/officer 17
Employee
Independent contractor
Mandatory distributions: a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year $ Part IV Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
232083 10-27-22
08120514 794202 72-02006.000
Schedule G (Form 990) 2022
32 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
BREVARD SYMPHONY ORCHESTRA, INC. Supplemental Information (continued)
Schedule G (Form 990)
Part IV
59-1149727 Page 4
Schedule G (Form 990) 232084 04-01-22
08120514 794202 72-02006.000
33 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
BREVARD SYMPHONY ORCHESTRA, INC.
OMB No. 1545-0047
2022
Open to Public Inspection Employer identification number
59-1149727
FORM 990, PART VI, SECTION A, LINE 2: CHRISTOPHER MCALPINE (DIRECTOR) AND LISA MCALPINE (DIRECTOR) ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION B, LINE 11B: A DRAFT COPY OF THE RETURN IS PROVIDED TO THE EXECUTIVE COMMITTEE OF THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION C, LINE 19: THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G, OTHER FEES: GUEST ARTIST FEES: PROGRAM SERVICE EXPENSES
12,000.
MANAGEMENT AND GENERAL EXPENSES
0.
FUNDRAISING EXPENSES
0.
TOTAL EXPENSES
12,000.
ARTISTIC: PROGRAM SERVICE EXPENSES
54,600.
MANAGEMENT AND GENERAL EXPENSES
0.
FUNDRAISING EXPENSES
0.
TOTAL EXPENSES
54,600.
MUSICIAN: PROGRAM SERVICE EXPENSES
190,170.
LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 232211 10-28-22
08120514 794202 72-02006.000
Schedule O (Form 990) 2022
34 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Schedule O (Form 990) 2022 Name of the organization
Page 2
BREVARD SYMPHONY ORCHESTRA, INC.
Employer identification number
59-1149727
MANAGEMENT AND GENERAL EXPENSES
0.
FUNDRAISING EXPENSES
0.
TOTAL EXPENSES
190,170.
STAGE CREW: PROGRAM SERVICE EXPENSES
23,279.
MANAGEMENT AND GENERAL EXPENSES
0.
FUNDRAISING EXPENSES
0.
TOTAL EXPENSES
23,279.
OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES
3,225.
MANAGEMENT AND GENERAL EXPENSES
0.
FUNDRAISING EXPENSES
0.
TOTAL EXPENSES
3,225.
TOTAL OTHER FEES ON FORM 990, PART IX, LINE 11G, COL A
232212 10-28-22
08120514 794202 72-02006.000
283,274.
Schedule O (Form 990) 2022
35 2022.05090 BREVARD SYMPHONY ORCHESTR 72-02002
Marketing Support Program - BREVARD SYMPHONY FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Travel/Mileage
$113,505.00
$116,873.00
-$3,368.00
Personnel-Artistic
$375,134.00
$389,996.00
-$14,862.00
Outside Artistic Services/Fees
$51,150.00
$29,371.00
$21,779.00
Space Rental/Fees
$63,798.00
$57,134.00
$6,664.00
Contract Services/Fees
$53,500.00
$40,500.00
$13,000.00
Materials/Supplies
$63,100.00
$54,086.00
$9,014.00
Subtotal Expense Other Expenses
$720,187.00
$687,960.00
$32,227.00
Insurance
$5,000.00
$4,899.00
$101.00
Equipment Purchase/Supplies
$8,750.00
$20,788.00
-$12,038.00
Personnel-Administrative
$358,700.00
$279,355.00
$79,345.00
Other Operating Expenses
$36,228.00
$30,030.00
$6,198.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$408,678.00
$335,072.00
$73,606.00
Print Advertising-Brevard
$6,000.00
$8,445.00
$2,445.00
Radio-Brevard/OOC
$4,000.00
$3,836.00
-$164.00
Digital-Brevard/OOC
$22,000.00
$15,349.00
-$6,651.00
Billboard-Brevard
$13,000.00
$11,295.00
-$1,705.00
Direct Mail and EDDM-Brevard
$15,000.00
$10,606.00
-$4,394.00
TV-Brevard
$4,000.00
$3,680.00
-$320.00
$0.00
$5,412.00
$5,412.00
Telemarketing-Brevard Constant Contact-Brevard/OOC
$2,000.00
$1,377.00
-$5,377.00
Subtotal Marketing
$66,000.00
$60,000.00
-$10,754.00
Total Expenses 2025-2026
$1,194,865.00
$1,083,032.00
2025-2026 projection
2024-2025 actuals
VAR
Admissions
$347,500.00
$268,393.00
$79,107.00
Contracted Services
$150,000.00
$124,109.00
$25,891.00
Individual Contributions
$120,000.00
$110,460.00
$9,540.00
Subtotal Income Income Sponsors
$617,500.00
$502,962.00
$114,538.00
$255,500.00
$207,295.00
$48,205.00
Income
Cash in Bank to start Other Income
$0.00
$0.00
$0.00
$267,500.00
$320,188.00
-$52,688.00
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
Total Income
$1,153,000.00 $1,045,445.00
$107,555.00
Total Expenses Paid
$1,194,865.00 $1,083,032.00
$111,833.00
Profit/Loss
-$41,865.00
-$37,587.00
.
Updated: 6/24/2025
Cocoa Beach Main Street
Return to Table of Contents
For TDO use: PROJECT#- C12
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Cocoa Beach Main Street Applicant Event Name: Winterfest, Friday Fest, Art Wave Fest Yes
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X
No
Comment
X
NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
��-�
7{i(1o'tS
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:89 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Kenne Wells
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Cocoa Beach Main Street Organization address PO Box 320627 State FL City Cocoa Beach Zip 32932 Primary contact name Kenne Wells Primary contact phone number 321-693-3159
Primary contact email kenne.cbms@gmail.com Secondary contact name Layne Alvarez Secondary contact phone number 321-698-8800 Secondary contact email laynejalvarez@gmail.com Organization website address https://www.cocoabeachmainstreet.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 47-3225476
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event WinterFest Event website address (if different from organization website) https://www.cocoabeachmainstreet.org Event location Downtown Cocoa Beach
9. (untitled) 8. What is the first date of your event? 12/06/2025
10. (untitled) 9. In total, how many days will your event be held? 1
11. (untitled) 10. Do you have a second event? Yes
12. (untitled) 11. EVENT INFORMATION - #2 Name of event Friday Fest Event website address (if different from organization website) https://www.cocoabeachmainstreet.org Event location Downtown Cocoa Beach
13. (untitled) 12. What is the first date of your event? 01/16/2026
14. (untitled) 13. In total, how many days will your event be held? 10
15. (untitled) 14. Do you have a third event? Yes
16. (untitled) 15. EVENT INFORMATION - #3 Name of event Art Wave Festival Event website address (if different from organization website) https://www.cocoabeachmainstreet.org Event location Downtown Cocoa Beach
17. (untitled) 16. What is the first date of your event? 03/21/2026
18. (untitled) 17. In total, how many days will your event be held? 2
19. (untitled) 18. What types of marketing do you plan to do for this event? Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: banners, flyers
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 19. What are your social media handles? Facebook : Cocoa Beach Main Street Instagram : cocoabeachmainstreet2
22. (untitled)
20. What hashtags do you currently use? #visitspacecoast #cocoabeachmainstreet #cocoabeach #fortheloveofdowntowncocoabeach #mainstreet
23. (untitled) 21. Upload a copy of your organization's IRS Determination letter. JULY_2025_COCOA_BEACH_mainstreet.pdf
24. (untitled) 22. Upload a copy of your organization's 990 form. JULY_2025_COCOA_BEACH_mainstreet.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 23. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Sunbiz_(1).pdf
27. (untitled) 24. Upload your completed W-9 form. W-9_CBMS_2025_(1).pdf
28. (untitled) 25. Upload your completed Event Income/Expense report. Checklist.pdf
29. (untitled) 26. Upload your completed Checklist. Checklist.pdf
30. (untitled)
27.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Kenne Wells
31. Thank You! New Send Email Jun 20, 2025 11:19:39 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45 2 01
Date:
OCT 29 2014
COCOA BEACH ART SHOW INC 1 S ORLANDO AVE COCOA BEACH, FL 32931 - 2721
DEPARTMENT OF THE TREASURY
Employer Identification Number: 46-5289805 DLN: 17053230348004 Contact Person: ID# 17141 EVERETT L CROUCH Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 509 (a) (2) Form 990 Required: Yes Effective Date of Exemption: April 10, 2014 Contribution Deductibility: Yes Addendum Applie3: No
Dear Applicant: We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(C) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequ.e sts, devises, transfers or gifts under section 2055, ) 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exe mpt status, you should keep it in your permanent record~. Organizations exempt under section 501(c) (3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221-PC" in the se~rch bar to view Publication 4221-PC, Compliance Guide for 501(c) (3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements .
•
Letter
947
-2
COCOA BEACH ART SHOW INC
We have sent a copy of this letter to your representative as indicated in. your power of attorney. Sincerely,
Director, Exempt Organizations
,.
Letter
947
Taylor & Lockard, PA. 3960 South Banana River Blvd. Cocoa Beach, FL 32931 321-784-4515 May 28, 2025 CONFIDENTIAL Cocoa Beach Main Street, Inc. PO BOX 320627 Cocoa Beach, FL 32932 Dear Layne: We have prepared the following returns from information provided by you without verification or audit. Return of Organization Exempt From Income Tax (Form 990)
We suggest that you examine these returns carefully to fully acquaint yourself with all items contained therein to ensure that there are no omissions or misstatements. Attached are instructions for signing and filing each return. Please follow those instructions carefully. Enclosed is any material you furnished for use in preparing the returns. If the returns are examined, requests may be made for supporting documentation. Therefore, we recommend that you retain all pertinent records for at least seven years. In order that we may properly advise you of tax considerations, please keep us informed of any significant changes in your financial affairs or of any correspondence received from taxing authorities. If you have any questions, or if we can be of assistance in any way, please call. Sincerely, Taylor & Lockard, PA.
Filing Instructions Cocoa Beach Main Street, Inc. Exempt Organization Tax Return Taxable Year Ended December 31, 2024
Date Due:
November 17, 2025
Remittance:
None is required. Your Form 990 for the tax year ended 12/31/24 shows no balance due.
Signature:
You are using a Personal Identification Number (PIN) for signing your return electronically. Form 8879-TE, IRS e-file Signature Authorization for an Exempt Organization should be signed and dated by an authorized officer of the organization and returned to: Taylor & Lockard, PA. 3960 South Banana River Blvd. Cocoa Beach, FL 32931 Important: Your return will not be filed with the IRS until the signed Form 8879-TE has been received by this office.
Other:
Your return is being filed electronically with the IRS and is not required to be mailed. If you Mail a paper copy of your return to the IRS it will delay the processing of your return.
21215
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
OMB No. 1545-0047
For calendar year 2024, or fiscal year beginning . . . . . . . . . . . . . . . . . . . , 2024, and ending . . . . . . . . . . . . . . , 20 . . . . . . .
Name of filer
EIN or SSN
Name and title of officer or person subject to tax
Part I
2024
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service
COCOA BEACH MAIN STREET, INC. LAYNE ALVAREZ TREASURER
47-3225476
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a,
3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 1a Form 990 check here . . . . . . . . . . . . . X b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . . . . . . . . . . . . . 1b 2a Form 990-EZ check here . . . . . . . . . b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b 3a Form 1120-POL check here . . . . . . b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b 4a Form 990-PF check here . . . . . . . . . b Tax based on investment income (Form 990-PF, Part V, line 5) . . . . . . . . . . . 4b 5a Form 8868 check here . . . . . . . . . . . . b Balance due (Form 8868, line 3c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b 6a Form 990-T check here . . . . . . . . . . . b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b 7a Form 4720 check here . . . . . . . . . . . . b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b 8a Form 5227 check here . . . . . . . . . . . . b FMV of assets at end of tax year (Form 5227, Item D) . . . . . . . . . . . . . . . . . . . . 8b 9a Form 5330 check here . . . . . . . . . . . . b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b 10a Form 8038-CP check here . . . . . . . . b Amount of credit payment requested (Form 8038-CP, Part III, line 22) . . . 10b
Part II
278,377
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that X I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) , (EIN) and that I have examined a copy of the 2024 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
PIN: check one box only
X I authorize
TAYLOR & LOCKARD, PA.
to enter my PIN
21215
as my signature
Enter five numbers, but do not enter all zeros
ERO firm name
on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
05/28/25
Certification and Authentication
ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
59385106545 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2024 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
VICTORIA
B LOCKARD
Date
05/28/25
ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see back of form. DAA
Form
8879-TE (2024)
21215
Form
990
Return of Organization Exempt From Income Tax
OMB No. 1545-0047
2024
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 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.
Department of the Treasury Internal Revenue Service
A For the 2024 calendar year, or tax year beginning B Check if applicable: C Name of organization
Open to Public Inspection
, and ending D Employer identification number
COCOA BEACH MAIN STREET, INC.
Address change
47-3225476
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
E Telephone number
PO BOX 320627
Initial return Final return/ terminated
City or town, state or province, country, and ZIP or foreign postal code
COCOA BEACH
Amended return
FL 32932
278,377
G Gross receipts $
F Name and address of principal officer:
Application pending
H(a) Is this a group return for subordinates?
Yes
X No
H(b) Are all subordinates included?
Yes
No
If "No," attach a list. See instructions
X 501(c)(3) N/A X Corporation Form of organization:
I
Tax-exempt status:
J
Website:
K
Part I
501(c)
(
) (insert no.)
4947(a)(1) or
527 H(c) Group exemption number
Trust
Association
Other
L
Year of formation:
M
State of legal domicile:
Summary
Activities & Governance
1 Briefly describe the organization's mission or most significant activities:
SUPPORT THE LOCAL DOWNTOWN COCOA BEACH COMMUNITY AND BUSINESS THROUGH COMMUNITY OUTREACH AND SOCIAL EVENTS.
. ........................................................................................................................................................... . ........................................................................................................................................................... . ...........................................................................................................................................................
2 Check this box 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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 4 5 6 7a 7b
5 5 1 0 0 0
Net Assets or Fund Balances
Expenses
Revenue
Prior Year
Current Year
127,451 150,926 0 0 278,377 0 0 79,873 0
8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . . . . . . . . . . . . . . . . 12 Total revenue – add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) . . . . . . . . . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ......... 17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
144,091 223,964 54,413 Beginning of Current Year
Part II
End of Year
27,496 19,295 8,201
20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
79,309 16,695 62,614
Signature Block
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
Date
LAYNE ALVAREZ
TREASURER
Type or print name and title Preparer's name
Paid VICTORIA Preparer Firm's name Use Only Firm's address
B LOCKARD
Preparer's signature
Date
VICTORIA
05/28/25 self-employed
B LOCKARD
TAYLOR & LOCKARD, PA. 3960 SOUTH BANANA RIVER BLVD. COCOA BEACH, FL 32931
if
Check
Firm's EIN
Phone no.
PTIN
P01032496
59-2519864 321-784-4515 X Yes No
May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For Paperwork Reduction Act Notice, see the separate instructions. DAA
Form
990 (2024)
21215
Form 990 (2024)
Part III 1
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 2
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
Briefly describe the organization's mission:
SUPPORT THE LOCAL DOWNTOWN COCOA BEACH COMMUNITY AND BUSINESS THROUGH OUTREACH AND SOCIAL EVENTS. .COMMUNITY ................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
2
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
X No
Yes
X No
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O.
4
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. ) (Expenses $ . . . . . . . . . . . . . . 86,272 including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) ............. SUPPORT COCOA BEACH COMMUNITY AND WITH COMMUNITY DEVOLPMENT AND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .BUSINESS .......................................................................................... COMMUNITY SUPPORT .................................................................................................................................................................
4a (Code: . . . . . . . . .
................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. .................................................................................................................................................................
4b (Code: . . . . . . . . .
) (Expenses $ . . . . . . . . . . . . . . . . . . . . . . . . . . .
including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . . . . . . . . . . . . . . . . . . . . . )
N/A ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. .................................................................................................................................................................
4c (Code: . . . . . . . . .
) (Expenses $ . . . . . . . . . . . . . . . . . . . . . . . . . . .
including grants of $ . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (Revenue $ . . . . . . . . . . . . . . . . . . . . . . . . . . . )
N/A ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. .................................................................................................................................................................
4d Other program services (Describe on Schedule O.) 73,744 including grants of $ (Expenses $ 4e Total program service expenses 160,016 DAA
) (Revenue $
) Form
990 (2024)
21215
Form 990 (2024)
Part IV
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 3
Checklist of Required Schedules Yes
1
complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18 19
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments—program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . . . . . Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X . . . . . . . . . . . . . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . . . . . . . . . . . . . . Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18
X
19 20a 20b
X X
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DAA
No
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,”
21 Form
X 990 (2024)
21215
Form 990 (2024)
Part IV
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 4
Checklist of Required Schedules (continued) Yes
22
Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on
22
X
23
X
24a 24b
X
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated
employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Did the organization receive more than $25,000 in noncash contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I . . . . . . . . . . . . . . . . . . . . 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X
38
X
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
1a b c
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . . . . . . Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . . . . . . . . . . . . . . . . . . .
1a 1b
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DAA
No
0 0 1c Form
X 990 (2024)
21215
Form 990 (2024)
Part V 2a
COCOA BEACH MAIN STREET, INC.
47-3225476
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . . .
b 3a b 4a
Page 5 Yes No
Statements Regarding Other IRS Filings and Tax Compliance (continued) 2a
1
If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X X
4a
X
5a 5b 5c
X X
6a
X
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . . . . . . . . . . . . .
b
2b 3a 3b
If “Yes,” enter the name of the foreign country . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a b c 6a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 a
Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b c
If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? . . . . . . . . . . If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: 10a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6b
7a 7b 7c
If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b
X
15
X
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, any disqualified or other person, engage in any activities
16
X
that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” complete Form 6069.
17
If “Yes,” see instructions and file Form 4720, Schedule N.
16 17
Form DAA
990 (2024)
21215
Form 990 (2024)
Part VI
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 6
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Governing Body and Management Yes 1a
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a
5
1b
5
No
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
b 2
Enter the number of voting members included on line 1a, above, who are independent . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
2
X
3 4 5 6
X X X X
7a
X
7b
X
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6 7a
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? . . . . . . . . . . . . . . . . . . . Did the organization become aware during the year of a significant diversion of the organization’s assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 a b 9
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X X
8a 8b
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
10b 11a
X
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . .
11a b
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . . . . . . .
12a b c
Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 14 15
No
10a
Describe on Schedule O the process, if any, used by the organization to review this Form 990. Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . . . . .
12a 12b
X
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12c 13
Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
X X
15a 15b
X X
16a
X
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a b
The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16b
Section C. Disclosure 17 18
List the states with which a copy of this Form 990 is required to be filed . . . . . NONE ................................................................................. Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. Own website
19
Another's website
Upon request
Other (explain on Schedule O)
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records.
ESTER DARRETTA COCOA BEACH DAA
29 N ORLANDO AVE
FL 32931
916-805-4440 Form
990 (2024)
21215
Form 990 (2024)
Part VII
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 7
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. List all of the organization's current key employees, if any. See instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. X Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
• • • • •
(C)
Former
Highest compensated employee
(1) LAYNE
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
ALVAREZ 0.00 0.00
X
0
0
0
3.00 0.00
X
0
0
0
0.00 0.00
X
0
0
0
0.00 0.00
X
0
0
0
. ......................................................
TREASURER (2) BRET
GLAS
.......................................................
PRESIDENT (3) LAURA
KASS
. ......................................................
SECRETARY (4) MICHELLE
OGDEN
. ......................................................
VP (5)
. ......................................................
(6) . ......................................................
(7) . ......................................................
(8) . ......................................................
(9) . ......................................................
(10) . ......................................................
(11) .......................................................
Form DAA
990 (2024)
21215
47-3225476 Form 990 (2024) COCOA BEACH MAIN STREET, INC. Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII
Page 8
(C)
Former
Highest compensated employee
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(12) ...................................................... .
(13) ...................................................... .
(14) ...................................................... .
(15) ...................................................... .
(16) ...................................................... .
(17) ...................................................... .
(18)
. ......................................................
(19)
. ......................................................
1b c d 2
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total number of individuals (including but not limited to those listed above) who received more than $100,000 of 0 reportable compensation from the organization
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
4
5
No
3
X
4
X
5
X
Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
Name and business address
2 DAA
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
(B)
(C)
Description of services
Compensation
0 Form
990 (2024)
21215
Form 990 (2024)
Part VIII
COCOA BEACH MAIN STREET, INC.
47-3225476 (A) Total revenue
Contributions, Gifts, Grants, and Other Similar Amounts
Page 9
Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a Federated campaigns . . . . . . . . . . . . . . . b Membership dues . . . . . . . . . . . . . . . . . . . c Fundraising events . . . . . . . . . . . . . . . . . . d Related organizations . . . . . . . . . . . . . . . e Government grants (contributions) . . . . . . . . . . . . f All other contributions, gifts, grants,
1a 1b 1c 1d 1e
42,500
and similar amounts not included above . . . . . . . .
1f
84,951
(B) Related or exempt function revenue
(C) Unrelated business revenue
(D) Revenue excluded from tax under sections 512-514
g Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45
1g $
h Total. Add lines 1a–1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
127,451
Program Service Revenue
Business Code
2a . . FRIDAY . . . . . . . . . . FEST ........................................... b . ...................................................... c . ...................................................... d . ...................................................... e . ...................................................... f All other program service revenue . . . . . . . . . . . . . . . . . . . g Total. Add lines 2a–2f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Income from investment of tax-exempt bond proceeds . . . . . . . . . . . 5 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) Real
150,926
150,926
150,926
(ii) Personal
6a Gross rents b Less: rental expenses c Rental inc. or (loss)
6a 6b 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Gross amount from (i) Securities (ii) Other
Miscellaneous Revenue
Other Revenue
sales of assets other than inventory
7a
b Less: cost or other basis and sales exps. 7b 7c c Gain or (loss) d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ . . . . . . . . . . . . . . . . . . . . . of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . . . . . . . . . 8a b Less: direct expenses . . . . . . . . . . . . . . . 8b c Net income or (loss) from fundraising events . . . . . . . . . . . . . . . . . . . . . 9a Gross income from gaming activities. See Part IV, line 19 . . . . . . . 9a b Less: direct expenses . . . . . . . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . . . . . . . . . . . . . . . 10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . . . . . . . . . . . . . Business Code
11a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b ....................................................... c ....................................................... d All other revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Total. Add lines 11a–11d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
278,377
0
0
150,926 990 (2024)
Form DAA
21215
Form 990 (2024)
Part IX
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1
(A) Total expenses
(B) Program service expenses
(C) Management and general expenses
(D) Fundraising expenses
Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . . . . . . . . . .
2
Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . .
3
4 5 6
7 8 9 10 11 a b c d e f
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . . Benefits paid to or for members . . . . . . . . . . . . . Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . . . . Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . . . Other salaries and wages . . . . . . . . . . . . . . . . . . . Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) Other employee benefits . . . . . . . . . . . . . . . . . . . . Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fees for services (nonemployees): Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Legal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lobbying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Professional fundraising services. See Part IV, line 17 Investment management fees . . . . . . . . . . . . . . .
74,583
22,375
52,208
5,290
1,587
3,703
5,455
5,455
g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) . . . . . . . .
12 13 14 15 16 17
Advertising and promotion . . . . . . . . . . . . . . . . . . .
18
Payments of travel or entertainment expenses
Office expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20,394 21,593 3,939
20,007 21,593 1,969
1,127 17,839
902 17,839
73,744
73,744
223,964
160,016
387 1,970
Information technology . . . . . . . . . . . . . . . . . . . . . . Royalties
....................................
Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
225
for any federal, state, or local public officials
19 20 21 22 23 24
Conferences, conventions, and meetings . . . Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments to affiliates . . . . . . . . . . . . . . . . . . . . . . . . Depreciation, depletion, and amortization . . . Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
a . . .COGS ............................................ b ............................................... c ............................................... d ............................................... e All other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Total functional expenses. Add lines 1 through 24e . . . . . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and if fundraising solicitation. Check here following SOP 98-2 (ASC 958-720) . . . . . . . . . . . . . . . DAA
63,948
0
Form
990 (2024)
21215
Form 990 (2024)
Part X
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 11
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(A) Beginning of year 1 2 3 4 5
Cash—non-interest-bearing
..............................................................
23,724
Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(B) End of year 1 2 3 4
75,512
Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35%
5
controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net Assets or Fund Balances
Liabilities
Assets
6
Loans and other receivables from other disqualified persons (as defined
6 7 8 9
25
3,772 10c
3,772
under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . . . . . . . . . . .
7 8 9
Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10a Land, buildings, and equipment: cost or other 3,772 basis. Complete Part VI of Schedule D . . . . . . . . . . . . . . . . 10a b Less: accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . 10b 11 Investments—publicly traded securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Investments—other securities. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Investments—program-related. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . . . . . . . . . . . . . . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . . 24 Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. 27 Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33. 29 Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Paid-in or capital surplus, or land, building, or equipment fund . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . . . . . . . . . 32 Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27,496 5,853 11,769
11 12 13 14 15 16 17 18 19 20 21
79,309 1,429 14,536
22 23 24
1,673 19,295
25 26
730 16,695
8,201
27 28
62,614
8,201 27,496
29 30 31 32 33
62,614 79,309 Form
DAA
990 (2024)
21215
Form 990 (2024)
Part XI
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 12
Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 8 9 10
Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6 7 8 9
278,377 223,964 54,413 8,201
10
62,614
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
1
Accounting method used to prepare the Form 990:
X Cash
Accrual
No
Other
If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis c If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a
X
2b
X
2c
3a 3b Form
DAA
990 (2024)
21215
Public Charity Status and Public Support
SCHEDULE A (Form 990)
OMB No. 1545-0047
2024
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ.
Department of the Treasury Internal Revenue Service
Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Employer identification number
COCOA BEACH MAIN STREET, INC. Part I
Open to Public Inspection
47-3225476
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1 2 3 4
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
6 7
X
8 9
10
11 12
section 170(b)(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s).
f g
(i) Name of supported
organization
(ii) EIN
(iii) Type of organization
(described on lines 1–10 above (see instructions))
(iv) Is the organization listed in your governing document? Yes
(v) Amount of monetary
support (see
(vi) Amount of other support (see
instructions)
instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
DAA
Cat. No. 11285F
Schedule A (Form 990) 2024
21215
Schedule A (Form 990) 2024
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
(a) 2020
(b) 2021
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . . . . . . .
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
4 5
Total. Add lines 1 through 3 . . . . . . . . . . . . The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . . . . . . . .
6
Public support. Subtract line 5 from line 4 . . .
(c) 2022
(d) 2023
(e) 2024
(f) Total
38,901
8,206
50,184
127,451
224,742
38,901
8,206
50,184
127,451
224,742
224,742
Section B. Total Support Calendar year (or fiscal year beginning in) 7 8
Amounts from line 4 . . . . . . . . . . . . . . . . . . . . .
9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . . Total support. Add lines 7 through 10
11 12 13
(a) 2020
(b) 2021 38,901
(c) 2022 8,206
(d) 2023 50,184
(e) 2024
(f) Total
127,451
224,742
150,926
150,926
12
375,668 307,927
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 15 16a b 17a
b
18
Public support percentage for 2024 (line 6, column (f), divided by line 11, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
Public support percentage from 2023 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
59.82 % 100.00 %
33 1/3% support test — 2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 1/3% support test — 2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
Schedule A (Form 990) 2024
DAA
21215
Schedule A (Form 990) 2024
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . . . . . . . . .
3
Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
6
Total. Add lines 1 through 5 . . . . . . . . . . . .
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons . . . . . .
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year . . . Add lines 7a and 7b . . . . . . . . . . . . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c 8
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
Section B. Total Support Calendar year (or fiscal year beginning in) 9
Amounts from line 6 . . . . . . . . . . . . . . . . . . . . .
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . .
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . . . . . . . .
c
Add lines 10a and 10b . . . . . . . . . . . . . . . . . .
11
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on . . . . .
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . .
13
Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2024 (line 8, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
%
Public support percentage from 2023 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
%
Investment income percentage for 2024 (line 10c, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
%
Investment income percentage from 2023 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
%
Section D. Computation of Investment Income Percentage 17 18 19a b 20
33 1/3% support tests — 2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . 33 1/3% support tests — 2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2024
DAA
21215
Schedule A (Form 990) 2024
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 4
Part IV
Supporting Organizations (Complete only if you checked a box on line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
No
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
3a
lines 3b and 3c below.
b
2
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer
3a
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination.
3b
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States (“foreign supported organization”)? If
3c
4a
“Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
c
4b
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
5a
4c
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
b c 6
7
8 9a
b c 10a
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b Schedule A (Form 990) 2024
DAA
21215
Schedule A (Form 990) 2024
Part IV 11 a
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 5
Supporting Organizations (continued) Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and
11a 11b
11c below, the governing body of a supported organization?
b
A family member of a person described on line 11a above?
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11c
Section B. Type I Supporting Organizations 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
1
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part
VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed
1
the supported organization(s).
Section D. All Type III Supporting Organizations 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the
1
organization’s governing documents in effect on the date of notification, to the extent not previously provided?
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s), or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI
2
how the organization maintained a close and continuous working relationship with the supported organization(s). By reason of the relationship described on line 2, above, did the organization’s supported organizations have
3
a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s
3
supported organizations played in this regard.
Section E. Type III Functionally Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
1 a b c
The organization satisfied the Activities Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). Activities Test. Answer lines 2a and 2b below.
2 a
b
3
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to each of its supported organizations, and how the organization determined that these activities constituted substantially all of its activities. Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2a
2b
Parent of Supported Organizations. Answer lines 3a and 3b below.
a b
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
3a
3b Schedule A (Form 990) 2024
DAA
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Schedule A (Form 990) 2024
Part V 1
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See
instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A – Adjusted Net Income 1 2 3 4 5 6
Net short-term capital gain Recoveries of prior-year distributions Other gross income (see instructions) Add lines 1 through 3. Depreciation and depletion
(A) Prior Year
(B) Current Year (optional)
1 2 3 4 5
Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
7 8
Other expenses (see instructions)
Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
6 7 8
Section B – Minimum Asset Amount 1
(A) Prior Year
1a 1b 1c 1d
2 3 4 5 6 7 8
Section C – Distributable Amount
7
(optional)
Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 3 Subtract line 2 from line 1d. 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by 0.035. 7 Recoveries of prior-year distributions 8 Minimum Asset Amount (add line 7 to line 6)
1 2 3 4 5 6
(B) Current Year
Adjusted net income for prior year (from Section A, line 8, column A) Enter 0.85 of line 1. Minimum asset amount for prior year (from Section B, line 8, column A) Enter greater of line 2 or line 3. Income tax imposed in prior year
Current Year
1 2 3 4 5
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2024
DAA
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Schedule A (Form 990) 2024
Part V
COCOA BEACH MAIN STREET, INC.
47-3225476
Section D – Distributions
Current Year
1
Amounts paid to supported organizations to accomplish exempt purposes
2
Amounts paid to perform activity that directly furthers exempt purposes of supported
1 2 3 4 5 6 7
organizations, in excess of income from activity
3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions.
Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions.
9 10
3
8 9 10
Distributable amount for 2024 from Section C, line 6 Line 8 amount divided by line 9 amount
Section E – Distribution Allocations (see instructions) 1 2
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
(i) Excess Distributions
(ii) Underdistributions Pre-2024
(iii) Distributable Amount for 2024
Distributable amount for 2024 from Section C, line 6 Underdistributions, if any, for years prior to 2024 (reasonable cause required–explain in Part VI). See instructions. Excess distributions carryover, if any, to 2024
a From 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b From 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c From 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d From 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e From 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2024 distributable amount i Carryover from 2019 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2024 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2024 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. 7 Excess distributions carryover to 2025. Add lines 3j and 4c. 8 Breakdown of line 7: a Excess from 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . b Excess from 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . c Excess from 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . d Excess from 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . e Excess from 2024 . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2024
DAA
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Schedule A (Form 990) 2024
Part VI
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . 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DAA Schedule A (Form 990) 2024
21215
SCHEDULE D (Form 990) (Rev. December 2024) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
Name of the organization
Open to Public Inspection
Employer identification number
COCOA BEACH MAIN STREET, INC. Part I
OMB No. 1545-0047
Complete if the organization answered “Yes” on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
47-3225476
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered “Yes” on Form 990, Part IV, line 6. (a) Donor advised funds
1 2 3 4 5 6
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . . . . . . . . . . . . . . . . . . . Aggregate value of grants from (during year) . . . . . . . . . . . . . . . . . . . . . . . . . . Aggregate value at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used
Yes
No
Yes
No
only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II 1
Conservation Easements Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education)
Preservation of a historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
a Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Number of conservation easements on a certified historic structure included on line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by
Held at the End of the Tax Year
2a 2b 2c 2d
the organization during the tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5
Number of states where property subject to conservation easement is located . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Yes
No
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conversation easements during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
$ ............................
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B) (i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Yes
No
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items. (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items. a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Schedule D (Form 990) (Rev. 12-2024) For Paperwork Reduction Act Notice, see the Instructions for Form 990. DAA
21215
Schedule D (Form 990) (Rev. 12-2024)
Part III 3
COCOA BEACH MAIN STREET, INC.
47-3225476
Page 2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply).
a b
Public exhibition Scholarly research
d e
Loan or exchange program
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Preservation for future generations 4 Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part IV
Yes
No
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” explain the arrangement in Part XIII and complete the following table.
Yes
No
Amount
c Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c 1d 1e 1f
e Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . . . . . . . . . . . . . . . . . Yes b If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part V
No
Endowment Funds Complete if the organization answered “Yes” on Form 990, Part IV, line 10. (a) Current year
(b) Prior year
(c) Two years back
(d) Three years back
(e) Four years back
1a Beginning of year balance . . . . . . . . . . . . . . . b Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Net investment earnings, gains, and losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Grants or scholarships . . . . . . . . . . . . . . . . . . e Other expenditures for facilities and programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Administrative expenses . . . . . . . . . . . . . . . . g End of year balance . . . . . . . . . . . . . . . . . . . . . 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a Board designated or quasi-endowment . . . . . . . . . . . . . . . . .% b Permanent endowment . . . . . . . . . . . . . . . . . % c Term endowment . . . . . . . . . . . . . . . % The percentages on lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
1a Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Leasehold improvements . . . . . . . . . . . . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,772 e Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(d) Book value
3,772 3,772
Schedule D (Form 990) (Rev. 12-2024)
DAA
21215
Schedule D (Form 990) (Rev. 12-2024) COCOA
Part VII
BEACH MAIN STREET, INC.
47-3225476
Page 3
Investments – Other Securities Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category
(b) Book value
(including name of security)
(c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) ........................................................................... . . . . (B) ........................................................................... . . . . (C) ........................................................................... . . . . (D) ........................................................................... . . . . (E) ........................................................................... . . . . (F) ........................................................................... . . . . (G) ........................................................................... . . . . (H) ........................................................................... Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) . . . . . . . . . .
Part VIII
Investments – Program Related Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation:
Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) . . . . . . . . . .
Part IX
Other Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
(a) Description of liability (b) Book value 1. (1) Federal income taxes 730 (2) SALES TAX (3) (4) (5) (6) (7) (8) (9) 730 Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . . . . . . . . . . . . . . .
DAA
Schedule D (Form 990) (Rev. 12-2024)
21215
Schedule D (Form 990) (Rev. 12-2024) COCOA
Part XI
BEACH MAIN STREET, INC.
47-3225476
1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a b Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b c Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a b c 5
Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . . . . . . . . . . . . . . Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2e 3
4a 4b
Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Page 4
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
4c 5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a b c d e 3 4
Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a b c 5
Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . . . . . . . . . . . . . .
1
Amounts included on line 1 but not on Form 990, Part IX, line 25: Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a 2b 2c 2d
Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2e 3
Amounts included on Form 990, Part IX, line 25, but not on line 1: Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4a 4b
Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XIII
4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ......................................................................................................................................................................
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ......................................................................................................................................................................
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ......................................................................................................................................................................
Schedule D (Form 990) (Rev. 12-2024) DAA
21215
Schedule D (Form 990) (Rev. 12-2024) COCOA
Part XIII
BEACH MAIN STREET, INC.
47-3225476
Page 5
Supplemental Information (continued)
. ...................................................................................................................................................................... ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... ...................................................................................................................................................................... .
. ...................................................................................................................................................................... . ...................................................................................................................................................................... ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ......................................................................................................................................................................
. ...................................................................................................................................................................... . ...................................................................................................................................................................... ...................................................................................................................................................................... . ...................................................................................................................................................................... .
. ......................................................................................................................................................................
Schedule D (Form 990) (Rev. 12-2024) DAA
21215
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
OMB No. 1545-0047
(Rev. December 2024) Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
COCOA BEACH MAIN STREET, INC. 47-3225476 FORM 990, PART III, LINE 4D ALL OTHER ACCOMPLISHMENTS . ...................................................................................................................................................................... COCOA BEACH COMMUNITY AND BUSINESS WITH COMMUNITY DEVOLPMENT AND . . .SUPPORT .................................................................................................................................................................... . ......................................................................................................................................................................
FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 REVIEW WAS OR WILL BE CONDUCTED. . . .NO ....................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION . . .NO . . . . . . DOCUMENTS . . . . . . . . . . . . . . . . . . . . . AVAILABLE . . . . . . . . . . . . . . . . . . . . . .TO . . . . . . THE . . . . . . . . . PUBLIC .................................................................................................... . ......................................................................................................................................................................
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. DAA
Schedule O (Form 990) (Rev. 12-2024)
Marketing Support Program - COCOA BEACH MAIN STREET FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Stage
$9,500.00
$9,000.00
$500.00
Bands
$9,000.00
$7,800.00
$1,200.00
$0.00
Other Entertainment
$3,950.00
$3,000.00
$950.00
$0.00
Printed materials
$3,000.00
$2,549.00
$451.00
$0.00
Porta-Potties
$4,500.00
$4,346.00
$154.00
$0.00
Rental of City Space
$1,500.00
$0.00
$1,500.00
$0.00
Police
$3,240.00
$0.00
$3,240.00
$0.00
Subtotal Expense Other Expenses
$34,690.00
$26,695.00
$7,995.00
$0.00
Income Vendors
2025-2026 projection
2024-2025 actuals
VAR
$31,500.00
$27,000.00
$4,500.00
$0.00 $0.00
$31,500.00
$27,000.00
$4,500.00
$0.00
Subtotal Income Sponsors
$7,500.00
$6,000.00
$1,500.00
$0.00
Cash in Bank to start
$50,000.00
$40,000.00
$10,000.00
$0.00
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
$0.00
Total Income
$51,500.00
$48,000.00
$3,500.00
$0.00
Total Expenses Paid
$34,690.00
$26,695.00
$7,995.00
$0.00
Profit/Loss
$16,810.00
$21,305.00
$0.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Expense Total Expenses 2025-2026
$34,690.00
$26,695.00
.
Updated: 6/19/2025
City of Palm Bay
Return to Table of Contents
For TOO use: PROJECT#- C 13
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist
Applicant Organization Name: City of Palm Bay Applicant Event Name: Holiday Parade, Multicultural Festival & 4th of July Celebration
1. Completed application 2. Copy of IRS Articles of Incorporation- (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes No X
X
Comment
X
N/A
X
N/A
X X
N/A NIA
X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
�� L=-- �
All documents have been submitted, reviewed and/or addressed in the comments.
7(t(-c,.t_J
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:53 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Daniel Waite
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming City of Palm Bay Organization address 120 Malabar Road State Fl City Palm Bay Zip 32909 Primary contact name Daniel Waite Primary contact phone number 321-626-2912
Primary contact email Daniel.Waite@pbfl.org Secondary contact name Juliet Misconi Secondary contact phone number 321-614-1097 Secondary contact email juliet.misconi@pbfl.org Organization website address www.palmbayfl.gov
5. (untitled) 4. Which best describes your organization? Other - please be specific: Municipality
6. (untitled) 5. What is your Federal Employee ID number? 59-6018984
7. (untitled) 6. Are you completing this application for an event or year-round programming?
Event
8. (untitled) 1. EVENT INFORMATION - #1 Name of event - Holiday Light Parade Event website address (if different from organization website) - CityofPalmBay.com Event location - Malabar Road
9. (untitled)
What is the first date of your event? - December 6, 2025
10. (untitled)
In total, how many days will your event be held? - 1
11. (untitled) 7. Do you have a second event?
Yes
12. (untitled) 4. EVENT INFORMATION - #2
Name of event - Multicultural Festival Event website address (if different from organization website) - CityofPalmBay.com Event location - Fred Poppe Regional Park
13. (untitled)
What is the first date of your event? - January 31, 2026
14. (untitled)
In total, how many days will your event be held? - 1
15. (untitled)
Do you have a third event? - yes
16. (untitled) 8. EVENT INFORMATION - #3
Name of event - Independence Day Celebration Event website address (if different from organization website) - CityofPalmBay.com Event location - Eastern Florida, Palm Bay campus
17. (untitled)
What is the first date of your event? - July 4, 2026
18. (untitled)
In total, how many days will your event be held? - 1
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Digital advertising (banner ads, etc.) Radio Search advertising (pay-per-click, etc.) Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 9. What are your social media handles? Facebook : www.facebook.com/pbflparks Instagram : N/A YouTube : Palm Bay Florida @PalmBayFlorida1
22. (untitled) 10. What hashtags do you currently use? #palmbayproud
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 11. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization.
27. (untitled) 12. Upload your completed W-9 form. W-9_City_of_Palm_Bay_06.04.2025.pdf
28. (untitled) 13. Upload your completed Event Income/Expense report. COPB_Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 14. Upload your completed Checklist. TDC_Checklist.pdf
30. (untitled) 15.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Daniel Waite
31. Thank You! New Send Email Jun 05, 2025 13:38:45 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Marketing Support Program - CITY OF PALM BAY FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Outside Artistic Services
$35,000.00
$30,363.50
$4,636.50
Space Rental
$5,000.00
$4,365.00
$635.00
Equipment Costs
$15,500.00
$14,370.25
$1,129.75
Supplies
$1,000.00
$388.93
$611.07
Contract Services
$35,000.00
$31,500.00
$3,500.00
Insurance
$5,000.00
$4,000.00
$1,000.00
Subtotal Expense Other Expenses
$96,500.00
$84,987.68
$11,512.32
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$0.00
$0.00
$0.00
Brevard County
$2,500.00
$1,827.95
-$672.05
Outside Brevard County
$3,000.00
$2,500.00
-$500.00
Subtotal Marketing Marketing Expense
$5,500.00
$4,327.95
-$1,172.05
Total Expenses 2025-2026
$102,000.00
$89,315.63
2025-2026 projection
2024-2025 actuals
VAR
Vendor Fees
$4,000.00
$3,165.00
$835.00
Subtotal Income Income Sponsors
$4,000.00
$3,165.00
$835.00
$15,000.00
$10,000.00
$5,000.00
Cash in Bank to start
$0.00
$0.00
$0.00
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
Total Income
$31,500.00
$28,165.00
$3,335.00
Total Expenses Paid
$102,000.00
$89,315.63
$12,684.37
Profit/Loss
-$70,500.00
-$61,150.63
Income
.
Updated: 6/25/2025
Space Coast Symphony Orchestra
Return to Table of Contents
For TDO use: PROJECT#- C 14
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Space Coast Symphony Applicant Event Name: Year-round programming
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes
X
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
�A f /'.',,
1(1./-c•'lr
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:80 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Aaron Collins
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Space Coast Symphony Orchestra Organization address 505 Grant Ave. State Florida City Satellite Beach Zip 32937 Primary contact name Aaron Collins Primary contact phone number 3215368580
Primary contact email aaron@spacecoastsymphony.org Secondary contact name Mary Seal Secondary contact phone number 855-252-7276 Secondary contact email marym@spacecoastsymphony.org Organization website address https://spacecoastsymphony.org/
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 27-0197064.
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Direct mail Radio Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 9. What are your social media handles? Facebook : https://www.facebook.com/SpaceCoastSymphony Instagram : https://www.instagram.com/SpaceCoastSymphonyOrchestra/ YouTube : https://www.youtube.com/@SpaceCoastSymphony
22. (untitled) 10. What hashtags do you currently use? #S[aceCoast, #SCSO --- have not done too much with hashtags
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. SCSO_501(c)_Letter.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. SCSO_-_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SCSO_-_Entity_Report_from_SunBiz.pdf
27. (untitled) 14. Upload your completed W-9 form. SCSO_-_W-9.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. SCSO_-_Income_Expense_Report_FY25-26..pdf
29. (untitled) 16. Upload your completed Checklist. SCSO_-_Checklist.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Aaron Collins
31. Thank You!
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Apr 08, 2025 Secretary of State 3432357847CC
DOCUMENT# N09000004840 Entity Name: SPACE COAST SYMPHONY ORCHESTRA INC. Current Principal Place of Business: 505 GRANT AVE SATELLITE BEACH, FL 32937
Current Mailing Address: PO BOX 237646 COCOA, FL 32923 US FEI Number: 27-0197064
Certificate of Status Desired: No
Name and Address of Current Registered Agent: COLLINS, AARON 505 GRANT AVE SATELLITE BEACH, FL 32937 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: AARON COLLINS
04/08/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
TREASURER
Title
PRESIDENT
Name
SEAL, MARY
Name
HOOVER, ERIC
Address
505 GRANT AVE
Address
505 GRANT AVE
City-State-Zip:
SATELLITE BEACH FL 32937
City-State-Zip:
SATELLITE BEACH FL 32937
Title
VP
Title
SECRETARY
Name
HICKMAN, JEREMY
Name
KENNEY, SHERRI
Address
505 GRANT AVE
Address
505 GRANT AVE
City-State-Zip:
SATELLITE BEACH FL 32937
City-State-Zip:
SATELLITE BEACH FL 32937
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: MARY SEAL Electronic Signature of Signing Officer/Director Detail
TREASURER
04/08/2025 Date
Form
990
Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
2023
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.
Open to Public Inspection
Department of the Treasury Internal Revenue Service
A
For the 2023 calendar year, or tax year beginning
B
Check if applicable:
C Name of organization SPACE
Number and street (or P.O. box if mail is not delivered to street address)
Initial return
P. O. BOX 237646
Final return/terminated
City or town, state or province, country, and ZIP or foreign postal code
Website:
K
Form of organization:
Activities & Governance
E Telephone number
(855)252-7276
COCOA, FL 32923
J
1
Room/suite
Yes
No
ERIC HOOVER, c/o 219 NORTH INDIAN RIVER DRIVE, COCOA, FL 32922 H(b) Are all subordinates included?
Yes
No
501(c)(3)
501(c) (
) (insert no.)
4947(a)(1) or
527
If “No,” attach a list. See instructions. H(c) Group exemption number
spacecoastsymphony.org Corporation
Trust
Association
Other
2009 M State of legal domicile: FL
L Year of formation:
Summary Briefly describe the organization’s mission or most significant activities: Providing classical music
to audiences at an affordable price. 2 3 4 5 6 7a b
Check this box 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) . . . . . . . . . Number of independent voting members of the governing body (Part VI, line 1b) . . . . 4 Total number of individuals employed in calendar year 2023 (Part V, line 2a) . . . . . 5 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . 6 Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . 7b
8 9 10 11 12 13 14 15 16a b 17 18 19
Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . Program service revenue (Part VIII, line 2g) . . . . . . . . . . . Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . . Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . 1,688. Total fundraising expenses (Part IX, column (D), line 25) Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) . . . . . Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) . Revenue less expenses. Subtract line 18 from line 12 . . . . . . . .
20 21 22
Total assets (Part X, line 16) . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20
Expenses
Revenue
Prior Year
Net Assets or Fund Balances
485,669.
G Gross receipts $ H(a) Is this a group return for subordinates?
F Name and address of principal officer:
Tax-exempt status:
Part I
, 20 D Employer identification number
27-0197064
Doing business as
Name change
Amended return
I
, 2023, and ending
COAST SYMPHONY ORCHESTRA, INC.
Address change
Application pending
OMB No. 1545-0047
Current Year
236,891. 177,071.
174,024. 297,679.
3,629. 417,591.
6,983. 478,686.
50,978.
58,815. 1,688.
437,276. 488,254. -70,663.
441,077. 501,580. -22,894.
Beginning of Current Year
Part II
. . .
. . .
. . .
. . .
. . .
8 8 1 100 700. 0.
. . .
End of Year
28,232. 23,014. 5,218.
41,538. 51,689. -10,151.
Signature Block
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
11/14/2024 Date
Signature of officer
MARY SEAL, TREASURER Type or print name and title Print/Type preparer’s name
Paid Preparer Use Only Firm’s name
Preparer’s signature
Date
Check if PTIN self-employed
Non-Paid Preparer
Firm’s EIN
Firm’s address
May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. BAA
Phone no.
.
.
.
.
.
.
REV 05/09/24 PRO
.
.
.
.
.
Yes
No
Form 990 (2023)
Page 2
Form 990 (2023)
Part III 1
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III
. . . . . . . . . . . . .
Briefly describe the organization’s mission:
Providing classical music to audiences at an affordable price.
2
3
4
4a
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No If “Yes,” describe these changes on Schedule O. Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. (Code: ) (Expenses $ 472,266. including grants of $ 0. ) (Revenue $ 303,962. ) Performed classical orchestra and chamber concerts in Brevard and Indian River Counties in Florida. There were many performance that were provided at an affordable price. Price was sometimes determined by purchaser's ability to pay or provided for free. Programs gave free admission to students and youths under the age of 18. For 2023 19% or 1,250 tickets of a total of 6,687 were discounted.
4b (Code:
) (Expenses $ 715. including grants of $ 0. ) (Revenue $ 1,700. ) Provided a program called "Youth Orchestra" to increases appreciation of orchestral music among the public at large by coaching Middle and High School students. Through weekly coaching by experienced members of the orchestra and opportunites for students to perform with an orchestra. This insures that this music will continue to provide enjoyment to future generations.
4c
(Code:
) (Expenses $
including grants of $
4d Other program services (Describe on Schedule O.) (Expenses $ including grants of $ 4e Total program service expenses 472,981. REV 05/09/24 PRO
) (Revenue $
) (Revenue $
)
) Form 990 (2023)
Page 3
Form 990 (2023)
Part IV
Checklist of Required Schedules Yes
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If “Yes,” complete Schedule C, Part III . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, . . . the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . .
8 9
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . 11 If the organization’s answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If “Yes,” complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII . . . . . . . . c Did the organization report an amount for investments—program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII . . . . . . . . d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX . . . . . . . . . . . . . .
No
1 2 3 4 5
6 7 8
9
10
e f
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered “No” to line 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . 14a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . 15 16 17 18 19
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV. . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . .
20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . . REV 05/09/24 PRO
10
11a 11b 11c 11d 11e 11f 12a 12b 13 14a
14b 15 16 17 18 19 20a 20b 21 Form 990 (2023)
Page 4
Form 990 (2023)
Part IV
Checklist of Required Schedules (continued) Yes
22 23
24a
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . .
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . . b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . .
22
23
24a 24b 24c 24d 25a
25b
26
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . .
26
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . .
27
28
Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . .
a
b A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV . . . . c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . 29 30
Did the organization receive more than $25,000 in noncash contributions? If “Yes,” complete Schedule M Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . .
31 32
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33 34
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . b If “Yes” to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O . . . . . . . . . . . . . .
Part V
No
28a 28b 28c 29 30 31 32 33 34 35a 35b 36 37 38
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V
. . . . . . . . . . . . . Yes
No
0 1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . 1a b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . 1b 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . 1c REV 05/09/24 PRO
Form 990 (2023)
Page 5
Form 990 (2023)
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Yes
No
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return 1 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . b If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O . 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If “Yes,” enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . b If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a
Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . .
b If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . If “Yes,” has it filed a Form 720 to report these payments? If “No,” provide an explanation on Schedule O . Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . If “Yes,” see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If “Yes,” complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . .
2b 3a 3b 4a
5a 5b 5c 6a 6b
7a 7b 7c 7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b 15 16
17
If “Yes,” complete Form 6069. Form 990 (2023) REV 05/09/24 PRO
Page 6 Governance, Management, and Disclosure. For each “Yes” response to lines 2 through 7b below, and for a “No” response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Form 990 (2023)
Part VI
Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . .
Section A. Governing Body and Management Yes
1a
Enter the number of voting members of the governing body at the end of the tax year . . If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
1a
No
8
b Enter the number of voting members included on line 1a, above, who are independent . 1b 8 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . 4 5 6 7a
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization’s assets? . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . .
2 3 4 5 6 7a 7b
8a 8b 9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes
10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . b If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization’s exempt purposes? 11a b 12a b c
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . .
13 14 15
Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . .
No
10a 10b 11a 12a 12b 12c 13 14
15a 15b
16a
16b
Section C. Disclosure 17 18
List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Own website Another’s website Upon request Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization’s books and records.
MARY GRIFFIN, 19 NORTH INDIAN RIVER DRIVE, COCOA, FL 32922 (855)252-7276 REV 05/09/24 PRO
Form 990 (2023)
Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Form 990 (2023)
Part VII
Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year. • List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization’s current key employees, if any. See the instructions for definition of “key employee.” • List the organization’s five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization’s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C)
Former
PRESIDENT (2) JEREMY HICKMAN VICE PRESIDENT (3) AUDREY WHITE EXECUTIVE BOARD (4) MARY SEAL TREASURER (5) AHMED PELZER PAST PRESIDENT (6) SHERRI KINNEY SECRETARY (7) CONNIE MALTBY EXECUTIVE BOARD (8) ANNORA DAIGE EXECUTIVE BOARD
Key employee
(1) ERIC HOOVER
Highest compensated employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
5.00 5.00 1.00 15.00 1.00 3.00 2.00 1.00
(9) (10) (11) (12) (13) (14) REV 05/09/24 PRO
Form 990 (2023)
Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Form 990 (2023)
Part VII
(C)
Former
Highest compensated employee
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
(15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) 1b c d 2
Subtotal . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A . . . . . . Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 0
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . .
Yes
4
5
No
3
4 5
Section B. Independent Contractors 1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year. (A) Name and business address
2
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization REV 05/09/24 PRO
Form 990 (2023)
Page 9
Form 990 (2023)
Part VIII Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . .
Contributions, Gifts, Grants, and Other Similar Amounts
(A) Total revenue
1a b c d e f
Federated campaigns . . . . Membership dues . . . . . Fundraising events . . . . . Related organizations . . . . Government grants (contributions) All other contributions, gifts, grants, and similar amounts not included above g Noncash contributions included in lines 1a–1f . . . . . . . . h
Total. Add lines 1a–1f .
.
.
.
.
1a 1b 1c 1d 1e
46,873.
1f
127,151.
1g $ . . .
.
.
.
(B) Related or exempt function revenue
(C) Unrelated business revenue
(D) Revenue excluded from tax under sections 512–514
295,749. 1,000. -849.
295,749. 1,000. -849.
0. 0. 0.
0. 0. 0.
1,779. 297,679.
1,079.
700.
0.
6,983.
6,983.
0.
0.
478,686.
303,962.
700.
174,024.
Program Service Revenue
Business Code
711130 2a CONCERTS 711130 b Youth Orchestra c Ticket Refunds 711130 d e f All other program service revenue . . g Total. Add lines 2a–2f . . . . . . . . . . . 3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . 4 5
Income from investment of tax-exempt bond proceeds Royalties . . . . . . . . . . . . . . . (i) Real
Other Revenue
6a b c d 7a
b c d 8a
b c 9a b c 10a
Miscellaneous Revenue
b c
(ii) Personal
Gross rents . . 6a Less: rental expenses 6b Rental income or (loss) 6c Net rental income or (loss) . . . . . . . . . (i) Securities (ii) Other Gross amount from sales of assets other than inventory 7a Less: cost or other basis and sales expenses . 7b Gain or (loss) . . 7c Net gain or (loss) . . . . . . . . . . . . Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 . . . 8a Less: direct expenses . . . . 8b Net income or (loss) from fundraising events . . . Gross income from gaming activities. See Part IV, line 19 . 13,966. 9a 6,983. Less: direct expenses . . . . 9b Net income or (loss) from gaming activities . . . . Gross sales of inventory, less returns and allowances . . . 10a Less: cost of goods sold . . . 10b Net income or (loss) from sales of inventory . . . . Business Code
11a b c d All other revenue . . . . . e Total. Add lines 11a–11d . . . 12 Total revenue. See instructions
. . .
. . .
. .
. .
. .
. .
. .
REV 05/09/24 PRO
0. Form 990 (2023)
Page 10
Form 990 (2023)
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . 3
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16
4 5
Benefits paid to or for members . . . . Compensation of current officers, directors, trustees, and key employees . . . . .
6
Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . .
7 8
Other salaries and wages . . . . . . Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
9 10 11 a b c d e f g
Other employee benefits . . . . . . . Payroll taxes . . . . . . . . . . . Fees for services (nonemployees): Management . . . . . . . . . . Legal . . . . . . . . . . . . . Accounting . . . . . . . . . . . Lobbying . . . . . . . . . . . . Professional fundraising services. See Part IV, line 17 Investment management fees . . . . . Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) .
12 13 14 15 16 17 18
Advertising and promotion . . . . . . Office expenses . . . . . . . . . Information technology . . . . . . . Royalties . . . . . . . . . . . . Occupancy . . . . . . . . . . . Travel . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials
19 20 21 22 23 24
Conferences, conventions, and meetings . Interest . . . . . . . . . . . . Payments to affiliates . . . . . . . . Depreciation, depletion, and amortization . Insurance . . . . . . . . . . . . Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
a POSTAGE AND MAILING b RENT EQUIPMENT AND VENUE c YOUTH ORCHESTRA d e All other expenses 25 Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the 26 organization reported in column (B) joint costs from a combined educational campaign and if fundraising solicitation. Check here following SOP 98-2 (ASC 958-720) . . .
(A) Total expenses
(B) Program service expenses
(C) Management and general expenses
(D) Fundraising expenses
52,240.
52,240.
0.
0.
1,954.
1,954.
0.
0.
4,621.
4,621.
0.
0.
10,273.
10,273.
0.
0.
1,688.
1,688.
300,566.
300,566.
0.
0.
10,765. 6,554.
10,765. 6,554.
0. 0.
0. 0.
52,282. 3,227.
52,282. 3,227.
0. 0.
0. 0.
3,249.
3,249.
0.
0.
3,432. 21,052. 715.
3,432. 21,052. 715.
0. 0. 0.
0. 0. 0.
28,962. 501,580.
2,051. 472,981.
26,911. 26,911.
0. 1,688.
REV 05/09/24 PRO
Form 990 (2023)
Page 11
Form 990 (2023)
Part X
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X
. . . . . . . . . . . . .
(A) Beginning of year
1 2 3 4 5
Net Assets or Fund Balances
Liabilities
Assets
6
Cash—non-interest-bearing . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
7 8 9 10a
Notes and loans receivable, net . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . 10a 2,600. 2,600. b Less: accumulated depreciation . . . . . 10b 11 Investments—publicly traded securities . . . . . . . . . . 12 Investments—other securities. See Part IV, line 11 . . . . . . . 13 Investments—program-related. See Part IV, line 11 . . . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . .
(B) End of year
7,562. 1
1,300.
5 6 7 8 9
0. 10c
0.
11 12 13 14 19,370. 15 28,232. 16 23,014. 17 18 19 20 21
19,370. 41,538. 42,007.
22 23 24
9,682.
23 24 25
Secured mortgages and notes payable to unrelated third parties . . Unsecured notes and loans payable to unrelated third parties . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17–24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . .
26
Total liabilities. Add lines 17 through 25 . . . . . . Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
.
.
.
23,014. 26
27 28
Net assets without donor restrictions . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
. .
. .
27 28
29 30 31 32 33
Capital stock or trust principal, or current funds . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund . . . Retained earnings, endowment, accumulated income, or other funds . Total net assets or fund balances . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . .
29 30 5,218. 31 5,218. 32 28,232. 33
.
REV 05/09/24 PRO
22,168.
2 3 4
25
51,689.
-10,151. -10,151. 41,538. Form 990 (2023)
Page 12
Form 990 (2023)
Part XI
Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . .
1 2 3 4 5 6 7 8 9 10
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
1 2 3 4 5 6 7 8 9
478,686. 501,580. -22,894. 5,218.
10
-10,151.
7,525.
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . Yes
1
Accounting method used to prepare the Form 990: Cash Accrual Other Hybrid If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant? . . . If “Yes,” check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both.
Separate basis Consolidated basis Both consolidated and separate basis b Were the organization’s financial statements audited by an independent accountant? . . . . . . . If “Yes,” check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. c
Separate basis Consolidated basis Both consolidated and separate basis If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits .
No
2a
2b
2c
3a
REV 05/09/24 PRO
3a 3b Form 990 (2023)
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Public Charity Status and Public Support
2023
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC. 27-0197064 Part I Reason for Public Charity Status. (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 3 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the 4 hospital’s name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 7
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)
8 9
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
10
11 12
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
c d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . g Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organization (v) Amount of monetary listed in your governing support (see document? instructions)
Yes
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. BAA REV 05/09/24 PRO
Cat. No. 11285F
Schedule A (Form 990) 2023
Page 2
Schedule A (Form 990) 2023
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . 2
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . .
6
Public support. Subtract line 5 from line 4
.
.
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
.
Section B. Total Support Calendar year (or fiscal year beginning in) 7 Amounts from line 4 . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . 9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . .
11 12 13
Total support. Add lines 7 through 10 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . 12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 15 16a
Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) . . . . 14 % Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . 15 % 331/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . b 331/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . .
17a
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REV 05/09/24 PRO
Schedule A (Form 990) 2023
Page 3
Schedule A (Form 990) 2023
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) Gifts, grants, contributions, and membership fees 1 received. (Do not include any “unusual grants.”) 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
6 7a
Total. Add lines 1 through 5 . . . . Amounts included on lines 1, 2, and 3 received from disqualified persons .
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
200,742. 213,187. 203,524.
236,891. 174,023. 1,028,367.
373,392. 104,026.
177,071. 295,748.
5,268.
15,354.
16,414. 2,924.
579,402. 332,567. 222,862.
8,062.
8,062.
966,651. 39,670.
422,024. 477,833. 2,034,688.
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year c 8
Add lines 7a and 7b . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . .
2,034,688.
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources
(a) 2019
(b) 2020
(c) 2021
579,402. 332,567. 222,862.
(d) 2022
(e) 2023
(f) Total
422,024. 477,833. 2,034,688.
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . c 11
12
Add lines 10a and 10b . . . . . Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . 579,402. 332,567. 222,862. 422,024. 477,833. 2,034,688. First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
13 14
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . .
. .
. .
. .
. .
15 16
100 % 100 %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . 17 0% Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . 18 0% 331/3% support tests—2023. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line 17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . b 331/3% support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization .
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions REV 05/09/24 PRO
.
Schedule A (Form 990) 2023
Page 4 Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Schedule A (Form 990) 2023
Part IV
Yes No 1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer lines 3b and 3c below.
3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination. c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
1
2 3a
3b 3c 4a
4b
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization’s organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization’s organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization’s control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. 7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
5b 5c
6
7 8
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9a 9b 9c
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) REV 05/09/24 PRO
10a 10b
Schedule A (Form 990) 2023
Page 5
Schedule A (Form 990) 2023
Part IV
Supporting Organizations (continued) Yes No
11 a
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations Yes No 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations Yes No 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s), or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
3
By reason of the relationship described on line 2, above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations 1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). c 2 Activities Test. Answer lines 2a and 2b below. Yes No a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
b Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
2a
2b
3
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3a 3b
Schedule A (Form 990) 2023
Page 6
Schedule A (Form 990) 2023
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A—Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B—Minimum Asset Amount (A) Prior Year (optional) 1
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1a a Average monthly value of securities 1b b Average monthly cash balances 1c c Fair market value of other non-exempt-use assets 1d d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): Acquisition indebtedness applicable to non-exempt-use assets 2 2 Subtract line 2 from line 1d. 3 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 5 Multiply line 5 by 0.035. 6 6 Recoveries of prior-year distributions 7 7 Minimum Asset Amount (add line 7 to line 6) 8 8 Section C—Distributable Amount 1 2 3 4 5 6 7
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023 REV 05/09/24 PRO
Page 7
Schedule A (Form 990) 2023
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D—Distributions
Current Year
1 2
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions.
9 10
Distributable amount for 2023 from Section C, line 6 Line 8 amount divided by line 9 amount (i) Excess Distributions
Section E—Distribution Allocations (see instructions) 1
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Distributable amount for 2023 from Section C, line 6
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required—explain in Part VI). See instructions. 3 Excess distributions carryover, if any, to 2023 a From 2018 . . . . . b From 2019 . . . . . c From 2020 . . . . . d From 2021 . . . . . e From 2022 . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2023 distributable amount i Carryover from 2018 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2023 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2023 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6
7 8 a b c d e
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2024. Add lines 3j and 4c. Breakdown of line 7: Excess from 2019 . . . Excess from 2020 . . . Excess from 2021 . . . Excess from 2022 . . . Excess from 2023 . . . REV 05/09/24 PRO
Schedule A (Form 990) 2023
Page 8 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990) 2023
Part VI
REV 05/09/24 PRO
Schedule A (Form 990) 2023
Schedule B (Form 990) Department of the Treasury Internal Revenue Service
Schedule of Contributors
OMB No. 1545-0047
Attach to Form 990, 990-EZ, or 990-PF. Go to www.irs.gov/Form990 for the latest information.
2023 Employer identification number
Name of the organization
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Organization type (check one): Filers of: Form 990 or 990-EZ
Section: 501(c)(
3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor’s total contributions. Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering “N/A” in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don’t complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . . $ Caution: An organization that isn’t covered by the General Rule and/or the Special Rules doesn’t file Schedule B (Form 990), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn’t meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
BAA
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Schedule B (Form 990) (2023)
Page 2
Schedule B (Form 990) (2023)
Name of organization
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.
1
(b) Name, address, and ZIP + 4
(c) Total contributions
STATE OF FLORIDA $
400 SOUTH MONROE STREET
26,873.
2
(b) Name, address, and ZIP + 4
(c) Total contributions
JOHN BOWEN $
746 LOGGERHEAD ISLAND DRIVE
11,000.
3
(b) Name, address, and ZIP + 4
(c) Total contributions
BREVARD COUNTY BOARD OF COMMISSIONERS 2725 JUDGE FRAN JAMIESON WAY BLDG C
$
20,000.
4
(b) Name, address, and ZIP + 4
(c) Total contributions
MICHELE W CAMPANELLI 720 FALLS CREEK DRIVE
$
25,583.
5
(b) Name, address, and ZIP + 4
(c) Total contributions
PHYLLIS KLABEN $
2350 INDIAN CREEK BLVDW APTD203
10,000.
6
(b) Name, address, and ZIP + 4
(c) Total contributions
FRED SIEMER $
155 HWY A1A AT 30
(d) Type of contribution Person Payroll Noncash
(d) Type of contribution Person Payroll Noncash
6,175.
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
SATELLITE BEACH FL 32937 BAA
Person Payroll Noncash
(Complete Part II for noncash contributions.)
VERO BEACH FL 32963 (a) No.
(d) Type of contribution
(Complete Part II for noncash contributions.)
MELBOURNE FL 32904 (a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
MELBOURNE FL 329406605 (a) No.
(d) Type of contribution
(Complete Part II for noncash contributions.)
SATELLITE BEACH FL 32937 (a) No.
Person Payroll Noncash (Complete Part II for noncash contributions.)
TALLAHASSEE FL 32399 (a) No.
(d) Type of contribution
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Schedule B (Form 990) (2023)
Page 2
Schedule B (Form 990) (2023)
Name of organization
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Part I (a) No.
7
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(c) Total contributions
MARGOT RICHARDSON 5047 N HWY A1A
$
AT 1506
5,140.
Person Payroll Noncash (Complete Part II for noncash contributions.)
FORT PIERCE FL 34949 (a) No.
(d) Type of contribution
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
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Schedule B (Form 990) (2023)
Page 3
Schedule B (Form 990) (2023)
Name of organization
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Part II (a) No. from Part I
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ BAA
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Schedule B (Form 990) (2023)
Page 4
Schedule B (Form 990) (2023)
Name of organization
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC. 27-0197064 Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed. (a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
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Schedule B (Form 990) (2023)
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
OMB No. 1545-0047
2023
Complete if the organization answered “Yes” on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC. 27-0197064 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered “Yes” on Form 990, Part IV, line 6. (a) Donor advised funds
1 2 3 4 5
(b) Funds and other accounts
Total number at end of year . . . . . . . . Aggregate value of contributions to (during year) . Aggregate value of grants from (during year) . . Aggregate value at end of year . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . .
6
Part II 1
2 a b c d
Yes
No
Yes
No
Conservation Easements Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year Total number of conservation easements . . . . . . . . . . . . . . . . . Total acreage restricted by conservation easements . . . . . . . . . . . . . . Number of conservation easements on a certified historic structure included on line 2a . . Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . .
2a 2b 2c
6
2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
3 4 5
9
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items.
2
(i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . $ If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items.
a Revenue included on Form 990, Part VIII, line 1 b Assets included in Form 990, Part X . . . .
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$ $ Schedule D (Form 990) 2023
Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2023
Part III 3
Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply). a b c
4 5
Public exhibition Loan or exchange program d Scholarly research Other e Preservation for future generations Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection? . . Yes No
Part IV
1a
Escrow and Custodial Arrangements Complete if the organization answered “Yes” on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b If “Yes,” explain the arrangement in Part XIII and complete the following table. c d e f 2a b
Amount 1c Beginning balance . . . . . . . . . . . . . . . . . . . . . . Additions during the year . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? Yes If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII . . . .
Part V
No
Endowment Funds Complete if the organization answered “Yes” on Form 990, Part IV, line 10. (a) Current year
(b) Prior year
(c) Two years back
(d) Three years back
(e) Four years back
1a Beginning of year balance . . . b Contributions . . . . . . . c Net investment earnings, gains, and losses . . . . . . . . . . d Grants or scholarships . . . . e Other expenditures for facilities and programs . . . . . . . . . f g 2 a b c 3a
Administrative expenses . . . . End of year balance . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % % Permanent endowment Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by:
(i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? . 4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI
. . .
. . .
. . .
. . .
. . .
. . .
Yes No 3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(c) Accumulated depreciation
1a Land . . . . . . . . . . . . b Buildings . . . . . . . . . . . c Leasehold improvements . . . . . d Equipment . . . . . . . . . . 2,600. e Other . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) . BAA
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(d) Book value
2,600. .
.
.
.
0. 0.
Schedule D (Form 990) 2023
Page 3
Schedule D (Form 990) 2023
Part VII
Investments—Other Securities Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(1) Financial derivatives . . . (2) Closely held equity interests . (3) Other
. .
. .
. .
. .
. .
(b) Book value
. .
. .
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. .
. .
. .
. .
Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) .
.
(c) Method of valuation: Cost or end-of-year market value
(A) (B) (C) (D) (E) (F) (G) (H)
Part VIII
Investments—Program Related Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) .
.
Part IX
Other Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(1) SHEET (2) (3) (4) (5) (6) (7) (8) (9)
MUSIC
(a) Description
(b) Book value
19,370.
Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) .
Part X
. . . . . . . . . . . . . . 19,370. Other Liabilities Complete if the organization answered “Yes” on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.
(a) Description of liability
(b) Book value
(1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) . . . . . . . . . . . . . . . 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization’s liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . Schedule D (Form 990) 2023
Page 4
Schedule D (Form 990) 2023
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total revenue, gains, and other support per audited financial statements . . Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments . . . . . . . . . 2a b Donated services and use of facilities . . . . . . . . . . . 2b c Recoveries of prior year grants . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
Part XII
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1
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2e 3
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4c 5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total expenses and losses per audited financial statements . . . . . . . Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities . . . . . . . . . . . 2a b Prior year adjustments . . . . . . . . . . . . . . . . 2b c Other losses . . . . . . . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) .
Part XIII
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1
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2e 3
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4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
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Schedule D (Form 990) 2023
Schedule D (Form 990) 2023
Part XIII
Page 5
Supplemental Information (continued)
Schedule D (Form 990) 2023
Supplemental Information to Form 990 or 990-EZ
SCHEDULE O (Form 990)
OMB No. 1545-0047
2023
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or Form 990-EZ.
Department of the Treasury Internal Revenue Service
Open to Public Inspection
Go to www.irs.gov/Form990 for the latest information.
Name of the organization
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Pt III, Line 3: In November of 2018 the Space Coast Symphony Youth
Orchestra
(SCSYO) presented its debut concert. This program has three separate organizations based on participant's
skill level; the
Academy Orchestra, Symphony Orchestra,
and Philharmonic Orchestra. The program is in keeping with the Space Coast Symphony's mission of providing symphonic music at an affordable price.
In
addition to performing free concerts SCSYO provides a creative environment where over one hundred pre-college age musicians, ages 8-18, social,
from every imaginable
cultural, and economic background across Brevard and
Indian River Counties
come together to rehearse and perform classical symphonic masterworks. It also performs on the same program as the professional orchestra and performs side-by-side with
their professional SCSO counterparts. For their
performances tickets
for 8-18 year olds are available for free. This program replaced the previous "Quartet Movement" program which was directed mainly
toward quartets.
The "Quartet
Movement" program was supplanted by the Youth Orchestra and was cancelled in 2018. Pt VI, Line 19: Copies of these documents available at the organization's offices if requested by members of the public. Pt VI, Line 11b: The return is prepared by a volunteer. the records for the organization provides and reviews used to complete the return.
The person keeping certain of the information
The President, Vice president or other officers
depending on availablilty review the completed return for non technical errors before filing.
Governing Board members are provide.d copies
Pt XII, Line 1: Payroll tax expenses are accrued and expenses through accounts payable are recognized making this a hybrid accounting method. Other: Part IX Line 11g
See schedule of other service fees.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. REV 05/09/24 PRO
BAA
Schedule O (Form 990) 2023
Page 2
Schedule O (Form 990) 2023 Name of the organization
Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
BOX OFFFICE SUBCONTRCTOR $1,222.50 MUSIC LIBRARY SUBCONTRACTOR $6,300.00 OPERATIONS SUBCONTRACTOR $1090.00 $7,869.00
MUSICIANS $253,774.06
CONDUCTORS $13,150.00
EVENT SPECIALTIES
GUEST ARTIST $,270.00 TOTAL OTHER NONEMPLOYEE FEES $300,565.56
Pt IX, Line 11g: Description: BOX OFFICE SUBCONTRACTOR Total: $1,223 Program services: $1,223 Description: MUSIC LIBRARY SUBCONTRACTOR Total: $6,300 Program services: $6,300 Description: OPERATIONS SUBCONTRACTORS Total: $10,980 Program services: $10,980 Description: MUSICIANS Total: $253,774 Program services: $253,774 Description: CONDUCTOR Total: $13,150 Program services: $13,150 Description: EVENT SPECIALTIES Total: $7,869 Program services: $7,869 Description: GUEST ARTISTS Total: $7,270 Program services: $7,270
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Schedule O (Form 990) 2023
Form
990-T
Exempt Organization Business Income Tax Return
OMB No. 1545-0047
(and proxy tax under section 6033(e))
2023
For calendar year 2023 or other tax year beginning Department of the Treasury Internal Revenue Service A
501(
) ( c3 )
, 20
Go to www.irs.gov/Form990T for instructions and the latest information. Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3). Name of organization (
Check box if address changed.
B Exempt under section
, 2023, and ending
Check box if name changed and see instructions.)
D Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Print Number, street, and room or suite no. If a P.O. box, see instructions. or P. O. BOX 237646 Type
E Group exemption number (see instructions)
408(e)
220(e)
City or town, state or province, country, and ZIP or foreign postal code
408A
530(a)
COCOA, FL 32923
529(a)
529A
C Book value of all assets at end of year
Open to Public Inspection for 501(c)(3) Organizations Only
F .
.
.
.
.
.
.
.
.
.
Check box if an amended return.
41,538.
501(c) corporation 501(c) trust 401(a) trust Other trust State college/university 6417(d)(1)(A) Applicable entity H Check if filing only to claim Credit from Form 8941 Refund shown on Form 2439 Elective payment amount from Form 3800 I Check if a 501(c)(3) organization filing a consolidated return with a 501(c)(2) titleholding corporation . . . . . . . . . J Enter the number of attached Schedules A (Form 990-T) . . . . . . . . . . . . . . . . . . . 1 Yes No K During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? If “Yes,” enter the name and identifying number of the parent corporation L The books are in care of 635 BREVARD AVENUE COCOA FL 32923 Telephone number (855)252-7276 G Check organization type
Part I
Total Unrelated Business Taxable Income
1 2 3 4 5 6 7
Total of unrelated business taxable income computed from all unrelated trades or businesses (see instructions) Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charitable contributions (see instructions for limitation rules) . . . . . . . . . . . . . . Total unrelated business taxable income before net operating losses. Subtract line 4 from line 3 . . Deduction for net operating loss. See instructions . . . . . . . . . . . . . . . . . Total of unrelated business taxable income before specific deduction and section 199A deduction. Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . .
8 9 10 11
Specific deduction (generally $1,000, but see instructions for exceptions) . . . . . . . . . . Trusts. Section 199A deduction. See instructions . . . . . . . . . . . . . . . . . Total deductions. Add lines 8 and 9 . . . . . . . . . . . . . . . . . . . . . . Unrelated business taxable income. Subtract line 10 from line 7. If line 10 is greater than line 7, enter zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II 1 2 3 4 5 6 7
5
11
0.
1
0.
2 3 4 5 6 7
0.
1e 2
0.
Tax Computation
Tax and Payments
Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) 1a Other credits (see instructions) . . . . . . . . . . . . . . . 1b General business credit. Attach Form 3800 (see instructions) . . . . . 1c Credit for prior-year minimum tax (attach Form 8801 or 8827) . . . . 1d Total credits. Add lines 1a through 1d . . . . . . . . . . . . . . . . . . . . Subtract line 1e from Part II, line 7 . . . . . . . . . . . . . . . . . . . . . . Amount due from Form 4255 . . . . . . . . . . . . . . . 3a Amount due from Form 8611 . . . . . . . . . . . . . . . 3b Amount due from Form 8697 . . . . . . . . . . . . . . . 3c Amount due from Form 8866 . . . . . . . . . . . . . . . 3d Other amounts due (see instructions) . . . . . . . . . . . . 3e Total amounts due. Add lines 3a through 3e . . . . . . . . . . . . . . . . . . Total tax. Add lines 2 and 3f (see instructions). Check if includes tax previously deferred under section 1294. Enter tax amount here . . . . . . . . . . . . . Current net 965 tax liability paid from Form 965-A, Part II, column (k) . . . . . . . . . .
For Paperwork Reduction Act Notice, see instructions. BAA
7 8 9 10
Organizations taxable as corporations. Multiply Part I, line 11, by 21% (0.21) . . . . . . . . Trusts taxable at trust rates. See instructions for tax computation. Income tax on the amount on Part I, line 11, from: Tax rate schedule or Schedule D (Form 1041) . . . . . . . . . Proxy tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . Other tax amounts. See instructions . . . . . . . . . . . . . . . . . . . . . . Alternative minimum tax . . . . . . . . . . . . . . . . . . . . . . . . . . Tax on noncompliant facility income. See instructions . . . . . . . . . . . . . . . Total. Add lines 3 through 6 to line 1 or 2, whichever applies . . . . . . . . . . . . . .
Part III 1a b c d e 2 3a b c d e f 4
1 2 3 4 5 6
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3f 4 5
0. Form 990-T (2023)
Page 2
Form 990-T (2023)
Part III
Tax and Payments (continued)
6a Payments: Preceding year’s overpayment credited to the current year . . 6a b Current year’s estimated tax payments. Check if section 643(g) election applies . . . . . . . . . . . . . . . . . . . . . 6b 0. c Tax deposited with Form 8868 . . . . . . . . . . . . . . . 6c d Foreign organizations: Tax paid or withheld at source (see instructions) . 6d e Backup withholding (see instructions) . . . . . . . . . . . . . 6e f Credit for small employer health insurance premiums (attach Form 8941) . 6f g Elective payment election amount from Form 3800 . . . . . . . . 6g 6h h Payment from Form 2439 . . . . . . . . . . . . . . . . i Credit from Form 4136 . . . . . . . . . . . . . . . . . 6i j Other (see instructions) . . . . . . . . . . . . . . . . . 6j 7 Total payments. Add lines 6a through 6j . . . . . . . . . . . . . . . . . . . 7 8 Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . . . 8 9 Tax due. If line 7 is smaller than the total of lines 4, 5, and 8, enter amount owed . . . . . . 9 10 Overpayment. If line 7 is larger than the total of lines 4, 5, and 8, enter amount overpaid . . . 10 11 Enter the amount of line 10 you want: Credited to 2024 estimated tax Refunded 11 Part IV Statements Regarding Certain Activities and Other Information (see instructions) 1 At any time during the 2023 calendar year, did the organization have an interest in or a signature or other authority over a financial account (bank, securities, or other) in a foreign country? If “Yes,” the organization may have to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts. If “Yes,” enter the name of the foreign country here 2 3 4
5
0. 0.
Yes
No
During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If “Yes,” see instructions for other forms the organization may have to file. Enter the amount of tax-exempt interest received or accrued during the tax year . . . . $ Enter available pre-2018 NOL carryovers here $ . Do not include any post-2017 NOL carryover shown on Schedule A (Form 990-T). Don’t reduce the NOL carryover shown here by any deduction reported on Part I, line 6. Post-2017 NOL carryovers. Enter the Business Activity Code and available post-2017 NOL carryovers. Don’t reduce the amounts shown below by any NOL claimed on any Schedule A, Part II, line 17, for the tax year. See instructions. Business Activity Code
6a Reserved for future use b Reserved for future use
Part V
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Available post-2017 NOL carryover
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$ $ $ $ . . . .
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Supplemental Information
Provide any additional information. See instructions.
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 taxpayer) is based on all information of which preparer has any knowledge.
Sign Here
May the IRS discuss this return with the preparer shown below (see instructions)? Yes No
TREASURER Signature of officer Print/Type preparer’s name
Paid Preparer Firm’s name Use Only Firm’s address
Date
Title
Preparer’s signature
Non-Paid Preparer
Date
Check if self-employed
PTIN
Firm’s EIN Phone no.
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Form 990-T (2023)
SCHEDULE A (Form 990-T) Department of the Treasury Internal Revenue Service
Unrelated Business Taxable Income From an Unrelated Trade or Business
OMB No. 1545-0047
2023
Go to www.irs.gov/Form990T for instructions and the latest information.
Open to Public Inspection for
Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3). 501(c)(3) Organizations Only A Name of the organization B Employer identification number
SPACE COAST SYMPHONY ORCHESTRA, INC. C Unrelated business activity code (see instructions) E Describe the unrelated trade or business
Part I 1a b 2 3 4a
27-0197064 .
.
.
.
5 6 7 8 9 10 11 12 13
Unrelated Trade or Business Income
D Sequence:
(A) Income
Gross receipts or sales Less returns and allowances c Balance Cost of goods sold (Part III, line 8) . . . . . . . . . Gross profit. Subtract line 2 from line 1c . . . . . . . Capital gain net income (attach Schedule D (Form 1041 or Form 1120)). See instructions . . . . . . . . . .
Capital loss deduction for trusts . . . . . . . . . Income (loss) from a partnership or an S corporation (attach statement) . . . . . . . . . . . . . . . . Rent income (Part IV) . . . . . . . . . . . . . Unrelated debt-financed income (Part V) . . . . . . Interest, annuities, royalties, and rents from a controlled organization (Part VI) . . . . . . . . . . . . . Investment income of section 501(c)(7), (9), or (17) organizations (Part VII) . . . . . . . . . . . . Exploited exempt activity income (Part VIII) . . Advertising income (Part IX) . . . . . . . Other income (see instructions; attach statement) Total. Combine lines 3 through 12 . . . .
Part II
. 611600
1 of
1
(1) ADVERTISING IN PROGRAM
b Net gain (loss) (Form 4797) (attach Form 4797). See instructions . . . . . . . . . . . . . . . . c
.
. . . .
. . . .
. . . .
. . . .
(B) Expenses
(C) Net
1c 2 3 4a 4b 4c 5 6 7 8 9 10 11 12 13
700.
715.
-15.
700. 715. -15. Deductions Not Taken Elsewhere. See instructions for limitations on deductions. Deductions must be directly connected with the unrelated business income.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Compensation of officers, directors, and trustees (Part X) . . . . . . . . . . . . . . Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest (attach statement). See instructions . . . . . . . . . . . . . . . . . . Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation (attach Form 4562). See instructions . . . . . . . . 7 Less depreciation claimed in Part III and elsewhere on return . . . . . 8a Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributions to deferred compensation plans . . . . . . . . . . . . . . . . . Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . . . Excess exempt expenses (Part VIII) . . . . . . . . . . . . . . . . . . . . . Excess readership costs (Part IX) . . . . . . . . . . . . . . . . . . . . . . Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . . . Total deductions. Add lines 1 through 14 . . . . . . . . . . . . . . . . . . . Unrelated business income before net operating loss deduction. Subtract line 15 from Part I, line 13, column (C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 18
Deduction for net operating loss. See instructions . . . . . . Unrelated business taxable income. Subtract line 17 from line 16
For Paperwork Reduction Act Notice, see instructions.
BAA
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. .
. .
. .
. .
. .
. .
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. .
. .
. .
1 2 3 4 5 6 8b 9 10 11 12 13 14 15 16 17 18
0. 0. -15. -15.
Schedule A (Form 990-T) 2023
Page 2
Schedule A (Form 990-T) 2023
Enter method of inventory valuation Inventory at beginning of year . . . . . . . . . . . . . . . . . . . . . . . 1 Purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Cost of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Additional section 263A costs (attach statement) . . . . . . . . . . . . . . . . . 4 Other costs (attach statement) . . . . . . . . . . . . . . . . . . . . . . . 5 Total. Add lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . 6 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . 7 Cost of goods sold. Subtract line 7 from line 6. Enter here and in Part I, line 2 . . . . . . . 8 Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization?
Part III 1 2 3 4 5 6 7 8 9
Part IV 1
2 a
Cost of Goods Sold
Yes
No
Rent Income (From Real Property and Personal Property Leased With Real Property)
Description of property (property street address, city, state, ZIP code). Check if a dual-use. See instructions. A B C D A B C Rent received or accrued From personal property (if the percentage of rent for personal property is more than 10% but not more than 50%) . . . . . . . .
D
b From real and personal property (if the percentage of rent for personal property exceeds 50% or if the rent is based on profit or income) . c Total rents received or accrued by property. Add lines 2a and 2b, columns A through D . . 3
Total rents received or accrued. Add line 2c, columns A through D. Enter here and on Part I, line 6, column (A)
4
Deductions directly connected with the income in lines 2a and 2b (attach statement) . . . .
5
Total deductions. Add line 4, columns A through D. Enter here and on Part I, line 6, column (B) .
Part V 1
2 3
.
.
Unrelated Debt-Financed Income (see instructions)
Description of debt-financed property (street address, city, state, ZIP code). Check if a dual-use. See instructions. A B C D A B C Gross income from or allocable to debt-financed property . . . . . . . . . . . . . Deductions directly connected with or allocable to debt-financed property
D
a Straight line depreciation (attach statement) . b Other deductions (attach statement) . . . . c Total deductions (add lines 3a and 3b, columns A through D) . . . . . . . . . 4 Amount of average acquisition debt on or allocable to debt-financed property (attach statement) . . 5 Average adjusted basis of or allocable to debtfinanced property (attach statement) . . . . 6 7
Divide line 4 by line 5 . . . . . . . . . Gross income reportable. Multiply line 2 by line 6
8
Total gross income (add line 7, columns A through D). Enter here and on Part I, line 7, column (A)
9
Allocable deductions. Multiply line 3c by line 6
10
Total allocable deductions. Add line 9, columns A through D. Enter here and on Part I, line 7, column (B)
11
Total dividends — received deductions included in line 10 .
BAA
%
REV 05/09/24 PRO
.
%
.
.
.
.
.
.
.
%
.
.
.
.
.
.
%
.
. Schedule A (Form 990-T) 2023
Page 3
Schedule A (Form 990-T) 2023
Part VI
Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions) Exempt Controlled Organizations 2. Employer identification number
1. Name of controlled organization
3. Net unrelated income (loss) (see instructions)
4. Total of specified payments made
6. Deductions directly connected with income in column 5
5. Part of column 4 that is included in the controlling organization’s gross income
(1) (2) (3) (4)
Nonexempt Controlled Organizations 7. Taxable income
8. Net unrelated income (loss) (see instructions)
9. Total of specified payments made
10. Part of column 9 that is included in the controlling organization’s gross income
11. Deductions directly connected with income in column 10
Add columns 5 and 10. Enter here and on Part I, line 8, column (A).
Add columns 6 and 11. Enter here and on Part I, line 8, column (B).
(1) (2) (3) (4)
Totals .
.
Part VII
Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)
.
.
.
.
.
.
.
1. Description of income
.
.
.
.
.
.
.
.
2. Amount of income
.
.
.
.
.
.
.
3. Deductions directly connected (attach statement)
. 4. Set-asides (attach statement)
5. Total deductions and set-asides (add columns 3 and 4)
(1) (2) (3) (4) Add amounts in column 2. Enter here and on Part I, line 9, column (A).
Totals .
.
.
.
.
.
.
.
Add amounts in column 5. Enter here and on Part I, line 9, column (B).
.
Part VIII Exploited Exempt Activity Income, Other Than Advertising Income (see instructions) 1 2 3 4 5 6 7 BAA
Description of exploited activity: Gross unrelated business income from trade or business. Enter here and on Part I, line 10, column (A) Expenses directly connected with production of unrelated business income. Enter here and on Part I, line 10, column (B) . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income (loss) from unrelated trade or business. Subtract line 3 from line 2. If a gain, complete lines 5 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross income from activity that is not unrelated business income . . . . . . . . . . . Expenses attributable to income entered on line 5 . . . . . . . . . . . . . . . . Excess exempt expenses. Subtract line 5 from line 6, but do not enter more than the amount on line 4. Enter here and on Part II, line 12 . . . . . . . . . . . . . . . . . . . . . REV 05/09/24 PRO
2 3 4 5 6 7 Schedule A (Form 990-T) 2023
Page 4
Schedule A (Form 990-T) 2023
Part IX
Advertising Income
1
Name(s) of periodical(s). Check box if reporting two or more periodicals on a consolidated basis. NONE PROGRAMS A B C D Enter amounts for each periodical listed above in the corresponding column. A B C 2 Gross advertising income . . . . . . . 700. a 3
Add columns A through D. Enter here and on Part I, line 11, column (A) Direct advertising costs by periodical
a
.
.
.
D
.
.
.
.
.
.
.
.
.
.
.
700.
.
.
.
.
.
.
.
.
.
.
.
715.
715.
Add columns A through D. Enter here and on Part I, line 11, column (B)
4
Advertising gain (loss). Subtract line 3 from line 2. For any column in line 4 showing a gain, complete lines 5 through 8. For any column in line 4 showing a loss or zero, do not complete lines 5 through 7, and enter -0- on line 8 . .
5 6 7
Readership costs . . . . . . . . . . Circulation income . . . . . . . . . . Excess readership costs. If line 6 is less than line 5, subtract line 6 from line 5. If line 5 is less than line 6, enter -0- . . . . . . . . .
8
Excess readership costs allowed as a deduction. For each column showing a gain on line 4, enter the lesser of line 4 or line 7 . . . a
Add line 8, columns A through D. Enter the greater of the line 8a columns total or -0- here and on Part II, line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
-15.
0. 0.
Compensation of Officers, Directors, and Trustees (see instructions) 1. Name
2. Title
3. Percentage of time devoted to business
(1) (2) (3) (4)
4. Compensation attributable to unrelated business
% % % %
Total. Enter here and on Part II, line 1 . . . . . . . . . . . . . . . . . . . . . Part XI Supplemental Information (see instructions)
BAA
REV 05/09/24 PRO
Schedule A (Form 990-T) 2023
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2023, or fiscal year beginning
OMB No. 1545-0047
, 2023, and ending
2023
, 20
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Name and title of officer or person subject to tax
MARY SEAL, TREASURER Part I Type of Return and Return Information Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 478,686. b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . 1b 1a Form 990 check here . . . 2a Form 990-EZ check here . . b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . 2b 3a Form 1120-POL check here . . b Total tax (Form 1120-POL, line 22) . . . . . . . . . . 3b 4a Form 990-PF check here . . b Tax based on investment income (Form 990-PF, Part V, line 5) . 4b 5a Form 8868 check here . . . b Balance due (Form 8868, line 3c) . . . . . . . . . . . 5b 6a Form 990-T check here . . b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . 6b 7a Form 4720 check here . . . b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . 7b 8a Form 5227 check here . . . b FMV of assets at end of tax year (Form 5227, Item D) . . . . 8b 9a Form 5330 check here . . . b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . 9b 10a Form 8038-CP check here . . b Amount of credit payment requested (Form 8038͈CP, Part III, line 22) 10b
Part II
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) , (EIN) and that I have examined a copy of the 2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal. PIN: check one box only I authorize
as my signature
to enter my PIN ERO firm name
Enter five numbers, but do not enter all zeros
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Date
Signature of officer or person subject to tax
Part III
11/14/2024
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
6 0 5 4 0 9 1 2 3 4 5 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO’s signature
Date
ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see back of form. BAA
REV 05/09/24 PRO
Form 8879-TE (2023)
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2023, or fiscal year beginning
OMB No. 1545-0047
, 2023, and ending
2023
, 20
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
Name and title of officer or person subject to tax
MARY SEAL, TREASURER Part I Type of Return and Return Information Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . 1b 1a Form 990 check here . . . 2a Form 990-EZ check here . . b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . 2b 3a Form 1120-POL check here . . b Total tax (Form 1120-POL, line 22) . . . . . . . . . . 3b 4a Form 990-PF check here . . b Tax based on investment income (Form 990-PF, Part V, line 5) . 4b 5a Form 8868 check here . . . b Balance due (Form 8868, line 3c) . . . . . . . . . . . 5b 0. 6a Form 990-T check here . . b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . 6b 7a Form 4720 check here . . . b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . 7b 8a Form 5227 check here . . . b FMV of assets at end of tax year (Form 5227, Item D) . . . . 8b 9a Form 5330 check here . . . b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . 9b 10a Form 8038-CP check here . . b Amount of credit payment requested (Form 8038͈CP, Part III, line 22) 10b
Part II
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) , (EIN) and that I have examined a copy of the 2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal. PIN: check one box only I authorize
as my signature
to enter my PIN ERO firm name
Enter five numbers, but do not enter all zeros
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Date
Signature of officer or person subject to tax
Part III
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
6 0 5 4 0 9 1 2 3 4 5 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO’s signature
Date
ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see back of form. BAA
REV 05/09/24 PRO
Form 8879-TE (2023)
Form 990 Part IX, Line 11g
Other Service Fees
2023
Name
Employer Identification No.
SPACE COAST SYMPHONY ORCHESTRA, INC.
27-0197064
(A) Total
(B) Program services
BOX OFFICE SUBCONTRACTOR MUSIC LIBRARY SUBCONTRACTOR OPERATIONS SUBCONTRACTORS MUSICIANS CONDUCTOR EVENT SPECIALTIES GUEST ARTISTS
1,223. 6,300. 10,980. 253,774. 13,150. 7,869. 7,270.
1,223. 6,300. 10,980. 253,774. 13,150. 7,869. 7,270.
Total to Form 990, Part IX, line 11g
300,566.
300,566.
Description
teew8000.SCR 02/02/21
(C) Management and general
(D) Fundraising
x
June1 ,2025
Marketing Support Program - SPACE COAST SYMPHONY FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Contracted Services - Operations
$26,000.00
$25,908.00
$92.00
Contracted Services - Program
$2,000.00
$1,875.00
$125.00
Donations
$170,000.00
$235,120.00
-$65,120.00
Concession/Raffle
$5,000.00
$4,435.00
$565.00
Equipment
$15,000.00
$16,936.00
Venue Rent
$60,000.00
$57,478.00
-$1,936.00
Ticket Sales
$250,000.00
$239,140.00
$10,860.00
$2,522.00
Contracted Concerts
$65,000.00
$61,474.00
$3,526.00
Subtotal Income Income Sponsors
$490,000.00
$540,169.00 -$50,169.00
Cash in Bank to start
$40,533.00
$23,389.00
Music Rent/Purchase
$5,000.00
$3,215.00
$1,785.00
Musicians
$270,000.00
$288,572.00
-$18,572.00
Supplies
$9,000.00
$8,420.00
$580.00
Office Rent
$10,000.00
$9,600.00
$400.00
Subtotal Expense Other Expenses
$397,000.00
$412,004.00
-$15,004.00
Payroll
$69,000.00
$68,896.00
$104.00
Credit Card Fees
$8,000.00
$7,287.00
$713.00
Misc Operational Expense
$30,000.00
$29,241.00
$759.00
Income
$17,144.00 $0.00
TDC grant funding
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$107,000.00
$105,424.00
$1,576.00
Digital - Brevard County
$2,000.00
$1,844.00
$156.00
Digital - Out of County
$10,000.00
$7,622.00
$2,378.00
Postage - Brevard County
$1,500.00
$1,013.00
$487.00
Postage - Out of County
$4,000.00
$3,039.00
$961.00
Publice Relations
$3,500.00
$3,300.00
$200.00
$1,000.00
$812.00
$188.00
Subtotal Marketing Marketing Expense
$22,000.00
$17,630.00
$4,370.00
Total Expenses 2025-2026
$526,000.00 $535,058.00
$12,500.00
$15,000.00
-$2,500.00
Total Income
$502,500.00
$555,169.00
-$52,669.00
Total Expenses Paid
$526,000.00
$535,058.00
-$9,058.00
Profit/Loss
-$23,500.00
$20,111.00
$0.00
.
Updated: 6/27/2025
Cape Canaveral Lighthouse
Return to Table of Contents
For TOO use: PROJECT#- C 15
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Cape Canaveral Lighthouse Foundation Applicant Event Name: Year-round programming
Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required tor all applicants) 8. Copy of the Applicant checklist 1.
Yes No X
X
Comment N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
NO All documents have been submitted, reviewed and/or addressed in the comments.
·�� � �
1h�kortr-
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:1 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Becky Zingarelli
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Cape Canaveral Lighthouse Foundation, Inc Organization address 4001 Lighthouse Rd State FL City Cape Canaveral Space Force Station Zip 32920 Primary contact name Becky Zingarelli Primary contact phone number 321-704-9194
Primary contact email museumdirector@canaverallight.org Secondary contact name Ron Ecker Secondary contact phone number 321-591-9844 Secondary contact email cclf-president@canaverallight.org Organization website address https://canaverallight.org/
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 01-0655841
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled)
Do you have a second event?
12. (untitled) 5. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 9. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 7. What types of marketing do you plan to do for your year-round programming? Digital advertising (banner ads, etc.) Radio Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 8. What are your social media handles? Facebook : Facebook/CCLighthouse Instagram : Instagram/cclighthousefoundation YouTube : NA
22. (untitled) 9. What hashtags do you currently use? _#capecanaverallikghthouse #capecanaveral #capecanaverrallighthousefoundation #canaverallighthouse #floridalighthouses #floridalighthouseassociation #lighthouses #preserve #History #Space Coast #Brevard #BrevardCounty #MerrittIsland #cocoabeachchamber #CocoaBeachNews #45thSpaceWing #Florida # FLAlighthouses #spacelaunchdelta45 #lighthouse_lovers #lighthousesofinstragram #lighthouses_around_the_world #uslhs #lighthousepassport
23. (untitled) 10. Upload a copy of your organization's IRS Determination letter. CCLF_IRS_501c3_tax_exempt_letter_-_2011.pdf
24. (untitled) 11. Upload a copy of your organization's 990 form. 3_Cape_Canaveral_Lighthouse_Foundation_2023_Tax_Return_Form_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 12. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. CCLF_Detail_by_Entity_Name.pdf
27. (untitled) 13. Upload your completed W-9 form. CCLF-W9.pdf
28. (untitled) 14. Upload your completed Event Income/Expense report. CCLF_Event_Income_Expense_Report_FY25-26.pdf
29. (untitled) 15. Upload your completed Checklist. CCLF_MSP_applicant_checklist_4.30.2025-Signed.pdf
30. (untitled) 16.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Becky Zingarelli
Division of Corporations
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation CAPE CANAVERAL LIGHTHOUSE FOUNDATION INCORPORATED Filing Information
Document Number
N02000001956
FEI/EIN Number
01-0655841
Date Filed
03/13/2002
State
FL
Status
ACTIVE
Last Event
AMENDMENT
Event Date Filed
11/06/2002
Event Effective Date
NONE
Principal Address
CAPE CANAVERAL LIGHTHOUSE CAPE CANAVERAL AIR FORCE STATION BREVARD COUNTY, FL 32925-2206 Changed: 03/24/2009 Mailing Address
PO BOX 1978 CAPE CANAVERAL, FL 32920-1978 Changed: 03/24/2009 Registered Agent Name & Address
Cape Canaveral Lighthouse Foundation 2420 Sykes Creek Drive Merritt Island, FL 32953 Name Changed: 01/27/2021 Address Changed: 11/02/2023 Officer/Director Detail
Name & Address Title P
Ecker, Ronald 235 Maple Dr Satellite Beach, FL 32937 Title Treasurer Passarelli, James A 2420 Sykes Creek Drive Merritt Island, FL 32953 Title VP Smith, Shane 4411 Chardonnay Dr Viera, FL 32955 Title Secretary Abt, Janet PO Box 1978 Cape Canaveral, FL 32920 Annual Reports
Report Year
Filed Date
2023
01/18/2023
2024
02/02/2024
2025
01/25/2025
Document Images 01/25/2025 -- ANNUAL REPORT
View image in PDF format
02/02/2024 -- ANNUAL REPORT
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11/02/2023 -- AMENDED ANNUAL REPORT
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01/18/2023 -- ANNUAL REPORT
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01/21/2022 -- ANNUAL REPORT
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01/27/2021 -- ANNUAL REPORT
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01/05/2020 -- ANNUAL REPORT
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05/01/2019 -- ANNUAL REPORT
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02/13/2018 -- ANNUAL REPORT
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01/21/2017 -- ANNUAL REPORT
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01/06/2016 -- ANNUAL REPORT
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01/25/2015 -- ANNUAL REPORT
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03/19/2014 -- ANNUAL REPORT
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01/30/2013 -- ANNUAL REPORT
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02/09/2012 -- ANNUAL REPORT
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01/13/2011 -- ANNUAL REPORT
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02/23/2010 -- ANNUAL REPORT
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03/24/2009 -- ANNUAL REPORT
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04/04/2008 -- ANNUAL REPORT
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03/19/2007 -- ANNUAL REPORT
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04/04/2006 -- ANNUAL REPORT
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04/13/2005 -- ANNUAL REPORT
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04/12/2004 -- ANNUAL REPORT
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04/30/2003 -- ANNUAL REPORT
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11/06/2002 -- Amendment
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03/13/2002 -- Domestic Non-Profit
View image in PDF format
Florida Department of State, Division of Corporations
Marketing Support Program - CAPE CANAVERAL LIGHTHOUSE FOUNDATION FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Fundraising Gift shop Membership
2025-2026 projection
2024-2025 actuals
VAR
$12,000.00
$8,014.00
$3,986.00
$20,000.00
$18,584.00
$1,416.00
Fundraising
$35,600.00
$52,932.00
-$17,332.00
Gift shop
$45,000.00
$39,820.00
$5,250.00
$4,871.00
$5,180.00
$379.00
Membership
$17,000.00
$16,216.00
$784.00
Income
Bricks
$1,000.00
$1,841.00
-$841.00
Brick Sales
$5,000.00
$5,721.00
-$721.00
Subtotal Expense Other Expenses
$38,250.00
$33,310.00
$4,940.00
Donations
$8,300.00
$13,612.00
-$5,312.00
Sponsorships
$14,000.00
$19,475.00
-$5,475.00
Museum
$40,900.00
$37,785.00
$3,115.00
Interest
$4,500.00
$0.00
$4,500.00
Operating
$24,550.00
$39,053.00
-$14,503.00
$129,400.00
$147,776.00
-$18,376.00
Volunteers
$1,950.00
$983.00
$967.00
Subtotal Income Income Sponsors
Construction (non-grant)
$10,000.00
$0.00
$10,000.00
Cash in Bank to start
$408,506.00
$348,688.00
$408,506.00
Events
$800.00
$681.00
$119.00 TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
Total Income
$141,900.00
$162,776.00
-$20,876.00
Total Expenses Paid
$125,500.00
$120,895.00
$4,605.00
Profit/Loss
$16,400.00
$41,881.00
Subtotal Other Expenses
$78,200.00
$78,502.00
-$302.00
Out-of-County Marketing
$4,000.00
$6,000.00
$2,000.00
Brevard County Marketing
$3,000.00
$1,593.00
-$1,407.00
Promotional Items
$2,050.00
$1,490.00
-$560.00
Subtotal Marketing
$9,050.00
$9,083.00
$33.00
Total Expenses 2025-2026
$125,500.00
$120,895.00
Marketing - please specify Brevard/Out-of-County
.
Updated: 7/1/2025
Florida Surf Museum/Surfing Santas
Return to Table of Contents
For TDO use: PROJECT#- C 16
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Florida Surf Museum Applicant Event Name: Surfing Santa
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes X
No
Comment
X
NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
�� k �
1(-d1. �r 0
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:38 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: John Hughes
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Florida Surf Museum Organization address 4275 North atlantic ave State FL City Cocoa Beach Zip 32931 Primary contact name Mason Sapp Primary contact phone number 321-750-1511
Primary contact email mason.flsm@gmail.com Secondary contact name John Hughes Secondary contact phone number 321-720-8033 Secondary contact email floridasurfmuseum@gmail.com Organization website address www.floridasurfmuseum.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 26-1585923
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Surfing Santas of Cocoa Beach Event website address (if different from organization website) www.surfingsantas.org Event location Cocoa Beach
9. (untitled) 8. What is the first date of your event? 12/24/2025
10. (untitled) 9. In total, how many days will your event be held? 1
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : https://www.facebook.com/SurfingSantas/ Instagram : #surfingsantas
22. (untitled) 13. What hashtags do you currently use? #surfingsantas
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. IRS_Determination_Letter.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. Form_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. sunbiz_annual_report_2025.pdf
27. (untitled) 17. Upload your completed W-9 form. W9_Form.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 19. Upload your completed Checklist. Checklist.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: John Hughes
31. Thank You! New Send Email Jun 01, 2025 20:35:42 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Mar 07, 2025 Secretary of State 5264579743CC
DOCUMENT# N14000008768 Entity Name: FLORIDA SURF MUSEUM, INC. Current Principal Place of Business: 4275 NORTH ATLANTIC AVE. COCOA BEACH, FL 32931
Current Mailing Address: PO BOX 321453 COCOA BEACH, FL 32932 US FEI Number: 26-1585923
Certificate of Status Desired: No
Name and Address of Current Registered Agent: HUGHES, JOHN IRVIN 4275 NORTH ATLANTIC AVE. COCOA BEACH, FL 32931 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: JOHN IRVIN HUGHES
03/07/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
DIRECTOR EMERITUS
Title
VP
Name
O'HARE, SEAN
Name
DECARLO, MELODY
Address
1250 SOUTH ATLANTIC AVE.
Address
440 KENNEBEC ST.
City-State-Zip:
COCOA BEACH FL 32931
City-State-Zip:
MERRITT ISLAND FL 32952
Title
EXECUTIVE DIRECTOR
Title
PRESIDENT
Name
HUGHES, JOHN
Name
TWEEDIE, BILL
Address
1772 ANGEL AVENUE
Address
936 GOLDEN BEACH BLVD.
City-State-Zip:
MERRITT ISLAND FL 32952
City-State-Zip:
INDIAN HARBOUR BEACH FL 32937
Title
TREASURER
Title
DIRECTOR
Name
HUGHES , MARIE
Name
TROSSETT, GEORGE
Address
1772 ANGEL AVE
Address
1867 ROCKLEDGE DRIVE
City-State-Zip:
MERRITT ISLAND FL 32952
City-State-Zip:
ROCKLEDGE FL 32955
Title
DIRECTOR
Title
DIRECTOR
Name
CASEY, RON
Name
CASANOVA, STEVEN
Address
1313 BAYSHORE DRIVE
Address
524 ELEUTHERA LANE
COCOA BEACH FL 32931
City-State-Zip:
INDIAN HARBOR BEACH FL 32937
City-State-Zip:
Continues on page 2
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: JOHN HUGHES Electronic Signature of Signing Officer/Director Detail
EXECUTIVE DIRECTOR
03/07/2025 Date
Officer/Director Detail Continued : Title
DIRECTOR
Title
SECRETARY
Name
BAKER, CASEY
Name
RYBA , CHRISTINE
Address
2455 RIVERVIEW DR NE
Address
651 PALM DRIVE #D3
City-State-Zip:
PALM BAY FL 32905
City-State-Zip:
SATELLITE BEACH FL 32937
Title
DIRECTOR
Title
DIRECTOR
Name
BILL, WHIDDON
Name
DALTON, SMITH
Address
420 MONACO DR.
Address
125 PALMETTO
City-State-Zip:
INDIATLANTIC FL 32951
City-State-Zip:
INDIALANTIC FL 32903
Title
DIRECTOR
Title
DIRECTOR
Name
CARLISLE, BRAXTON
Name
LAWSON, GORDON
Address
922 GOLDEN BEACH BLVD
Address
319 TULIP LANE
INDIAN HARBOR FL 32937
City-State-Zip:
MELBOURNE FL 32901-1923
City-State-Zip:
2024 Filing Instructions FLORIDA SURF MUSEUM INC Tax year ending 12-31-2024 Form filed: Form 990 and supplemental forms and schedules
Filing method: The return will be e-filed once the signed and dated Form 8879-TE has been received by this office. Do not mail the return to the IRS.
Due date: 11-17-2025
The return reflects neither a refund nor a balance due. Please note: The Taxpayer First Act requires tax-exempt organizations to electronically file all information returns in the 990 series and related forms for tax years beginning after July 1, 2019. Mailing these returns is no longer allowed.
FILEINST.LD
Form
990
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
2024
Do not enter social security numbers on this form as it may be made public.
Open to Public
Department of the Treasury Internal Revenue Service
A
Go to www.irs.gov/Form990 for instructions and the latest information. For the 2024 calendar year, or tax year beginning , 2024, and ending
B
Check if applicable:
C Name of organization
Number and street (or P.O. box if mail is not delivered to street address)
COCOA BEACH, FL 32932
X 501(c)(3) 501(c) ( ) (insert no.) Website: WWW.FLORIDASURFMUSEUM.ORG Form of organization: X Corporation Trust Association Other
Activities & Governance
G
Gross receipts
H(a) Is this a group return for subordinates?
248,339 Yes X No
H(b) Are all subordinates included?
Yes
$
4947(a)(1) or
Briefly describe the organization's mission or most significant activities:
527
No
If "No," attach a list. See instructions H(c) Group exemption number
L Year of formation:
2007
M State of legal domicile:
FL
PRESERVING FLORIDA SURFING HISTORY
2
Check this box
3
Number of voting members of the governing body (Part VI, line 1a)
3
4
Number of independent voting members of the governing body (Part VI, line 1b)
4
if the organization discontinued its operations or disposed of more than 25% of its net assets.
.................... .............. ................ 5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ............................ 6 Total number of volunteers (estimate if necessary) .................... 7a Total unrelated business revenue from Part VIII, column (C), line 12 b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . . ....................... 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . ............... 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) .......... 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ..... 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) ............. 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) ............... 14 Benefits paid to or for members (Part IX, column (A), line 4) ..... 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ............... 16a Professional fundraising fees (Part IX, column (A), line 11e) 8
Revenue
Telephone number
Summary 1
Expenses
E
(321)720-8033
F Name and address of principal officer:
Tax-exempt status:
b Total fundraising expenses (Part IX, column (D), line 25)
19 20
Total assets (Part X, line 16)
21 22
Part II
5 6 7a
0 0
7b Current Year
59,120 8,948
131,508 0 0 33,544 165,052 33,600 0 0 0
75,567 143,635
0
.............. ........ Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) .................. Revenue less expenses. Subtract line 18 from line 12
17
0 0 0
Prior Year
Contributions and grants (Part VIII, line 1h)
18 Net Assets or Fund Balances
Employer identification number
POST OFFICE BOX 321453
Application pending
Part I
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Amended return
K
, 20 D
26-1585923
Doing business as
Name change
Final return/terminated
J
Inspection
FLORIDA SURF MUSEUM INC
Address change
Initial return
I
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)
.............................. ............................. Total liabilities (Part X, line 26) ................ Net assets or fund balances. Subtract line 21 from line 20
18,699 18,699 124,936
48,437 82,037 83,015
Beginning of Current Year
End of Year
184,668 4,246 180,422
265,317 1,880 263,437
Signature Block
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
JOHN HUGHES Signature of officer
Date
JOHN HUGHES, PRESIDENT Type or print name and title Preparer's name
Paid LEE GARNER Preparer Firm's name Use Only Firm's address
Preparer's signature
05-15-2025 LEE GARNER CPA POST OFFICE BOX 2007 MELBOURNE FL 32902-2007
May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. EEA
Date
Check
if
self-employed
PTIN
P00762299
Firm's EIN Phone no.
321-369-9964 X Yes
..........................
No
Form 990 (2024)
Form 990 (2024)
Part III
FLORIDA SURF MUSEUM INC
26-1585923
Statement of Program Service Accomplishments
............................
Check if Schedule O contains a response or note to any line in this Part III 1
Page 2
Briefly describe the organization's mission:
PRESERVING FLORIDA SURFING HISTORY
2
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ?
...............................................
Yes
X No
Yes
X No
If "Yes," describe these new services on Schedule O. 3
Did the organization cease conducting, or make significant changes in how it conducts, any program services?
.......................................................
If "Yes," describe these changes on Schedule O. 4
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a
(Code: ) (Expenses $ 57,542 including grants of PRESERVING FLORIDA SURFING HISTORY
$
33,600 ) (Revenue
$
)
4b
(Code:
) (Expenses $
including grants of
$
) (Revenue
$
)
4c
(Code:
) (Expenses $
including grants of
$
) (Revenue
$
)
4d
Other program services (Describe on Schedule O.) (Expenses $
4e EEA
Total program service expenses
including grants of
$
) (Revenue $
)
57,542 Form 990 (2024)
Form 990 (2024)
Part IV
FLORIDA SURF MUSEUM INC
Page 3
26-1585923
Checklist of Required Schedules Yes
1
No
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A
................................................... ...............
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I
..............................
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors
.........................
1
X
2
X
3
X
4
X
...........
5
............................................
6
X
7
X
8
X
9
X
10
X
assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I 7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
...............
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II 8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
9
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a
complete Schedule D, Part III
...............................................
custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV 10
..............................
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V
11
..............................
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI
...............................................
11a
X
b Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII c Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more
.....................
11b
X
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets
.....................
11c
X
11d 11e
X X
.....
11f
X
...............................................
12a
X
"Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13 14a
X X X
14b
X
15
X
16
X
17
X
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX
.............................. .......
e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X f
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII b Was the organization included in consolidated, independent audited financial statements for the tax year? If 13 14a b
Did the organization maintain an office, employees, or agents outside of the United States?
....... ............... ..................
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV
15
for any foreign organization? If "Yes," complete Schedule F, Parts II and IV 16
..........................
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV
17
....................
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions
18
.................
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II
19
................
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or
...............................
18
........................................... .................. ............ b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? If "Yes," complete Schedule G, Part III
19
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H
20a
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II
EEA
X
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
...............
X X
20b 21
X
Form 990 (2024)
Form 990 (2024)
Part IV
FLORIDA SURF MUSEUM INC
Page 4
26-1585923
Checklist of Required Schedules (continued) Yes
22
...........................
Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III 23
No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on
22
X
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated
.........................................
employees? If "Yes," complete Schedule J 24a
23
X
24a
X
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b
................................ .............
through 24d and complete Schedule K. If "No," go to line 25a b c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
............................................. .............
to defease any tax-exempt bonds? d
24b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
24c
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
24d
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I
25a
X
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior 25b
X
26
X
27
X
28a
X X
..................
year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I 26
...........................................
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II
27
..............
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III
28
.......................................
Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions).
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV
b c
............................................ .................
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV
............................................ ...........
29
Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule M
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M
31 32
b
31
X X
..............................................
32
X
33
X
34
X X
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
.........................
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III,
.................................................. ....................
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a
.............
35b
.............................
36
X
.........
37
X
..............................
38
controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI 19? Note: All Form 990 filers are required to complete Schedule O
Part V
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?
X
...................
............... ............. b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable
1a
EEA
30
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"
or IV, and Part V, line 1 35a
X X
29
................................. .......
sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I 34
28c
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I complete Schedule N, Part II
33
28b
A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV
Yes 1a 1b
.................................
No
0 0 1c
X
Form 990 (2024)
Form 990 (2024)
Part V 2a
FLORIDA SURF MUSEUM INC
Page 5
26-1585923
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Yes
No
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
. . . . . . . . 2a 0 ............ 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . . . . ............ b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule O Statements, filed for the calendar year ending with or within the year covered by this return
b
4a
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
b
.........
2b 3a
X
3b 4a
X
X X
If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
............... ........... ................................
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
5a
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
c
If "Yes" to line 5a or 5b, did the organization file Form 8886-T?
5c
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?
b
.................
................................................
gifts were not tax deductible? Organizations that may receive deductible contributions under section 170(c).
7 a
and services provided to the payor?
............................................. ..................
If "Yes," did the organization notify the donor of the value of the goods or services provided?
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
................................................. . . . . . . . . . . . . . . . . . . . . . 7d .......... Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ............ Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? . . . . If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . . required to file Form 8282?
e f g h
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the
9
sponsoring organization have excess business holdings at any time during the year? Sponsoring organizations maintaining donor advised funds.
.....................
...................... ...............
a
Did the sponsoring organization make any taxable distributions under section 4966?
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?
a
Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12
.................... ...........
10a
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
a
Section 501(c)(12) organizations. Enter: Gross income from members or shareholders
..............................
11a
b
Gross income from other sources. (Do not net amounts due or paid to other sources
11
against amounts due or received from them.) 12a b 13
6b
7a
X
7b 7c
X
7e
X X X X
If "Yes," indicate the number of Forms 8282 filed during the year
8
10
X
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods
b
d
6a
If "Yes," did the organization include with every solicitation an express statement that such contributions or
...............................
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? If "Yes," enter the amount of tax-exempt interest received or accrued during the year
............
Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state?
b
Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which
7g 7h 8 9a 9b
11b
..........
12a
12b
......................
a
7f
. . . . . . . . . . . . . . . . . . . . . . . . 13b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . ............ b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O
13a
the organization is licensed to issue qualified health plans
c
15
Enter the amount of reserves on hand
X
14b
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year?
.......................................
15
X
..........
16
X
....................
17
If "Yes," see the instructions and file Form 4720, Schedule N. 16
14a
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If "Yes," complete Form 4720, Schedule O.
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? If "Yes," complete Form 6069.
EEA
Form 990 (2024)
Form 990 (2024)
Part VI
FLORIDA SURF MUSEUM INC
Page 6
26-1585923
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. ...................... X Check if Schedule O contains a response or note to any line in this Part VI
Section A. Governing Body and Management 1a
Enter the number of voting members of the governing body at the end of the tax year
...........
Yes 1a
0
1b
0
No
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O. b 2
Enter the number of voting members included on line 1a, above, who are independent
...........
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee?
3
.....................................
2
X
Did the organization delegate control over management duties customarily performed by or under the direct
6
........... ....... Did the organization become aware during the year of a significant diversion of the organization's assets? . . . . . . . . . . . . .................................... Did the organization have members or stockholders?
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint
4 5
supervision of officers, directors, trustees, or key employees to a management company or other person?
3
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
one or more members of the governing body? b
........................................
7a
X
7b
X
5
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body?
8
6
X X X X
...................................
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
.................................................... .............................
a
The governing body?
b
Each committee with authority to act on behalf of the governing body?
9
8a 8b
X X
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O
................
9
X
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) 10a b
Did the organization have local chapters, branches, or affiliates?
...............................
If "Yes," did the organization have written policies and procedures governing the activities of such chapters,
........... ...
10b
...................... ..
12a
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 11a b 12a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
No
X
X
Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If "No," go to line 13
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"
14
.......................................... ................................... Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . .
15
Did the process for determining compensation of the following persons include a review and approval by
13
Yes 10a
12b
describe on Schedule O how this was done
12c
Did the organization have a written whistleblower policy?
13 14
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
............................ .....................................
a
The organization's CEO, Executive Director, or top management official
15a
b
Other officers or key employees of the organization
15b
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year?
b
............................................
16a
X
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements?
..............................
16b
Section C. Disclosure 17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)
Florida
(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. Own website 19
Another's website
X Upon request
Other (explain on Schedule O)
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records.
JOHN HUGHES (321)720-8033, 1772 ANGEL AVENUE, EEA
MERRITT ISLAND, FL 32952 Form 990 (2024)
Form 990 (2024)
Part VII
FLORIDA SURF MUSEUM INC
Page 7
26-1585923
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII
......................
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See the instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above.
X
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
per week
Former
Highest compensated employee
Key employee
(1) SEAN O'HARE PRESIDENT EMERITUS (2) RON CASEY DIRECTOR (3) CASEY BAKER DIRECTOR (4) STEVE CASANOVA DIRECTOR (5) GEORGE TROSSETT DIRECTOR (6) DALTON SMITH DIRECTOR (7) BILL WHIDDON DIRECTOR (8) BILL TWEEDIE PRESIDENT (9) MELODY DECARLO VICE PRESIDENT (10) KAREN LUCAS SECRETARY (11) MARIE HUGHES TREASURER (12) CHRISTINA RYBA SECRETARY (13) JOHN HUGHES EXECUTIVE DIRECTOR
Officer
below dotted line)
Institutional trustee
related organizations
Individual trustee or director
(list any hours for
5.00 5.00 5.00 5.00 5.00 5.00 5.00 10.00 X
X
0
0
0
X
X
0
0
0
X
X
0
0
0
X
X
0
0
0
X
X
0
0
0
X
0
0
0
10.00 10.00 10.00 10.00 20.00
(14) EEA
Form 990 (2024)
Form 990 (2024)
Part VII
FLORIDA SURF MUSEUM INC
Page 8
26-1585923
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
per week
Former
Highest compensated employee
Key employee
below dotted line)
Officer
related organizations
Institutional trustee
hours for
Individual trustee or director
(list any
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) 1b c d 2
..................................... .............. ............................ Total (add lines 1b and 1c) Subtotal
Total from continuation sheets to Part VII, Section A
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0 Yes
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual
4
No
...........................
3
X
4
X
5
X
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual
5
.........................................................
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person
..................
Section B. Independent Contractors 1
2 EEA
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization Form 990 (2024)
Form 990 (2024)
Part VIII
FLORIDA SURF MUSEUM INC Check if Schedule O contains a response or note to any line in this Part VIII (A) Total revenue
........ .......... c Fundraising events . . . . . . . . . d Related organizations . . . . . . . . e Government grants (contributions) . . Federated campaigns
1a
b
Membership dues
1b
Contributions, Gifts, Grants and Other Similar Amounts
1a
f
(B)
(C)
(D)
Related or exempt function revenue
Unrelated business revenue
Revenue excluded from tax under sections 512–514
2,103
1c 1d 1e
20,000
1f
109,405
Noncash contributions included in lines 1a-1f
h
......................
All other contributions, gifts, grants, and similar amounts not included above
g
Page 9
26-1585923
Statement of Revenue
. . . . . . . . . . . . . 1g $ ...................
Total. Add lines 1a-1f
131,508
Program Service Revenue
Business Code
2a b c d e
...... ....................
f All other program service revenue g Total. Add lines 2a-2f 3
Investment income (including dividends, interest, and other similar amounts)
4
Income from investment of tax-exempt bond proceeds
5
.................... .... Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) Real
. . . . . . 6a . . 6b
(ii) Personal
6a Gross rents b Less: rental expenses
c Rental income or (loss)
6c
d Net rental income or (loss) 7a Gross amount from sales of assets other than inventory
.................. (i) Securities
(ii) Other
. . 7a
Other Revenue
b Less: cost or other basis
. . 7b . . . . . 7c d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . and sales expenses c Gain or (loss)
8a Gross income from fundraising events (not including
$
of contributions reported on line 1c). See Part IV, line 18 b Less: direct expenses
........ .........
c Net income or (loss) from fundraising events 9a Gross income from gaming
...... .........
activities. See Part IV, line 19 b Less: direct expenses
c Net income or (loss) from gaming activities 10a Gross sales of inventory, less returns and allowances b Less: cost of goods sold
......... ........
c Net income or (loss) from sales of inventory
8a 8b
116,655 83,287
.........
33,368
33,368
144 32
144 32
9a 9b
.......... 10a 10b
..........
Miscellanous Revenue
Business Code 11a INTEREST INCOME b SALES TAX COL ALLOWANCE c
.............. .................. ............... Total revenue. See instructions
d All other revenue
e Total. Add lines 11a-11d 12
EEA
900099 900099
176 165,052
0
0
33,544 Form 990 (2024)
Form 990 (2024)
Part IX
FLORIDA SURF MUSEUM INC
26-1585923
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). ........................ Check if Schedule O contains a response or note to any line in this Part IX (A) Total expenses
Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations
...
20,700
20,700
............
12,900
12,900
and domestic governments. See Part IV, line 21 2
(B) Program service expenses
(C) Management and general expenses
X
(D) Fundraising expenses
Grants and other assistance to domestic individuals. See Part IV, line 22
3
Grants and other assistance to foreign organizations, foreign governments, and
.... ............
foreign individuals. See Part IV, lines 15 and 16 4
Benefits paid to or for members
5
Compensation of current officers, directors, trustees, and key employees
6
.............
Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and
...... ..............
persons described in section 4958(c)(3)(B) 7
Other salaries and wages
8
Pension plan accruals and contributions (include
.. ............... Payroll taxes . . . . . . . . . . . . . . . . . . . . . section 401(k) and 403(b) employer contributions)
9
Other employee benefits
10 11
Fees for services (nonemployees):
..................... ......................... c Accounting . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17 . . f Investment management fees . . . . . . . . . . . . . a
Management
b
Legal
g
Other. (If line 11g amount exceeds 10% of line 25, column
17
.. .............. Office expenses . . . . . . . . . . . . . . . . . . . Information technology . . . . . . . . . . . . . . . . Royalties . . . . . . . . . . . . . . . . . . . . . . . Occupancy . . . . . . . . . . . . . . . . . . . . . . Travel . . . . . . . . . . . . . . . . . . . . . . . .
18
Payments of travel or entertainment expenses
2,949 2,740
2,949 2,740
(A), amount, list line 11g expenses on Schedule O.) 12
Advertising and promotion
13 14 15 16
23
..... ....... Interest . . . . . . . . . . . . . . . . . . . . . . . . Payments to affiliates . . . . . . . . . . . . . . . . . Depreciation, depletion, and amortization . . . . . . . Insurance . . . . . . . . . . . . . . . . . . . . . .
24
Other expenses. Itemize expenses not covered
29,582 783
23,354
6,228 783
7,015
7,015
1,000 1,071
1,000 1,071
for any federal, state, or local public officials 19
Conferences, conventions, and meetings
20 21 22
above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.) a
MATERIALS AND BOOKS b REPAIRS c DUES AND SUBSCRIPTIONS d MISCELLANEOUS EXPENSES e 25 26
All other expenses Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720)
..
588 950 710 1,049
588
82,037
57,542
950 710 1,049 24,495
0
..........
EEA
Form 990 (2024)
Form 990 (2024)
Part X
FLORIDA SURF MUSEUM INC
Check if Schedule O contains a response or note to any line in this Part X
4
.......................... .................... Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Loans and other receivables from any current or former officer, director,
1
Cash - non-interest-bearing
2
Savings and temporary cash investments
3
Page 11
26-1585923
Balance Sheet
........................ (A)
(B)
Beginning of year
End of year
88,002 88,166
1 2
169,507 88,310
3 4
trustee, key employee, creator or founder, substantial contributor, or 35%
...........
controlled entity or family member of any of these persons
Assets
6
5
Loans and other receivables from other disqualified persons (as defined
9
.... ........................ ........................... Inventories for sale or use .................... Prepaid expenses and deferred charges
10a
Land, buildings, and equipment: cost or other
7 8
under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
6
Notes and loans receivable, net
7
21
. . . . . . 10a 10,000 . . . . . . . . . . 10b 2,500 ..................... Investments - publicly traded securities ............... Investments - other securities. See Part IV, line 11 ............... Investments - program-related. See Part IV, line 11 Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . ............ Total assets. Add lines 1 through 15 (must equal line 33) Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................... Deferred revenue Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... Escrow or custodial account liability. Complete Part IV of Schedule D
22
Loans and other payables to any current or former officer, director,
8 9
basis. Complete Part VI of Schedule D
b 11 12 13 14 15 16 17 18 19
Liabilities
20
Less: accumulated depreciation
8,500 10c
7,500
11 12 13 14 15
184,668 4,246
16 17
265,317 1,880
18 19 20 21
trustee, key employee, creator or founder, substantial contributor, or 35%
24
........... ........ .......... Unsecured notes and loans payable to unrelated third parties
25
Other liabilities (including federal income tax, payables to related third
23
controlled entity or family member of any of these persons
22
Secured mortgages and notes payable to unrelated third parties
23 24
parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D
Net Assets or Fund Balances
26
EEA
................................. ....................
Total liabilities. Add lines 17 through 25 Organizations that follow FASB ASC 958, check here
25
4,246
26
1,880
180,422
27
263,437
X
and complete lines 27, 28, 32, and 33. 27
Net assets without donor restrictions
28
Net assets with donor restrictions
...................... .......................
28
Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29 30 31 32 33
................. ......... ...... Retained earnings, endowment, accumulated income, or other funds Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . .................. Total liabilities and net assets/fund balances Capital stock or trust principal, or current funds
29
Paid-in or capital surplus, or land, building, or equipment fund
30 31
180,422 184,668
32 33
263,437 265,317 Form 990 (2024)
Form 990 (2024)
Part XI
FLORIDA SURF MUSEUM INC
Page 12
26-1585923
Reconciliation of Net Assets
9
...................... ............................. 1 165,052 2 Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82,037 ............................... 3 Revenue less expenses. Subtract line 2 from line 1 83,015 ............. 4 Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) 180,422 .................................. 5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................................. 7 Investment expenses 8 Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................... 9 Other changes in net assets or fund balances (explain on Schedule O) 0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line
Check if Schedule O contains a response or note to any line in this Part XI
1 2 3 4 5 6 7 8
Total revenue (must equal Part VIII, column (A), line 12)
32, column (B))
Part XII
................................................
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII
10
263,437
....................... Yes
1
Accounting method used to prepare the Form 990:
X Cash
Accrual
No
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O.
...............
2a
X
.....................
2b
X
2a Were the organization's financial statements compiled or reviewed by an independent accountant? If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant?
If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis
Consolidated basis
Both consolidated and separate basis
c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of
............
2c
......................................
3a
the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits EEA
...........
X
3b Form 990 (2024)
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
2
Business name/disregarded entity name, if different from above.
Print or type. See Specific Instructions on page 3.
FLORIDA SURF MUSEUM 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions)
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
501 (C) (3) NON-PROFIT
3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
PO BOX 321453 6
City, state, and ZIP code
COCOA BEACH FL 32952 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
Social security number
–
–
or Employer identification number
2
6
–
1
5
8
5
9
2
3
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date 6/15/25
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program - FLORIDA SURF MUSEUM FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Sales
$135,000.00
$134,222.00
$778.00
$135,000.00
$134,222.00
$778.00
$0.00
Subtotal Income Income Sponsors
$84,600.00
$84,600.00
$0.00
$0.00
Cash in Bank to start (2)
$247,485.00
$209,201.00
$38,284.00
Artist
$6,000.00
$5,447.00
$553.00
Merchandise
$60,259.00
$60,259.00
$0.00
Public Safety
$1,300.00
$1,231.00
$69.00
Banners/signs
$860.00
$860.00
$0.00
Stage
$13,000.00
$11,895.00
$1,105.00
Traffic management (1)
$2,400.00
$0.00
$2,400.00
Misc
$1,300.00
$1,337.00
-$37.00
Donations to other organizations
$16,500.00
$16,500.00
$0.00
Subtotal Expense Other Expenses
$101,619.00
$97,529.00
$4,090.00 $0.00
Income
$0.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$0.00
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
$0.00
Total Income
$232,100.00
$233,822.00
-$1,722.00
$0.00
Total Expenses Paid
$111,119.00
$106,099.00
$5,020.00
$0.00
Profit/Loss
$120,981.00
$127,723.00
Social media
$9,500.00
$8,570.00
$930.00
Subtotal Marketing Marketing Expense
$9,500.00
$8,570.00
$930.00
Total Expenses 2025-2026
$111,119.00
$106,099.00
$0.00
. 1 - Traffic management - This is a new item. The city of Cocoa Beach is now requiring a traffic management plan for the Surfing Santa event. We are currently working with the city on this plan. This has to be started/done before the start of the fiscal year in order to have it in place for the event.
2 - This amount includes all of the Florida Surf Museum accounts. Starting June 1, we will have 1 paid employee (new Executive Director). Our Capital Account contain the money to pay the new ED.
Updated: 6/20/2025
Cocoa Village Playhouse
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For TDO use: PROJECT#- C 17
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: The Historic Cocoa Village Playhouse, Inc Applicant Event Name: Year-round programming 1. Completed application 2. Copy of IRS Articles of Incorporation - {if applicable) 3. Copy of IRS Determination letter - {if applicable) 4. Copy of SunBiz.org {if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes X
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
�-< A �
,(1-(t 01S'
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:75 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Christopher Beavers
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming The Historic Cocoa Village Playhouse, Inc. Organization address 300 Brevard Avenue State FL City Cocoa Zip 32922 Primary contact name Chris Beavers Primary contact phone number 3215432723
Primary contact email chris@cocoavillageplayhouse.com Secondary contact name Anastacia Hawkins Secondary contact phone number 3215915007 Secondary contact email dramamamacvp@hotmail.com Organization website address cocoavillageplayhouse.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 592612709
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Billboards Digital advertising (banner ads, etc.) Direct mail Radio Search advertising (pay-per-click, etc.) Social media (Facebook, Instagram, YouTube, etc.) TV/Video
21. (untitled) 9. What are your social media handles? Facebook : https://www.facebook.com/HistoricCocoaVillagePlayhouse/ Instagram : https://www.instagram.com/historic_cvp/?hl=en
22. (untitled) 10. What hashtags do you currently use? NA
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. IRS_Determination_Letter_(Original).pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. HCVP+990+2023-compressed.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. HCVP_Detail_Entity_by_Name.pdf
27. (untitled) 14. Upload your completed W-9 form. HCVP_W9.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. HCVP_Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 16. Upload your completed Checklist. HCVP_MSP_Chekclisth_25-26.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Christopher Beavers
• • • •
Department of State Division of Corporations Search Records Search by Entity Name
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Name History
Detail by Entity Name Florida Not For Profit Corporation THE HISTORIC COCOA VILLAGE PLAYHOUSE, INC. Filing Information Document NumberN11890 FEI/EIN Number59-2612709 Date Filed11/04/1985 StateFL StatusACTIVE Last EventRESTATED ARTICLES Event Date Filed03/05/2025 Event Effective DateNONE Principal Address 300 BREVARD AVENUE COCOA, FL 32922 Changed: 04/15/1994 Mailing Address 300 BREVARD AVENUE COCOA, FL 32922 Changed: 04/15/1994 Registered Agent Name & Address BEAVERS, CHRISTOPHER 300 BREVARD AVENUE COCOA, FL 32922 Name Changed: 02/28/2025
Address Changed: 02/27/2007 Officer/Director Detail Name & Address Title Chairman GARRETT, BARBARA 300 BREVARD AVENUE COCOA, FL 32922 Title EXECUTIVE DIRECTOR BEAVERS, CHRISTOPHER 300 BREVARD AVENUE COCOA, FL 32922 Annual Reports Report Year Filed Date 2023 01/24/2023 2024 03/05/2024 2025 02/28/2025
Document Images 03/05/2025 -- Restated Articles View image in PDF format 02/28/2025 -- ANNUAL REPORT View image in PDF format 03/05/2024 -- ANNUAL REPORT View image in PDF format 01/24/2023 -- ANNUAL REPORT View image in PDF format 01/19/2022 -- ANNUAL REPORT View image in PDF format 01/15/2021 -- ANNUAL REPORT View image in PDF format 02/04/2020 -- ANNUAL REPORT View image in PDF format 02/08/2019 -- ANNUAL REPORT View image in PDF format 01/23/2018 -- ANNUAL REPORT View image in PDF format 02/15/2017 -- ANNUAL REPORT View image in PDF format 02/11/2016 -- ANNUAL REPORT View image in PDF format 04/29/2015 -- AMENDED ANNUAL REPORT View image in PDF format 03/11/2015 -- AMENDED ANNUAL REPORT View image in PDF format 01/12/2015 -- ANNUAL REPORT View image in PDF format 04/29/2014 -- ANNUAL REPORT View image in PDF format 01/21/2013 -- ANNUAL REPORT View image in PDF format
05/10/2012 -- ANNUAL REPORT 04/25/2011 -- ANNUAL REPORT 04/30/2010 -- ANNUAL REPORT 03/18/2009 -- ANNUAL REPORT 09/02/2008 -- ANNUAL REPORT 02/27/2007 -- ANNUAL REPORT 02/22/2006 -- ANNUAL REPORT 08/19/2005 -- ANNUAL REPORT 03/19/2004 -- ANNUAL REPORT 06/26/2003 -- ANNUAL REPORT 06/04/2002 -- ANNUAL REPORT 08/31/2001 -- ANNUAL REPORT 07/13/2000 -- ANNUAL REPORT 11/12/1999 -- REINSTATEMENT 07/28/1999 -- Amended/Restated Article/NC 11/16/1998 -- REINSTATEMENT 07/08/1997 -- ANNUAL REPORT 05/14/1996 -- ANNUAL REPORT 05/01/1995 -- ANNUAL REPORT
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Florida Department of State, Division of Corporations Florida Department of State •
Division of Corporations
Marketing Support Program - COCOA VILLAGE PLAYHOUSE FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Performance Partnerships
$200,000.00
$56,000.00
$144,000.00
Advertising Revenue
Communications and Ticketing
$80,000.00
$90,000.00
-$10,000.00
Concessions
Concession Expenses
$45,000.00
$50,120.00
-$5,120.00
Contributions
$80,000.00
$58,200.00
$21,800.00
Fundraising Expenses
$20,000.00
$100,000.00
-$80,000.00
Fundraising
$150,000.00
$174,600.00
-$24,600.00
Insurance
$80,000.00
$24,000.00
$56,000.00
Legacy Foundation
$20,000.00
$13,000.00
$7,000.00
Stage Equipment
$33,000.00
$90,000.00
-$57,000.00
Aladdin Society
$20,000.00
$9,000.00
$11,000.00
Production Supplies
$100,000.00
$108,000.00
-$8,000.00
Grants (Non-TDC)
$150,000.00
$161,000.00
-$11,000.00
Professional Fees
$35,000.00
$34,000.00
$1,000.00
Educational Programs
$80,000.00
$65,000.00
$15,000.00
Subtotal Expenses Other Expenses
$593,000.00
$552,120.00
$40,880.00
Ticket Sales
$1,500,000.00
$1,549,000.00
-$49,000.00
Rental
$36,000.00
$24,000.00
$12,000.00
$0.00
Repairs
$15,000.00
$20,000.00
-$5,000.00
$0.00
Royalties
$120,000.00
$145,000.00
-$25,000.00
Janitorial, Office, and Educational
$150,000.00
$100,000.00
$50,000.00
Wages
$1,250,000.00
$1,350,000.00 -$100,000.00
Bank Fees
$30,000.00
Income
2025-2026 projection
2024-2025 actuals
VAR
$50,000.00
$25,000.00
$25,000.00
$175,000.00
$165,000.00
$10,000.00
$0.00
$600.00
$29,400.00
Subtotal Income
$2,225,000.00
$2,219,800.00
$5,200.00
Income Sponsors
$80,000.00
$39,000.00
$41,000.00
Cash in Bank to start
$75,000.00
$79,000.00
-$4,000.00
$0.00 $0.00
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
$0.00
Total Income
$2,317,500.00
$2,273,800.00
$43,700.00
$0.00
Total Expenses Paid
$2,244,000.00
$2,230,120.00
$13,880.00
Profit/Loss
$73,500.00
$43,680.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$1,601,000.00
$1,639,600.00
-$38,600.00
In county
$35,000.00
$32,900.00
$2,100.00
Out of county
$15,000.00
$5,500.00
$9,500.00
Subtotal Marketing
$50,000.00
$38,400.00
$11,600.00
Total Expenses 2025-2026
$2,244,000.00
$2,230,120.00
$0.00
.
Updated: 6/24/2025
Cocoa Village Main Street
Return to Table of Contents
For TDO use: PROJECT#- C 18
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Cocoa Village Main Street Applicant Event Name: Spring, Summer & Fall Fine Arts & Craft Fairs
Yes No 1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X
X
Comment N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
NO All documents have been submitted, reviewed and/or addressed in the comments.
�� �
7(Ll1��
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:29 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Christopher Stagman
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Cocoa Village Main Street Organization address 434 Delannoy Ave State FL City Cocoa Zip 32922 Primary contact name Christopher Stagman Primary contact phone number 3216319075
Primary contact email executivedirector@visitcocoavillage.com Secondary contact name Rose Dvorak Secondary contact phone number 3216319075 Secondary contact email eventscoordinator@visitcocoavillage.com Organization website address visitcocoavillage.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 593392795
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Fall Fine Art Craft Fair Event website address (if different from organization website) https://visitcocoavillage.com/event/spring-fine-art-craft-fair-3 Event location Cocoa Village
9. (untitled) 8. What is the first date of your event? 10/18/2025
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? Yes
12. (untitled) 11. EVENT INFORMATION - #2 Name of event Spring Fine Art Fair Event website address (if different from organization website) https://visitcocoavillage.com/events/art-craft-fairs Event location Cocoa Village
13. (untitled) 12. What is the first date of your event? 03/07/2026
14. (untitled) 13. In total, how many days will your event be held? 2
15. (untitled) 14. Do you have a third event? Yes
16. (untitled) 15. EVENT INFORMATION - #3 Name of event Summer Art & Craft Fair Event website address (if different from organization website) https://visitcocoavillage.com/events/art-craft-fairs Event location Cocoa Village
17. (untitled) 16. What is the first date of your event? 05/09/2026
18. (untitled) 17. In total, how many days will your event be held? 2
19. (untitled) 18. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 19. What are your social media handles? Facebook : https://www.facebook.com/HistoricCocoaVillage Instagram : https://www.instagram.com/historiccocoavillage/ YouTube : N/A
22. (untitled) 20. What hashtags do you currently use? #historiccocoavillage
23. (untitled) 21. Upload a copy of your organization's IRS Determination letter. letter_of_determination_501(c)3.pdf
24. (untitled) 22. Upload a copy of your organization's 990 form. 2024_990_form.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 23. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. 2025_Sunbiz_Annual_Report.pdf
27. (untitled) 24. Upload your completed W-9 form. W-9_2024.pdf
28. (untitled) 25. Upload your completed Event Income/Expense report. Cocoa_Main_Street_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 26. Upload your completed Checklist. Checklist.pdf
30. (untitled) 27.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Christopher Stagman
31. Thank You! New Send Email May 29, 2025 11:27:41 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Jan 15, 2025 Secretary of State 6419994284CC
DOCUMENT# N96000002302 Entity Name: GREATER COCOA COMMUNITY PARTNERSHIP, INC. Current Principal Place of Business: 434 DELANNOY AVE SUITE 204 COCOA, FL 32922
Current Mailing Address: P O BOX 1 COCOA, FL 32923 US FEI Number: 59-3392795
Certificate of Status Desired: No
Name and Address of Current Registered Agent: SHAIA, PAM 434 DELANNOY AVE SUITE 204 COCOA, FL 32922 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: PAM SHAIA
01/15/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
SECRETARY
Title
PRESIDENT
Name
SENGER, SAMANTHA
Name
BUMGARDNER, BARBARA
Address
434 DELANNOY AVE SUITE 204
Address
434 DELANNOY AVE SUITE 204
City-State-Zip:
COCOA FL 32922
City-State-Zip:
COCOA FL 32922
Title
TREASURER
Title
VP
Name
BARTUCCIO, LAURIE
Name
SHAIA, PAM
Address
434 DELANNOY AVE SUITE 204
Address
434 DELANNOY AVE SUITE 204
City-State-Zip:
COCOA FL 32922
City-State-Zip:
COCOA FL 32922
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: PAM SHAIA Electronic Signature of Signing Officer/Director Detail
REGISTERED AGENT
01/15/2025 Date
Marketing Support Program - COCOA VILLAGE MAIN STREET FY 2025-2026 Event Income/Expense Report Fall, Spring & Summer Arts/Craft Fairs 2025-2026 2024-2025 VAR+10% Expenses projection actuals increase Hub Spot Fees
$5,000.00
$4,338.16
$661.84
Sanatation
$12,000.00
$10,081.00
$1,919.00
Event Insurance
$12,000.00
$9,125.27
$2,874.73
City Fees/Police EMT
$16,000.00
$14,860.00
$1,140.00
Entertainment
$5,000.00
$4,550.00
$450.00
Supplies/Food/Rentals
$15,000.00
$13,500.00
$1,500.00
Subtotal Expense Other Expenses
$65,000.00
$56,454.43
$8,545.57
2025-2026 projection
2024-2025 actuals
VAR
Craft Vendor Fees
$150,000.00
$145,720.00
$4,280.00
Subtotal Income Income Sponsors
$150,000.00
$145,720.00
$4,280.00
$10,000.00
$9,000.00
$1,000.00
TDC grant funding
$12,500.00
$15,000.00
-$2,500.00
Total Income
$172,500.00
$169,720.00
$2,780.00
Total Expenses Paid
$90,000.00
$78,722.36
$11,277.64
Profit/Loss
$82,500.00
$90,997.64
Income
Cash in Bank to start
Marketing - please specify Brevard/Out-of-County Marketing in-county
$25,000.00
$22,267.93
$2,732.07
Marketing Subtotal Marketing Expense
$25,000.00
$22,267.93
$2,732.07
Total Expenses 2025-2026
$90,000.00 $78,722.36
.
Updated: 6/19/2025
Field Manor
Return to Table of Contents
For TDO use: PROJECT#- C19
d,
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Field Manor Foundation Applicant Event Name: Year-round programming
1. Completed application
2. Copy of IRS Articles of Incorporation - (if applicable} 3. Copy of IRS Determination letter - (if applicable} 4. Copy of SunBiz.org (if applicable} 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March
2024) 7. Income/Expense worksheet
(required for all applicants) 8. Copy of the Applicant checklist
Yes
X
No
Comment
X
NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural} or 250 room nights (Sports). YES
M
All documents have been submitted, reviewed and/or addressed in the comments.
�8 �
J{J-co�J
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:47 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Korinn Braden
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Field Manor Foundation, Inc. Organization address 750 Field Manor Drive State FL City Merritt Island Zip 32953 Primary contact name Korinn Braden Primary contact phone number 3218480365
Primary contact email k.braden@fieldmanor.org Secondary contact name Korinn Braden Secondary contact phone number 3212435218 Secondary contact email fieldmanor@gmail.com Organization website address www.fieldmanor.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-3517194
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Website, email campaigns, community calendars, partners
21. (untitled) 9. What are your social media handles? Facebook : Field Manor, Field Manor Weddings and Events Instagram : Fieldmanorhomestead, Fieldmanorweddings, Fieldmanorevents YouTube : fieldmanor3906
22. (untitled) 10. What hashtags do you currently use? #spacecoast #floridapioneers #indianriverlagoon #brevardcounty #merrittisland #floridahomesteads #maconga #floridapioneerfamilies #brevardpioneers #fieldmanor #fieldmanorevents #fieldmanorweddings #brevardweddings #orlandoweddings, and within that we will tag the featured artifact, animal, or plant and for the events we tag vendors and partners
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. 14_Full_copy_of_IRS_Letter_of_Determination_from_2000_2022_AUG.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. 15_2023_Tax_Return_(Field_Manor_Foundation_-_Client_Copy).pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. 17_Detail_by_Entity_Name.pdf
27. (untitled) 14. Upload your completed W-9 form. 18_2025_W9.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. 19_Field_Manor_Event_Income_Expense_Report_FY25-26.pdf
29. (untitled) 16. Upload your completed Checklist. 20_Completed_checklist.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Korinn Braden
Detail by Entity Name
Florida Department of State
Division of Corporations
Department of State / Division of Corporations / Search Records / Search by Entity Name /
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field manor Search
Events Name History
Detail by Entity Name Florida Not For Profit Corporation FIELD MANOR FOUNDATION, INC.
Filing Information Document Number
N98000003454
FEI/EIN Number
59-3517194
Date Filed
06/12/1998
State
FL
Status
ACTIVE
Last Event
AMENDMENT
Event Date Filed
07/15/2024
Event Effective Date
NONE
Principal Address 750 FIELD MANOR DRIVE MERRITT ISLAND, FL 32953 Changed: 03/24/2025
Mailing Address 750 FIELD MANOR DRIVE MERRITT ISLAND, FL 32953 Changed: 03/24/2025
Registered Agent Name & Address COUNTING COPPERS, LLC 881 BARTON BLVD STE 3
file:///C/Users/field/Downloads/Detail%20by%20Entity%20Name.html[5/20/2025 2:37:34 PM]
Detail by Entity Name
ROCKLEDGE, FL 32955 Name Changed: 03/24/2025 Address Changed: 03/24/2025
Officer/Director Detail Name & Address Title PRESIDENT LAWRENCE, SUE NISBET 750 FIELD MANOR DRIVE MERRITT ISLAND, FL 32953 Title SD CRISS, JESSICA 750 FIELD MANOR DRIVE MERRITT ISLAND, FL 32953 Title VD NELSON, CHUCK 750 FIELD MANOR DRIVE MERRITT ISLAND, FL 32953 Title TD GRESHES, RACHEL BETH 750 FIELD MANOR DRIVE MERRITT ISLAND, FL 32953
Annual Reports Report Year
Filed Date
2023
01/31/2023
2024
03/14/2024
2025
03/24/2025
Document Images 03/24/2025 -- ANNUAL REPORT
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07/15/2024 -- Amendment
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03/14/2024 -- ANNUAL REPORT
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01/31/2023 -- ANNUAL REPORT
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06/13/2022 -- Amendment
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file:///C/Users/field/Downloads/Detail%20by%20Entity%20Name.html[5/20/2025 2:37:34 PM]
Detail by Entity Name
02/03/2022 -- ANNUAL REPORT
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01/15/2021 -- ANNUAL REPORT
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02/10/2020 -- ANNUAL REPORT
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12/10/2019 -- Amendment
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06/14/2019 -- ANNUAL REPORT
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03/09/2018 -- ANNUAL REPORT
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01/17/2017 -- ANNUAL REPORT
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01/23/2016 -- ANNUAL REPORT
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01/12/2015 -- ANNUAL REPORT
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06/13/2014 -- Name Change
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01/16/2014 -- ANNUAL REPORT
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11/27/2013 -- Amendment
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02/11/2013 -- ANNUAL REPORT
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02/29/2012 -- ANNUAL REPORT
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03/03/2011 -- ANNUAL REPORT
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02/22/2010 -- ANNUAL REPORT
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02/24/2009 -- ANNUAL REPORT
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02/04/2004 -- ANNUAL REPORT
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01/30/2002 -- ANNUAL REPORT
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01/22/2001 -- ANNUAL REPORT
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06/12/1998 -- Domestic Non-Profit
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Florida Department of State, Division of Corporations
file:///C/Users/field/Downloads/Detail%20by%20Entity%20Name.html[5/20/2025 2:37:34 PM]
Hurricane Milton, Oct 2024 (3622-EM) Form
990-PF
Department of the Treasury Internal Revenue Service
Return of Private Foundation
OMB No. 1545-0047
or Section 4947(a)(1) Trust Treated as Private Foundation
2023
Do not enter social security numbers on this form as it may be made public. Go to www.irs.gov/Form990PF for instructions and the latest information.
For calendar year 2023 or tax year beginning
Open to Public Inspection
, 2023, and ending
, 20
A Employer identification number
Name of foundation
Field Manor Foundation Inc
59-3517194
Number and street (or P.O. box number if mail is not delivered to street address)
Room/suite
750 Field Manor Drive
B Telephone number (see instructions)
(321)848-0365
City or town, state or province, country, and ZIP or foreign postal code
Merritt Island, FL 32953-4915 G Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
H Check type of organization: I
Other (specify)
Analysis of Revenue and Expenses (The total of
(a) Revenue and expenses per books
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check X if the foundation is not required to attach Sch. B
5a
. ... Interest on savings and temporary cash investments .......... Dividends and interest from securities Gross rents . . . . . . . . . . . . . . . . . . . . . . .
Operating and Administrative Expenses
Revenue
4 b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
b
Gross sales price for all assets on line 6a
7
Capital gain net income (from Part IV, line 2)
8
Net short-term capital gain
26 27 a b
.....
(b) Net investment income
(d) Disbursements for charitable purposes (cash basis only)
(c) Adjusted net income
42,802 513 24,911 800
513 24,911
(575)
982
1,268 180,795 250,514
1,268 25,424
2,250
157,902 12,231 4,300 12,571
86,164 7,066 2,666 12,571
2,121 26,901
1,315
907
907
96,647
46,024
Total operating and administrative expenses.
................. ............. Total expenses and disbursements. Add lines 24 and 25 .
313,580 0 313,580
Subtract line 26 from line 12: Excess of revenue over expenses and disbursements
(63,066)
Contributions, gifts, grants paid
Net investment income (if negative, enter -0-) c Adjusted net income (if negative, enter -0-) For Paperwork Reduction Act Notice, see instructions. EEA
F If the foundation is in a 60-month termination under section 507(b)(1)(B), check here
160,860
Add lines 13 through 23 25
.......
800
....
....... ............... 9 Income modifications . . . . . . . . . . . . . . . . . . 10a Gross sales less returns and allowances . 1,301 b Less: Cost of goods sold . . . . . . . 33 ......... c Gross profit or (loss) (attach schedule) . STM102 ......... 11 Other income (attach schedule) . . . . STM106 .............. 12 Total. Add lines 1 through 11 13 Compensation of officers, directors, trustees, etc . . . . . 14 Other employee salaries and wages . . . . . . . . . . . 15 Pension plans, employee benefits . . . . . . . . . . . . 16a Legal fees (attach schedule) . . . . . . . . . . . . . . . ......... b Accounting fees (attach schedule) . . . STM108 ........ c Other professional fees (attach schedule) STM109 17 Interest . . . . . . . . . . . . . . . . . . . . . . . . . ........ 18 Taxes (attach schedule) (see instructions) STM110 ...... 19 Depreciation (attach schedule) and depletion . STM126 20 Occupancy . . . . . . . . . . . . . . . . . . . . . . . 21 Travel, conferences, and meetings . . . . . . . . . . . . 22 Printing and publications . . . . . . . . . . . . . . . . . ......... 23 Other expenses (attach schedule) . . . STM103 24
E If private foundation status was terminated under section 507(b)(1)(A), check here
(Part I, column (d), must be on cash basis.)
amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
3
..... .....
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation X Cash J Accounting method: Fair market value of all assets at Accrual
Part I
D 1. Foreign organizations, check here
2. Foreign organizations meeting the 85% test, check here and attach computation
X Section 501(c)(3) exempt private foundation
end of year (from Part II, col. (c), $ line 16) 2,654,913
.
C If exemption application is pending, check here
. ...... .......
12,571
144,142 0 144,142
12,571
12,853 2,250 Form 990-PF (2023)
Form 990-PF (2023)
Part II
Field Manor Foundation Inc Balance Sheets Attached schedules and amounts in the description column
59-3517194 Beginning of year
should be for end-of-year amounts only. (See instructions.)
2
..................... Savings and temporary cash investments . . . . . . . . . . . . . . .
3
Accounts receivable
1
(a) Book Value
Cash - non-interest-bearing
Page 2
End of year (b) Book Value
(c) Fair Market Value
96,184 81,898
92,676 41,309
92,676 41,309
214
535
903,213 2,218,495 STM119 196,033 2,020,498
874,609
1,020,928
2,022,462
1,500,000
3,102,007
3,031,591
2,654,913
23,391 23,391
16,041 16,041
.................X .................. ..................
1,037,466 2,041,150
971,278 2,044,272
.............. ............. Paid-in or capital surplus, or land, bldg., and equipment fund . . . . . . .. Retained earnings, accumulated income, endowment, or other funds ......... Total net assets or fund balances (see instructions)
3,078,616
3,015,550
Total liabilities and net assets/fund balances (see instructions)
3,102,007
3,031,591
Less: allowance for doubtful accounts 4
Pledges receivable Less: allowance for doubtful accounts
...........................
5
Grants receivable
6
Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions)
7
........
Other notes and loans receivable (attach schedule)
Assets
Less: allowance for doubtful accounts
....................... ............... 10a Investments - U.S. and state government obligations (attach schedule) . . b Investments - corporate stock (attach schedule) . . . . . . . . . . . . c Investments - corporate bonds (attach schedule) . . . . . . . . . . . . 8
Inventories for sale or use
9
Prepaid expenses and deferred charges
11
Investments - land, buildings, and equipment: basis
12
Investments - mortgage loans
13
Investments - other (attach schedule)
14
Land, buildings, and equipment: basis
15
Other assets (describe
16
Total assets (to be completed by all filers - see the instructions. Also, see page 1, item l)
17
Accounts payable and accrued expenses
Less: accumulated depreciation (attach schedule)
..................... . . . . . . . . . STM118 ........
Less: accumulated depreciation (attach schedule)
21
................. ............... ........................... Grants payable Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans from officers, directors, trustees, and other disqualified persons . . ......... Mortgages and other notes payable (attach schedule)
22
Other liabilities (describe
23
Total liabilities (add lines 17 through 22)
Liabilities
18
Net Assets or Fund Balances
)
19 20
STM121
...............
)
Foundations that follow FASB ASC 958, check here and complete lines 24, 25, 29, and 30 24
Net assets without donor restrictions
25
Net assets with donor restrictions Foundations that do not follow FASB ASC 958, check
26
Capital stock, trust principal, or current funds
here and complete lines 26 through 30
27 28 29 30
Part III
.............................
Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year - Part II, column (a), line 29 (must agree with
................................ ........................................
end-of-year figure reported on prior year's return) 2 Enter amount from Part I, line 27a
1
3 Other increases not included in line 2 (itemize)
3
4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize)
4
..............................................
6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 29 EEA
..........
2
3,078,616 (63,066) 3,015,550
5 6
3,015,550 Form 990-PF (2023)
Form 990-PF (2023)
Part IV
Field Manor Foundation Inc
(b) How acquired P-Purchase D-Donation
(a) List and describe the kind(s) of property sold (for example, real estate, VWRU\ EULFN ZDUHKRXVH RU FRPPRQ VWRFN VKV 0/& &R
Page 3
59-3517194
Capital Gains and Losses for Tax on Investment Income
1a Publicly Traded Security 015565419 b Publicly Traded Security 015565419 c Publicly Traded Security 464287614
P P P
(c) Date acquired (mo., day, yr.)
(d) Date sold (mo., day, yr.)
12-16-2022 05-12-2020 05-12-2020
11-08-2023 11-08-2023 11-08-2023
d e (e) Gross sales price
a
(f) Depreciation allowed (or allowable)
(g) Cost or other basis plus expense of sale
4,480 111,562 44,818
b c
(h) Gain or (loss) ((e) plus (f) minus (g))
3,498 126,875 31,062
982 (15,313) 13,756
d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69. (i) FMV as of 12/31/69
(j) Adjusted basis as of 12/31/69
(l) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col. (h))
(k) Excess of col. (i) over col. (j), if any
a
982 (15,313) 13,756
b c d e also enter in Part I, line 7 { IfIf gain, (loss), enter -0- in Part I, line 7
2
Capital gain net income or (net capital loss)
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
}
2
(575)
3
982
If gain, also enter in Part I, line 8, column (c). See instructions. If (loss), enter -0- in Part I, line 8
Part V 1a
........................................ }
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), or 4948 - see instructions)
Exempt operating foundations described in section 4940(d)(2), check here Date of ruling or determination letter:
b
and enter "N/A" on line 1.
....
(attach copy of letter if necessary-see instructions)
1
179
2
5
0 179 0 179
7
714
All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations, enter
5
...................................... ...... ............................................... Add lines 1 and 2 6XEWLWOH $ LQFRPH WD[ GRPHVWLF VHFWLRQ D WUXVWV DQG WD[DEOH IRXQGDWLRQV RQO\ RWKHUV HQWHU . . . . . . Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- . . . . . . . . . . . . . . .
6
Credits/Payments:
4% (0.04) of Part I, line 12, col. (b) 2
7D[ XQGHU VHFWLRQ GRPHVWLF VHFWLRQ D WUXVWV DQG WD[DEOH IRXQGDWLRQV RQO\ RWKHUV HQWHU
3 4
a b c d 7 8 9 10 11 EEA
. . . . . . . . . 6a 714 . . . . . . . . . . . . . . . . . 6b 6c Tax paid with application for extension of time to file (Form 8868) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6d Backup withholding erroneously withheld Total credits and payments. Add lines 6a through 6d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached . . . . . . ................... Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed ............. Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid Refunded . Enter the amount of line 10 to be: Credited to 2024 estimated tax
3 4
2023 estimated tax payments and 2022 overpayment credited to 2023 Exempt foreign organizations - tax withheld at source
8 9 10 11
535 535 Form 990-PF (2023)
Form 990-PF (2023)
Part VI-A 1a
Field Manor Foundation Inc
Yes
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign?
b
Page 4
59-3517194
Statements Regarding Activities
....................................
No
1a
X
1b
X
1c
X
2
X
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions for the definition
..............................................
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials published or distributed by the foundation in connection with the activities.
..................................
c
Did the foundation file Form 1120-POL for this year?
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the foundation. $ (2) On foundation managers. $
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers. $
2
..............
Has the foundation engaged in any activities that have not previously been reported to the IRS? If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
4a b 5
.......... ............... ............................... If "Yes," has it filed a tax return on Form 990-T for this year? ................ Was there a liquidation, termination, dissolution, or substantial contraction during the year? of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes
3
Did the foundation have unrelated business gross income of $1,000 or more during the year?
4a 4b
X X X
5
X
If "Yes," attach the statement required by General Instruction T. 6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either: By language in the governing instrument, or By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain in the governing instrument?
7
.............................. .
6
Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XIV
8a
X
7
X
8b
X
Enter the states to which the foundation reports or with which it is registered. See instructions.
FL b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate) of each state as required by General Instruction G? If "No," attach explanation
9
................
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 2023 or the tax year beginning in 2023? See the instructions for Part XIII. If "Yes," complete Part XIII
10
...................................................
names and addresses 11
.................................................
10
X
........................
11
X
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges? If "Yes," attach statement. See instructions
13
X
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
12
9
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their
........................ .....
12 13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
X X
Website address 14
Located at 15
fieldmanor.org COUNTING COPPERS, LLC PO BOX 561223, Rockledge, FL
The books are in care of
Telephone no. ZIP+4
.................... . . . . . . . . . . . . . . . . 15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - check here and enter the amount of tax-exempt interest received or accrued during the year
16
321-236-8014 32956
Yes
At any time during calendar year 2023, did the foundation have an interest in or a signature or other authority over a bank, securities, or other financial account in a foreign country?
...........................
16
No
X
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes," enter the name of the foreign country EEA
Form 990-PF (2023)
Form 990-PF (2023)
Part VI-B
Field Manor Foundation Inc
Statements Regarding Activities for Which Form 4720 May Be Required
Page 5
59-3517194
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. 1a
During the year, did the foundation (either directly or indirectly):
..................
(1) Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
1a(1)
X
1a(2) 1a(4)
X X X
1a(5)
X
1a(6)
X
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified
...................................................... .................. (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . . . . . . . . . . . . . person?
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
1a(3)
(5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or
...........................................
use of a disqualified person)? (6) Agree to pay money or property to a government official? (Exception. Check "No" if the foundation
agreed to make a grant to or to employ the official for a period after termination of government service, if terminating within 90 days.) b
............................................
If any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in
.......... ...................
Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions c
Organizations relying on a current notice regarding disaster assistance, check here
d
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that were not corrected before the first day of the tax year beginning in 2023?
2
.........................
1b
1d
X
2a
X
2b
X
3a
X
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation defined in section 4942(j)(3) or 4942(j)(5)): a
At the end of tax year 2023, did the foundation have any undistributed income (Part XII, lines 6d and 6e) for tax year(s) beginning before 2023? If "Yes," list the years 20
b
, 20
, 20
...............................
, 20
Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to
..........................
c
all years listed, answer "No" and attach statement - see instructions.) If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time
20
, 20
during the year? b
, 20
, 20
....................................................
If "Yes," did it have excess business holdings in 2023 as a result of (1) any purchase by the foundation or disqualified persons after May 26, 1969 (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest or (3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Form 4720, Schedule C, to determine if the foundation had excess business holdings in 2023.)
4a
purposes? b
...................................
3b
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable
.......................................................
4a
X
4b
X
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2023?
EEA
........................................................
Form 990-PF (2023)
Form 990-PF (2023)
Part VI-B 5a
Field Manor Foundation Inc
Page 6
59-3517194
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
During the year, did the foundation pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
.................
No
5a(1)
X
5a(2) 5a(3)
X X
5a(4)
X
5a(5)
X
(2) ,QIOXHQFH WKH RXWFRPH RI DQ\ VSHFLILF SXEOLF HOHFWLRQ VHH VHFWLRQ RU WR FDUU\ RQ GLUHFWO\ RU indirectly, any voter registration drive?
....................................... ......................
(3) Provide a grant to an individual for travel, study, or other similar purposes?
(4) Provide a grant to an organization other than a charitable, etc., organization described in section 4945(d) (4)(A)? See instructions
..............................................
(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for
..................................
the prevention of cruelty to children or animals? b
If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described
............ ...................
5b
in Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions c
Organizations relying on a current notice regarding disaster assistance, check here
d
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax because it
..................................
maintained expenditure responsibility for the grant?
5d
If "Yes," attach the statement required by Regulations section 53.4945-5(d). 6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
b
................................................... ..........
6a
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
6b
X X
7a
X
If "Yes" to 6b, file Form 8870. 7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
b
If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction?
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year?
Part VII 1
..........
7b
....................................
8
X
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors
List all officers, directors, trustees, and foundation managers and their compensation. See instructions. (b) Title, and average hours per week devoted to position
(a) Name and address
(c) Compensation (If not paid, enter -0-)
(d) Contributions to employee benefit plans and deferred compensation
(e) Expense account, other allowances
See 990_OFOV SUE NISBET LAWRENCE PRESIDENT 750 Field Manor Drive Merrit FL 32953 1.00 0 0 CHUCK NELSON VICE PRESIDENT 750 Field Manor Drive Merrit FL 32953 2.00 0 0 LAURIE MCTAVISH DIRECTOR 750 Field Manor Drive Merrit FL 32953 5.00 0 0 FRANK ROGERS-WITTE DIRECTOR 750 Field Manor Drive Merrit FL 32953 5.00 0 0 2 Compensation of five highest-paid employees (other than those included on line 1 - see instructions). If none, enter "NONE." (a) Name and address of each employee paid more than $50,000
(b) Title, and average hours per week devoted to position
(c) Compensation
(d) Contributions to employee benefit plans and deferred compensation
0 0 0 0
(e) Expense account, other allowances
NONE
Total number of other employees paid over $50,000 EEA
..................................
0 Form 990-PF (2023)
Form 990-PF (2023)
Part VII 3
Field Manor Foundation Inc
Page 7
59-3517194
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued)
Five highest-paid independent contractors for professional services. See instructions. If none, enter "NONE." (a) Name and address of each person paid more than $50,000
(b) Type of service
(c) Compensation
NONE
Total number of others receiving over $50,000 for professional services
Part VIII-A
......................
Summary of Direct Charitable Activities
List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1 EDUCATE RESIDENTS AND VISITORS ABOUT THE AGRICULTURAL
AND SOCIAL HISTORY OF FIELD MANOR 144,142 2
3
4
Part VIII-B
Summary of Program-Related Investments (see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1 N/A
0 2
All other program-related investments. See instructions.
3
Total. Add lines 1 through 3 EEA
............................................... Form 990-PF (2023)
Form 990-PF (2023)
Part IX 1
Field Manor Foundation Inc 59-3517194 Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
Page 8
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes:
................................ ...................................... ............................. c Fair market value of all other assets (see instructions) ........................................ d Total (add lines 1a, b, and c)
a
Average monthly fair market value of securities
1a
b
Average of monthly cash balances
1b
e
1c 1d
980,668 164,084 2,154,817 3,299,569
Reduction claimed for blockage or other factors reported on lines 1a and
. . . . . . . . . . . . . . . . . . . . . . . . . . 1e .............................. ..........................................
1c (attach detailed explanation) 2
Acquisition indebtedness applicable to line 1 assets
2
3
Subtract line 2 from line 1d
3
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see instructions)
5 6
................................................. ....................... ............................
Net value of noncharitable-use assets. Subtract line 4 from line 3 Minimum investment return. Enter 5% (0.05) of line 5
Part X
6
49,494 3,250,075 162,504
1
162,504
2c
179 162,325
5
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations, check here and do not complete this part.)
................................. . . . . . . . . . . . . . . . 2a 179 . . . . . . . . . . 2b b Income tax for 2023. (This does not include the tax from Part V.) c Add lines 2a and 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................... 3 Distributable amount before adjustments. Subtract line 2c from line 1 ........................... 4 Recoveries of amounts treated as qualifying distributions .............................................. 5 Add lines 3 and 4 ............................ 6 Deduction from distributable amount (see instructions) ......... 7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1
1
Minimum investment return from Part IX, line 6
2a
Tax on investment income for 2023 from Part V, line 5
Part XI
4
3 4 5 7
162,325
144,142
Qualifying Distributions (see instructions)
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26
1a
b
Program-related investments - total from Part VIII-B
1b
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes
.................... ..............................
..................................................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
3a
b
Cash distribution test (attach the required schedule)
3b
EEA
162,325
6
1
4
0 3,299,569
.................................. ............................. .............. Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4
4
144,142 Form 990-PF (2023)
Form 990-PF (2023)
Part XII
Field Manor Foundation Inc (a) Corpus
1
Distributable amount for 2023 from Part X, line 7
2
Undistributed income, if any, as of the end of 2023: a
Enter amount for 2022 only
b Total for prior years: 20 3
Page 9
59-3517194
Undistributed Income (see instructions)
..
(b) Years prior to 2022
(c) 2022
(d) 2023
162,325
............
, 20
, 20
Excess distributions carryover, if any, to 2023:
.......... 117,997 .......... .......... 15,124 d From 2021 . . . . . . . . . . e From 2022 . . . . . . . . . . ............ f Total of lines 3a through e a
From 2018 b From 2019 c From 2020
4
133,121
Qualifying distributions for 2023 from Part XI, line 4: a
$
144,142
.....
Applied to 2022, but not more than line 2a
b Applied to undistributed income of prior years
.......
(Election required - see instructions) c
Treated as distributions out of corpus (Election required - see instructions)
............ ....... ....
d Applied to 2023 distributable amount e Remaining amount distributed out of corpus 5
144,142
Excess distributions carryover applied to 2023 (If an amount appears in column (d), the same amount must be shown in column (a).)
6
......
18,183
..
114,938
18,183
Enter the net total of each column as indicated below: a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
b Prior years' undistributed income. Subtract line 4b from line 2b c
................
Enter the amount of prior years' undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed
........
d Subtract line 6c from line 6b. Taxable amount - see instructions e
.............
Undistributed income for 2022. Subtract line 4a from line 2a. Taxable amount - see instructions
f
...................
Undistributed income for 2023. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2024
7
................
0
Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions)
............
8
Excess distributions carryover from 2018 not
9
applied on line 5 or line 7 (see instructions) Excess distributions carryover to 2024. Subtract lines 7 and 8 from line 6a
10
Analysis of line 9: a
Excess from 2019
b Excess from 2020 c
Excess from 2021
d Excess from 2022 e EEA
Excess from 2023
...... ...... ...... ...... ......
....
99,814
........
15,124
15,124
Form 990-PF (2023)
Form 990-PF (2023)
Part XIII 1a
Field Manor Foundation Inc
Private Operating Foundations (see instructions and Part VI-A, question 9)
Page 10
If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2023, enter the date of the ruling
b 2a
59-3517194
................ .......
Check box to indicate whether the foundation is a private operating foundation described in section Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (a) 2023 (b) 2022 (c) 2021 investment return from Part IX for each year listed
........... .........
b
85% (0.85) of line 2a
c
Qualifying distributions from Part XI, line 4, for each year listed
d
Amounts included in line 2c not used directly for active conduct of exempt activities
e
Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c
4942(j)(3) or (d) 2020
4942(j)(5) (e) Total
....... ...
.....
3 a
Complete 3a, b, or c for the alternative test relied upon: "Assets" alternative test - enter: (1) Value of all assets
........
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
......
b
"Endowment" alternative test - enter 2/3 of minimum investment return shown in Part IX, line 6, for each year listed
c
.....
"Support" alternative test - enter: (1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) (2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)
...... ......
(3) Largest amount of support from an exempt organization (4) Gross investment income
Part XIV 1 a
...... .....
Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at any time during the year - see instructions.)
Information Regarding Foundation Managers: List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NA b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NA 2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here X if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the foundation makes gifts, grants, etc., to individuals or organizations under other conditions, complete items 2a, b, c, and d. See instructions.
EEA
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors: Form 990-PF (2023)
Form 990-PF (2023)
Field Manor Foundation Inc
Part XIV Supplementary Information (continued) 3 Grants and Contributions Paid During the Year or Approved for Future Payment Recipient Name and address (home or business) a
If recipient is an individual, show any relationship to any foundation manager or substantial contributor
Foundation status of recipient
59-3517194
Purpose of grant or contribution
Page 11
Amount
Paid during the year
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a b Approved for future payment
Total EEA
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b Form 990-PF (2023)
Form 990-PF (2023)
Part XV-A
Field Manor Foundation Inc
Enter gross amounts unless otherwise indicated.
1
59-3517194
Analysis of Income-Producing Activities Unrelated business income
Program service revenue:
Excluded by section 512, 513, or 514
(a)
(b)
(c)
(d)
Business code
Amount
Exclusion code
Amount
a HOMESTEAD TOURSEVENT b
Page 12 (e) Related or exempt function income (See instructions.)
48,783
c d e f
... ......... Interest on savings and temporary cash investments . . Dividends and interest from securities . . . . . . . . . g Fees and contracts from government agencies
2 3 4 5
Membership dues and assessments
Net rental income or (loss) from real estate: a Debt-financed property
10
.............. ............ Net rental income or (loss) from personal property . . . Other investment income . . . . . . . . . . . . . . . Gain or (loss) from sales of assets other than inventory . ....... Net income or (loss) from special events Gross profit or (loss) from sales of inventory . . . . . .
11
Other revenue:
b Not debt-financed property
6 7 8 9
513 24,911
532000
800
532000 532000
2,046
(575) 1,268
a
b c d e 12
Subtotal. Add columns (b), (d), and (e)
13
........ 2,846 .................................
Total. Add line 12, columns (b), (d), and (e) (See worksheet in line 13 instructions to verify calculations.)
Part XV-B Line No.
01a 04 05b 08 09 10
EEA
13
74,900 77,746
Relationship of Activities to the Accomplishment of Exempt Purposes Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes). (See instructions.)
TOURS AND EVENTS ARE THE PRIMARY MEANS THE ORGANIZATION ACCOMPLISHES ITS CULTURAL AND EDUCATIONAL PURPOSES AN ENDOWMENT FUND IS AN ADDITIONAL MEAN BY WHICH THE ORGANIZATION ACOMPLISHES EDUCATIONAL PURPOSES THIS HELPS SUPPORT THE AGRICULTURAL HISTORY OF THE PROPERTY CAPITAL GAINS AND LOSSES FROM INVESTMENT ACTIVITIES FROM THE ENDOWMENT FUND EVENT INCOME SUPPORTS THE CONTINUED OPERATION OF THE ORGANIZATION & EXPANDS KNOWLEDGE OF ITS HISTORICAL SIGNIFICANCE INVENTORY IS PRODUCED FROM HOMESTEAD AGRICULTURE, GIVING AN EXAMPLE OF PRODUCE FOR EDUCATIONAL PURPOSES
Form 990-PF (2023)
Form 990-PF (2023)
Part XVI 1
Page 13
Field Manor Foundation Inc 59-3517194 Information Regarding Transfers to and Transactions and Relationships With Noncharitable Exempt Organizations
Yes
Did the organization directly or indirectly engage in any of the following with any other organization described
No
in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a
Transfers from the reporting foundation to a noncharitable exempt organization of:
........................................................ ....................................................
(1) Cash (2) Other assets b
1a(1)
X X
1a(2)
Other transactions:
c
............................... ........................... .................................... (3) Rental of facilities, equipment, or other assets ........................................... (4) Reimbursement arrangements (5) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......................... (6) Performance of services or membership or fundraising solicitations ...................... Sharing of facilities, equipment, mailing lists, other assets, or paid employees
d
If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market
(1) Sales of assets to a noncharitable exempt organization (2) Purchases of assets from a noncharitable exempt organization
1b(1)
X X X X X X X
1b(2) 1b(3) 1b(4) 1b(5) 1b(6) 1c
value of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received. (a) Line no.
2a
(b) Amount involved
(c) Name of noncharitable exempt organization
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) (other than section 501(c)(3)) or in section 527?
b
Yes
X No
(b) Type of organization
(c) Description of relationship
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 taxpayer) is based on all information of which preparer has any knowledge.
SUE NISBET LAWRENCE
May the IRS discuss this return with the preparer shown below? See instructions. Yes X No
PRESIDENT
Signature of officer or trustee Print/Type preparer's name
Date Preparer's signature
Paid Michelle Bonnett, EA Preparer Firm's name Counting Coppers, LLC Use Only Firm's address 881 Barton Blvd Ste 3 EEA
.......................
If "Yes," complete the following schedule. (a) Name of organization
Sign Here
(d) Description of transfers, transactions, and sharing arrangements
Title Date
Check
04-29-2025
X if
self-employed
PTIN
P01711606
Firm's EIN
Rockledge FL 32955
Phone no.
321-236-8014 Form 990-PF (2023)
Form
990-T
Exempt Organization Business Income Tax Return (and proxy tax under section 6033(e)) For calendar year 2023 or other tax year beginning
Name of organization
B Exempt under section
408(e)
G
) ( 3 220(e)
408A
530(a)
529(a)
529A
2023
, 20
Open to Public Inspection for 501(c)(3) Organizations Only
Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).
Check box if address changed.
X 501( c
, 2023, and ending
Go to www.irs.gov/Form990T for instructions and the latest information.
Department of the Treasury Internal Revenue Service A
OMB No. 1545-0047
)
Print or Type
(
D Employer identification number
Check box if name changed and see instructions.)
Field Manor Foundation Inc
59-3517194
Number, street, and room or suite no. If a P.O. box, see instructions.
E Group exemption number (see instructions)
750 Field Manor Drive City or town, state or province, country, and ZIP or foreign postal code
F
Merritt Island, FL 32953-4915 C Book value of all assets at end of year
Check organization type
..................
X 501(c) corporation
501(c) trust
401(a) trust
3,031,591 Other trust
Check box if an amended return.
State college/university
6417 (d)(1)(A) Applicable entity H
Check if filing only to claim
I
Check if a 501(c)(3) organization filing a consolidated return with a 501(c)(2) titleholding corporation
L
The books are in care of
Credit from Form 8941
Refund shown on Form 2439
Elective payment amount from Form 3800
.................... ................................. 1 J Enter the number of attached Schedules A (Form 990-T) K During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? . . . . . . . . Yes X No If "Yes," enter the name and identifying number of the parent corporation
Part I
COUNTING COPPERS, LLC
PO BOX 561223 FL 32956Telephone number (321)236-8014
Total Unrelated Business Taxable Income
6
.. ................................................... Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................... Charitable contributions (see instructions for limitation rules) Total unrelated business taxable income before net operating losses. Subtract line 4 from line 3 . . . . . . . . . . . Deduction for net operating loss. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Total of unrelated business taxable income before specific deduction and section 199A deduction.
1
Total of unrelated business taxable income computed from all unrelated trades or businesses (see instructions)
1
2
Reserved
2
3 4 5
8 9 10 11
2 3 4 5 6 7
b c d e 2 3a b c d e f 4 5
6
............................................ ..................... ................................ Trusts. Section 199A deduction. See instructions Total deductions. Add lines 8 and 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Unrelated business taxable income. Subtract line 10 from line 7. If line 10 is greater than line 7, enter zero
11
0
Organizations taxable as corporations. Multiply Part I, line 11 by 21% (0.21) Trusts taxable at trust rates. See instructions for tax computation. Income tax on the amount on
1
0
Part I, line 11 from:
2
7 8
....................................................
Tax Computation
9
....................
Schedule D (Form 1041) . . . . . . . . . . . . . . . . . ........................................... ....................................... Alternative minimum tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................. Tax on noncompliant facility income. See instructions Total. Add lines 3 through 6 to line 1 or 2, whichever applies . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax rate schedule or
3
Proxy tax. See instructions Other tax amounts. See instructions
4 5 6 7
Tax and Payments
. . . . . 1a . . . . . . . . . . . . . . . . . . . . . . . . . 1b . . . . . . . . . . . 1c General business credit. Attach Form 3800 (see instructions) . . . . . . . . . . . 1d Credit for prior year minimum tax (attach Form 8801 or 8827) Total credits. Add lines 1a through 1d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 1e from Part II, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a Amount due from Form 4255 . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b Amount due from Form 8611 . . . . . . . . . . . . . . . . . . . . . . . . . . . 3c Amount due from Form 8697 . . . . . . . . . . . . . . . . . . . . . . . . . . . 3d Amount due from Form 8866 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3e Other amounts due (see instructions) ................... Total amounts due. Add lines 3a through 3e )RUHLJQ WD[ FUHGLW FRUSRUDWLRQV DWWDFK )RUP WUXVWV DWWDFK )RUP
Other credits (see instructions)
Total tax. Add lines 2 and 3 (see instructions). section 1294. Enter tax amount here
1e 2
3f
Check if includes tax previously deferred under
....................... ......................
Current net 965 tax liability paid from Form 965-A, Part II, column (k) For Paperwork Reduction Act Notice, see instructions. EEA
5
Specific deduction (generally $1,000, but see instructions for exceptions)
Part III 1a
4
Subtract line 6 from line 5
Part II 1
3
4 5 Form 990-T (2023)
Form 990-T (2023)
Part III
Field Manor Foundation Inc
Tax and Payments (continued)
6a
Payments: Preceding year’s overpayment credited to the current year
b
Current year’s estimated tax payments. Check if section 643(g) election
Page 2
59-3517194
......
6a
10
.................................... 6b . . . . . . . . . . . . . . . . . . . . . . . . . . 6c . . . . . . . 6d Foreign organizations: Tax paid or withheld at source (see instructions) 6e Backup withholding (see instructions) . . . . . . . . . . . . . . . . . . . . . . . 6f Credit for small employer health insurance premiums (attach Form 8941) . . . . . . . . . . . . . . . . . . . . . . 6g Elective payment election amount from Form 3800 6h Payment from Form 2439 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6i Credit from Form 4136 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6j Other (see instructions) ................................... Total payments. Add lines 6a through 6J ................... Estimated tax penalty (see instructions). Check if Form 2220 is attached ................ Tax due. If line 7 is smaller than the total of lines 4, 5, and 8, enter amount owed ............ Overpayment. If line 7 is larger than the total of lines 4, 5, and 8, enter amount overpaid
10
11
Enter the amount of line 10 you want: Credited to 2024 estimated tax
Refunded
11
applies c d e f g h i j 7 8 9
Tax deposited with Form 8868
Part IV 1
7 8 9
Statements Regarding Certain Activities and Other Information (see instructions) Yes
At any time during the 2023 calendar year, did the organization have an interest in or a signature or other authority
No
over a financial account (bank, securities, or other) in a foreign country? If "Yes," the organization may have to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts. If "Yes," enter the name of the foreign country here 2
X X
During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If "Yes," see instructions for other forms the organization may have to file.
3
Enter the amount of tax-exempt interest received or accrued during the tax year
4
Enter available pre-2018 NOL carryovers here
$
............
$
. Do not include any post-2017 NOL carryover
shown on Schedule A (Form 990-T). Don't reduce the NOL carryover shown here by any deduction reported on Part I, line 6. 5
Post-2017 NOL carryovers. Enter the Business Activity Code and available post-2017 NOL carryovers. Don't reduce the amounts shown below by any NOL claimed on any Schedule A, Part II, line 17 for the tax year. See instructions. Business Activity Code
Available post-2017 NOL carryover $
532000 FACILITY RENTALS
36,363
$ $ $
6a
Reserved for future use
b
Reserved for future use
Part V
................................................... ...................................................
Supplemental Information
Provide any additional information. See instructions.
Sign Here
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 taxpayer) is based on all information of which preparer has any knowledge.
PRESIDENT Signature of officer
Date
Print/Type preparer's name
Preparer's signature
Paid Michelle Bonnett, EA Preparer Firm's name Counting Coppers, LLC Use Only Firm's address 881 Barton Blvd Ste 3 Rockledge FL 32955 EEA
May the IRS discuss this return with the preparer shown below (see instructions)? Yes X No
Title Date
04-29-2025
X
Check if self-employed Firm's EIN
PTIN
P01711606 84-1855186
Phone no.
321-236-8014 Form 990-T (2023)
Unrelated Business Taxable Income From an Unrelated Trade or Business
SCHEDULE A (Form 990-T) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
2023
Go to www.irs.gov/Form990T for instructions and the latest information.
Open to Public Inspection for 501(c)(3) Organizations Only
Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).
A Name of the organization
B Employer identification number
Field Manor Foundation Inc
59-3517194
C Unrelated business activity code (see instructions) E Describe the unrelated trade or business
Part I
...........
Gross receipts or sales
b
Less returns and allowances
2
Cost of goods sold (Part III, line 8)
c Balance
3 4a
Capital gain net income (attach Schedule D (Form 1041 or Form 1120)). See instructions instructions
...................
........................... .................
Capital loss deduction for trusts
5
Income (loss) from a partnership or an S corporation (attach
7
............................ ...................... ............. Unrelated debt-financed income (Part V)
8
Interest, annuities, royalties, and rents from a controlled
10 11 12 13
1c
(C) Net
132,012
2 3
132,012
132,012
800
800
132,812
132,812
4a 4b 4c
statement)
5
Rent income (Part IV)
6
organization (Part VI) 9
(B) Expenses
Net gain (loss) (Form 4797) (attach Form 4797). See
c
6
(A) Income
132,012
................ ............. Gross profit. Subtract line 2 from line 1c
b
of 1
FACILITY RENTALS
Unrelated Trade or Business Income
1a
D Sequence: 1
532000
......................
7 8
Investment income of section 501(c)(7), (9), or (17)
..................... ............ ................... Advertising income (Part IX) ......... 2WKHU LQFRPH VHH LQVWUXFWLRQV DWWDFK VWDWHPHQW ................ Total. Combine lines 3 through 12 organizations (Part VII)
9
Exploited exempt activity income (Part VIII)
10
Part II
11 12 13
Deductions Not Taken Elsewhere. See instructions for limitations on deductions. Deductions must be directly connected with the unrelated business income.
15
........................... ............................................ .......................................... Repairs and maintenance ................................................. Bad debts ................................. Interest (attach statement). See instructions ............................................. Taxes and licenses ............... 7 Depreciation (attach Form 4562). See instructions . . . . . . . . . . . 8a Less depreciation claimed in Part III and elsewhere on return Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................ Contributions to deferred compensation plans ......................................... Employee benefit programs ..................................... Excess exempt expenses (Part VIII) ...................................... Excess readership costs (Part IX) . . . . . . . . . . . . . . . . . . . . . . . . . . .Statement . . . . . . . .#9. Other deductions (attach statement) Total deductions. Add lines 1 through 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
Unrelated business income before net operating loss deduction. Subtract line 15 from Part I, line 13,
1
Compensation of officers, directors, and trustees (Part X)
1
2
Salaries and wages
2
3 4 5 6 7 8 9 10 11 12 13 14
17 18
................................................. .............................. ....................... Unrelated business taxable income. Subtract line 17 from line 16
68,436 9,917
4 5 6
5,971
8b 9 10 11
3,302
12 13 14 15
column (C)
16
Deduction for net operating loss. See instructions
17
For Paperwork Reduction Act Notice, see instructions. EEA
3
42,340 129,966 2,846 2,846
18 Schedule A (Form 990-T) 2023
Schedule A (Form 990-T) 2023
Part III
Field Manor Foundation Inc
Cost of Goods Sold
8
........................................ .................................................. Cost of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................... Additional section 263A costs (attach statement) ........................................ Other costs (attach statement) Total. Add lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................................... Inventory at end of year ................. Cost of goods sold. Subtract line 7 from line 6. Enter here and in Part I, line 2
9
Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization?
1
Inventory at beginning of year
1
2
Purchases
2
3 4 5 6 7
Part IV 1
Page 2
59-3517194
Enter method of inventory valuation
3 4 5 6 7 8 Yes
No
Rent Income (From Real Property and Personal Property Leased with Real Property)
Description of property (property street address, city, state, ZIP code). Check if a dual-use. See instructions. A
FARM COOPERATIVE, Address: 750 FIELD MANOR DRIVE Merritt Island FL 32953
B C D A 2
Rent received or accrued
a
From personal property (if the percentage of rent for personal property is more than 10% but not more than 50%)
b
From real and personal property (if the percentage of rent for personal property exceeds 50% or if the rent is based on profit or income)
c
Total rents received or accrued by property. Add lines 2a and 2b, columns A through D
B
C
D
.............. ..
800
.....
800
3
Total rents received or accrued. Add line 2c, columns A through D. Enter here and on Part I, line 6, column (A)
4
Deductions directly connected with the income in lines 2a and 2b (attach statement)
5
Total deductions. Add line 4, columns A through D. Enter here and on Part I, line 6, column (B)
800
.......
Part V 1
.....
............
Unrelated Debt-Financed Income (see instructions)
Description of debt-financed property (street address, city, state, ZIP code). Check if a dual-use. See instructions. A B C D A
2
Gross income from or allocable to debt-financed property
3
Deductions directly connected with or allocable to debt-financed property
a
Straight line depreciation (attach statement)
b
Other deductions (attach statement)
c
Total deductions (add lines 3a and 3b, columns A through D)
4
Amount of average acquisition debt on or allocable to debt-financed property (attach statement)
5
Average adjusted basis of or allocable to debtfinanced property (attach statement)
6
Divide line 4 by line 5
B
C
...................... .... .......
.............. ...
7
....... ............... Gross income reportable. Multiply line 2 by line 6 . .
8
Total gross income (add line 7, columns A through D). Enter here and on Part I, line 7, column (A)
9
Allocable deductions. Multiply line 3c by line 6
10
Total allocable deductions. Add line 9, columns A through D. Enter here and on Part I, line 7, column (B)
11 EEA
D
%
%
%
%
..........
...
....... Total dividends - received deductions included in line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990-T) 2023
Schedule A (Form 990-T) 2023
Part VI
Field Manor Foundation Inc
59-3517194
Page 3
Interest, Annuities, Royalties, and Rents from Controlled Organizations (see instructions) Exempt Controlled Organizations
1. Name of controlled organization
2. Employer identification number
3. Net unrelated income (loss) (see instructions)
4. Total of specified payments made
5. Part of column 4 that is included in the controlling organization's gross income
6. Deductions directly connected with income in column 5
(1) (2) (3) (4)
Nonexempt Controlled Organizations 7. Taxable income
8. Net unrelated income (loss) (see instructions)
9. Total of specified payments made
10. Part of column 9 that is included in the controlling organization's gross income
11. Deductions directly connected with income in column 10
Add columns 5 and 10. Enter here and on Part I, line 8, column (A).
Add columns 6 and 11. Enter here and on Part I, line 8, column (B).
(1) (2) (3) (4)
Totals
.........................................
Part VII
Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)
1. Description of income
2. Amount of income
3. Deductions directly connected (attach statement)
4. Set-asides (attach statement)
5.Total deductions and set-asides (add columns 3 and 4)
(1) (2) (3) (4) Add amounts in column 2. Enter here and on Part I, line 9, column (A).
Totals
.............
Part VIII
Exploited Exempt Activity Income, Other Than Advertising Income (see instructions)
1
Description of exploited activity:
2
Gross unrelated business income from trade or business. Enter here and on Part I, line 10, column (A)
3
Expenses directly connected with production of unrelated business income. Enter here and on Part I, line 10, column (B)
4
Add amounts in column 5. Enter here and on Part I, line 9, column (B).
.....
2
..............................................
3
Net income (loss) from unrelated trade or business. Subtract line 3 from line 2. If a gain, complete
6
.............................................. ....................... .............................. Expenses attributable to income entered on line 5
7
Excess exempt expenses. Subtract line 5 from line 6, but do not enter more than the amount on line
5
lines 5 through 7
4
Gross income from activity that is not unrelated business income
5
4. Enter here and on Part II, line 12 EEA
......................................
6 7 Schedule A (Form 990-T) 2023
Schedule A (Form 990-T) 2023
Part IX 1
Field Manor Foundation Inc
Page 4
59-3517194
Advertising Income
Name(s) of periodical(s). Check box if reporting two or more periodicals on a consolidated basis. A B C D
Enter amounts for each periodical listed above in the corresponding column.
............
A
B
2
Gross advertising income
a
Add columns A through D. Enter here and on Part I, line 11, column (A)
3
Direct advertising costs by periodical
a
Add columns A through D. Enter here and on Part I, line 11, column (B)
4
Advertising gain (loss). Subtract line 3 from line 2. For any column in line 4 showing a gain, complete lines 5 through 8. For any column in line 4 showing a loss or zero, do not complete lines 5 through 7, and enter -0- on line 8
5
Readership costs
6
C
D
.......................
...... .......................
..... ................ Circulation income . . . . . . . . . . . . . . . .
7
Excess readership costs. If line 6 is less than line 5, subtract line 6 from line 5. If line 5 is less than line 6, enter -0-
8
Excess readership costs allowed as a deduction. For each column showing a gain on line 4, enter the lesser of line 4 or line 7
a
Add line 8, columns A through D. Enter the greater of the line 8a columns total or -0- here and on Part II, line 13
............... .....
Part X
...................................................
Compensation of Officers, Directors, and Trustees (see instructions) 1. Name
2. Title
(2) (3) (4) Total. Enter here and on Part II, line 1
EEA
4. Compensation attributable to unrelated business
% % % %
(1)
Part XI
3. Percentage of time devoted to business
........................................
Supplemental Information (see instructions)
Schedule A (Form 990-T) 2023
Form 990_OfOv (2023)
Field Manor Foundation Inc
Page 01
59-3517194
List of Officers, Directors, Trustees, and Key Employees
1 List all officers, directors, trustees, and key employees for the year even if they were not compensated. (a) Name and title
(b) Average hours per week devoted to position
SUSAN BLAKESLEE SECRETAR 750 Field Manor Drive Merrit FL 32953 GENE DAVIS DIRECTOR 750 Field Manor Drive Merrit FL 32953 STEVE GASECKI DIRECTOR 750 Field Manor Drive Merrit FL 32953 KATHI GIDDINGS DIRECTOR 750 Field Manor Drive Merrit FL 32953 LISA GLOVER DIRECTOR 750 Field Manor Drive Merrit FL 32953 ELAINE MAHANKE DIRECTOR 750 Field Manor Drive Merrit FL 32953 JERRY STUBBS DIRECTOR 750 Field Manor Drive Merrit FL 32953 FRANK SULLIVAN DIRECTOR 750 Field Manor Drive Merrit FL 32953 FRED SHAY TREASURE 750 Field Manor Drive Merrit FL 32953 JOEL MCPHERSON DIRECTOR 750 Field Manor Drive Merrit FL 32953 CINDY THURMAN DIRECTOR 750 Field Manor Drive Merrit FL 32953 AMBER SMITH DIRECTOR 750 Field Manor Drive Merrit FL 32953
EEA
(c) Reportable compensation (Form W-2/1099-MISC/ 1099-NEC) (if not paid, enter -0-)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation
(e) Estimated amount of other compensation
3.00
0
0
0
5.00
0
0
0
5.00
0
0
0
0
0
0
5.00
0
0
0
5.00
0
0
0
5.00
0
0
0
5.00
0
0
0
4.00
0
0
0
5.00
0
0
0
5.00
0
0
0
5.00
0
0
0
5.00 STMA09
Form 990_OfOv (2023)
Form
1118
Foreign Tax Credit - Corporations
OMB No. 1545-0123
Attach to the corporation's tax return.
(Rev. December 2022) Department of the Treasury Internal Revenue Service
Go to www.irs.gov/Form1118 for instructions and the latest information. For calendar year 20
, or other tax year beginning
, 20
, and ending
Attachment Sequence No.
, 20
118
Employer identification number
Name of corporation
Field Manor Foundation Inc 59-3517194 Use a separate Form 1118 for each applicable category of income (see instructions). PAS a Separate Category (Enter code - see instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....................... b If code 901j is entered on line a, enter the country code for the sanctioned country (see instructions) c If one of the RBT codes is entered on line a, enter the country code for the treaty country (see instructions) . . . . . . . . . . . . . . . . . . . .
Schedule A
Income or (Loss) Before Adjustments (Report all amounts in U.S. dollars. See Specific Instructions.) 2. Foreign Country or U.S. Possession (enter two-letter code use a separate line for each) (see instructions)
1. EIN or Reference ID Number (see instructions)*
A B C
Gross Income or (Loss) From Sources Outside the United States 3. Inclusions Under Sections 951(a)(1) and 951A (see instructions) (a) Exclude Gross-Up
RICs
Totals (add lines A through C) 6. Gross Rents, Royalties, and License Fees
5. Interest
1,613
......................... 8. Gross Income From Performance of Services
7. Sales
4. Dividends (see instructions)
(b) Gross-Up (section 78)
1,613 9. Currency Gain
10. Currency Gain Code (see instructions)
11. Other (attach schedule)
12. Total (add columns 3(a) through 9 and 11)
A B C
1,613
1,613
Totals
13. Allocable Deductions (a) Dividends Received Deduction (see instructions)
(b) Deduction Allowed Under Section 250(a)(1)(A) - Foreign Derived Intangible Income
(c) Deduction Allowed Under Section 250(a)(1)(B) - Global Intangible Low-Taxed Income
Rental, Royalty, and Licensing Expenses (d) Depreciation, Depletion, and Amortization
(e) Other Allocable Expenses
(f) Expenses Allocable to Sales Income
(g) Expenses Allocable to Gross Income From Performance of Services
16. Total Deductions (add columns 13(k) through 15)
17. Total Income or (Loss) Before Adjustments (subtract column 16 from column 12)
A B C Totals
13. Allocable Deductions (continued)
(h) Currency Loss
(i) Currency Loss Code (see instructions)
(j) Other Allocable Deductions (attach schedule) (see instructions)
14. Apportioned Share of Deductions (k) Total Allocable Deductions (add columns 13(a) through 13(h) and 13(j))
(enter amount from applicable line of Schedule H, Part I, column (b), 3DUW ,, FROXPQ I DQG Part III, column (g))
15. Net Operating Loss Deduction
A B C
1,613
1,613
Totals
* For section 863(b) income, NOLs, income from RICs, high-taxed income, section 951A, and reattribution of income by reason of disregarded payments, use a single line (see instructions). Also, for reporting branches that are QBUs, use a separate line for each such branch. For Paperwork Reduction Act Notice, see separate instructions. EEA
Form 1118 (Rev. 12-2022)
Form 1118 (Rev. 12-2022)
Schedule B
Page
2
Foreign Tax Credit (Report all foreign tax amounts in U.S. dollars.)
Part I - Foreign Taxes Paid, Accrued, and Deemed Paid (see instructions) 1. Credit Is Claimed for Taxes (check one):
X Paid
Accrued
Date Paid
Date Accrued
A 12-28-2023 B C
2. Foreign Taxes Paid or Accrued (attach schedule showing amounts in foreign currency and conversion rate(s) used) Tax Withheld at Source on: (b) Distributions of Previously Taxed Earnings and Profits
(a) Dividends
(c) Branch Remittances
(e) Rents, Royalties, and License Fees
(d) Interest
(f) Other
243
Totals (add lines A through C)
......
243
2. Foreign Taxes Paid or Accrued (attach schedule showing amounts in foreign currency and conversion rate(s) used) (continued) Other Foreign Taxes Paid or Accrued on: (g) Sales
(h) Services Income
(i) Other
3. Tax Deemed Paid (see instructions)
(j) Total Foreign Taxes Paid or Accrued (add columns 2(a) through 2(i))
A B C
243
243
Totals
Part II - Separate Foreign Tax Credit (Complete a separate Part II for each applicable category of income.)
.................................
1a
Total foreign taxes paid or accrued (total from Part I, column 2(j))
b
Foreign taxes paid or accrued by the corporation during prior tax years that were suspended due to the rules of
1a
243
section 909 and for which the related income is taken into account by the corporation during the current tax year
4
....................................................... ...................................... Reductions of taxes paid, accrued, or deemed paid (enter total from Schedule G, Part I) . . . . . . . . . . . . . . . . . . . . . . ........................................... Taxes reclassified under high-tax kickout
5
Enter the sum of any carryover of foreign taxes (from Schedule K, line 3, column (xiv), and from Schedule I, Part III,
2 3
(see instructions)
1b
Total taxes deemed paid (total from Part I, column 3)
2
line 3) plus any carrybacks to the current tax year
3
(
...................................... 5 .......................................................
6
Total foreign taxes (combine lines 1a through 5)
7
Enter the amount from the applicable column of Schedule J, Part I, line 11 (see instructions). If Schedule J is not required to be completed,
....................................... . . . . . . . . . . . . . . . . . . 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8b b Adjustments to line 8a (see instructions) c Subtract line 8b from line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..................... 9 Divide line 7 by line 8c. Enter the resulting fraction as a decimal (see instructions). If line 7 is greater than line 8c, enter 1 enter the result from the "Totals" line of column 17 of the applicable Schedule A
8a
10 11 12 13 14 EEA
)
4
6
243
7
1,613
Total taxable income from all sources (enter taxable income from the corporation's tax return)
8c 9
1.0000000
Total U.S. income tax against which credit is allowed (regular tax liability (see section 26(b)) minus American Samoa economic development
........................................................................... ................................................................... ............................................................ Increase in limitation (section 960(c)) Credit limitation (add lines 11 and 12) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..................... Separate foreign tax credit (enter the smaller of line 6 or line 13). Enter here and on the appropriate line of Part III credit)
10
Multiply line 9 by line 10
11 12 13 14 Form 1118 (Rev. 12-2022)
Form
Depreciation and Amortization
4562
Name(s) shown on return
6
FORM 990PF - 1
59-3517194
Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I. Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .................. Total cost of section 179 property placed in service (see instructions) ......... Threshold cost of section 179 property before reduction in limitation (see instructions) Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property
(b) Cost (business use only)
Attachment Sequence No. 179 Identifying number
Business or activity to which this form relates
Field Manor Foundation Inc
1 2 3 4 5
2023
Attach to your tax return. Go to www.irs.gov/Form4562 for instructions and the latest information.
Department of the Treasury Internal Revenue Service
Part I
OMB No. 1545-0172
(Including Information on Listed Property)
1 2 3 4 5
(c) Elected cost
7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . 7 .......... 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2022 Form 4562 . . . . . . . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions . . . . 11 . . . . . . . . . 12 12 Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 13 Carryover of disallowed deduction to 2024. Add lines 9 and 10, less line 12 . . . 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don't include listed property. See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service 14 during the tax year. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 11,744 Part III MACRS Depreciation (Don't include listed property. See instructions.) Section A . . . . . . . . . . 17 17 MACRS deductions for assets placed in service in tax years beginning before 2023 12,973 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B - Assets Placed in Service During 2023 Tax Year Using the General Depreciation System (a) Classification of property
(b) Month and year (c) Basis for depreciation placed in (business/investment use service only-see instructions)
19a b c d e f g h
(d) Recovery period
(e) Convention
(f) Method
(g) Depreciation deduction
3-year property 5-year property 7-year property 10-year property 15-year property 12,949 15 HY 150 DB 20-year property 25-year property 25 yrs. S/L Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L i Nonresidential real 08-2023 39 yrs. MM S/L 16,069 property MM S/L Section C - Assets Placed in Service During 2023 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs. S/L c 30-year 30 yrs. MM S/L d 40-year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter 22 here and on the appropriate lines of your return. Partnerships and S corporations - see instructions . . 23 For assets shown above and placed in service during the current year, enter the 23 portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . For Paperwork Reduction Act Notice, see separate instructions. EEA
647
155
1,382 26,901
Form 4562 (2023)
Form 4562 (2023)
Part V
Field Manor Foundation Inc
Page 2
59-3517194
Listed Property (Include automobiles, certain other vehicles, certain aircraft, and property used for entertainment, recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A - Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) 24a
Do you have evidence to support the business/investment use claimed?
(a) Type of property (list vehicles first)
(b) Date placed in service
(c) Business/ investment use percentage
(d) Cost or other basis
Yes
No
Yes
24b If "Yes," is the evidence written?
(e) (f) Basis for depreciation Recovery (business/investment period use only)
(g) Method/ Convention
(h) Depreciation deduction
25 Special depreciation allowance for qualified listed property placed in service during 25 the tax year and used more than 50% in a qualified business use. See instructions . . . . . 26 Property used more than 50% in a qualified business use: Farm Tractor 07-16-2020 100.0% 12,000 12,000 5 200 DB-HY
No
(i) Elected section 179 cost
1,382
% %
27 Property used 50% or less in a qualified business use: %
S/L-
%
S/L-
%
S/L-
28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . . . . 28 1,382 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . . . . . . . . . . . . . . . . . . . 29 Section B - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
30 Total business/investment miles driven during the year (don't include commuting miles)
(a) Vehicle 1
(b) Vehicle 2
(c) Vehicle 3
(d) Vehicle 4
(e) Vehicle 5
(f) Vehicle 6
...
31 Total commuting miles driven during the year . 32 Total other personal (noncommuting) miles driven . . . . . . . . . . . . . . . . 33 Total miles driven during the year. Add lines 30 through 32 . . . . . . . . . . . . 34 Was the vehicle available for personal Yes No Yes No Yes No Yes No Yes No Yes use during off-duty hours? . . . . . . . . 35 Was the vehicle used primarily by a more than 5% owner or related person? . . . . 36 Is another vehicle available for personal use? Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren't more than 5% owners or related persons. See instructions. 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your ... employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners 39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Do you meet the requirements concerning qualified automobile demonstration use? See instructions . . . . . . Note: If your answer to 37, 38, 39, 40, or 41 is "Yes," don't complete Section B for the covered vehicles.
Part VI
No
No
Amortization (a) Description of costs
(b) Date amortization begins
(c) Amortizable amount
(d) Code section
(e) Amortization period or percentage
(f) Amortization for this year
42 Amortization of costs that begins during your 2023 tax year (see instructions): 43 Amortization of costs that began before your 2023 tax year . . . . . . . . . . . . . . . . . . . . . . ............. 44 Total. Add amounts in column (f). See the instructions for where to report EEA
43 44 Form 4562 (2023)
Form
8868
(Rev. January 2024)
Application for Extension of Time To File an Exempt Organization Return or Excise Taxes Related to Employee Benefit Plans
Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
File a separate application for each return. Go to www.irs.gov/Form8868 for the latest information.
Electronic filing (e-file). You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms listed below except for Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts. An extension request for Form 8870 must be sent to the IRS in a paper format (see instructions). For more details on the electronic filing of Form 8868, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits. Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment instructions. All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns.
Part I - Identification Type or print File by the due date for filing your return. See instructions.
Name of exempt organization, employer, or other filer, see instructions.
Taxpayer identification number (TIN)
Field Manor Foundation Inc
59-3517194
Number, street, and room or suite no. If a P.O. box, see instructions.
750 Field Manor Drive City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Merritt Island FL 32953-4915
Enter the Return Code for the return that this application is for (file a separate application for each return)
...........
0 4
Application Is For
Return Application Is For Return Code Code Form 990 or Form 990-EZ 01 Form 4720 (other than individual) 09 Form 4720 (individual) 03 Form 5227 10 Form 990-PF 04 Form 6069 11 Form 990-T (sec. 401(a) or 408(a) trust) 05 Form 8870 12 Form 990-T (trust other than above) 06 Form 5330 (individual) 13 Form 990-T (corporation) 07 Form 5330 (other than individual) 14 Form 1041-A 08 • After you enter your Return Code, complete either Part II or Part III. Part III, including signature, is applicable only for an extension of time to file Form 5330. • If this application is for an extension of time to file Form 5330, you must enter the following information. Plan Name Plan Number Plan Year Ending (MM/DD/YYYY)
Part II - Automatic Extension of Time To File for Exempt Organizations (see instructions) The books are in the care of COUNTING COPPERS, LLC, PO BOX 561223 Rockledge FL 32956 Telephone No. 321-236-8014 Fax No. ............. • If the organization does not have an office or place of business in the United States, check this box • If this is for a Group Return, enter the organization's four-digit Group Exemption Number (GEN) . If this is for the whole group, check this box . . . . . . . . . If it is for part of the group, check this box . . . . . . . . and attach a list with the names and TINs of all members the extension is for. 1
I request an automatic 6-month extension of time until 11-15 , 20 24 , to file the exempt organization return for the organization named above. The extension is for the organization's return for: X calendar year 20 23 or , 20 . tax year beginning , 20 , and ending
2
If the tax year entered in line 1 is for less than 12 months, check reason: Change in accounting period
Initial return
3a If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions. b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions.
EEA
Final return
3a $
0
3b $
0
3c $
0
Form 8868 (Rev. 1-2024)
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2023, or fiscal year beginning
OMB No. 1545-0047
, 2023, and ending
2023
, 20
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
Field Manor Foundation Inc
59-3517194
Name and title of officer or person subject to tax
SUE NISBET LAWRENCE, PRESIDENT
Part I
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I.
..... ... 3a Form 1120-POL check here . . 4a Form 990-PF check here . . . 5a Form 8868 check here . . . . X 6a Form 990-T check here . . . . 7a Form 4720 check here . . . . 8a Form 5227 check here . . . . 9a Form 5330 check here . . . . 10a Form 8038-CP check here . . . 1a
2a
Form 990 check here Form 990-EZ check here
Part II
. . . . . . 1b . . . . . . . . . . . . . . . 2b b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . 3b b Tax based on investment income (Form 990-PF, Part V, line 5) . . . . . 4b b Balance due (Form 8868, line 3c) . . . . . . . . . . . . . . . . . . . . 5b b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . 6b b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . . . . . . . . . . 7b . . . . . . . . . 8b b FMV of assets at end of tax year (Form 5227, Item D) b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . . . . . . . . . . 9b b Amount of credit payment requested (Form 8038-CP, Part III, line 22) . . 10b b Total revenue, if any (Form 990, Part VIII, column (A), line 12) b Total revenue, if any (Form 990-EZ, line 9)
0
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that
I am an officer of the above entity or
of entity)
I am a person subject to tax with respect to (name
, (EIN)
and that I have examined a copy of the
2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal. PIN: check one box only
X I authorize
Counting Coppers, LLC
to enter my PIN
ERO firm name
as my signature
84651
Enter five numbers, but do not enter all zeros
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
04-30-2025
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
619588
68014 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
Date
04-29-2025
ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see the instructions. EEA
Form 8879-TE (2023)
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2023, or fiscal year beginning
OMB No. 1545-0047
, 2023, and ending
2023
, 20
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
Field Manor Foundation Inc
59-3517194
Name and title of officer or person subject to tax
SUE NISBET LAWRENCE, PRESIDENT
Part I
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I.
..... ... 3a Form 1120-POL check here . . 4a Form 990-PF check here . . . 5a Form 8868 check here . . . . 6a Form 990-T check here . . . . X 7a Form 4720 check here . . . . 8a Form 5227 check here . . . . 9a Form 5330 check here . . . . 10a Form 8038-CP check here . . . 1a
2a
Form 990 check here Form 990-EZ check here
Part II
. . . . . . 1b . . . . . . . . . . . . . . . 2b b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . 3b b Tax based on investment income (Form 990-PF, Part V, line 5) . . . . . 4b b Balance due (Form 8868, line 3c) . . . . . . . . . . . . . . . . . . . . 5b b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . 6b b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . . . . . . . . . . 7b . . . . . . . . . 8b b FMV of assets at end of tax year (Form 5227, Item D) b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . . . . . . . . . . 9b b Amount of credit payment requested (Form 8038-CP, Part III, line 22) . . 10b b Total revenue, if any (Form 990, Part VIII, column (A), line 12) b Total revenue, if any (Form 990-EZ, line 9)
0
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that
I am an officer of the above entity or
of entity)
I am a person subject to tax with respect to (name
, (EIN)
and that I have examined a copy of the
2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal. PIN: check one box only
X I authorize
Counting Coppers, LLC
to enter my PIN
ERO firm name
as my signature
84651
Enter five numbers, but do not enter all zeros
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
04-30-2025
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
619588
68014 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
Date
04-29-2025
ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see the instructions. EEA
Form 8879-TE (2023)
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2023, or fiscal year beginning
OMB No. 1545-0047
, 2023, and ending
2023
, 20
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
Field Manor Foundation Inc
59-3517194
Name and title of officer or person subject to tax
SUE NISBET LAWRENCE, PRESIDENT
Part I
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I.
..... ... 3a Form 1120-POL check here . . 4a Form 990-PF check here . . . X 5a Form 8868 check here . . . . 6a Form 990-T check here . . . . 7a Form 4720 check here . . . . 8a Form 5227 check here . . . . 9a Form 5330 check here . . . . 10a Form 8038-CP check here . . . 1a
2a
Form 990 check here Form 990-EZ check here
Part II
. . . . . . 1b . . . . . . . . . . . . . . . 2b b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . 3b b Tax based on investment income (Form 990-PF, Part V, line 5) . . . . . 4b b Balance due (Form 8868, line 3c) . . . . . . . . . . . . . . . . . . . . 5b b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . 6b b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . . . . . . . . . . 7b . . . . . . . . . 8b b FMV of assets at end of tax year (Form 5227, Item D) b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . . . . . . . . . . 9b b Amount of credit payment requested (Form 8038-CP, Part III, line 22) . . 10b b Total revenue, if any (Form 990, Part VIII, column (A), line 12) b Total revenue, if any (Form 990-EZ, line 9)
179
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that
I am an officer of the above entity or
of entity)
I am a person subject to tax with respect to (name
, (EIN)
and that I have examined a copy of the
2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal. PIN: check one box only
X I authorize
Counting Coppers, LLC
to enter my PIN
ERO firm name
as my signature
84651
Enter five numbers, but do not enter all zeros
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
04-30-2025
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
619588
68014 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
Date
04-29-2025
ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see the instructions. EEA
Form 8879-TE (2023)
Elections (This page is e-filed with the return. Include it if paper-filing.) Name(s) as shown on return
Field Manor Foundation Inc
2023
PG01
Tax ID Number
59-3517194
Section 1.263(a)-3(h) Safe Harbor Election for Small Taxpayers NAME: Field Manor Foundation Inc ADDRESS: 750 Field Manor Drive, Merritt Island, FL 32953-4915 SSN/EIN: 59-3517194 ELECTION: The amounts paid for repairs, maintenance, improvements and similar activities performed on the eligible building(s) described below qualify under the safe harbor provided in Reg. Section 1.263(a)-3(h)(1). DESCRIPTION: AC Unit
ELEC.LD
Federal Supporting Statements
2023
Name(s) as shown on return
PG01
Tax ID Number
Field Manor Foundation Inc
59-3517194
Form 990PF - Part VII Compensation Explanation
Statement #A09
Name LISA GLOVER
Explanation Compensated indirectly through related party rules by holding assets as a financial advisor in a managed investment account. AUM Fees are paid to the financial advisor directly from the investment account to the broker.
PG01 Form 990PF - Part I - Line 10 Sales of Inventory Schedule
Statement #102
Category
Gross Sales
COGS
Net
Inventory Sales
__________ 1,301
__________ 33
__________ 1,268
Total
1,301 __________ __________
33 __________ __________
1,268 __________ __________
PG01 Form 990PF - Part II - Line 13 Investments: Other Schedule Category
Book value (BOY)
473.000 ETF IWF Aq05/12/20LT 750.000 ETF EFA Aq05/12/20LT 395.000 ETF XLV Aq05/12/20LT 320.000 ETF SPDR DIA Aq05/12/20L 577.000 ETF XLE Aq12/07/22L 104.000 ETF IWF Aq12/07/22L 1465.000 ETF BND Vang Aq 04/06/22L 5,204.206 MF ACAZX 2,551.750 MF MDIJX 21,245.869 MF MHYIX 5098.533 MF HLIEX 13,569.854 MF PICYX 5204.206 MF LSGRX
Total
STATMENT.LD
83,958 42,439 36,272 77,129 49,094 23,268 114,497 130,373 45,106 102,849 80,504 117,724
Statement #118
Book value (EOY)
FMV (EOY)
52,895 42,439 36,272 77,129 49,094 23,268 114,497
90,345 56,513 48,960 120,598 48,376 31,530 107,751
__________
47,358 102,899 83,578 128,318 __________ 116,862
56,674 109,629 117,164 112,494 __________ 120,894
903,213 __________ __________
874,609 __________ __________
1,020,928 __________ __________
Federal Supporting Statements Name(s) as shown on return
2023
PG01
Tax ID Number
Field Manor Foundation Inc
59-3517194
Form 990PF - Part II - Line 22 Other Liabilities Schedule Description
BOY Amount 4,158 19,124 109
Statement #121
EOY Amount
Payroll Liability Security Deposits Sales Tax Payable Unrealized investment activity
_____________
7,524 323 _____________ 8,194
Total
23,391 _____________ _____________
16,041 _____________ _____________
PG01 990-T Schedule A Part II - Line 14 Other Deductions
Statement #9
Form 990-T Schedule A: FACILITY RENTALS Description DUES & SUBSCRIPTIONS INSURANCE MEALS MUSEUM & HOUSE SUPPLIES UTILITIES EVENT EXPENSES PROFESSIONAL FEES PAYMENT PROCESSING FEES SECURITY
Amount 1,105 2,041 11 1,640 2,466 29,316 1,634 3,837 290 ______________
Total
______________ 42,340 ______________
PG01 Statement #EL43
Section 1.263(a)-1(f) de minimis safe harbor election Name: Field Manor Foundation Inc Address: 750 Field Manor Drive, Merritt Island, FL 32953-4915 EIN: 59-3517194 Statement: Taxpayer is making the de minimis safe harbor election under §1.263(a)-1(f).
STATMENT.LD
Federal Supporting Statements
2023
Name(s) as shown on return
Field Manor Foundation Inc
59-3517194 Form 990PF - Part I - Line 23 - Other Expenses Schedule
Description MUSEUM SUPPLIES DUES/LICENSE MEALS
Statement #103~
Revenue
Net
Adjusted
Charitable
and expenses
investment
net income
purpose
651
0
0
404
2,271
0
0
1,166
29
0
0
18
INSURANCE
5,371
0
0
3,330
OFFICE SUPPLIES
2,071
3,463
0
0
BANK FEES
0
0
0
0
UTILITIES
6,489
0
0
4,023
PAYMENT FEES
3,983
0
0
146
EVENT EXPENSES
48,054
0
0
18,738
764
0
0
473
25,077
0
0
15,160
SECURITY GROUND/BUILDING MAINT SUPPLIES DONATIONS TO OTHER ORG Totals
PG01
Tax ID Number
______________ 495
______________ 0
______________ 0
______________ 495
______________ 96,647 ______________
______________ 0 ______________
______________ 0 ______________
______________ 46,024 ______________
PG01 Form 990PF - Part I - Line 11 - Other Income Schedule Revenue
Net
Adjusted
Description
and expenses
investment
net income
WEDDING EVENTS
132,012
0
0
HOMESTEAD PROGRAM REVENUE
48,780
0
SALES TAX COLLECTION ALLOWANCE Totals
STATMNT~.LD
0
______________ 3
______________ 0
______________ 0
______________ 180,795 ______________
______________ 0 ______________
______________ 0 ______________
Statement #106~
Federal Supporting Statements Name(s) as shown on return
Field Manor Foundation Inc
INDIRECT ACCOUNTING FEES Totals
PG01 59-3517194
Form 990PF - Part I - Line 16(b) - Accounting Fees Schedule
Description
2023 Tax ID Number
Revenue
Net
Adjusted
and expenses
investment
net income
purpose
______________ 4,300
______________ 0
______________ 0
______________ 2,666
______________ 4,300 ______________
______________ 0 ______________
______________ 0 ______________
______________ 2,666 ______________
Statement #108~
Charitable
PG01 Form 990PF - Part I - Line 16(c) - Other Professional Fees Schedule
Description INVESTMENT ADVISOR FEES Totals
STATMNT~.LD
Revenue
Net
Adjusted
and expenses
investment
net income
Charitable purpose
______________ 12,571
______________ 12,571
______________ 0
______________ 0
______________ 12,571 ______________
______________ 12,571 ______________
______________ 0 ______________
______________ 0 ______________
Statement #109~
Federal Supporting Statements
2023
Name(s) as shown on return
Field Manor Foundation Inc
59-3517194 Form 990PF - Part I - Line 18 - Taxes Schedule
Description OTHER TAXES/BUIS LIC PROPERTY TAXES INV INC TAX Totals
PG01
Tax ID Number
Statement #110~
Revenue
Net
Adjusted
Charitable
and expenses
investment
net income
purpose
518
0
0
321
1,603
0
0
994
______________ 0
______________ 0
______________ 0
______________ 0
______________ 2,121 ______________
______________ 0 ______________
______________ 0 ______________
______________ 1,315 ______________
PG01 Form 990PF - Part II - Line 14 - Land Etc. Schedule Beginning of Description
Cost or
year book valueother basis
Accumulated
End of year
depreciation
book value
Statement #119~
FMV
SIGN FURNITURE
6,435
Air Conditioner
10,993
6,355
4,638
12,949
152
12,797 85,299
IMPROVEMENTS
89,848
102,592
17,293
EQUIPMENT
4,758
23,667
20,361
3,306
BUILDING
419,457
552,225
151,069
401,156
1,500,000
1,500,000
LAND Sidewalk
16,069
1,500,000 803
1,500,000
15,266
______________ ______________ ______________ ______________ ______________ Total
STATMNT~.LD
______________ 2,020,498 ______________ 2,218,495 ______________ 196,033 ______________ 2,022,462 ______________ 1,500,000 ______________ ______________ ______________ ______________ ______________
Federal Supporting Statements
2023
Name(s) as shown on return
PG01
Tax ID Number
Field Manor Foundation Inc
59-3517194 Form 990PF - Part I - Line 19 - Depreciation Schedule
Statement #126
Date
Cost or
Prior year
Computation
Acquired
Other basis
Depreciation
Method
Equipment
06-30-2016
679
562
M
4.46
7
30
0
Restaurant Equipment
10-16-2018
450
327
M
8.92
7
40
0
0
Land
05-01-2014
1,500,000
NDA
0
0
0
0
Furniture
06-30-2016
3,402
2,811
M
4.46
7
152
0
0
Windows
08-06-2019
8,205
709
SL
2.564
39
210
0
0
Farm Tractor
07-16-2020
12,000
8,544
M
11.52
5
1,382
0
0
Building
05-01-2014
400,000
88,892
SL
2.564
39
10,256
0
0
Building Improvements
06-30-2016
49,838
8,307
SL
2.564
39
1,278
0
0
Pole Barn
05-22-2018
152,225
43,876
ALT
5.285
20
8,045
0
0
Furniture
04-30-2015
875
875
M
0
7
0
0
0 0
Description
Current Year Rate
Life
Depreciation
Net Investment Adjusted Net Income
Income 0
Mower
09-25-2015
10,538
10,538
M
0
7
0
0
Pole Barn Pannels
12-10-2021
44,549
3,728
M
6.872
20
3,061
0
0
Folding Chairs
06-23-2022
6,716
960
M
24.49
7
1,645
0
0
AC Unit
07-27-2023
12,949
M
5
15
Sidewalk Around House
08-03-2023
_____________ 16,069
_____________
ARP
.962
15
_____________ 2,218,495 _____________
_____________ 170,129 _____________
Totals
STATMNT~.LD
647
0
0
_____________ 155
_____________ 0
_____________ 0
_____________ 26,901 _____________
_____________ _____________
_____________ _____________
990
Overflow Statement (This page is not filed with the return. It is for your records only.)
Name(s) as shown on return
2023
Page 1
FEIN
Field Manor Foundation Inc
59-3517194
Taxes and Licenses for 990T, schedule A _________________________________________________________ ______________ Description Amount _________________________________________________________ RE and property tax $ ______________ 609 _________________________________________________________ Share of payroll taxes ______________ 5,165 _________________________________________________________ Taxes, license and fees, other ______________ 197 Total: $______________ 5,971 ______________
OVERFLOW.LD
Estimated Tax Worksheet on Unrelated Business Taxable Income for Tax-Exempt Organizations (and on Investment Income for Private Foundations)
2024
(This page is not filed with the return. It is for your records only.)
............................
1
........................
2
................................
3
.............................................
4
......................................
5
............................................
6
..........................................
7
.............................................
8
...............................
9
1
Unrelated business taxable income expected in the tax year
2
Tax on the amount on line 1. See instructions for tax computation
3
Alternative minimum tax for trusts. See instructions
4
Total. Add lines 2 and 3
5
Estimated tax credits. See instructions
6
Subtract line 5 from line 4
7
Other taxes. See instructions
8
Total. Add lines 6 and 7
9
Credit for federal tax paid on fuels. See instructions
10a
Subtract line 9 from line 8. Note: If less than $500, the organization is not required to make estimated tax payments. Private foundations, see instructions
......................................
10a
179
10b
179
b Enter the tax shown on the 2023 return. See instructions. Caution: If zero or the tax year was for less than 12 months, skip this line and enter the amount from line 10a on line 10c
................................
c 2024 Estimated Tax. Enter the smaller of line 10a or line 10b. If the organization is required to skip line 10b, enter the amount from line 10a on line 10c
...............................
11
Installment due dates. See instructions
12
Required installments. Enter 25% of line 10c in columns (a)
.............
11
10c
179
(a)
(b)
(c)
(d)
05-15-2024
06-17-2024
09-16-2024
12-16-2024
through (d). But see instructions if the organization uses the annualized income installment method, the adjusted seasonal installment method, or is a “large organization.” 13
14
............
12
2023 Overpayment. See instructions
13
Payment due (Subtract line 13 from line 12)
14
............. ............
45
45
45
44
45
45
45
44
Depreciation Detail Listing
2023
for Section 199A calculations.
990 PF
PAGE
See "UBIA" in lower right corner.
(This page is not filed with the return. It is for your records only.)
* Item is included in UBIA
Social security number/EIN
Name(s) as shown on return
Field Manor Foundation Inc No.
Description
1
Date
59-3517194 Cost
Basis
Business
Section
Bonus
Depreciable
Adjustment
percentage
179
depreciation
Basis
Life
Method
Rate
Prior
Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
1
Equipment
06-30-2016
679
100.00
679 7
200 DB HY
4.46
562
30
592
2
Restaurant Equipment 10-16-2018
450
100.00
450 7
200 DB HY
8.92
327
40
367
3
Land
05-01-2014 1,500,0001,500,000 100.00
0 0
4
Furniture
06-30-2016
3,402
100.00
3,402 7
200 DB HY
4.46
2,811
152
2,963
5
Windows
08-06-2019
8,205
100.00
8,205 39
SL
MM
2.564
709
210
919
6
Farm Tractor
07-16-2020
12,000
100.00
12,000 5
200 DB HY
11.52
8,544
1,382
9,926
7
Building
05-01-2014
400,000
100.00
400,000 39
SL
MM
2.564
88,892
10,256
99,148
8
Building Improvements06-30-2016
49,838
100.00
49,838 39
SL
MM
2.564
8,307
1,278
9,585
9
Pole Barn
05-22-2018
152,225
100.00
152,225 20
150 DB HY
5.285
43,876
8,045
51,921
10 Furniture
04-30-2015
875
100.00
875 7
0
875
875
11 Mower
09-25-2015
10,538
100.00
10,538 7
0
10,538
10,538
12 Pole Barn Pannels
12-10-2021
44,549
100.00
44,549 20
150 DB MQ
6.872
3,728
3,061
6,789
13 Folding Chairs
06-23-2022
6,716
100.00
6,716 7
200 DB HY
24.49
960
1,645
2,605
14 AC Unit
07-27-2023
12,949
100.00
12,949 15
150 DB HY
5
647
647
15 Sidewalk Around House08-03-2023
16,069
100.00
16,069 15
SL
.962
155
155
Totals Land Amount Net Depreciable Cost
2,218,495 2,218,495
718,495
0
MM
170,129
CY 179 and CY Bonus TOTAL CY Depr including 179/bonus
26,901
197,030 ST ADJ:
26,901
Next Year's Depreciation Worksheet
2023
(This page is not filed with the return. It is for your records only.) Name(s) as shown on return
Tax ID Number
Field Manor Foundation Inc
59-3517194
Form
Multi-Form
Description
Date
PF PF PF PF PF PF PF PF PF PF PF PF PF PF PF
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Equipment Restaurant Equipment Land Furniture Windows Farm Tractor Building Building Improvements Pole Barn Furniture Mower Pole Barn Pannels Folding Chairs AC Unit Sidewalk Around House
06-30-2016 10-16-2018 05-01-2014 06-30-2016 08-06-2019 07-16-2020 05-01-2014 06-30-2016 05-22-2018 04-30-2015 09-25-2015 12-10-2021 06-23-2022 07-27-2023 08-03-2023
TOTAL
Basis
Method
679 450 3,402 8,205 12,000 400,000 49,838 152,225 875 10,538 44,549 6,716 12,949 16,069
Life
200 DBHY 7 200 DBHY 7 0 200 DBHY 7 SL MM 39 200 DBHY 5 SL MM 39 SL MM 39 150 DBHY 20 7 7 150 DBMQ 20 200 DBHY 7 150 DBHY 15 SL MM 15
Deduction
40
210 1,382 10,256 1,278 7,441
2,832 1,175 1,230 1,071 26,915
Marketing Support Program - FIELD MANOR FOUNDATION FY 2025-2026 Event Income/Expense Report Expenses Personnel - Administrative
2025 projection
2024 actuals
VAR+10% increase
Income
2025 projection
2024 actuals
VAR
$194,952.67
$191,130.07
$3,822.60
Donated goods/services
$4,363.59
$4,278.03
$85.56
Travel
$800.00
$943.94
-$143.94
Donations & public support
$56,832.78
$55,718.41
$1,114.37
Collections/Acquisitions
$2,000.00
$1,416.84
$583.16
Memberships
$7,404.16
$7,258.98
$145.18
Insurance
$6,874.56
$7,124.56
-$250.00
Program Revenue
$21,501.86
$21,080.25
$421.61
Advertising - brochures, rackcards
$9,810.05
$2,114.36
$7,695.69
Revenue from other sources
$88,109.74
$86,382.10
$1,727.64
Other Event Expenses
$34,096.17
$33,427.62
$668.55
Investment Income
$56,625.67
$55,515.36
$1,110.31
Subtotal Incomes
$234,837.79
$230,233.13
$4,604.66
$184,829.28
$133,985.82
$50,843.46
$0.00
$10,000.00
-$10,000.00
Processing Fees
$2,098.58
$2,057.43
$41.15
Subtotal Expenses
$250,632.03
$238,214.82
$12,417.21
Other G&A
$19,621.05
$19,236.32
$384.73
Grove & Museum Repairs & Maintence
$23,384.91
$22,926.38
$458.53
Other Expenses
Income Sponsors Cash in Bank to start Income Other TDC grant funding
Subtotal Other Expenses
$43,005.95
$42,162.70
In County
$ 73,000.00
$0.00
$73,000.00
Total Income
$307,837.79
$240,233.13
-$67,604.66
Total Expenses Paid
$293,637.99
$280,377.52
-$13,260.47
Profit/Loss
$14,199.81
-$40,144.39
-$843.25
Marketing - please specify Brevard/Out-of-County Out-of-County
Florida DOS (projected)
Field Manor Foundation's Fiscal Year runs January-December $0.00
$7,970.00
-$7,970.00
$1,700.00
$1,200.00
$500.00 $0.00 $0.00 $0.00 $0.00 $0.00
Subtotal Marketing
$1,700.00
$9,170.00
$7,470.00
Total Expenses 2025
$293,637.99
$280,377.52
$13,260.47
.
Updated: 6/20/2025
Native Rhythm Festival
Return to Table of Contents
For TDO use: PROJECT#- C 20
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Native Heritage Gathering INC Applicant Event Name: Native Rhythms Festival
1. Completed application
Yes
2. Copy of IRS Articles of Incorporation - (if applicable} 3. Copy of IRS Determination letter - (if applicable} 4. Copy of SunBiz.org (if applicable} 5. Copy of 990 (if applicable} 6. Copy of completed W-9 (March 2024} 7. Income/Expense worksheet (required for all applicants} 8. Copy of the Applicant checklist
X
No
Comment
X
N/A
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural} or 250 room nights (Sports}. YES All documents have been submitted, reviewed and/or addressed in the comments.
�b<= �
1[l((o-tJ
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:42 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Martha Pessaro
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Native Heritage Gathering, Inc. Organization address 1280 Marshall Court State FL City Merritt Island Zip 32953 Primary contact name Martha Pessaro Primary contact phone number 3215052418
Primary contact email Martha@nativeRhythmsFestival.com Secondary contact name John Ellis Secondary contact phone number 3219170276 Secondary contact email John@Nativerhythmsfestival.com Organization website address https://NativeRhythmsFestival.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 36-4508361
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Native Rhythms Festival Event website address (if different from organization website) same Event location Wickham Park 2500 Parkway Drive Melbourne, FL
9. (untitled) 8. What is the first date of your event? 11/13/2025
10. (untitled) 9. In total, how many days will your event be held? 4
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Direct mail Radio Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video Other - Please be specific.....: PowWow highway (cultural communications)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : NativeRhythmsFestival Instagram : N/A YouTube : NativeRhythmsFestival
22. (untitled) 13. What hashtags do you currently use? #NativeRhythmsFestival
23. (untitled)
14. Upload a copy of your organization's IRS Determination letter. NHGI_501C3.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. e-Postcard_View9902025.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. NHGIFLAnnualReport.pdf
27. (untitled) 17. Upload your completed W-9 form. W9March2024.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. NHGISCOTEventIncomeExpense.pdf
29. (untitled) 19. Upload your completed Checklist. NHGISCOTChecklist.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Martha Pessaro
31. Thank You! New Send Email Jun 02, 2025 09:52:17 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Form 990-N
for Tax-Exempt Organization not Required to File Form 990 or 990-EZ
OMB No. 1545-2085
fo rm o no at t s ion en C d op to y. IR S.
Department of the Treasury Internal Revenue Service
Electronic Notice (e-Postcard)
2024
Open to Public Inspection
A For the 2024 Calendar year, or tax year beginning 2024-01-01 and ending 2024-12-31 B Check if available Terminated for Business Gross receipts are normally $50,000 or less
E Website: https://www.NativeRhythmsFestival.com
C Name of Organization: NATIVE HERITAGE GATHERING 1280 Marshall Court, Merritt
D Employee Identification Number 36-4508361
Island, FL, US, 32953
F Name of Principal Officer: Martha Pessaro 1280 Marshall Court, Merritt Island, FL, US, 32953
In
Privacy Act and Paperwork Reduction Act Notice: We ask for the information on this form to carry out the Internal Revenue laws of the United States. You are required to give us the information. We need it to ensure that you are complying with these laws.
D
The organization is not required to provide information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. The rules governing the confidentiality of the Form 990-N is covered in code section 6104. The time needed to complete and file this form and related schedules will vary depending on the individual circumstances. The estimated average times is 15 minutes. Note: This image is provided for your records only. Do Not mail this page to the IRS. The IRS will not accept this filing via paper. You must file your Form 990-N (e-Postcard) electronically.
Marketing Support Program - NATIVE HERITAGE GATHERING FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
Contracted Services
$30,000.00
Equipment
$2,000.00
Insurance
$23,850.00
$6,150.00
Contracted Fees
$13,500.00
$7,215.00
$6,285.00
$7,572.00
-$5,572.00
Individual Contributions
$11,000.00
$23,942.00
-$12,942.00
$400.00
$505.00
-$105.00
Corporate Contributions
$12,000.00
$6,314.00
$5,686.00
Materials
$1,000.00
$5,707.00
-$4,707.00
Foundations
$5,000.00
$6,500.00
-$1,500.00
Outside Artistic Services
$7,900.00
$8,873.00
-$973.00
State Support
$0.00
$12,500.00
-$12,500.00
Space Rentals
$2,500.00
$4,771.00
-$2,271.00
Subtotal Expense Other Expenses
$43,800.00
$51,278.00
-$7,478.00
Corporate fees, etc.
$200.00
$230.00
-$30.00 Subtotal Income
$41,500.00
$56,471.00
-$14,971.00
$2,000.00
$2,000.00
$0.00
$0.00
Cash in Bank to start Other Income
$5,500.00
$1,024.00
$4,476.00
$0.00
TDC grant funding
$0.00
$5,000.00
-$5,000.00
$0.00
Total Income
$47,000.00
$62,495.00
-$15,495.00
$47,000.00
$57,658.00
-$10,658.00
$0.00
$4,837.00
-483700%
$0.00
2024-2025 actuals
VAR
$0.00 $0.00
$0.00
Total Expenses Paid
$200.00
$230.00
-$30.00
Profit/Loss
Brevard County
$2,000.00
$3,000.00
-$1,000.00
Out of County
$1,000.00
$3,150.00
-$2,150.00
Subtotal Marketing
$3,000.00
$6,150.00
-$3,150.00
Total Expenses 2025-2026
$47,000.00
$57,658.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
.
Updated: 6/25/2025
Space Coast Art Festival
Return to Table of Contents
For TDO use: PROJECT#- C21
,r,
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Space Coast Art Festival Applicant Event Name: Space Coast Art Festival
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes No X
X
Comment NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
YES All documents have been submitted, reviewed and/or addressed in the comments.
�� �
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Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:14 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Steven Izzo
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Space Coast Art Festival, Inc. Organization address P.O. Box 146 State FL City Cape Canaveral Zip 32920 Primary contact name Steve Izzo Primary contact phone number 862-222-4820
Primary contact email steve@spacecoastartfestival.com Secondary contact name Marilyn Grigsby Secondary contact phone number 321-543-0891 Secondary contact email info@spacecoastartfestival.com Organization website address www.spacecoastartfestival.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-1562006
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Space Coast Art Festival Event website address (if different from organization website) www.spacecoastartfestival.com Event location The Avenue Viera
9. (untitled) 8. What is the first date of your event? 11/08/2025
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Direct email to artists, paid social media, print ads
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : https://www.facebook.com/Spacecoastartfestival Instagram : https://www.instagram.com/spacecoastartfestival/ YouTube : na
22. (untitled) 13. What hashtags do you currently use? #SpaceCoastArtFestival #FreeAdmission #SupportLocalArtists #HappeningNow #VieraCommunity #ArtsBrevard #BrevardCountyEvents #SpaceCoastEvents #ThingsToDoInBrevard
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. SCAF_IRS_Non-Profit_Determination_Feb1996.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. SCAF_990_ez(2022).pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SCAF_Florida_Annual_Report_2025_Sunbiz.pdf
27. (untitled) 17. Upload your completed W-9 form. SCAF_IRS_W-9_Form_2025_Filled_in.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. SCAF_Event_Income_Expense_Report_template_FY25-26_filled.pdf
29. (untitled) 19. Upload your completed Checklist. SCAF_MSP_applicant_checklist_4.30.2025_filled.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Steven Izzo
31. Thank You! New Send Email May 20, 2025 11:43:04 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Apr 04, 2025 Secretary of State 5476609076CC
DOCUMENT# 722443 Entity Name: SPACE COAST ART FESTIVAL, INC. Current Principal Place of Business: 26 DANUBE RIVER DRIVE COCOA BEACH, FL 32931
Current Mailing Address: PO BOX 146 CAPE CANAVERAL, FL 32920 US FEI Number: 59-1562006
Certificate of Status Desired: No
Name and Address of Current Registered Agent: HERNANDEZ III, TONY . ESQ. 503 N. ORLANDO AVE. #106 COCOA BEACH, FL 32931 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: TONY HERNANDEZ III
04/04/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
PRESIDENT
Title
TREASURER
Name
IZZO, STEVEN
Name
GRIGSBY, MARILYN
Address
2021 N. ATLANTIC AVE PMB215
Address
26 DANUBE RIVER DRIVE
City-State-Zip:
COCOA BEACH FL 32931
City-State-Zip:
COCOA BEACH FL 32931
Title
SECRETARY
Title
VP
Name
WOZNICKI, CYNTHIA
Name
BRYANT, KASI
Address
1576 PEREGRINE CIRCLE UNIT 110
Address
3091 REEF ROCK PLACE
City-State-Zip:
ROCKLEDGE FL 32955
City-State-Zip:
MELBOURNE FL 32940
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: MARILYN GRIGSBY Electronic Signature of Signing Officer/Director Detail
TREASURER
04/04/2025 Date
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Henegar Performing Arts Center, Inc 2
Business name/disregarded entity name, if different from above.
Print or type. See Specific Instructions on page 3.
Brevard Regional Arts Groups, Inc 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor
✔
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions)
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
501 (c) (3) Non-Profit Organization
3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
625 E New Haven Ave 6
City, state, and ZIP code
Melbourne, FL 32901 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
Social security number
–
–
or Employer identification number
5
9
–
2
3
0
6
6
1 2
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
03-24-2025
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program - SPACE COAST ART FESTIVAL FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Festival Expense
$12,225.00
$12,987.00
-$762.00
Artist Awards
$6,000.00
$6,428.00
-$428.00
Artists
$23,950.00
$28,637.00
-$4,687.00
Food Vendors
$1,000.00
$900.00
$100.00
Schools Awards
$1,500.00
$1,500.00
Student Awards
$1,980.00
$1,980.00
$0.00
Other Grants
$3,000.00
$3,045.00
-$45.00
$0.00
Merchandise Sales
$500.00
$400.00
$100.00
Student Art Festival Expense
$2,600.00
$2,073.00
$527.00
Other New Donations
$750.00
$0.00
$750.00
Expense Subtotal Other Expenses
$24,305.00
$24,968.00
-$663.00
$0.00
$5,550.00
-$5,550.00
Income Subtotal
$29,200.00
$32,982.00
-$3,782.00
Corporate Insurance
$1,250.00
$1,339.00
-$89.00
Office Rent
$1,000.00
$6,690.00
-$5,690.00
Other Office Expenses
$525.00
$886.00
-$361.00
Income Sponsors
$9,000.00
$9,696.00
-$696.00
Accountant (CPA)
$550.00
$530.00
$20.00
Storage Space Rental
$1,200.00
$0.00
$1,200.00
Cash in Bank to start Income Other
$26,082.00
$18,047.00
$8,035.00 See Note 2
$0.00 $0.00
TDC grant funding
$6,667.00
-$6,667.00
$0.00
Total Income
$38,200.00
$49,345.00 -$11,145.00
$0.00
Total Expenses Paid
$38,930.00
$50,877.00
Profit/Loss
-$730.00
-$1,532.00
Refunds (due to reschedule)
Other Expenses Subtotal
$4,525.00
$14,995.00 -$10,470.00
Advertising
$10,100.00
$10,914.00
-$814.00
Marketing Subtotal
$10,100.00
$10,914.00
-$814.00
Total Expenses 2025-2026
$38,930.00
$50,877.00
Income
$0.00
Marketing Expense
$0.00
.
Notes Added 1. VAR is calculated as 2025-2026 minus 2024-2025 to see the net change 2. Bank Balance in 2025 includes pre-paid artist fees that were rolled over from 2024 due to reschedule 3. Refunds: paid to some Artists due to reschedule in 2024 4. Office Rent: Vacated physical office space to reduce Administrative expenses 5. Amounts rounded, primary line items shown, but small expense categories not included 6. Categorization of expenses may vary slightly from year to year but do not impact overall summary 7. 2025-2026 Budget Plan reduced to impact of likely no TDC direct funding
Updated: 6/19/2025
38th Annual Veterans Reunion/Memorial Wall
Return to Table of Contents
For TDO use: PROJECT#- C 22
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Veterans Memorial Reunion Inc Applicant Event Name: Traveling Wall exhibit
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March
2024)
7. Income/Expense worksheet
(required for all applicants) 8. Copy of the Applicant checklist
Yes X
No
Comment
X
NIA
X
Did not submit the document
X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
YES All documents have been submitted, reviewed and/or addressed in the comments.
�� �
1h_{1°-cr
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:73 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Michael K Roman
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Veterans Memorial Reunion Inc Organization address PO Box 110801 State FL City Palm Bay Zip 32911 Primary contact name Charles Heywood IV Primary contact phone number 561-445-8503
Primary contact email coo@veteransmemorialreunioninc.org Secondary contact name Kennian T Torres Secondary contact phone number 321-458-5852 Secondary contact email vp@veteransmemorialreunioninc.org Organization website address www.veteransmemorialreunioninc.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 93-4441136
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event 38th Annual Veterans Reunion Event website address (if different from organization website) same Event location Wickham Park, Melbourne, FL
9. (untitled) 8. What is the first date of your event? 05/02/2026
10. (untitled) 9. In total, how many days will your event be held? 11
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Radio Search advertising (pay-per-click, etc.) Social media (Facebook, Instagram, YouTube, etc.) TV/Video
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : veteransmemorialreunioninc Instagram : veteransmemorialreunioninc YouTube : NA
22. (untitled) 13. What hashtags do you currently use? NA
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. 501c3_letter.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. 990pf_extension.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Detail_by_Entity_Name.pdf
27. (untitled) 17. Upload your completed W-9 form. W-9_FORM_June_2025.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_FY25-26.pdf
29. (untitled) 19. Upload your completed Checklist. checklist.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Michael Roman
31. Thank You! New Send Email Jun 07, 2025 20:46:29 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
6/7/25, 7:39 PM
Detail by Entity Name D i v i s i o n o f C o r p o r at i o n s
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation VETERANS MEMORIAL REUNION INC. Filing Information
Document Number
N23000013030
FEI/EIN Number
93-4441136
Date Filed
10/27/2023
Effective Date
01/01/2024
State
FL
Status
ACTIVE
Principal Address
740 Gelndale Ave NW Palm Bay, FL 32907 Changed: 06/07/2024 Mailing Address
PO Box. 110801 Palm Bay, FL 32911 Changed: 06/07/2024 Registered Agent Name & Address
ROMAN, MICHAEL K 740 Glendale Ave NW Palm Bay, FL 32907 Address Changed: 03/25/2025 Officer/Director Detail
Name & Address Title P ROMAN, MICHAEL K 740 GLENDALE AVE NW PALM BAY, FL 32907 Title VP
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=VETERANSMEMORI…
1/2
6/7/25, 7:39 PM
Detail by Entity Name
TORRES, KENNIAN C 2702 CARLSON CIRCLE APT 202 202 MELBOURNE, FL 32901 Title COO HEYWOOD, CHARLES H, IV 106 HURWOOD AVE MERRITT ISLAND, FL 32953 Annual Reports
Report Year
Filed Date
2025
03/25/2025
Document Images 03/25/2025 -- ANNUAL REPORT
View image in PDF format
10/27/2023 -- Domestic Non-Profit
View image in PDF format
Florida Department of State, Division of Corporations
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=VETERANSMEMORI…
2/2
990-
Veterans Memorial Reunion Inc (VMRI) NA x
PO Box 110801 Palm Bay, FL, 32911
9 3
4 4 4 1 1 3 6
03 June 2025
Marketing Support Program - VETERANS MEMORIAL REUNION FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Delivery
$100.00
$123.74
-$23.74
Donations
$7,960.00
$5,314.00
$2,646.00
Event Contractors
$9,000.00
$2,631.40
Bank Internet Service Fees
$500.00
$0.00
$6,368.60
Fundraising
$2,390.00
$9,160.00
-$6,770.00
$500.00
Vendor Donations
$4,001.00
$800.00
$3,201.00
Business License Fees
$2,500.00
Event Insurance
$2,400.00
$225.00
$2,275.00
Operating
$602.84
$0.00
$602.84
$0.00
$2,400.00
Subtotal Income Income Sponsors
$14,953.84
$15,274.00
-$320.16
Cash in Bank to start
$18,692.54
$275.00
$18,417.54
TDC grant funding
$0.00
$9,334.74
($9,334.74)
Total Income
$33,646.38
$24,883.74
$8,762.64
Total Expenses Paid
$31,125.00
$6,181.48
$24,943.52
Profit/Loss
$2,521.38
$24,883.74
Software Subscriptions
$250.00
$43.12
$206.88
Event Equipment
$12,000.00
$2,268.24
$9,731.76
Postage
$225.00
$182.00
$43.00
Fuel
$250.00
$0.00
$250.00
Subtotal Expense
$27,225.00
$5,473.50
$21,751.50
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$0.00
$0.00
$0.00
Advertising
$1,500.00
$171.74
-$1,328.26
Printing and Publication
$400.00
$384.74
-$15.26
Booth and Event Fees
$2,000.00
$151.50
-$1,848.50
Subtotal Marketing
$3,900.00
$707.98
-$3,192.02
Total Expenses 2025-2026
$31,125.00
$6,181.48
Income
.
Updated: 6/25/2025
Wizard of OZ Museum
Return to Table of Contents
For TDO use: PROJECT#- C 23
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: OZ Store LLC Applicant Event Name: Year-round programming
1. Completed application
Yes
2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
No
Comment
X
NIA
X
N/A
X X
X X X
Incorrect subtotal
X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural} or 250 room nights (Sports}. YES All documents have been submitted, reviewed and/or addressed in the comments. �1yC_
�
7 (t{1o{f"
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:20 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Frederick Trust
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming The Wizard of OZ Museum Organization address 7099 N.Atlantic Ave State FL City Cape Canaveral Zip 32920-2683 Primary contact name Frederick Trust Primary contact phone number 4105303265
Primary contact email wizardofozmuseum@gmail.com Secondary contact name Palina Trust Secondary contact phone number 3053546787 Secondary contact email palinatrust@gmail.com Organization website address wizardofozflorida.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 85-0822863
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? No
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Digital advertising (banner ads, etc.) Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 9. What are your social media handles? Facebook : @wizardofozmuseum Instagram : NA YouTube : NA
22. (untitled) 10. What hashtags do you currently use? #wizardofozmuseum
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 11. Upload a copy of your organization's Articles of Incorporation. corporation.pdf
26. (untitled) 12. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SunBiz.pdf
27. (untitled) 13. Upload your completed W-9 form. w9.pdf
28. (untitled) 14. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_template_FY25-26-Test.pdf
29. (untitled) 15. Upload your completed Checklist. MSP_applicant_checklist_5.21.2025.pdf
30. (untitled) 16.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Fred Trust
31. Thank You! New Send Email May 21, 2025 15:19:03 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT
FILED Feb 03, 2025 Secretary of State 2134230553CC
DOCUMENT# L20000064047 Entity Name: OZ STORE LLC Current Principal Place of Business: 7099 ATLANTIC AVE CAPE CANAVERAL, FL 32920
Current Mailing Address: 1691 WEKIVA DRIVE MELBOURNE, FL 32940 US FEI Number: 85-0822863
Certificate of Status Desired: No
Name and Address of Current Registered Agent: TRUST, FREDERICK 1691 WEKIVA DRIVE MELBOURNE, FL 32940 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: FREDERICK TRUST
02/03/2025 Date
Electronic Signature of Registered Agent
Authorized Person(s) Detail : Title
AR
Name
TRUST, PALINA
Address
1691 WEKIVA DRIVE
City-State-Zip:
MELBOURNE FL 32940
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: PALINA TRUST Electronic Signature of Signing Authorized Person(s) Detail
OWNER
02/03/2025 Date
Green Gables
Return to Table of Contents
For TDO use: PROJECT#- C 24
d,
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Green Gables Applicant Event Name: Year-round programming
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes No X
X
Comment NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
YES All documents have been submitted, reviewed and/or addressed in the comments.
�� h_
1 (-c)-{o{f
Peter Cran is, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:31 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Annita Full
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Green Gables at Historic Riverview Village, Inc Organization address Po Box 1086 State FL City Melbourne Zip 32902 Primary contact name Annita Full Primary contact phone number 321-432-0848
Primary contact email annita@greengables.org Secondary contact name Sue Fallon Secondary contact phone number 321-536-6357 Secondary contact email sue@greengables.org Organization website address greengables.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 27-4206685
7. (untitled) 6. Are you completing this application for an event or year-round programming? Year-round programming - theater, symphony, concerts, museum, etc.
8. (untitled) 1. EVENT INFORMATION - #1 Name of event Event website address (if different from organization website) Event location
9. (untitled)
What is the first date of your event?
10. (untitled)
In total, how many days will your event be held?
11. (untitled) 7. Do you have a second event? Yes
12. (untitled) 4. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled) 8. Do you have a third event? No
16. (untitled) 7. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 9. What types of marketing do you plan to do for your year-round programming? Radio Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 10. What are your social media handles? Facebook : SaveGreenGables Instagram : @greengables.org YouTube : @greengables8868
22. (untitled) 11. What hashtags do you currently use? NA
23. (untitled) 12. Upload a copy of your organization's IRS Determination letter. IRS_Determination_Green_Gables.pdf
24. (untitled) 13. Upload a copy of your organization's 990 form. 990-Tax_Return_2023-Green_Gables.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 14. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SunBiz_2025-Green_Gables.pdf
27. (untitled) 15. Upload your completed W-9 form. W9_Green_Gables.pdf
28. (untitled) 16. Upload your completed Event Income/Expense report. Event_Income_Expense_Report__FY25-26_Green_Gables.pdf
29. (untitled) 17. Upload your completed Checklist. Checklist-Green_Gables.pdf
30. (untitled) 18.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Annita Full
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# N10000011155 Entity Name: GREEN GABLES AT HISTORIC RIVERVIEW VILLAGE, INC. Current Principal Place of Business:
FILED Feb 15, 2025 Secretary of State 5359363139CC
ANNITA FULL 2478 LAKES OF MELBOURNE DRIVE WEST MELBOURNE , FL 32904
Current Mailing Address: GREEN GABLES AT HISTORIC RIVERVIEW VILLAGE, INC. POB 1086 MELBOURNE, FL 32902 US FEI Number: 27-4206685
Certificate of Status Desired: No
Name and Address of Current Registered Agent: BACCUS HORSLEY, DIANE ESQ. 25W NEW HAVEN AVE SUITE G MELBOURNE, FL 32901 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: DIANE BACCUS HORSLEY
02/15/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
DIRECTOR, EDUCATION
Title
DIRECTOR
Name
AMBROSE, MARION
Name
BACCUS HORSLEY, DIANE
Address
1262 CIMARRON CIRCKE NE
Address
P. O. BOX 33572.
City-State-Zip:
PALM BAY FL 32905
City-State-Zip:
INDIALANTIC FL 32903
Title
DIRECTOR
Title
DIRECTOR, TREASURER
Name
FARRINGTON, ANNE
Name
FULL, ANNITA
Address
611 XAVIER AVENUE
Address
2478 LAKES OF MELBOURNE DRIVE
City-State-Zip:
MELBOURNE FL 32935
City-State-Zip:
MELBOURNE FL 32904
Title
DIRECTOR
Title
DIRECTOR
Name
SMITH, DOUG
Name
CAMARGO, MAURICIO
Address
2585 WILDWOOD DRIVE
Address
527 MELANIE CIRCLE
City-State-Zip:
MELBOURNE FL 32940
City-State-Zip:
MELBOURNE FL 32901
Title
DIRECTOR, VP
Title
DIRECTOR
Name
FALLON, SUE
Name
MELORO, MARIANNE
Address
1733 GREYTWIG PLACE
Address
195 SUNRISE AVE
City-State-Zip:
GRANT-VALKARIA FL 32950
City-State-Zip:
SATELLITE BEACH FL 32937
Continues on page 2
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: ANNITA FULL Electronic Signature of Signing Officer/Director Detail
TREASURER
02/15/2025 Date
Officer/Director Detail Continued : Title
DIRECTOR, PRESIDENT
Title
DIRECTOR
Name
SZELAG, EDWINA
Name
FLETCHER, DAVID
Address
4335 LAKEGLEN DRIVE
Address
1440 EAST COAST DR
City-State-Zip:
MELBOURNE FL 32934
City-State-Zip:
ATLANTIC BEACH FL 32233
Title
DIRECTOR, SECRETARY
Title
DIRECTOR
Name
RODRIGUEZ, CATHY
Name
WISDOM, SAMANTHA
Address
609 HAWKSBILL ISLAND DR
Address
2674 KINGMAN AVE SE
City-State-Zip:
SATELLITE BEACH FL 32937
City-State-Zip:
PALM BAY FL 32909
FOR TAX YEAR 2023 GREEN GABLES AT HISTORIC RIVERVIEW VILLAGE INC
Boehm & Associates, Inc. 1934 Dairy Road W Melbourne, FL 32904 (321)956-1800
Form
990
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
2023
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Open to Public Department of the Treasury Internal Revenue Service Go to www.irs.gov/Form990 for instructions and the latest information. Inspection A For the 2023 calendar year, or tax year beginning , 2023, and ending , 20 B Check if applicable: C Name of organization D Employer identification number Green Gables at Historic Riverview Village Inc
27-4206685
Address change
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Final return/terminated
X 501(c)(3) 501(c) ( ) (insert no.) Website: www.greengables.org Form of organization: X Corporation Trust Association Other
Activities & Governance Revenue Expenses Net Assets or Fund Balances
4947(a)(1) or
H(a) Is this a group return for subordinates?
796,170 Yes X No
H(b) Are all subordinates included?
Yes
527
H(c) Group exemption number L Year of formation:
2011
M State of legal domicile:
y po
C tn
8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) 3,050 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . . . . . . . . . . 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . .
Part II
FL
Briefly describe the organization's mission or most significant activities: To preserve and restore the historical landmark and surrounding green space known as Green Gables which represents the legacy of the early developers of South Brevard and to create there a living history museum and center for community engagement.
2 Check this box 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) . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) . . . . . . . . . . . . . . . . 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . .
20 21 22
No
If "No," attach a list. See instructions
Summary 1
Gross receipts $
F Name and address of principal officer:
Tax-exempt status:
Part I
G
Melbourne, FL 32902
Application pending
K
Telephone number
(321)794-8901
City or town, state or province, country, and ZIP or foreign postal code
Amended return
J
E
PO Box 1086
Initial return
I
Room/suite
e lC i
14 14 0 45 0 0
Prior Year
Current Year
108,026
108,152
796,083 0 87 0 796,170 0 0 0 0
70,891 70,891 37,261
46,038 46,038 750,132
126
Beginning of Current Year
Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . .
Signature Block
3 4 5 6 7a 7b
End of Year
326,688 112 326,576
1,076,721 16 1,076,705
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.
Annita Full
Sign Here
Signature of officer
Date
Annita Full, Treasurer Type or print name and title Print/Type preparer's name
Preparer's signature
Paid Jacquelyn Boehm Preparer Firm's name Boehm & Associates, Inc. Use Only Firm's address 1934 Dairy Road W Melbourne FL 32904 May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. EEA
Date
Check
10-18-2024
self-employed
if
PTIN
P01367298
Firm's EIN Phone no.
321-956-1800
. . . . . . . . . . . . . . . . . . . . . . . . . . X Yes
No Form 990 (2023)
Form 990 (2023)
Part III 1
Green Gables at Historic Riverview Village Inc
27-4206685
Page 2
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission:
............................
To preserve and restore the historical landmark and surrounding green space known as Green Gables which represents the legacy of the early developers of South Brevard and to create there a living history museum and center for community engagement. 2
3
4
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
y po
Yes
X No
Yes
X No
4a
(Code: ) (Expenses $ ) (Revenue $ 39,938 including grants of $ 31,645 ) Green Gables offered an education program for home school groups,school classes and scouts. They provided living history experiences which included learning some history, playing games of the late 1800s, making goat milk soap, and kite making. Volunteers from Green Gables also presented the Green Gables history to senior citizens, both on and off the property. Additionally, 2 Eagle Scouts completed their Eagle projects for the organization.
4b
(Code:
C tn
) (Expenses $
e lC i
$
including grants of
$
4c
(Code:
4d
Other program services (Describe on Schedule O.) (Expenses $ including grants of $ Total program service expenses 39,938
4e EEA
) (Expenses $
including grants of
) (Revenue $
) (Revenue
$
)
) (Revenue
$
)
) Form 990 (2023)
Form 990 (2023)
Part IV
Green Gables at Historic Riverview Village Inc
Page 3
27-4206685
Checklist of Required Schedules Yes
1 2 3 4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18 19 20a b 21 EEA
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. . . . . . . . . . . . . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part . I .............................. Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III. . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part . II . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part . IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part . VII. . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part . VIII ...................... Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ............................... Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part .. X ....... Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part.X. . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional ......... Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E. . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and.IV ................. Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ........................... Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and.IV. . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions ................... Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part.II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization operate one or more hospital facilities? If "Yes," complete Schedule.H ................... If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and . II. . . . . . . . . . . . . . . .
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1 2
No
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18 19 20a 20b
X X X
21 X Form 990 (2023)
Form 990 (2023)
Part IV
Green Gables at Historic Riverview Village Inc
Page 4
27-4206685
Checklist of Required Schedules (continued) Yes
22 23
24a
b c d 25a b
26
27
28 a b c 29 30 31 32 33 34 35a b 36 37 38
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III. . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. . . . . . . . . . . . . . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part.I. . . . . . . . . . . . . . . . . . Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part.II. . . . . . . . . . . . . . . Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III ........................................ Was the organization a party to a business transaction with one of the following parties (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part.IV ................. A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule .M ............ Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part.I . . . . . . . Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part . I ......................... Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line . .2 . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part.VI. . . . . . . . . . Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule . O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Part V
22
X
23
X
24a 24b
X
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X
38
X
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . X Yes
1a b c EEA
No
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . . 1a 0 Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . . . . . . . . . . . . 1b 0 Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
1c X Form 990 (2023)
Form 990 (2023)
Part V 2a b 3a b 4a b 5a b c 6a b 7 a b c d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
EEA
Green Gables at Historic Riverview Village Inc
27-4206685
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . 2a 0 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule . O. . . . . . . . . . . . At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," indicate the number of Forms 8282 filed during the year. . . . . . . . . . . . . . . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. . . .
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If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . .
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? .......... If "Yes," enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ............ Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . If "Yes," complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . . . . . . . . . . . . . . . If "Yes," complete Form 6069.
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2b 3a 3b
Page 5 No
X X
4a
X
5a 5b 5c
X X
6a
X
6b
7a 7b
X
7c
X
7e 7f 7g 7h
X X X X
8 9a 9b
12a
13a
14a 14b
X
15
X
16
X
17 Form 990 (2023)
Form 990 (2023)
Part VI
Green Gables at Historic Riverview Village Inc
Page 6
27-4206685
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management Yes 1a
b 2 3 4 5 6 7a b 8 a b 9
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . 1a 14 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O. Enter the number of voting members included in line 1a, above, who are independent . . . . . . . . . . . 1b 14 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?. . . . . . . . Did the organization become aware during the year of a significant diversion of the organization's assets? . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O .................
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2
No
X
3 4 5 6
X X X X
7a
X
7b
X
8a 8b
X X
9
X
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) 10a b 11a b 12a b c 13 14 15 a b 16a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If "No," go to line 13. . . . . . . . . . . . . . . . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done .......................................... Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Yes 10a
No
X
10b 11a
X
12a 12b
X X
12c 13 14
X X X
15a 15b
X X
16a
X
16b
Section C. Disclosure 17 18
19 20
List the states with which a copy of this Form 990 is required to be filed Florida Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Upon request Own website Another's website Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records.
Annita Full (321)432-0848, PO Box 1086, Melbourne, FL 32902 EEA
Form 990 (2023)
Form 990 (2023)
Green Gables at Historic Riverview Village Inc
Page 7
27-4206685
Part VII
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII ...................... Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See the instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations.
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See instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
X
(C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(E)
(F)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
per week Highest compensated employee
Key employee
Officer
below dotted line)
10.00
e lC i
EEA
Institutional trustee
C tn
related
organizations
(1) Mauricio Camargo Director (2) Doug Smith Director of Operations (3) Lenora Grimm Director (4) Edwina Szelag President (5) David Fletcher Director (6) Marianne Meloro Director (7) Richard Szelag Director (8) Diane Baccus Horsley Director (9) Sue Fallon Director (10) Marion Ambrose President/Living History Education (11) Annita Full Treasurer (12) Anne Raley Flotte Director (13) Yuliya Gabbasova Director of Hospitality (14) Anne Farrington Director of Technology
Individual trustee or director
(list any hours for
Former
(D)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
20.00 10.00 30.00
5.00
15.00 5.00
10.00 30.00 30.00 30.00 10.00 20.00 20.00 0 Form 990 (2023)
Form 990 (2023)
Part VII
Green Gables at Historic Riverview Village Inc
Page 8
27-4206685
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
per week Former
Highest compensated employee
Key employee
Officer
below dotted line)
Institutional trustee
related organizations
Individual trustee or director
(list any hours for
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(15) (16) (17)
y po
(18) (19) (20) (21)
C tn
(22) (23) (24) (25) 1b c d 2
3 4
5
e lC i
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A .............. Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 0 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0 0 Yes
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ....................
No
3
X
4
X
5
X
Section B. Independent Contractors 1
2 EEA
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization Form 990 (2023)
Form 990 (2023)
Part VIII
Green Gables at Historic Riverview Village Inc Check if Schedule O contains a response or note to any line in this Part VIII (A) Total revenue
Contributions, Gifts, Grants and Other Similar Amounts
Page 9
27-4206685
Statement of Revenue
1a b c d e f g h
Federated campaigns . . . . . . . . 1a Membership dues . . . . . . . . . . 1b Fundraising events . . . . . . . . . 1c 31,645 Related organizations . . . . . . . . 1d Government grants (contributions) . . 1e 492,500 All other contributions, gifts, grants, and similar amounts not included above 1f 271,938 Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . 1g $ 241,340 Total. Add lines 1a-1f . . . . . . . . . . . . . . . . . . .
...................... (B)
(C)
(D)
Related or exempt function revenue
Unrelated business revenue
Revenue excluded from tax under sections 512–514
796,083
Program Service Revenue
Business Code
2a b c d e f All other program service revenue . . . . . . g Total. Add lines 2a-2f . . . . . . . . . . . . . . . . . . . . 3 4 5
Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . Income from investment of tax-exempt bond proceeds .... Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Revenue Miscellanous Revenue
87
796,170
87
C tn
(i) Real
(ii) Personal
6a Gross rents . . . . . . 6a b Less: rental expenses . . 6b c Rental income or (loss) 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . .
EEA
y po 87
e lC i
(i) Securities (ii) Other 7a Gross amount from sales of assets other than inventory . . 7a b Less: cost or other basis and sales expenses . . 7b c Gain or (loss) . . . . . 7c d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ 31,645 of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . 8a b Less: direct expenses . . . . . . . . . 8b c Net income or (loss) from fundraising events . . . . . . . . . 9a Gross income from gaming activities. See Part IV, line 19 . . . . . . 9a b Less: direct expenses . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . .
10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . Business Code 11a b c d All other revenue . . . . . . . . . . . . . . e Total. Add lines 11a-11d . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . .
0
0 Form 990 (2023)
Form 990 (2023)
Part IX
Green Gables at Historic Riverview Village Inc
27-4206685
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ... 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . 3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . . 4 Benefits paid to or for members . . . . . . . . . . . . 5 Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . 6 Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . 7 Other salaries and wages . . . . . . . . . . . . . . 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .. 9 Other employee benefits . . . . . . . . . . . . . . . 10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . 11 Fees for services (nonemployees): a Management . . . . . . . . . . . . . . . . . . . . . b Legal. . . . . . . . . . . . . . . . . . . . . . . . . c Accounting . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17. . f Investment management fees . . . . . . . . . . . . . g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) . . 12 Advertising and promotion . . . . . . . . . . . . . . 13 Office expenses . . . . . . . . . . . . . . . . . . . 14 Information technology . . . . . . . . . . . . . . . . 15 Royalties . . . . . . . . . . . . . . . . . . . . . . . 16 Occupancy . . . . . . . . . . . . . . . . . . . . . . 17 Travel . . . . . . . . . . . . . . . . . . . . . . . . 18 Payments of travel or entertainment expenses for any federal, state, or local public officials ..... 19 Conferences, conventions, and meetings . . . . . . . 20 Interest . . . . . . . . . . . . . . . . . . . . . . . . 21 Payments to affiliates . . . . . . . . . . . . . . . . . 22 Depreciation, depletion, and amortization . . . . . . . 23 Insurance . . . . . . . . . . . . . . . . . . . . . . 24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.) a Bank and Merchant Fees b Postage and Printing c License and Permits d Event Expenses e All other expenses 25 Total functional expenses. Add lines 1 through 24e. . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) . . . . . . . . . .
(A) Total expenses
400
(C) Management and general expenses
y po
C tn
e lC i
EEA
(B) Program service expenses
(D) Fundraising expenses
280
60
60
1,671 4,514 677
1,170 3,160 474
251 677 102
250 677 101
22,416
22,416
3,289 1,280
3,289 896
192
192
343 1,616 186 9,646
240 1,130 131 6,752
52 242 27 1,447
51 244 28 1,447
46,038
39,938
3,050
3,050
Form 990 (2023)
Form 990 (2023)
Part X
Green Gables at Historic Riverview Village Inc
27-4206685
Check if Schedule O contains a response or note to any line in this Part X
........................ (A) Beginning of year
1 2 3 4 5
Liabilities
Assets
6 7 8 9 10a b 11 12 13 14 15 16 17 18 19 20 21 22
23 24 25
Net Assets or Fund Balances
26
EEA
27 28
29 30 31 32 33
Page 11
Balance Sheet
Cash - non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . . . . 10a 977,045 Less: accumulated depreciation . . . . . . . . . . 10b 3,289 Investments - publicly traded securities . . . . . . . . . . . . . . . . . . . . . Investments - other securities. See Part IV, line 11 . . . . . . . . . . . . . . . Investments - program-related. See Part IV, line 11 . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Secured mortgages and notes payable to unrelated third parties . . . . . . . . Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33. Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund ......... Retained earnings, endowment, accumulated income, or other funds ...... Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . .
300,209
753
(B) End of year 1 2 3 4
e lC i
616
5 6 7 8 9
y po
C tn
71,360
10c 11 12 13 14 25,726 15 326,688 16 112 17 18 19 20 21
2,239
973,756
28,750 1,076,721 16
22 23 24
112
326,576
326,576 326,688
25 26
27 28
29 30 31 32 33
16
1,076,705
1,076,705 1,076,721 Form 990 (2023)
Form 990 (2023)
Part XI
Green Gables at Historic Riverview Village Inc
Check if Schedule O contains a response or note to any line in this Part XI 1 2 3 4 5 6 7 8 9 10
......................
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Page 12
27-4206685
Reconciliation of Net Assets 1 2 3 4 5 6 7 8 9
796,170 46,038 750,132 326,576
10
1,076,705
(3) 0
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII
....................... Yes
1
2a
b
c
3a b EEA
X Accrual Accounting method used to prepare the Form 990: Cash Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. X Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. X Separate basis Consolidated basis Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . .
y po
e lC i
C tn
2a
X
2b
X
2c
X
3a
No
X
3b Form 990 (2023)
SCHEDULE A (Form 990)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
2023
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Department of the Treasury Internal Revenue Service Name of the organization
Employer identification number
Green Gables at Historic Riverview Village Inc
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
27-4206685
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). X An organization that normally receives a substantial part of its support from a governmental unit or from the general public 7 described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: 10 An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) 11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. b Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. c Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. d Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations ....................................... g Provide the following information about the supported organization(s).
y po
C tn
(i) Name of supported organization
e lC i (ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
(v) Amount of monetary support (see instructions)
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Green Gables at Historic Riverview Village Inc
27-4206685
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 4 Total. Add lines 1 through 3 . . . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . 6 Public support. Subtract line 5 from line 4.
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
14,546
186,569
85,322
59,791
764,438
1,110,666
14,546
186,569
85,322
59,791
764,438
1,110,666
y po
Section B. Total Support
211,172 899,494
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total 7 Amounts from line 4 . . . . . . . . . . 14,546 186,569 85,322 59,791 764,438 1,110,666 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . 17 259 201 126 87 690 9 Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . 9,109 17,827 32,671 20,396 80,003 11 Total support. Add lines 7 through 10 1,191,359 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . 12 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ..............................................
C tn
e lC i
Section C. Computation of Public Support Percentage 14 15 16a
Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) . . . . . . 14 75.50 % Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . 15 80.54 % 33 1/3% support test - 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . X b 33 1/3% support test - 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . 17a 10%-facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 10%-facts-and-circumstances test - 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Green Gables at Historic Riverview Village Inc
27-4206685
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(e) 2023
(f) Total
received. (Do not include any "unusual grants.")
2
3
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose . . . . Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 6 Total. Add lines 1 through 5 . . . . . 7a Amounts included on lines 1, 2, and 3 received from disqualified persons . . b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year
c 8
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Add lines 7a and 7b . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . . . . . 10a Gross income from interest, dividends,
c 11
12
13 14
(a) 2019
(b) 2020
(c) 2021
(d) 2022
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payments received on securities loans, rents, royalties, and income from similar sources .
b
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Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . Add lines 10a and 10b . . . . . . . . . Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ...........................................
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . . . . . . . Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . .
15 16
% %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . 17 % Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . 18 % 33 1/3% support tests - 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
b
33 1/3% support tests - 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . .
EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Green Gables at Historic Riverview Village Inc
Page 4
27-4206685
Part IV
Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
2
3a b
c 4a b
c
5a
b c 6
7
8 9a
b c 10a
b EEA
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below. Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked 12a or 12b in Part I, answer lines 4b and 4c below. Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
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No
1
2 3a
3b 3c 4a
4b
4c
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part IV
Green Gables at Historic Riverview Village Inc
Page 5
27-4206685
Supporting Organizations (continued) Yes No
11 a b c
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
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Section C. Type II Supporting Organizations 1
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Section D. All Type III Supporting Organizations 1
2
3
Yes No
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1 Yes No
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
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1 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 2 By reason of the relationship described in line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard. 3
Section E. Type III Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions). 2 Activities Test. Answer lines 2a and 2b below. Yes No a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. 2a b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 2b 3 Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No," provide details in Part VI. 3a b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard. 3b EEA
Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part V
Green Gables at Historic Riverview Village Inc
27-4206685
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A - Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B - Minimum Asset Amount (A) Prior Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities 1a b Average monthly cash balances 1b c Fair market value of other non-exempt-use assets 1c d Total (add lines 1a, 1b, and 1c) 1d e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1d. 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by 0.035. 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8
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Section C - Distributable Amount 1 2 3 4 5 6 7 EEA
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Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
Schedule A (Form 990) 2023
Part V
Green Gables at Historic Riverview Village Inc
27-4206685
Section D - Distributions 1 2 3 4 5 6 7 8 9 10
Current Year
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) - provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. Distributable amount for 2023 from Section C, line 6 Line 8 amount divided by line 9 amount
3 a b c d e f g h i j 4 a b c 5
6
7 8 a b c d e EEA
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required - explain in Part VI). See instructions. Excess distributions carryover, if any, to 2023 From 2018 . . . . . . . . From 2019 . . . . . . . . From 2020 . . . . . . . . From 2021 . . . . . . . . From 2022 . . . . . . . . Total of lines 3a through 3e Applied to underdistributions of prior years Applied to 2023 distributable amount Carryover from 2018 not applied (see instructions) Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2023 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2023 distributable amount Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2024. Add lines 3j and 4c. Breakdown of line 7: Excess from 2019 . . . . Excess from 2020 . . . . Excess from 2021 . . . . Excess from 2022 . . . . Excess from 2023 . . . .
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2023
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(i) Excess Distributions
Section E - Distribution Allocations (see instructions) 1 2
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
(iii) Distributable Amount for 2023
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Schedule A (Form 990) 2023
Page 8
Schedule A (Form 990) 2023
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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Schedule A (Form 990) 2023
Schedule of Contributors
Schedule B (Form 990)
OMB No. 1545-0047
2023
Attach to Form 990, 990-EZ, or Form 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
Employer identification number
Green Gables at Historic Riverview Village Inc
27-4206685
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X 501(c)( 3
) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation
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4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
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General Rule
X For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions. Special Rules
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For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "N/A" in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. EEA
Schedule B (Form 990) (2023)
Page 2
Schedule B (Form 990) (2023)
Name of organization
Employer identification number
Green Gables at Historic Riverview Village Inc
Part I (a) No. 1
27-4206685
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(c) Total contributions
Homeowners of Property $
1501 S Harbor City Blvd
234,999
(b) Name, address, and ZIP + 4
(c) Total contributions
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$
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
C tn $
(a) No.
(a) No.
(a) No.
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(b) Name, address, and ZIP + 4
(b) Name, address, and ZIP + 4
(b) Name, address, and ZIP + 4
Person Payroll Noncash
X
(Complete Part II for noncash contributions.)
Melbourne FL 32901 (a) No.
(d) Type of contribution
(c) Total contributions
$
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
EEA
Schedule B (Form 990) (2023)
Page 3
Schedule B (Form 990) (2023)
Name of organization
Employer identification number
Green Gables at Historic Riverview Village Inc
Part II (a) No. from Part I
1
27-4206685
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
Percentage of fair market value of property $
(a) No. from Part I
234,999 (c) FMV (or estimate)
(b) Description of noncash property given
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$ (a) No. from Part I
(b) Description of noncash property given
C tn $
(a) No. from Part I
(a) No. from Part I
(d) Date received
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(b) Description of noncash property given
(c) FMV (or estimate) (See instructions.)
(c) FMV (or estimate) (See instructions.)
06-12-2023
(d) Date received
(d) Date received
(d) Date received
$
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ EEA
Schedule B (Form 990) (2023)
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Name of the organization
Supplemental Financial Statements
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
2023 Open to Public Inspection
Employer identification number
Green Gables at Historic Riverview Village Inc 27-4206685 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . Aggregate value of grants from (during year) . . . . . Aggregate value at end of year . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6
Part II
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Conservation Easements
Yes
No
Yes
No
Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1
6
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Number of conservation easements on a certified historic structure included on line 2a ........ 2c Number of conservation easements included on line 2c, acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements
2 a b c d 3 4 5
9
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Part III
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Yes
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2023 EEA
Schedule D (Form 990) 2023
Part III 3 a b c 4 5
b c d e f 2a b
f g 2 a b c 3a
b 4
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C tn (b) Prior year
(c) Two years back
(d) Three years back
Beginning of year balance . . . . . . Contributions . . . . . . . . . . . . . Net investment earnings, gains, and losses . . . . . . . . . . . . . . . . Grants or scholarships . . . . . . . . Other expenditures for facilities and programs . . . . . . . . . . . . . . . Administrative expenses . . . . . . . End of year balance . . . . . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % Permanent endowment % Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
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No
No
(e) Four years back
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
1a Land . . . . . . . . . . . . . . . . . . . 815,000 b Buildings . . . . . . . . . . . . . . . . . 150,000 2,084 c Leasehold improvements . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . 12,045 1,205 e Other . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B). . . . . . . . . . . . . . . EEA
No
Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year
d e
Yes
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII and complete the following table. Amount Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . .
Part V
1a b c
Page 2
27-4206685
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply): Public exhibition d Loan or exchange program Scholarly research e Other Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?. . . . . . . . . . . . .
Part IV
1a
Green Gables at Historic Riverview Village Inc
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
(d) Book value
815,000 147,916 10,840 973,756 Schedule D (Form 990) 2023
Green Gables at Historic Riverview Village Inc
Schedule D (Form 990) 2023
Part VII
Page 3
27-4206685
Investments - Other Securities Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely-held equity interests . . . . . . . . . . . . . . . . . . . . . . (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column (b) must equal Form 990, Part X, line 12, col.(B)). . . . . . .
Part VIII
Investments - Program Related Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)). . . . . . .
Part IX
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(b) Book value
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(c) Method of valuation: Cost or end-of-year market value
Other Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
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(a) Description
(1)Construction in Progress (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15 col. (B)). . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
1.
(b) Book value
28,750
28,750
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9)
(b) Book value
Total. (Column (b) must equal Form 990, Part X, line 25 col. (B)) . .
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII. . . . . . EEA
Schedule D (Form 990) 2023
Schedule D (Form 990) 2023
Green Gables at Historic Riverview Village Inc
27-4206685
Page 4
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . 2a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2b Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) .................
2e 3
4c 5
Part XII
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
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Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ................
Part XIII
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Supplemental Information
2e 3
4c 5
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
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EEA
Schedule D (Form 990) 2023
SCHEDULE G (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
Green Gables at Historic Riverview Village Inc
Part I 1 a b c d 2a b
27-4206685
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations e Solicitation of non-government grants Internet and email solicitations f Solicitation of government grants Phone solicitations g Special fundraising events In-person solicitations Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization.
(i) Name and address of individual or entity (fundraiser)
(iii) Did fundraiser have custody or control of contributions?
(ii) Activity
Yes
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(iv) Gross receipts from activity
No
1 2
4 5 6
8 9 10
(v) Amount paid to (or retained by) fundraiser listed in col. (i)
Yes
No
(vi) Amount paid to (or retained by) organization
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3
7
2023
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Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule G (Form 990) 2023
Green Gables at Historic Riverview Village Inc 27-4206685 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
Schedule G (Form 990) 2023
Part II
(a) Event #1
(b) Event #2
(c) Other events
HOFB 23 Revenue Direct Expenses
(event type)
Gross receipts . . . . . . . .
12,820
12,820
2 3
Less: Contributions . . . . . Gross income (line 1 minus line 2) . . . . . . . . .
1,136
1,136
11,684
11,684
.........
4
Cash prizes
5
Noncash prizes
6
Rent/facility costs . . . . . . .
7
Food and beverages . . . . .
8
Entertainment
9
Other direct expenses
10 11
Direct expense summary. Add lines 4 through 9 in column (d) Net income summary. Subtract line 10 from line 3, column (d)
.......
Revenue
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68
........ ....
1,932
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68
1,932
....................... .......................
2,000 9,684
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (a) Bingo
Direct Expenses
(total number)
1
Part III
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(b) Pull tabs/instant bingo/progressive bingo
(d) Total gaming (add col. (a) through col. (c))
(c) Other gaming
1
Gross revenue . . . . . . . .
2
Cash prizes
3
Noncash prizes
.......
4
Rent/facility costs
......
5
Other direct expenses
6
Volunteer labor
7
Direct expense summary. Add lines 2 through 5 in column (d)
8
Net gaming income summary. Subtract line 7 from line 1, column (d) . . . . . . . . . . . . . . . . . . . .
.........
....
.......
Yes No
%
Yes No
%
Yes No
%
.......................
9 a b
Enter the state(s) in which the organization conducts gaming activities: Is the organization licensed to conduct gaming activities in each of these states? If "No," explain:
10a b
Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? If "Yes," explain:
EEA
(d) Total events (add col. (a) through col. (c))
None
(event type)
Page 2
.....................
Yes
No
.........
Yes
No
Schedule G (Form 990) 2023
Noncash Contributions
SCHEDULE M (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
2023
Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
Green Gables at Historic Riverview Village Inc
27-4206685
Part I
Types of Property (a) Check if applicable
1 2 3 4 5 6 7 8 9 10 11 12 13
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
30a
b 31 32a b 33
(b) Number of contributions or items contributed
(d) Method of determining noncash contribution amounts
Art - Works of art . . . . . . . . . . Art - Historical treasures . . . . . . Art - Fractional interests . . . . . . Books and publications . . . . . . . Clothing and household goods . . . . . . . . . . . . . . . Cars and other vehicles ...... Boats and planes . . . . . . . . . . Intellectual property . . . . . . . . . Securities - Publicly traded . . . . . . Securities - Closely held stock . . . . Securities - Partnership, LLC, or trust interests . . . . . . . . . . Securities - Miscellaneous . . . . . Qualified conservation contribution - Historic structures . . . . . . . . . . . . . Qualified conservation contribution - Other . . . . . . . . . Real estate - Residential . . . . . . Real estate - Commercial . . . . . . X 1 234,999 Fair Market Value Real estate - Other . . . . . . . . . Collectibles . . . . . . . . . . . . . Food inventory . . . . . . . . . . . Drugs and medical supplies . . . . . Taxidermy . . . . . . . . . . . . . Historical artifacts . . . . . . . . . Scientific specimens . . . . . . . . Archeological artifacts . . . . . . . Other ( Supplies ) X 12 6,341 Purchase Price Other ( ) Other ( ) Other ( ) Number of Forms 8283 received by the organization during the tax year for contributions for which the organization completed Form 8283, Part V, Donee Acknowledgement .............. 29 Yes No During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least 3 years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30a X If "Yes," describe the arrangement in Part II. Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 X Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32a X If "Yes," describe in Part II. If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked, describe in Part II.
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For Paperwork Reduction Act Notice, see the Instructions for Form 990. EEA
(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g
Schedule M (Form 990) 2023
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
2023 Open to Public Inspection
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service Name of the organization
Employer identification number
Green Gables at Historic Riverview Village Inc
27-4206685
01. Unrelated business income explanation (Part V, line 3b) All of the work for Green Gables is completed by volunteers, thus a 990T is not required.
02. Officer, directors, etc. family relationship (Part VI, line 2) 2 board members are related
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03. Form 990 governing body review (Part VI, line 11) Accountant emails the 990 filing to the board members.
They respond with questions or
concurrence.
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04. Conflict of interest policy compliance (Part VI, line 12c)
The written conflict of interest policy is reviewed and signed annually by all board members as per the laws of the State of Florida, with the official records.
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05. Governing documents, etc, available to public (Part VI, line 19) Governing documents and financial statements are provided upon request.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule O (Form 990) 2023
Form
Depreciation and Amortization
4562
Attach to your tax return. Go to www.irs.gov/Form4562 for instructions and the latest information.
Name(s) shown on return
Business or activity to which this form relates
Green Gables at Historic Rivervi
1 2 3 4 5 6
2023
(Including Information on Listed Property)
Department of the Treasury Internal Revenue Service
Part I
OMB No. 1545-0172
Attachment Sequence No. 179 Identifying number
FORM 990 - 1
27-4206685
Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I. Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property
(b) Cost (business use only)
1 2 3 4 5
(c) Elected cost
7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . . . 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2022 Form 4562 . . . . . . . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions . . . . 11 12 Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 . . . . . . . . . 12 13 Carryover of disallowed deduction to 2024. Add lines 9 and 10, less line 12 . . . 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don't include listed property. See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don't include listed property. See instructions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2023 .......... 17 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B - Assets Placed in Service During 2023 Tax Year Using the General Depreciation System
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(a) Classification of property
19a b c d e f g h
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(b) Month and year (c) Basis for depreciation placed in (business/investment use service only-see instructions)
(d) Recovery period
(e) Convention
(f) Method
(g) Depreciation deduction
3-year property 5-year property 12,045 5 HY SL 7-year property 10-year property 15-year property 20-year property 25-year property 25 yrs. S/L Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L i Nonresidential real 06-2023 39 yrs. MM S/L 150,000 property MM S/L Section C - Assets Placed in Service During 2023 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs. S/L c 30-year 30 yrs. MM S/L d 40-year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions . . 22 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions. EEA
1,205
2,084
3,289
Form 4562 (2023)
Form
8868
Application for Extension of Time To File an Exempt Organization Return or Excise Taxes Related to Employee Benefit Plans
(Rev. January 2024)
OMB No. 1545-0047
File a separate application for each return. Go to www.irs.gov/Form8868 for the latest information.
Department of the Treasury Internal Revenue Service
Electronic filing (e-file). You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms listed below except for Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts. An extension request for Form 8870 must be sent to the IRS in a paper format (see instructions). For more details on the electronic filing of Form 8868, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits. Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment instructions. All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns.
Part I - Identification Type or print File by the due date for filing your return. See instructions.
Name of exempt organization, employer, or other filer, see instructions.
Taxpayer identification number (TIN)
Green Gables at Historic Riverview Village Inc
27-4206685
Number, street, and room or suite no. If a P.O. box, see instructions.
y po
PO Box 1086
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Melbourne FL 32902
Enter the Return Code for the return that this application is for (file a separate application for each return) . . . . . . . . . . . Application Is For
0
1
Return Application Is For Return Code Code Form 990 or Form 990-EZ 01 Form 4720 (other than individual) 09 Form 4720 (individual) 03 Form 5227 10 Form 990-PF 04 Form 6069 11 Form 990-T (sec. 401(a) or 408(a) trust) 05 Form 8870 12 Form 990-T (trust other than above) 06 Form 5330 (individual) 13 Form 990-T (corporation) 07 Form 5330 (other than individual) 14 Form 1041-A 08 • After you enter your Return Code, complete either Part II or Part III. Part III, including signature, is applicable only for an extension of time to file Form 5330. • If this application is for an extension of time to file Form 5330, you must enter the following information. Plan Name Plan Number Plan Year Ending (MM/DD/YYYY)
C tn
e lC i
Part II - Automatic Extension of Time To File for Exempt Organizations (see instructions) The books are in the care of Annita Full, PO Box 1086 Melbourne FL 32902 Telephone No. 321-432-0848 Fax No. • If the organization does not have an office or place of business in the United States, check this box ............. • If this is for a Group Return, enter the organization's four-digit Group Exemption Number (GEN) . If this is for the whole group, check this box . . . . . . . . . If it is for part of the group, check this box . . . . . . . . and attach a list with the names and TINs of all members the extension is for. 1
I request an automatic 6-month extension of time until 11-15 , 20 24 , to file the exempt organization return for the organization named above. The extension is for the organization's return for: X calendar year 20 23 or , 20 . tax year beginning , 20 , and ending
2
If the tax year entered in line 1 is for less than 12 months, check reason: Change in accounting period
Initial return
3a If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions. b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions. EEA
Final return
3a $ 3b $ 3c $ Form 8868 (Rev. 1-2024)
Marketing Support Program - GREEN GABLES FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
Event Advertisement/Signs
$2,400.00
$1,833.00
$567.00
Events
$63,000.00
$59,937.00
$3,063.00
Catering/Venue
$13,000.00
$12,518.00
$482.00
Education Program
$2,400.00
$1,992.00
$408.00
Educational Supplies
$525.00
$324.00
$201.00
Donations
$40,000.00
$32,814.00
$7,186.00
Entertainment
$3,675.00
$1,350.00
$2,325.00
Grants
$15,000.00
$3,022.00
$11,978.00
City Permits
$900.00
$450.00
$450.00
In-Kind
$4,000.00
$3,882.00
$118.00
Event Supplies
$7,470.00
$7,233.00
$237.00
$0.00
Event Security
$840.00
$840.00
$0.00
$0.00
Subtotal Expense Other Expenses
$28,810.00
$24,548.00
$4,262.00
$0.00
Acct Fees
$10,500.00
$10,225.00
$275.00
Dues
$1,700.00
$1,025.00
$675.00
Subtotal Income
$124,400.00
$101,647.00
Insurance
$1,600.00
$1,460.00
$140.00
Income Sponsors
$20,000.00
$10,750.00
$9,250.00
Printing/Copying
$3,000.00
$3,024.00
-$24.00
TDC grant funding
$0.00
$10,000.00
-$10,000.00
Promo/Advertising
$4,500.00
$2,649.00
$1,851.00
Cash in Bank to start
$125,301.77
$99,663.37
$25,638.40
Other
$3,500.00
$1,000.00
$2,500.00
Depreciation
$6,000.00
$6,300.00
-$300.00
Total Income
$144,400.00
$122,397.00
$22,003
Equip Rental
$3,000.00
$2,900.00
$100.00
Total Expenses Paid
$70,835.00
$69,492.00
$1,343
Lawn Maintenance
$3,325.00
$2,425.00
$900.00
Utilities
$1,800.00
$1,520.00
$1,805.00 Profit/Loss
$73,565.00
$69,492.00
Other
$0.00
0
$948.00
$852.00
$38,925.00
$33,476.00
$8,774.00
Out of county - radio
$0.00
$0.00
$0.00
Print ads
$0.00
$8,470.00
$8,470.00
$3,000.00
$2,881.00
-$119.00
$100.00
$117.00
$17.00
Subtotal Other Expenses
$0.00 $22,753.00
Marketing - please specify Brevard/Out-of-County
Brevard County - print ads social media
$0.00 $0.00 $0.00 Subtotal Marketing
$3,100.00
$11,468.00
Total Expenses 2025-2026
$70,835.00 $69,492.00
$8,368.00
.
Updated: 6/19/2025
Melbourne Art Festival
Return to Table of Contents
For TDO use: PROJECT#- C 25
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Melbourne Art Festival Applicant Event Name: Melbourne Art Festival
1. Completed application
2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes
X
No
Comment
X
N/A
X X X X X
X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). YES All documents have been submitted, reviewed and/or addressed in the comments.
�Jt\ k -== 1(·d-{ <-s0
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:46 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Douglas Taylor
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Melbourne Art Festival, Inc. Organization address PO Box 611 State Fl City Melbourne Zip 32902 Primary contact name Doug Taylor Primary contact phone number 3212887429
Primary contact email news@melbournearts.org Secondary contact name Martha Case Secondary contact phone number 716-523-1578 Secondary contact email martha@melbournearts.org Organization website address http://www.melbournearts.org/
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? F52VVZY1N5H9
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Melbourne Art Festival Event website address (if different from organization website) https://melbourneartsfestival.org/ Event location Wickham Park, Melbourne, FL
9. (untitled) 8. What is the first date of your event? 04/25/2026
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Direct mail Radio Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video Other - Please be specific.....: Print Advertising
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : https://www.facebook.com/MelbourneArtFestival Instagram : https://www.instagram.com/melbourneartfestival/ YouTube : https://www.youtube.com/@melbourneartfestival5424
22. (untitled) 13. What hashtags do you currently use? #VisitSpaceCoast #MelbourneArtFestival #SpaceCoastArt #MAF41 #SupportArt #SupportArists
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter.
MAF_IRS_non-profit_letter_small_size_file.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. Melbourne_Art_Festival_2020_990_form.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. MAF_2023_SunBiz_Detail_by_Entity_Name.pdf
27. (untitled) 17. Upload your completed W-9 form. MAF_Sub_W9_Form.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Melbourne_Art_Festival_FY23-24_Budget.pdf
29. (untitled) 19. Upload your completed Checklist. Checklist_for_MAF_2025-26_.pdf
30. (untitled)
ATTESTATION I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support. Signature of:
Department ot the Treasury
Internal Revenue Service
Washington, DC 20224 Person to Contact:
Melbourne Art Festival, Inc. P. o. Box 611 Melbourne, FL 32902
Mr. Friedlander
Telephone Number: Refer Reply to: Date:
Employer Identification Number: Key District: Accounting Period Ending: Foundation Status Classification: Effective Date of Ruling: Advance Ruling Period Begins: Advance Ruling Period Ends: Form 990 Required:
(202) 566-3712 E:EO:R:1-1
MAY 3 I 1991 59-2525180 Atlanta �arch 31 509(a)(2) October 2, 1990 October 2, 1990 March 31, 1995 Yes
Dear Applicant: Based on information supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code. You have agreed on your application for exemption under section 50l(c)(3) of the Code that your exemption is effective October 2, 1990, the date your completed application was filed. Because you are a newly created organization, we are not now 1naking a final determination of your foundation status under section 509(a) of the Code. However, beginning with the effective date of this ruling, we have determined that you can reasonably be expected to be a publicly supported organization described in the section(s) of the Code shown above. Accordingly, you will be treated as a publicly supported organization, and not as a private foundation, during the advance ruling period. This advance ruling period begins on the date your exemption under section 501(c)(3) of the Code is effective and ends on the date shown above. Within 90 days after the end of your advance ruling period, you must submit to your key District Director information needed to determine whether you hnve met the 19
.-. -2-
Melbourne Art Festival, Inc. requirements of the applicable support test during the advance ruling p�riod. If you establish that you have been a publicly supported organization, you will be classified as a section 509(a) (1) or 509(a) (2) organization as long as you continue to meet the requirements of the applicable support test. If you do not meet the public support requirements during the advance ruling period, you will be classified as a private foundation for future periods. Also, if you are classified as a private foundation, you will be treated as a private foundation from the effective date of this ruling for purposes of sections 507(d) and 4940. Donors may deduct contributions to you made on or after the effective date shown above, as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522, effective as of the date shown above. Donors (including private foundations) may rely on the advance ruling that you are not a private foundation until 90 days after your advance ruling period ends. If you submit the required information within 90 days, donors may continue to rely on the advance ruling until we make a final determination of your foundation status. However, if notice that you will no longer be treated as the type of organization shown above is published in the Internal Revenue Bulletin, donors may not rely on the advance ruling after the date of such publication. Also, donors (other than private foundations) may not rely on the classification shown above if they were in part responsible for, or were aware of, the act that resulted in your loss of that classification, or if they acquired knowledge that the Internal Revenue Service had given notice that you would be removed from that classification. Private foundations may rely on the classification shown�bove whether or not they were responsible for an act or failure to act that caused you to lose your classification as long as you were not directly or indirectly controlled by them or by disqualified persons with respect to them. However, private foundations may not rely on the classification shown above if they acquired knowledge that the Internal Revenue Service had given notice that you would be removed from that classification. 20
-3-
Melbourne Art Festival, Inc. If your sources of support, or your purposes, character, or methods of operation change, please let your key district know so that office can consider the effect of the change on your exempt status and foundation status. In the case of an amended document or bylaws, please send a copy of the amended document or bylaws to your key district. Also, you should inform your key District Director of all changes· in your name or address. As of January 1, 1984, -you are liable for taxes under the Federal Insurance·contributions Act (social security taxes) on remuneration of $100 or more you pay to each of your employees during a calendar year. You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Since you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of the Code. However, you are not automatically exempt from other federal excise taxes. If you have questions about excise, employment, or other federal taxes, please contact your key District Director. If your organizatiop conducts fund-raising events such as benefit dinners, auctions, membership drives, etc., where something of value is received in return for contributions, you can help your contributors avoid difficulties with their income tax returns by assisting them in determining the proper tax treatment of their contributions. To do this you should, in advance of the event, determine the fair-market value of the benefit received and state it in your fund-raising materials such as solicitations, tickets and receipts in such a way that your contributors can determine how much is deductible and how much is not. To assist you in this, the Service has issued Publication 1391, Deductibility of Payments Made to Organizations Conducting Fund-Raising Events. You may obtain copies of Publication 1391 from your key district office. In the heading of this letter we have indicated whether you must file Form 990, Return of Organization Exempt From Income Tax . If Yes is indicated, you are required to file Form 990 only if your gross receipts each year normally are more than $25,000. If your gross receipts each year are not normally more than $25,000, we ask that you establish that you 21
-4-
Melbourne Art Festival, Inc. are not required to file Form 990 by completing Part I of that Form for-your first year. Thereafter, you will not be required to file a return until your gross receipts normally exceed the $25,000 minimum. For guidance in determining if your gross receipts are "normally" not more than the $25,000 limit, see the instructions for the Form 990. If a return is required, it must be filed by the 15th day of the fifth month after the end of your annual accounting period. A penalty of $10 a day is charged when a return is filed late, unless there is reasonable cause for the delay. The m�ximum penalty charged cannot exceed $5,000 or 5 percent of your gross receipts for the year, whichever is less. This penalty may also be charged if a return is not complete, so please be sure your return is complete before you file it. You are required to make your annual return available for public inspection for three years after the return is due. You are also required to make available a copy of your exemption application and supporting documents, and this exemption letter. Failure to make these documents available for public inspection may subject you to a penalty of $10 per day for each day there is a·failure to comply (up to a maximum of $5,000 in the case of an annual r�turn). See Internal Revenue Service Notice 88-120, 1988-2 C.B. 454, for additional information. You are not required to file federal income tax returns unless you are subject to the tax on unrelated business income under Code. section 511. If you are subject to this tax, you must file an income tax return on Form 990-T, Exempt In this letter we are Organization Business Income Tax Return. not determining whether any of your present or proposed activities are unrelated trade or business as defined in section 513. You need an employer identification number even if you have no employees. Please use that number on all returns you file and in all correspondence with the Internal Revenue Service. We are informing your key District Director of this ruling. Because this letter could help resolve any questions about your exempt status and foundation status, you should keep it in your permanent records. 22
-5-
Melbourne Art Festival, Inc. If you have any questions about this ruling, please contact the person whose name and telephone number are shown in the heading of this letter. For other matters, including questions concerning reporting requirements, please contact your key District Director. SinG:J°l.s,
Conrad Rosenb Chief, Exemr-..t--...,.,� Rulings B anch Enclosure:
Form 872-C
23
5/16/23, 1:07 PM
Detail by Entity Name Division of Corporations
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation MELBOURNE ART FESTIVAL, INC. Filing Information
Document Number
N08464
FEI/EIN Number
59-2525180
Date Filed
04/01/1985
State
FL
Status
ACTIVE
Last Event
AMENDMENT
Event Date Filed
11/20/2019
Event Effective Date
NONE
Principal Address
2013 MELBOURNE COURT MELBOURNE, FL 32901 Changed: 11/20/2019 Mailing Address
PO BOX 611 MELBOURNE, FL 32902 Changed: 08/27/1991 Registered Agent Name & Address
Gant, Johana G 207 Buffett Ln West Melbourne, FL 32904 Name Changed: 02/18/2016 Address Changed: 02/18/2016 Officer/Director Detail
Name & Address Title President, Director
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…
1/4
5/16/23, 1:07 PM
Detail by Entity Name
GANT, JOHANA G 207 BUFFET LN WEST MELBOURNE, FL 32904 Title VP, Director VAUGHN, ELISE 2013 MELBOURNE COURT MELBOURNE, FL 32901 Title VP, Director CASTELLI, LINDA 2570 PINEAPPLE AVE MELBOURNE, FL 32935 Title Treasurer, Director BELL, GREGORY 115 HICKORY STREET STE 106 MELBOURNE, FL 32904 Title Secretary, Director CASE, MARTHA 1972 SAGO PALM STREET NE PALM BAY, FL 32905 Title Director VANSTRUM, MARK 509 S PALM AVE INDIALANTIC, FL 32903 Title Director KETCHEL, JOHN 1700 BROOKSHIRE CIRCLE WEST MELBOURNE, FL 32904 Title Director D'AMATO, SALVATORE 827 E MELBOURNE AVE MELBOURNE, FL 32901 Title Director HUCKABEE, RHONDA 2330 STRATFORD POINTE DR MELBOURNE, FL 32904 https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…
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5/16/23, 1:07 PM
Detail by Entity Name
Title Director TAYLOR, DOUG 5011 DIXIE HWY NE APT A309 PALM BAY, FL 32905 Title Director LECLAIR, PATRICIA 2481 CROOKED ANTLER DR MELBOURNE, FL 32934 Title Director Bird, Cathleen 255 River Road Circle Rockledge, FL 32955 Annual Reports
Report Year
Filed Date
2020
06/27/2020
2021
04/30/2021
2022
05/02/2022
Document Images 05/02/2022 -- ANNUAL REPORT
View image in PDF format
04/30/2021 -- ANNUAL REPORT
View image in PDF format
06/27/2020 -- ANNUAL REPORT
View image in PDF format
11/20/2019 -- Amendment
View image in PDF format
03/05/2019 -- ANNUAL REPORT
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02/13/2018 -- ANNUAL REPORT
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09/04/2017 -- ANNUAL REPORT
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02/18/2016 -- ANNUAL REPORT
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02/22/2015 -- ANNUAL REPORT
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01/19/2014 -- ANNUAL REPORT
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01/06/2013 -- ANNUAL REPORT
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03/09/2012 -- ANNUAL REPORT
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09/19/2011 -- ANNUAL REPORT
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01/14/2011 -- ANNUAL REPORT
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01/20/2010 -- ANNUAL REPORT
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01/07/2009 -- ANNUAL REPORT
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01/14/2008 -- ANNUAL REPORT
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02/12/2007 -- ANNUAL REPORT
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08/03/2006 -- ANNUAL REPORT
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01/14/2005 -- ANNUAL REPORT
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04/02/2004 -- ANNUAL REPORT
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5/16/23, 1:07 PM
Detail by Entity Name
01/09/2003 -- ANNUAL REPORT
View image in PDF format
02/13/2002 -- ANNUAL REPORT
View image in PDF format
03/05/2001 -- ANNUAL REPORT
View image in PDF format
05/22/2000 -- ANNUAL REPORT
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02/26/1999 -- ANNUAL REPORT
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03/05/1998 -- ANNUAL REPORT
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05/08/1997 -- ANNUAL REPORT
View image in PDF format
04/19/1996 -- ANNUAL REPORT
View image in PDF format
05/01/1995 -- ANNUAL REPORT
View image in PDF format
Florida Department of State, Division of Corporations
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…
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State of Florida Chief Financial Officer Department of Financial Services Bureau of Accounting 200 East Gaines Street Tallahassee, FL 32399-0354 Telephone: (850) 413-5519 Fax:(850) 413-5550
Substitute Form W-9 In order to comply with Internal Revenue Service (IRS) regulations, we require Taxpayer Identification information that will be used to determine whether you will receive a Form 1099 for payment(s) made to you by an agency of the State of Florida, and whether payments are subject to Federal withholding. The information provided below must match the information that you provide to the IRS for income tax reporting. Federal law requires the State of Florida to take backup withholding from certain future payments if you fail to provide the information requested. Taxpayer Identification Number (FEIN): 59-2525180 IRS Name: MELBOURNE ART FESTIVAL INC Address:
PO BOX 611 MELBOURNE, FL 32902-0000
Business Designation: Not For Profit
Certification Statement: Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer information AND 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding AND 3. I am a U.S. citizen or other U.S. person (including U.S. resident alien) Preparer's Name: DOUGLAS TAYLOR Preparer's Title: MELBOURNE ART FESTIVAL Phone: 321-288-7429 Email: news@melbournearts.org Date Submitted: 06/01/2022
Date printed from the State of Florida Substitute Form W-9 Website: 06/01/2022
Marketing Support Program - MELBOURNE ART FESTIVAL FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
Outside Aritsit Servives/Fees
$2,500.00
$2,500.00
Wickham Park & Services
$9,000.00
$8,840.00
Insurance
$11,250.00
$11,009.00
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
$0.00
Sales - Beverages
$22,000.00
$19,800.00
$2,200.00
$160.00
Sales - Shirts/Posters
$7,500.00
$7,100.00
$400.00
$241.00
Patron Tent Admission
$2,500.00
$2,100.00
$400.00
Equipment
$1,250.00
$1,250.00
$0.00
Raffles
$850.00
$850.00
$0.00
Police / Security / Parking
$15,000.00
$14,555.00
$445.00
Food / Concessions
$8,500.00
$8,132.00
$368.00
Subtotal Income
$41,350.00
$37,982.00
$3,368.00
$25,000.00
$23,000.00
$2,000.00
Carts / Radios
$6,850.00
$6,825.00
$25.00
Rentals - TentLogix
$25,200.00
$24,045.00
$1,155.00
Subtotal Expenses Other Expenses
$71,050.00
$69,024.00
$2,026.00
Music and Production
$15,250.00
$15,041.00
$209.00
Porta-Potty
$7,500.00
$7,325.00
$175.00
Kids World
$4,400.00
$4,390.00
$10.00
Storage
$4,680.00
$4,680.00
$0.00
Florida Sales Tax
$6,600.00
$6,440.00
$160.00
Income Sponsors
Fees - State & Licensing
$650.00
$650.00
$0.00
Artist Awards / Judges / Reception
$19,100.00
$19,100.00
$0.00
Cash in Bank to start Income Other
Miscellaneous
$2,000.00
$2,000.00
$0.00
TDC grant funding
$0.00
$15,000.00
-$15,000.00
Student Scholarships
$1,750.00
$1,500.00
$250.00
Total Income
$66,350.00
$75,982.00
-$9,632.00
Total Expenses Paid
$204,030.00
$199,174.00
$4,856.00
Profit/Loss
-$137,680.00
-$123,192.00
Subtotal Other Expenses
$204,030.00
$199,174.00
$804.00
Artist Advertising (Out)
$3,000.00
$2,247.00
$753.00
Radio (Brev & Indian River)
$500.00
$500.00
$0.00
Facebook and Social (Out)
$3,250.00
$2,300.00
$950.00
Florida Today / Brev Bus New (Brev) $2,500.00
$2,350.00
$150.00
Evvnt Florida Today Online (Out)
$895.00
$895.00
$0.00
Spectrum TV (Brev)
$1,000.00
$1,000.00
$0.00
Brevard Live/Spotlight (Brev)
$1,400.00
$900.00
$500.00 $0.00
Marketing - please specify Brevard/Out-of-County
Artist Directory / Posters
$2,798.00
$2,798.00
Subtotal Marketing Marketing Expense
$15,343.00
$12,990.00
Total Expenses 2025-2026
$204,030.00
$199,174.00
.
Updated: 6/20/2025
Space Coast Birding and Wildlife Festival
Return to Table of Contents
For TDO use: PROJECT# C 26
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Space Coast Birding & Wildlife Applicant Event Name: Space Coast Birding & Wildlife Festival
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes X X
No
Comment
X
NIA
X
NIA
X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). YES All documents have been submitted, reviewed and/or addressed in the comments.
� �
,(1.{1Q-iJ
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:86 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Brittany Jones
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Space Coast Birding & Wildlife Asso Organization address P.O. Box 74 State FL City Mims Zip 32754 Primary contact name Brittany Jones Primary contact phone number 904-885-0043
Primary contact email director@scbwa.net Secondary contact name Linda McMahan Secondary contact phone number (863) 712-4500 Secondary contact email linda@scbwa.net Organization website address https://scbwa.net
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 92-2238262
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Space Coast Birding & Wildlife Festival Event website address (if different from organization website) https://scbwa.net Event location Radisson Resort at the Port & across the Space Coast
9. (untitled) 8. What is the first date of your event? 01/21/2026
10. (untitled) 9. In total, how many days will your event be held? 5
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Radio Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : Space Coast Birding and Wildlife Festival Instagram : @spacecoastbirdingfestival
22. (untitled) 13. What hashtags do you currently use? #scbwa #spacecoast # spacecoastwildlife #birdbehavior #wildlifephotography
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. IRS_DeterminationFinalLetter_92-2238262_SPACECOASTBIRDINGANDWILDLIFEASSOCIATIONINC_04202023_00.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. SC_Birding_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SCBWA_Detail_by_Entity.pdf
27. (untitled) 17. Upload your completed W-9 form. SCBWA_W9.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. SCBWA_Terry_Event_Income_Expense_Report_template_FY25-26.xls.pdf
29. (untitled) 19. Upload your completed Checklist. SCBWA_Checklist.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Brittany Jones
31. Thank You! New Send Email Jun 09, 2025 13:15:34 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Department of the Treasury Internal Revenue Service Tax Exempt and Government Entities P.O. Box 2508 Cincinnati, OH 45201
Date:
04/26/2023 Employer ID number:
92-2238262 Person to contact:
Name: Customer Service ID number: 31954 Telephone: 877-829-5500
SPACE COAST BIRDING AND WILDLIFE ASSOCIATION INC PO BOX 956 CAPE CANAVERAL, FL 32920
Accounting period ending:
April 30 Public charity status:
509(a)(2) Form 990 / 990-EZ / 990-N required:
Yes Effective date of exemption:
January 3, 2023 Contribution deductibility:
Yes Addendum applies:
No DLN:
26053514005413
Dear Applicant: We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Sincerely, Stephen A. Martin Director, Exempt Organizations Rulings and Agreements Letter 947 (Rev. 2-2020) Catalog Number 35152P
•
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•
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•
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Detail by Entity Name Florida Not For Profit Corporation SPACE COAST BIRDING AND WILDLIFE ASSOCIATION, INC.
Filing Information Document NumberN23000001177FEI/EIN Number92-2238262Date Filed01/03/2023Effective Date01/01/2023StateFLStatusACTIVE
Principal Address P.O. Box 74 Mims, FL 32754 Changed: 05/31/2024
Mailing Address P.O. Box 74 Mims, FL 32754 Changed: 05/31/2024
Registered Agent Name & AddressJones, Brittany 207 Woodland Ave St. Augustine, FL 32080 Name Changed: 05/28/2025 Address Changed: 05/28/2025 Officer/Director DetailName & Address Title VP Hood, Rochelle
1940 Tranquility Lane Titusville, FL 32796 Title Treasurer LINTEREUR, PHILIP 4465 BRIGHTON BLVD. MIAMI, FL 32754 Title Other SIMPSON, DEE FAIRBANKS 139 S. WILLOW ST FELLSMERE, FL 32948 Title P. MCMAHAN, LINDA 2920 SANCTUARY CIRCLE LAKELAND, FL 33803 Title Secretary JANTZER, CATHERINE 3036 Elder Street Titusville, FL 32796 Title Director Jones, Brittany 207 Woodland Ave St. Augustine, FL 32080
Annual Reports Report Year 2024 2024 2025
Filed Date 03/05/2024 06/12/2024 05/28/2025
Taylor & Lockard, PA. 3960 South Banana River Blvd. Cocoa Beach, FL 32931 321-784-4515 January 2, 2025 CONFIDENTIAL Space Coast Birding and Wildlife Association, Inc. P.O. Box 74 Mims, FL 32754 Dear Philip: We have prepared the following returns from information provided by you without verification or audit. Short Form of Organization Exempt From Income Tax (Form 990-EZ)
We suggest that you examine these returns carefully to fully acquaint yourself with all items contained therein to ensure that there are no omissions or misstatements. Attached are instructions for signing and filing each return. Please follow those instructions carefully. Enclosed is any material you furnished for use in preparing the returns. If the returns are examined, requests may be made for supporting documentation. Therefore, we recommend that you retain all pertinent records for at least seven years. In order that we may properly advise you of tax considerations, please keep us informed of any significant changes in your financial affairs or of any correspondence received from taxing authorities. If you have any questions, or if we can be of assistance in any way, please call. Sincerely, Taylor & Lockard, PA.
Filing Instructions Space Coast Birding and Wildlife Association, Inc. Short Form Exempt Organization Tax Return Taxable Year Ended April 30, 2024
Date Due:
AS SOON AS POSSIBLE
Remittance:
None is required. Your Form 990-EZ for the tax year ended 4/30/24 shows no balance due.
Mail To:
Department of the Treasury Internal Revenue Service Center Ogden, UT 84201-0027 If a private delivery service is used, mail to: OSPC 1973 Rulon White Blvd. Ogden, UT 84201-1000
Signature:
The return should be signed and dated on Page 4 by an officer representing the organization.
Space Coast Birding and Wildlife Association, Inc. P.O. Box 74 Mims, FL 32754
Department of the Treasury Internal Revenue Service Center Ogden, UT 84201-0027
21527
Form
Short Form Return of Organization Exempt From Income Tax
990-EZ
OMB No. 1545-0047
2023
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Open to Public Inspection
Do not enter social security numbers on this form, as it may be made public. Department of the Treasury Internal Revenue Service
A B
Go to www.irs.gov/Form990EZ for instructions and the latest information.
For the 2023 calendar year, or tax year beginning Check if applicable: C Name of organization
05/01/23
, and ending
D Employer identification number
Name change
SPACE COAST BIRDING AND WILDLIFE ASSOCIATION, INC.
Initial return
Number and street (or P.O. box if mail is not delivered to street address)
Address change
04/30/24
Final return/terminated
P.O. BOX 74
Amended return
City or town, state or province, country, and ZIP or foreign postal code
Application pending
MIMS
92-2238262 Room/suite
E Telephone number
386-690-4705 FL 32754
F Group Exemption Number X if the organization is not Check required to attach Schedule B (Form 990).
G Accounting Method: X Cash Accrual Other (specify) H SCBWA.NET I Website: J Tax-exempt status (check only one) — X 501(c)(3) 501(c) ( ) (insert no.) 4947(a)(1) or 527 Trust Association Other K Form of organization: X Corporation L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B)) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part I
161,160
$
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)
X 6,161
Check if the organization used Schedule O to respond to any question in this Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributions, gifts, grants, and similar amounts received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Program service revenue including government fees and contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross amount from sale of assets other than inventory . . . . . . . . . . . . . . . . . . . . . . . . . . 5a Less: cost or other basis and sales expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b Gain or (loss) from sale of assets other than inventory (subtract line 5b from line 5a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gaming and fundraising events: Gross income from gaming (attach Schedule G if greater than $15,000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a 6,161 of contributions b Gross income from fundraising events (not including $ from fundraising events reported on line 1) (attach Schedule G if the 154,999 6b sum of such gross income and contributions exceeds $15,000) . . . . . . . . . . . . . . . . . 145,084 c Less: direct expenses from gaming and fundraising events . . . . . . . . . . . . . . . . . . . . . . 6c d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a b Less: cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b c Gross profit or (loss) from sales of inventory (subtract line 7b from line 7a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Other revenue (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Grants and similar amounts paid (list in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Benefits paid to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Salaries, other compensation, and employee benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Professional fees and other payments to independent contractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Printing, publications, postage, and shipping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Other expenses (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Excess or (deficit) for the year (subtract line 17 from line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year’s return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Other changes in net assets or fund balances (explain in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For Paperwork Reduction Act Notice, see the separate instructions.
1 2 3 4
5c
Net Assets
Expenses
Revenue
1 2 3 4 5a b c 6 a
DAA
6d
7c 8 9 10 11 12 13 14 15 16 17 18 19 20 21
9,915
16,076
20,129 20,129 -4,053 5,000 947 Form 990-EZ (2023)
21527
Form 990-EZ (2023)
Part II
SPACE COAST BIRDING AND WILDLIFE
Page 2
92-2238262
Balance Sheets (see the instructions for Part II) Check if the organization used Schedule O to respond to any question in this Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) Beginning of year
5,000 0 0 5,000 0 5,000
22 Cash, savings, and investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Land and buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Other assets (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Total liabilities (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Net assets or fund balances (line 27 of column (B) must agree with line 21) . . . . . . . . . . . . . . . .
Part III
X
(B) End of year
959
22 23 24 25 26 27
959 12 947
Statement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . . . . . . . .
X
What is the organization’s primary exempt purpose?
Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for
SEE SCHEDULE O Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of
others.)
persons benefited, and other relevant information for each program title.
28 . . .TO . . . . ENCOURAGE . . . . . . . . . . . . . . .AWARENESS, . . . . . . . . . . . . . . . APPRECIATION, . . . . . . . . . . . . . . . . . . . . EDUCATION, . . . . . . . . . . . . . . . .PRESERVATION, . . . . . . . . . . . . . . . . . . . .AND ................................... PROTECTION OF THE DIVERSITY OF BIRDS, WILDLIFE, AND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HABITAT . . . . . . . . . . . .THE . . . . . SPACE . . . . . . . . .COAST ......................... HAS TO OFFER ................................................................................................................................ (Grants $ 28a ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . . . . . . . . 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................................................................................................ ................................................................................................................................
) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . . . . . . . . 29a 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Grants $
. ............................................................................................................................... ................................................................................................................................
) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . . . . . . . . 30a 31 Other program services (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . . . . . . . . 31a 32 Total program service expenses (add lines 28a through 31a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated — see the instructions for Part IV) Part IV Check if the organization used Schedule O to respond to any question in this Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Grants $
(a) Name and title
LINDA MCMAHAN PRESIDENT ROCHELLE HOOD . .................................................................... VICE PRESIDENT CATHERINE JANTZER . .................................................................... SECRETARY PHILIP LINTEREUR . .................................................................... TREASURER DAVID SIMPSON . .................................................................... DIRECTOR
(c) Reportable compensation (Forms W-2/1099-MISC/ 1099-NEC) (if not paid, enter -0-)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation
(e) Estimated amount of other compensation
5.00
0
0
0
5.00
0
0
0
5.00
0
0
0
5.00
0
0
0
5.00
0
0
0
(b) Average hours per week devoted to position
. ....................................................................
. ....................................................................
. ....................................................................
. ....................................................................
. ....................................................................
. ....................................................................
. ....................................................................
. .................................................................... DAA
Form 990-EZ (2023)
21527
Form 990-EZ (2023)
Part V
SPACE COAST BIRDING AND WILDLIFE
Page 3
92-2238262
Other Information (Note the Schedule A and personal benefit contract statement requirements in the instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V . . . . . . . . . . . . . . . Yes
33
detailed description of each activity in Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34
No
Did the organization engage in any significant activity not previously reported to the IRS? If “Yes,” provide a
33
X
34
X
Were any significant changes made to the organizing or governing documents? If “Yes,” attach a conformed copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the change on Schedule O. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business
X activities (such as those reported on lines 2, 6a, and 7a, among others)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35a b If “Yes” to line 35a, has the organization filed a Form 990-T for the year? If “No,” provide an explanation in Schedule O . . . . . . . . . . . . . . . . 35b c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, X reporting, and proxy tax requirements during the year? If “Yes,” complete Schedule C, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35c 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets X during the year? If “Yes,” complete applicable parts of Schedule N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 37a Enter amount of political expenditures, direct or indirect, as described in the instructions . . . . . . . . . . . . . 37a X b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37b 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee; or were X any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38a b If “Yes,” complete Schedule L, Part II, and enter the total amount involved . . . . . . . . . . . . . . . . . . . . . . . . . . . 38b 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39a b Gross receipts, included on line 9, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39b 40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 ; section 4912 ; section 4955 b Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year X that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40b c Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed by the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter X transaction? If “Yes,” complete Form 8886-T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40e NONE 41 List the states with which a copy of this return is filed GREEN 42a The organization's books are in care of . . . . .DEBORAH Telephone no. . . . 386-690-4705 ............................................................... .......................... P.O. BOX 74 Located at . . .MIMS ZIP + 4 . . . . . . . . .32754 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FL .... ............ b
c
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the name of the foreign country See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). At any time during the calendar year, did the organization maintain an office outside the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
42b
X
42c
X
If “Yes,” enter the name of the foreign country
43
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 — Check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and enter the amount of tax-exempt interest received or accrued during the tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43 Yes
44a
completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
No
Did the organization maintain any donor advised funds during the year? If “Yes,” Form 990 must be
44a
X
44b 44c
X X
Did the organization operate one or more hospital facilities during the year? If “Yes,” Form 990 must be completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c d
Did the organization receive any payments for indoor tanning services during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes” to line 44c, has the organization filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44d
45a b
Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45a
X
45b
X
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” Form 990 and Schedule R may need to be completed instead of Form 990-EZ. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DAA
Form 990-EZ (2023)
21527
Form 990-EZ (2023)
SPACE COAST BIRDING AND WILDLIFE
Page 4
92-2238262 Yes
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part VI
No
X
46
Section 501(c)(3) Organizations Only All section 501(c)(3) organizations must answer questions 47–49b and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
47
Yes
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax
X X X
47 48 49a 49b
year? If “Yes,” complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
48 49a b 50
No
Is the organization a school as described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization make any transfers to an exempt non-charitable related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” was the related organization a section 527 organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Complete this table for the organization’s five highest compensated employees (other than officers, directors, trustees, and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter “None.” (b) Average (c) Reportable hours per week compensation devoted to position (Forms W-2/1099-MISC) 1099-NEC)
(a) Name and title of each employee
(d) Health benefits, contributions to employee benefit plans, and deferred compensation
(e) Estimated amount of other compensation
NONE
. .....................................................................
. .....................................................................
. .....................................................................
. .....................................................................
. .....................................................................
f 51
Total number of other employees paid over $100,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Complete this table for the organization’s five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter “None.” (a) Name and business address of each independent contractor
(b) Type of service
(c) Compensation
............................................................................................... . . .NONE
. .................................................................................................
. .................................................................................................
. .................................................................................................
. .................................................................................................
d 52
Total number of other independent contractors each receiving over $100,000 . . . . . . . Did the organization complete Schedule A? Note: All section 501(c)(3) organizations must attach a
X Yes
completed Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
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
Date
PHILIP LINTEREUR
TREASURER
Type or print name and title Print/Type preparer’s name
Preparer’s signature
Paid ERROL BANNISTER ERROL BANNISTER Preparer Firm’s name TAYLOR & LOCKARD, PA. Use Only Firm’s address 3960 SOUTH BANANA RIVER BLVD.
COCOA BEACH, FL
32931
Date
PTIN
01/02/25
Check if self-employed
P03175232
Firm’s EIN
59-2519864
Phone no.
321-784-4515
May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Form 990-EZ (2023) DAA
21527
Public Charity Status and Public Support
SCHEDULE A (Form 990)
OMB No. 1545-0047
2023
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ.
Department of the Treasury Internal Revenue Service Name of the organization
Part I
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
SPACE COAST BIRDING AND WILDLIFE ASSOCIATION, INC.
Employer identification number
92-2238262
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1 2 3 4
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
6 7 8 9
X
10
11 12
section 170(b)(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s).
f g
(i) Name of supported
organization
(ii) EIN
(iii) Type of organization
(described on lines 1–10 above (see instructions))
(iv) Is the organization listed in your governing document? Yes
(v) Amount of monetary
support (see
(vi) Amount of other support (see
instructions)
instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
DAA
Schedule A (Form 990) 2023
21527
Schedule A (Form 990) 2023
SPACE COAST BIRDING AND WILDLIFE
92-2238262
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . . . . . . .
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
4 5
Total. Add lines 1 through 3 . . . . . . . . . . . . The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . . . . . . . .
6
Public support. Subtract line 5 from line 4 . . .
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
Section B. Total Support Calendar year (or fiscal year beginning in) 7 8
Amounts from line 4 . . . . . . . . . . . . . . . . . . . . .
9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . . Total support. Add lines 7 through 10
11 12 13
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . . . . . . . . . . . . . . .
12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 15 16a b 17a
b
18
Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
%
Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
%
33 1/3% support test — 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 1/3% support test — 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test — 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
SPACE COAST BIRDING AND WILDLIFE
92-2238262
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in)
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . . . .
6,161
6,161
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . . . . . . . . .
154,999
154,999
161,160
161,160
3
Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . . . . . . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . . . . . . .
6
Total. Add lines 1 through 5 . . . . . . . . . . . .
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons . . . . . .
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year . . . Add lines 7a and 7b . . . . . . . . . . . . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c 8
161,160
Section B. Total Support Calendar year (or fiscal year beginning in)
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
9
Amounts from line 6 . . . . . . . . . . . . . . . . . . . . .
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . .
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . . . . . . . .
c
Add lines 10a and 10b . . . . . . . . . . . . . . . . . .
11
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on . . . . .
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . . . . . . . . . . . .
13
Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161,160 161,160 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
161,160
161,160
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
100.00 % %
Section D. Computation of Investment Income Percentage 17 17 Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19a 33 1/3% support tests — 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . b 33 1/3% support tests — 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . .
% %
X
Schedule A (Form 990) 2023 DAA
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Schedule A (Form 990) 2023
SPACE COAST BIRDING AND WILDLIFE
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Part IV
Supporting Organizations (Complete only if you checked a box on line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
No
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
3a
lines 3b and 3c below.
b
2
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer
3a
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination.
3b
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States (“foreign supported organization”)? If
3c
4a
“Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
c
4b
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
5a
4c
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
b c 6
7
8 9a
b c 10a
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part IV 11 a
SPACE COAST BIRDING AND WILDLIFE
92-2238262
Page 5
Supporting Organizations (continued) Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and
11a 11b
11c below, the governing body of a supported organization?
b
A family member of a person described on line 11a above?
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11c
Section B. Type I Supporting Organizations 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
1
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part
VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed
1
the supported organization(s).
Section D. All Type III Supporting Organizations 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the
1
organization’s governing documents in effect on the date of notification, to the extent not previously provided?
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI
2
how the organization maintained a close and continuous working relationship with the supported organization(s). By reason of the relationship described on line 2, above, did the organization’s supported organizations have
3
a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s
3
supported organizations played in this regard.
Section E. Type III Functionally Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
1 a b c
The organization satisfied the Activities Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). Activities Test. Answer lines 2a and 2b below.
2 a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify
b
3 a b DAA
those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. Parent of Supported Organizations. Answer lines 3a and 3b below. Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
2a
2b
3a 3b Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part V 1
SPACE COAST BIRDING AND WILDLIFE
92-2238262
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See
instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A – Adjusted Net Income 1 2 3 4 5 6
Net short-term capital gain Recoveries of prior-year distributions Other gross income (see instructions) Add lines 1 through 3. Depreciation and depletion
(A) Prior Year
(B) Current Year (optional)
1 2 3 4 5
Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
7 8
Other expenses (see instructions)
Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
6 7 8
Section B – Minimum Asset Amount 1
(A) Prior Year
1a 1b 1c 1d
2 3 4 5 6 7 8
Section C – Distributable Amount
7
(optional)
Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 3 Subtract line 2 from line 1d. 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by 0.035. 7 Recoveries of prior-year distributions 8 Minimum Asset Amount (add line 7 to line 6)
1 2 3 4 5 6
(B) Current Year
Adjusted net income for prior year (from Section A, line 8, column A) Enter 0.85 of line 1. Minimum asset amount for prior year (from Section B, line 8, column A) Enter greater of line 2 or line 3. Income tax imposed in prior year
Current Year
1 2 3 4 5
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part V
SPACE COAST BIRDING AND WILDLIFE
92-2238262
Section D – Distributions 1 2
Current Year 1
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported
2 3 4 5 6 7 8
organizations, in excess of income from activity
3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions.
Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. 9 Distributable amount for 2022 from Section C, line 6 10 Line 8 amount divided by line 9 amount (i) Section E – Distribution Allocations (see instructions) Excess Distributions 1 2
3
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
9 10 (ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required–explain in Part VI). See instructions. Excess distributions carryover, if any, to 2023
a From 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b From 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c From 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d From 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e From 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2023 distributable amount i Carryover from 2018 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2023 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2023 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. 7 Excess distributions carryover to 2024. Add lines 3j and 4c. 8 Breakdown of line 7: a Excess from 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . b Excess from 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . c Excess from 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . d Excess from 2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . e Excess from 2023 . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part VI
SPACE COAST BIRDING AND WILDLIFE
92-2238262
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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Schedule A (Form 990) 2023
21527
SCHEDULE G (Form 990) Department of the Treasury Internal Revenue Service Name of the organization
Part I 1
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered “Yes” on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
SPACE COAST BIRDING AND WILDLIFE ASSOCIATION, INC.
2023
Employer identification number
92-2238262
Fundraising Activities. Complete if the organization answered “Yes” on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part.
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a
Mail solicitations
e
Solicitation of non-government grants
b
Internet and email solicitations
f
Solicitation of government grants
c
Phone solicitations
g
Special fundraising events
d
In-person solicitations
2a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (iii) Did fund(i) Name and address of individual
or entity (fundraiser)
(ii) Activity
raiser have custody or control of contributions?
Yes
(v) Amount paid to
(vi) Amount paid to
(iv) Gross receipts
(or retained by)
(or retained by)
from activity
fundraiser listed in
organization
No
col. (i)
Yes No 1 2
3
4
5
6
7
8
9
10
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. . DAA
Schedule G (Form 990) 2023
21527
Page 2 SPACE COAST BIRDING AND WILDLIFE 92-2238262 Fundraising Events. Complete if the organization answered “Yes” on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
Schedule G (Form 990) 2023
Part II
(a) Event #1
(b) Event #2
(c) Other events (d) Total events
BIRDING & WILDL Revenue
(event type)
NONE (event type)
(add col. (a) through col. (c))
(total number)
1 Gross receipts . . . . . . . . .
161,160
161,160
2 Less: Contributions . . . . 3 Gross income (line 1 minus line 2) . . . . . . . . . . . . . . . . . .
6,161
6,161
154,999
154,999
7 Food and beverages . .
22,071
22,071
8 Entertainment
28,780
28,780
94,233
94,233
4 Cash prizes . . . . . . . . . . .
Direct Expenses
5 Noncash prizes . . . . . . . . 6 Rent/facility costs . . . . . .
.........
9 Other direct expenses
145,084 9,915
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Net income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Direct Expenses
Revenue
Part III
Gaming. Complete if the organization answered “Yes” on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (a) Bingo
(b) Pull tabs/instant
bingo/progressive bingo
(d) Total gaming (add
(c) Other gaming
col. (a) through col. (c))
1 Gross revenue . . . . . . . . 2 Cash prizes . . . . . . . . . . . 3 Noncash prizes . . . . . . . . 4 Rent/facility costs . . . . . . 5 Other direct expenses 6 Volunteer labor . . . . . . . .
Yes . . . . . . . . . . . . . . . . % No
Yes . . . . . . . . . . . . . . . . % No
Yes . . . . . . . . . . . . . . . % No
7 Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Net gaming income summary. Subtract line 7 from line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Enter the state(s) in which the organization conducts gaming activities: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No b If “No,” explain: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................................................................................................................................. .................................................................................................................................................................
10a Were any of the organization’s gaming licenses revoked, suspended, or terminated during the tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” explain:
Yes
No
................................................................................................................................................................. .................................................................................................................................................................
DAA
Schedule G (Form 990) 2023
21527
Schedule G (Form 990) 2023
11 12
SPACE COAST BIRDING AND WILDLIFE
Page 3
92-2238262
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
Yes
No
Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 a b 14
Yes
Indicate the percentage of gaming activity conducted in: The organization’s facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . An outside facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13a 13b
% %
Enter the name and address of the person who prepares the organization’s gaming/special events books and records: Name
............................................................................................................................................
Address
15a
..........................................................................................................................................
Does the organization have a contract with a third party from whom the organization receives gaming revenue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
If “Yes,” enter the amount of gaming revenue received by the organization amount of gaming revenue retained by the third party
c
No
Yes
No
$..............................
If “Yes,” enter name and address of the third party: Name
............................................................................................................................................
Address
16
Yes
$ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and the
..........................................................................................................................................
Gaming manager information: Name
...................................................................................................................................
Gaming manager compensation
$ .............................
Description of services provided . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Director/officer
17 a
Employee
Independent contractor
Mandatory distributions: Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization’s own exempt activities during the tax year
Part IV
$
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .
Schedule G (Form 990) 2023
DAA
21527
SCHEDULE O (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
2023
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection Employer identification number
SPACE COAST BIRDING AND WILDLIFE ASSOCIATION, INC.
92-2238262
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
. ......................................................................................................................................................................
DESCRIPTION
AMOUNT
. ......................................................................................................................................................................
BIRDING & WILDLIFE FESTIVAL
. ......................................................................................................................................................................
$
8,387
HOTELS
$
10,018
MEALS
$
297
TRANSPORTATION
$
1,427
TOTAL $
20,129
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES
. ......................................................................................................................................................................
DESCRIPTION
BEG. OF YEAR
END OF YEAR
. ......................................................................................................................................................................
CREDIT CARD PAYABLE
$
0 $
12
. ......................................................................................................................................................................
. ......................................................................................................................................................................
FORM 990-EZ, PART III - PRIMARY EXEMPT PURPOSE
. ......................................................................................................................................................................
SPACE COAST BIRDING AND WILDLIFE ASSOCIATION'S (SCBWA) SOLE PURPOSE IS TO
. ......................................................................................................................................................................
ENCOURAGE AWARENESS, APPRECIATION, EDUCATION, PRESERVATION, AND PROTECTION
. ......................................................................................................................................................................
OF THE DIVERSITY OF BIRDS, WILDLIFE, AND HABITAT THE SPACE COAST HAS TO
. ......................................................................................................................................................................
OFFER.
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
. ......................................................................................................................................................................
.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. DAA
Schedule O (Form 990) 2023
Taylor & Lockard, PA. 3960 South Banana River Blvd. Cocoa Beach, FL 32931
Space Coast Birding and Wildlife Association, Inc. P.O. Box 74 Mims, FL 32754
Marketing Support Program - SPACE COAST BIRDING AND WILDLIFE FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
2025-2026 projection
2024-2025 actuals
VAR
Venue + F&B
$17,553.62
$17,553.00
$0.62
Hotel Rooms
$9,261.00
$9,261.00
$0.00
Registration
$27,000.00
$26,288.10
$711.90
Exhibitors
$15,000.00
$15,030.00
-$30.00
Pipe & Drape
$5,259.00
$5,259.30
Audio Visual
$6,521.00
$6,521.00
-$0.30
Field Trips
$68,000.00
$63,510.00
$4,490.00
$0.00
Keynotes/Workshops
$6,000.00
$5,710.00
$290.00
Ticket Platform
$2,625.00
$5,840.50
-$3,215.50
Website Hosting & Support
$1,626.28
$1,626.28
$0.00
Subtotal Income Income Sponsors
$116,000.00
$110,538.10
$5,461.90
Cash in Bank to start
$12,141.68
$10,000.00
$2,141.68
$0.00
$0.00
$0.00
Income
PO Box
$464.00
$464.00
$0.00
Admin/Paid Staff Compensation
$56,769.41
$56,769.41
$0.00
Subtotal Expense Other Expenses
$100,079.31
$103,294.49
-$3,215.18
Insurance
$2,399.42
$2,399.42
$0.00
Rentals
$450.00
$450.00
$0.00
Quickbooks & Microsoft
$174.99
$174.99
$0.00
Taxes & Licenses
$71.25
$71.25
$0.00
Credit Card Fees
$3,591.35
$3,591.35
$0.00
Keynote/Trip Leader
$3,131.68
$3,131.68
$0.00
Transportation
$28,780.10
$28,780.10
$0.00
Water & Outside F & B
$4,119.32
$4,119.32
$0.00
TDC grant funding
Printing
$1,154.14
$1,154.14
$0.00
Total Income
$116,000.00
$110,538.10
$5,461.90
Membership & Subscriptions
$510.00
$510.00
$0.00
Total Expenses Paid
$157,837.29
$159,849.08
-$2,011.79
Profit/Loss
-$41,837.29
-$49,310.98
Supplies
$1,375.73
$1,375.73
$0.00
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$45,757.98
$45,757.98
$0.00
Advertising (Brevard)
$9,000.00
$8,386.62
$613.38
Promotion (out of county)
$3,000.00
$2,409.99
$590.01
Subtotal Marketing Marketing Expense
$12,000.00
$10,796.61
$1,203.39
Total Expenses 2025-2026
$157,837.29
$159,849.08
.
Updated: 6/27/2025
Small SAT Conference at Center for Space Education, Kennedy Space Center
Return to Table of Contents
For TDO use: PROJECT#- C 27
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Small SAT Education Applicant Event Name: Small Sat Conference, Center for Space Education at Kennedy Space Center
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes
X X
X X
No
Comment
X
Does not meet the 2-year eligibility requirement N/A
X
N/A
X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). YES All documents have been submitted, reviewed and/or addressed in the comments.
��
1(�(1,•.s
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:76 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Diane Ward
3. (untitled) 2. Which best describes your event/year-round programming? Cultural
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming SmallSat Education Organization address 1303 Vision Drive State FL City Palm Beach Gardens Zip 33418 Primary contact name Kevin Simmons Primary contact phone number 9046263512
Primary contact email ksimmons@bluecubesat.org Secondary contact name Diane Ward Secondary contact phone number 7164817181 Secondary contact email dwardbartelo@gmail.com Organization website address smallsateducation.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 99-1855171
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event SmallSat Education Conference Event website address (if different from organization website) smallsateducation.org Event location Center for Space Education, Kennedy Space Center
9. (untitled) 8. What is the first date of your event? 10/24/2025
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Direct mail Radio Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : SmallSat Education Conference YouTube : Aerospace Innovation Academy
22. (untitled) 13. What hashtags do you currently use? #NextGenSTEM #SmallSatEducation
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. SSEC_Art-of-Incorp.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. 990_SSEC.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SSEC,Inc._SunBiz.pdf
27. (untitled) 17. Upload your completed W-9 form. W9_SSEC.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. SmallSat_Education_Conference_Marketing_report.pdf
29. (untitled) 19. Upload your completed Checklist. MSP_applicant_checklist_4.30.2025_(1).pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Diane Ward
31. Thank You! New Send Email Jun 08, 2025 14:58:52 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
D i v i s i o n o f C o r p o r at i o n s
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Not For Profit Corporation SMALLSAT EDUCATION, INC. Filing Information
Document Number
N24000000663
FEI/EIN Number
99-1855171
Date Filed
01/16/2024
Effective Date
01/21/2024
State
FL
Status
ACTIVE
Principal Address
1303 VISION DRIVE PALM BEACH GARDENS, FL 33418 UN Mailing Address
1303 VISION DRIVE PALM BEACH GARDENS, FL 33418 UN Registered Agent Name & Address
SIMMONS, KEVIN 1303 VISION DRIVE PALM BEACH GARDENS, FL 33418 Officer/Director Detail
Name & Address Title P SIMMONS, KEVIN 1303 VISION DRIVE PALM BEACH GARDENS, FL 33418 UN Title Vice Chair Johnson, Kevin 1420 Cable Sable Road Melbourne, FL 32940 Title Secretary
Ward, Diane 222 Pierce Avenue Hanburg, NY 14075 UN Title Treasurer Kang, Jin 1603 McGuckian Street Annapolis, MD 21401 Annual Reports
Report Year
Filed Date
2025
02/24/2025
Document Images 02/24/2025 -- ANNUAL REPORT
View image in PDF format
01/16/2024 -- Domestic Non-Profit
View image in PDF format
Florida Department of State, Division of Corporations
Marketing Support Program - SMALLSAT EDUCATION, INC FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Location rental
$13,000.00
$13,000.00
$0.00
Lanyards signage badges supplies $1,000.00
$700.00
$300.00
Pizza lunch (Zarrellas)
$4,000.00
$3,000.00
$1,000.00
Swag bags for attendees
$800.00
$600.00
$200.00
Swag Items
$800.00
$500.00
$300.00
Subtotal Expense Other Expenses
$19,600.00
$17,800.00
$1,800.00
Coffee from Scullys Café
$1,800.00
$1,600.00
$200.00
pens stickers
$500.00
$300.00
$200.00
Robot kits stamps
$500.00
$300.00
$5000 award for teachers
$5,000.00
$500 award for students
$500.00
$200.00 0
2025-2026 projection
2024-2025 actuals
VAR
Sponsors
$16,000.00
$17,500.00
-$1,500.00
Tickets
$15,000.00
$13,219.00
$1,781.00
Subtotal Income Income Sponsors
$31,000.00
$30,219.00
$281.00
Cash in Bank to start
$9,000.00
$4,000.00
$5,000.00
Income
TDC grant funding
Subtotal Other Expenses Marketing - please specify Brevard/Out-of-County
$8,300.00
$300.00
$600.00
Orlando Family mag ad
$800.00
$600.00
$200.00
Marketing FB X Google ads
$1,000.00
$600.00
$400.00
Subtotal Marketing Marketing Expense
$1,800.00
$1,200.00
$600.00
Total Expenses 2025-2026
$19,700.00
$19,300.00
$0.00
$0.00
$0.00
Total Income
$40,000.00
$34,219.00
$5,781.00
Total Expenses Paid
$19,700.00
$19,300.00
$400.00
Profit/Loss
$20,300.00
$14,919.00
.
Updated: 6/27/2025
Cocoa Beach Spring Training
Return to Table of Contents
For TDO use: PROJECT#- S 1
Tourism Development Office _ FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Brevard Production, Inc Applicant Event Name: Cocoa Beach Spring Training
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
Comment
• NIA • • NIA • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
�J;_ �
7(J/-to'f.J
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:40 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Giles Malone
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Giles Malone Organization address 2230 Sykes Creek Drive State FL City Merritt Island Zip 32953 Primary contact name Giles Alleyne James Malone Primary contact phone number 3213234460
Primary contact email gilesmalone@gmail.com Secondary contact name Tom Palermo Secondary contact phone number 321-615-8111 Secondary contact email palermo.tom@gmail.com Organization website address www.CocoaBeachSpringTraining.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 20-4569017
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Cocoa Beach Spring Training Event website address (if different from organization website) www.CocoaBeachSpringTraining.com Event location Mitchell Ellington Park, Cone Road, Merritt Island, Florida
9. (untitled) 8. What is the first date of your event? 02/14/2026
10. (untitled) 9. In total, how many days will your event be held? 21+
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Direct mail Search advertising (pay-per-click, etc.) Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: email blasts, conventions
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : https://www.facebook.com/cocoabeachbaseballspringtraining Instagram : https://www.instagram.com/p/DHwE3r9J43g/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== YouTube : https://www.youtube.com/@space_coast_daily
22. (untitled) 13. What hashtags do you currently use? #cocoabeachbaseball
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. BPI_Articles_of_Incorporation.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SunBiz_Annual_Report.pdf
27. (untitled) 16. Upload your completed W-9 form. Brevard_Productions_W9.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. _TDC_Grant_request_Income_and_Expenses_Spring_Training_-_Sheet1.pdf
29. (untitled) 18. Upload your completed Checklist. TDC_Checklist.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Giles Malone
31. Thank You! New Send Email Jun 01, 2025 22:02:49 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA PROFIT CORPORATION ANNUAL REPORT
FILED Apr 29, 2025 Secretary of State 8825393105CC
DOCUMENT# P05000165265 Entity Name: BREVARD PRODUCTION, INC. Current Principal Place of Business: 750 AVOCADO DR. MERRITT ISLAND, FL 32953
Current Mailing Address: 750 AVOCADO DR. MERRITT ISLAND, FL 32953 FEI Number: 20-4569017
Certificate of Status Desired: No
Name and Address of Current Registered Agent: PALERMO, THOMAS J 750 AVOCADO DR. MERRITT ISLAND, FL 32953 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
P
Title
D
Name
PALERMO, THOMAS J
Name
MALONE, GILES
Address
750 AVOCADO DR.
Address
2230 SYKES CREEK DR.
MERRITT ISLAND FL 32953
City-State-Zip:
MERRITT ISLAND FL 32953
City-State-Zip:
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: THOMAS J PALERMO Electronic Signature of Signing Officer/Director Detail
P
04/29/2025 Date
Marketing Support Program
Cocoa Beach Spring Training
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Field rentals
$8,000.00
$7,500.00
$500.00
Income
2025-2026 projection
2024-2025 actuals
VAR
Commissions
$52,500.00
$45,240.00
$7,260.00
Hotels
$561,029.00
$541,069.00
$19,960.00
Umpires
$33,000.00
$30,000.00
$3,000.00
Sanctioning
$950.00
$950.00
$0.00
$0.00
T-shirts
$2,200.00
$1,923.00
$277.00
$0.00
$3,125.00
$3,125.00
$0.00
$0.00
Hotels
$444,168.00
$424,154.00
$20,014.00
$0.00
Payroll
$111,000.00
$111,000.00
$0.00
$0.00
$0.00
$0.00
$602,443.00
$578,652.00
$23,791.00
$0.00
Brochures
Expenses Subtotal Other Expenses
$0.00 $0.00
$0.00
$0.00 $0.00
$0.00 Income Subtotal
$613,529.00
$586,309.00
$27,220.00
$0.00 $0.00
$0.00
$0.00
Cash in Bank to start Other Income
$0.00
TDC funding
$25,000.00
$15,000.00
$10,000.00
$0.00
Other Income Subtotal
$25,000.00
$15,000.00
$10,000.00
$0.00
Total Income
$638,529.00
$601,309.00
$37,220.00
$0.00
Total Expenses Paid
$602,443.00
$578,652.00
$23,791.00
Profit/Loss
$36,086.00
$22,657.00
$13,429.00
$0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$0.00
$0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal Total Expenses 2025-2026
$0.00
$0.00
$0.00 $0.00
$602,443.00
$578,652.00
$23,791.00
.
Updated: 6/19/2025
Space Coast Spring Games Softball
Return to Table of Contents
For TOO use: PROJECT#- S 2
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Canales Legacy Unlimited, LLC Applicant Event Name: Space Coast Spring Games
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter -(if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
• • •
Comment
• N/A NIA • N/A •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
����
,bf1o�s-
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:71 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Victorio Canales
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Canales Legacy Unlimited LLC Organization address 521 eastbrook drive State IN City Decatur Zip 46733 Primary contact name Victor Canales Primary contact phone number 2607011400
Primary contact email victor@canaleslegacyunlimited.com Secondary contact name Stephanie Canales Secondary contact phone number 2603073412 Secondary contact email steph@canaleslegacyunlimited.com Organization website address www.spacecoastspringgames
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 93-2940129
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Space Coast Spring Games Event website address (if different from organization website) www.spacecoastspringgames.com Event location Viera, Florida
9. (untitled) 8. What is the first date of your event? 02/23/2026
10. (untitled) 9. In total, how many days will your event be held? 21+
11. (untitled) 10. Do you have a second event? Yes
12. (untitled) 11. EVENT INFORMATION - #2 Name of event Space Coast Spring games Event website address (if different from organization website) www.spacecoastspringgames.com Event location Viera, Florida
13. (untitled) 12. What is the first date of your event? 03/15/2026
14. (untitled) 13. In total, how many days will your event be held? 14
15. (untitled) 14. Do you have a third event? No
16. (untitled) 1. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 15. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 16. What are your social media handles? Facebook : Space Coast Spring Games Instagram : @spacecoastspringgames
22. (untitled) 17. What hashtags do you currently use? #spacecoastspringgames, #scspringgames
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 18. Upload a copy of your organization's Articles of Incorporation. Canales_LLC_certificate_of_organization.pdf
26. (untitled) 19. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization.
27. (untitled) 20. Upload your completed W-9 form. Canales_Legacy_Unlimited_w9_(2).pdf
28. (untitled) 21. Upload your completed Event Income/Expense report. Space_Coast_Spring_games_softball.pdf
29. (untitled) 22. Upload your completed Checklist. MSP_applicant_checklist_5.30.2025.pdf
30. (untitled) 23.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Victor Canales
31. Thank You! New Send Email Jun 07, 2025 14:58:38 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Victorio Canales
Print or type. See Specific Instructions on page 3.
2
Business name/disregarded entity name, if different from above.
Canales Legacy Unlimited, LLC 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor ✔
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
521 Eastbrook Drive 6
City, state, and ZIP code
Decatur, IN 46733 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
Social security number
–
–
or Employer identification number
9
3
–
2
9
4
0
1 2
9
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
4/1/25
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program
Space Coast Spring Games
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Officials
$176,000.00
$108,000.00
$68,000.00
Hotels for officials
$42,000.00
$37,500.00
$4,500.00
Food for officials
$7,500.00
$4,500.00
$3,000.00
Broadcasting
$7,500.00
$7,500.00
$0.00
$0.00
$1,825.00
-$1,825.00
$15,000.00
$22,000.00
-$7,000.00
$0.00
$0.00
$0.00
$0.00
$0.00
Expenses
Pro softball player appearance Assignor fee
Expenses Subtotal Other Expenses
$248,000.00
$181,325.00
2025-2026 projection
2024-2025 actuals
VAR
Team payments
$242,000.00
$120,120.00
$121,880.00
Souvenir
$17,000.00
$18,000.00
-$1,000.00
USSSA gate reimbursement
$22,000.00
$19,500.00
$2,500.00
Sponsorship
$25,000.00
$14,500.00
$10,500.00
Rebate from housing
$12,000.00
$10,000.00
$2,000.00
Income
$66,675.00
$0.00 $0.00
$0.00
$0.00
$0.00
$0.00 Income Subtotal
$318,000.00
$182,120.00
$135,880.00
Cash in Bank to start Other Income
$0.00
$15,000.00
-$15,000.00
$0.00 $0.00
TDC grant funding
$25,000.00
$25,000.00
$0.00
$25,000.00
$25,000.00
$0.00
Total Income
$343,000.00
$207,120.00
$135,880.00
Total Expenses Paid
$250,500.00
$181,325.00
$69,175.00
Profit/Loss
$92,500.00
$25,795.00
$66,705.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County Electronic out of county
$0.00
$0.00
$0.00
$2,500.00
$0.00
$2,500.00
Other Income Subtotal
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$2,500.00
$0.00
$0.00 $2,500.00
Total Expenses 2025-2026
$250,500.00
$181,325.00
$69,175.00
.
Updated: 6/19/2025
Space Coast Cup/Soccer
Return to Table of Contents
For TDO use: PROJECT#- S 3
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist
Applicant Organization Space Coast United Soccer Applicant Event Name: Space Coast Cup
Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist 1.
Yes X
No
Comment
X
NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
�JA_ � 1(711°1.r
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:50 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Kelly Rogers
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Space Coast United Soccer Organization address 7824 Citrus Creek Dr State FL City Melbourne Zip 32940 Primary contact name Kelly Rogers Primary contact phone number 3214030755
Primary contact email kelly.rogers@spacecoastsoccer.org Secondary contact name Bev Gibbs Secondary contact phone number 3217200890 Secondary contact email admin@spacecoastsoccer.org Organization website address https://spacecoastsoccer.org/
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 592377476
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Space Coast Cup Event website address (if different from organization website) spacecoastsoccer.org Event location Viera Regional Park, Rotary Park, and Dick Blake Park
9. (untitled) 8. What is the first date of your event? 11/14/2025
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event?
No
12. (untitled) 11. EVENT INFORMATION - #2 Name of event
Event website address (if different from organization website)
Event location
13. (untitled) 12. What is the first date of your event?
14. (untitled) 13. In total, how many days will your event be held?
15. (untitled) 14. Do you have a third event? No
16. (untitled) 1. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 15. What types of marketing do you plan to do for this event? Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 16. What are your social media handles? Facebook : https://facebook.com/SpaceCoastUnited Instagram : @spacecoastsoccer.org
22. (untitled) 17. What hashtags do you currently use? N/A
23. (untitled)
18. Upload a copy of your organization's IRS Determination letter. SCUSC_cert_of_exemption_2025-2030.pdf
24. (untitled) 19. Upload a copy of your organization's 990 form. 2024_Tax_Return_990_(Space_Coast_United_Soccer_Club_Inc_-_Client_Copy)_UL.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 20. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Sunbiz_Detail_by_Entity.pdf
27. (untitled) 21. Upload your completed W-9 form. SCU_W-9_(2).pdf
28. (untitled) 22. Upload your completed Event Income/Expense report. Space_Coast_Cup_and_Space_Coast_Clash.pdf
29. (untitled) 23. Upload your completed Checklist. Space_Coast_Cup_and_Clash.pdf
30. (untitled) 24.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Kelly Rogers
31. Thank You! New Send Email Jun 05, 2025 12:30:40 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
FOR TAX YEAR 2024 SPACE COAST UNITED SOCCER CLUB, INC
Boehm & Associates, Inc. 1934 Dairy Road W Melbourne, FL 32904 (321)956-1800
Form
990
For the 2024 calendar year, or tax year beginning Check if applicable:
2024
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 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.
Department of the Treasury Internal Revenue Service
A B
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
C Name of organization
Open to Public Inspection , 20
, 2024, and ending
Space Coast United Soccer Club, Inc
D
Employer identification number
E
Telephone number
G
Gross receipts
59-2377476
Address change
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
PO Box 410301
Initial return Final return/terminated
(321)288-0449
City or town, state or province, country, and ZIP or foreign postal code
Melbourne, FL 32941
Amended return Application pending
$
F Name and address of principal officer:
H(a) Is this a group return for subordinates?
2,237,767 Yes X No
H(b) Are all subordinates included?
X 501(c)(3) 501(c) ( ) (insert no.) Website: www.spacecoastsoccer.org Form of organization: X Corporation Trust Association Other
I
Tax-exempt status:
J K
Part I
4947(a)(1) or
527
Briefly describe the organization's mission or most significant activities:
Activities & Governance Revenue Expenses Net Assets or Fund Balances
1984
M State of legal domicile:
y po
if the organization discontinued its operations or disposed of more than 25% of its net assets. 2 Check this box 3 Number of voting members of the governing body (Part VI, line 1a) . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) . . . . . . . . . . . . . . . . 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . .
C tn
8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) 0 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . . . . . . . . . . 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . .
Part II
e lC i
3 4 5 6 7a 7b
11 11 62 150 0 0
Prior Year
Current Year
1,730,922 441,379 147
1,958,098 279,544 125 0 2,237,767 0 0 1,146,724 0
2,172,448
1,066,353
1,025,340 2,091,693 80,755
618,418 1,765,142 472,625
Beginning of Current Year
Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . .
Signature Block
FL
Promote youth physcial activity through the
sport of soccer
20 21 22
No
H(c) Group exemption number L Year of formation:
Summary 1
Yes
If "No," attach a list. See instructions
End of Year
1,253,949 81,792 1,172,157
1,564,575 133,930 1,430,645
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.
Brad Oxley
Sign Here
Signature of officer
Date
Brad Oxley, Treasurer Type or print name and title Preparer's name
Preparer's signature
Paid Jacquelyn Boehm Preparer Firm's name Boehm & Associates, Inc. Use Only Firm's address 1934 Dairy Road W Melbourne FL 32904 May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. EEA
Date
Check
03-16-2025
self-employed
if
PTIN
XXXXXXXXX
Firm's EIN Phone no.
321-956-1800
..........................
Yes X No Form 990 (2024)
Form 990 (2024)
Part III 1
Space Coast United Soccer Club, Inc
59-2377476
Page 2
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission:
............................
Promote youth physcial activity through the sport of soccer
2
3
4
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
y po
Yes
X No
Yes
X No
4a
(Code: ) (Expenses $ ) (Revenue $ ) 1,737,702 including grants of $ To provide educational, cultural, recreational, and/or social benefits to youth. The organization serves over 1450 youths annually through soccer training and competition.
4b
(Code:
C tn
) (Expenses $
e lC i
$
including grants of
$
4c
(Code:
4d
Other program services (Describe on Schedule O.) (Expenses $ including grants of $ Total program service expenses 1,737,702
4e EEA
) (Expenses $
including grants of
) (Revenue $
) (Revenue
$
)
) (Revenue
$
)
) Form 990 (2024)
Form 990 (2024)
Part IV
Space Coast United Soccer Club, Inc
Page 3
59-2377476
Checklist of Required Schedules Yes
1 2 3 4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18 19 20a b 21 EEA
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors? See instructions ............... Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X . . . . . . . Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV. . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . . . . . . . . . . . . . . . . . . If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ............ Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II . . . . . . . . . . . . . . .
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1 2
No
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18
X
19 20a 20b
X X
21 X Form 990 (2024)
Form 990 (2024)
Part IV
Space Coast United Soccer Club, Inc
Page 4
59-2377476
Checklist of Required Schedules (continued) Yes
22 23
24a
b c d 25a b
26
27
28 a b c 29 30 31 32 33 34 35a b 36 37 38
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . . . . . . . . . . . . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I. . . . . . . . . . . . . . . . . . Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II . . . . . . . . . . . . . . Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV ................. A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule M . . . . . . . . . . . Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I . . . . . . . Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II .............................................. Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line . 2. . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI . . . . . . . . . Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Part V
22
X
23
X
24a 24b
X
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X
38
X
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . Yes
1a b c EEA
No
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . 1a 35 Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . . . . . . . . . . . 1b 0 Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? .................................
No
1c X Form 990 (2024)
Form 990 (2024)
Part V 2a b 3a b 4a b 5a b c 6a b 7 a b c d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
EEA
Space Coast United Soccer Club, Inc
59-2377476
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . 2a 62 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule O. . . . . . . . . . . . At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. . . .
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If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . .
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? .......... If "Yes," enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ............ Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . If "Yes," complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . . . . . . . . . . . . . . . If "Yes," complete Form 6069.
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Yes
2b 3a 3b
Page 5 No
X X
4a
X
5a 5b 5c
X X
6a
X
6b
7a 7b 7c 7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b
X
15
X
16
X
17 Form 990 (2024)
Form 990 (2024)
Part VI
Space Coast United Soccer Club, Inc
Page 6
59-2377476
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management Yes 1a
b 2 3 4 5 6 7a b 8 a b 9
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . 1a 11 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O. Enter the number of voting members included on line 1a, above, who are independent . . . . . . . . . . . 1b 11 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? . . . . . . . Did the organization become aware during the year of a significant diversion of the organization's assets? . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O . . . . . . . . . . . . . . . .
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No
2
X
3 4 5 6
X X X X
7a
X
7b
X
8a 8b
X X
9
X
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) 10a b 11a b 12a b c 13 14 15 a b 16a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If "No," go to line 13 . . . . . . . . . . . . . . . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done .......................................... Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Yes 10a 10b 11a 12a 12b
No
X
X X
12c 13 14
X X
15a 15b
X X
16a
X
16b
Section C. Disclosure 17 18
19 20
List the states with which a copy of this Form 990 is required to be filed Florida Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Another's website X Upon request Own website Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records.
Brad Oxley (321)288-0449, PO Box 410301, Melbourne, FL 32941 EEA
Form 990 (2024)
Form 990 (2024)
Space Coast United Soccer Club, Inc
Page 7
59-2377476
Part VII
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors ...................... Check if Schedule O contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See the instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations.
y po
See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
X
(C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(E)
(F)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
0
0
0
per week Highest compensated employee
Key employee
Officer
Institutional trustee
C tn
related
organizations below dotted line)
(1) Kara Ehrhardt Vice President (2) Adam Ferguson Director (3) Kevin Koegel Director (4) Kellie McGuire Director (5) Todd Olson Director (6) Matt Shannon Director (7) David Trout Director (8) Allie Goff President (9) Brad Oxley Treasurer (10) Mike Perry Vice President (11) Scott Armstrong Exec Dir Coaching
Individual trustee or director
(list any hours for
5.00
e lC i
Former
(D)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
5.00
5.00
5.00
5.00
5.00
5.00
20.00 20.00 20.00 60.00 X
(12) (13) (14) EEA
Form 990 (2024)
Form 990 (2024)
Part VII
Space Coast United Soccer Club, Inc
Page 8
59-2377476
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
per week Former
Highest compensated employee
Key employee
below dotted line)
Officer
related organizations
Institutional trustee
hours for
Individual trustee or director
(list any
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(15) (16) (17)
y po
(18) (19) (20) (21)
C tn
(22) (23) (24) (25) 1b c d 2
3 4
5
e lC i
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A .............. Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 0 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0 0 Yes
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person . . . . . . . . . . . . . . . . . .
No
3
X
4
X
5
X
Section B. Independent Contractors 1
2 EEA
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization Form 990 (2024)
Form 990 (2024)
Part VIII
Space Coast United Soccer Club, Inc Check if Schedule O contains a response or note to any line in this Part VIII (A) Total revenue
Contributions, Gifts, Grants and Other Similar Amounts
Page 9
59-2377476
Statement of Revenue
1a b c d e f g h
Federated campaigns . . . . . . . . 1a Membership dues . . . . . . . . . . 1b 1,941,248 Fundraising events . . . . . . . . . 1c Related organizations . . . . . . . . 1d Government grants (contributions) . . 1e 16,850 All other contributions, gifts, grants, and similar amounts not included above 1f Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . 1g $ Total. Add lines 1a-1f . . . . . . . . . . . . . . . . . . .
...................... (B)
(C)
(D)
Related or exempt function revenue
Unrelated business revenue
Revenue excluded from tax under sections 512–514
1,958,098
Program Service Revenue
Business Code
2a Misc Other Donations 900099 b Field Hosting Commssion 900099 c Camp Revenue 711210 d Rebates 711210 e Tournament Fees 711210 f All other program service revenue . . . . . . g Total. Add lines 2a-2f . . . . . . . . . . . . . . . . . . . . 3 4 5
Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . Income from investment of tax-exempt bond proceeds .... Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Personal
Other Revenue Miscellanous Revenue
21,526 1,853 84,624 16,431 155,110
y po
279,544
125
125
2,237,767
279,669
C tn
(i) Real
6a Gross rents . . . . . . 6a b Less: rental expenses . . 6b c Rental income or (loss) 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . .
EEA
21,526 1,853 84,624 16,431 155,110
e lC i
(i) Securities (ii) Other 7a Gross amount from sales of assets other than inventory . . 7a b Less: cost or other basis and sales expenses . . 7b c Gain or (loss) . . . . . 7c d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . 8a b Less: direct expenses . . . . . . . . . 8b c Net income or (loss) from fundraising events . . . . . . . . . 9a Gross income from gaming activities. See Part IV, line 19 . . . . . . 9a b Less: direct expenses . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . .
10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . Business Code 11a b c d All other revenue . . . . . . . . . . . . . . e Total. Add lines 11a-11d . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . .
0
0 Form 990 (2024)
Form 990 (2024)
Part IX
Space Coast United Soccer Club, Inc
59-2377476
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ... 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . 3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . . 4 Benefits paid to or for members . . . . . . . . . . . . 5 Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . 6 Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . 7 Other salaries and wages . . . . . . . . . . . . . . 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .. 9 Other employee benefits . . . . . . . . . . . . . . . 10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . 11 Fees for services (nonemployees): a Management . . . . . . . . . . . . . . . . . . . . . b Legal. . . . . . . . . . . . . . . . . . . . . . . . . c Accounting . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17. . f Investment management fees . . . . . . . . . . . . . g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) . . 12 Advertising and promotion . . . . . . . . . . . . . . 13 Office expenses . . . . . . . . . . . . . . . . . . . 14 Information technology . . . . . . . . . . . . . . . . 15 Royalties . . . . . . . . . . . . . . . . . . . . . . . 16 Occupancy . . . . . . . . . . . . . . . . . . . . . . 17 Travel . . . . . . . . . . . . . . . . . . . . . . . . 18 Payments of travel or entertainment expenses for any federal, state, or local public officials ..... 19 Conferences, conventions, and meetings . . . . . . . 20 Interest . . . . . . . . . . . . . . . . . . . . . . . . 21 Payments to affiliates . . . . . . . . . . . . . . . . . 22 Depreciation, depletion, and amortization . . . . . . . 23 Insurance . . . . . . . . . . . . . . . . . . . . . . 24 Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.) a Soccer Program Expenses b Continuing Education c Business License and Permits d Tournament Expenses e All other expenses 25 Total functional expenses. Add lines 1 through 24e. . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) . . . . . . . . . .
(A) Total expenses
203,520
y po 831,116
81,188
(D) Fundraising expenses
30,900
81,188
C tn 1,598 1,300
(C) Management and general expenses
203,520
862,016
e lC i
EEA
(B) Program service expenses
1,598
1,300
4,555 3,255
4,555
74,393 3,896
74,393 3,896
8,090 37,117
8,090 26,649
10,468
220,212 3,719 20,775 138,594 100,914 1,765,142
220,212 3,719 20,775 138,594 119,397 1,737,702
(18,483) 27,440
3,255
0
Form 990 (2024)
Form 990 (2024)
Part X
Space Coast United Soccer Club, Inc
59-2377476
Check if Schedule O contains a response or note to any line in this Part X
........................ (A) Beginning of year
1 2 3 4 5
Liabilities
Assets
6 7 8 9 10a b 11 12 13 14 15 16 17 18 19 20 21 22
Net Assets or Fund Balances
Cash - non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . . . . 10a 134,268 Less: accumulated depreciation . . . . . . . . . . 10b 106,869 Investments - publicly traded securities . . . . . . . . . . . . . . . . . . . . . Investments - other securities. See Part IV, line 11 . . . . . . . . . . . . . . . Investments - program-related. See Part IV, line 11 . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Secured mortgages and notes payable to unrelated third parties . . . . . . . . Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
493,370 738,981
(B) End of year 1 2 3 4
563,070 974,106
5 6 7 8 9
y po
21,598 10c
27,399
11 12 13 14 15 16 17 18 19 20 21
1,564,575
C tn
1,253,949
81,792 81,792
25 26
133,930 133,930
27 28
Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
1,172,157
27 28
1,430,645
29 30 31 32 33
Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund ......... Retained earnings, endowment, accumulated income, or other funds ...... Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . .
23 24 25
26
EEA
Page 11
Balance Sheet
e lC i
22 23 24
1,172,157 1,253,949
29 30 31 32 33
1,430,645 1,564,575 Form 990 (2024)
Form 990 (2024)
Part XI
Space Coast United Soccer Club, Inc
Check if Schedule O contains a response or note to any line in this Part XI 1 2 3 4 5 6 7 8 9 10
......................
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Page 12
59-2377476
Reconciliation of Net Assets 1 2 3 4 5 6 7 8 9
2,237,767 1,765,142 472,625 1,172,157
10
1,430,645
(214,137) 0
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII
....................... Yes
1
2a
b
c
3a b EEA
X Accrual Accounting method used to prepare the Form 990: Cash Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. X Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . .
y po
e lC i
C tn
2a
X
2b
2c
3a
No
X
X
X
3b Form 990 (2024)
SCHEDULE A (Form 990)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
2024
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Department of the Treasury Internal Revenue Service Name of the organization
Employer identification number
Space Coast United Soccer Club, Inc
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
59-2377476
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: X An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross 10 receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of 12 one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving a the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having b control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, c its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) d that is not functionally integrated. The organization must generally satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III e functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations ....................................... g Provide the following information about the supported organization(s).
y po
C tn
(i) Name of supported organization
e lC i (ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
(v) Amount of monetary support (see instructions)
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Space Coast United Soccer Club, Inc
59-2377476
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 4 Total. Add lines 1 through 3 . . . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . 6 Public support. Subtract line 5 from line 4.
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
y po
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total 7 Amounts from line 4 . . . . . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . 9 Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . 11 Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . 12 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C tn
e lC i
Section C. Computation of Public Support Percentage 14 15 16a
Public support percentage for 2024 (line 6, column (f), divided by line 11, column (f)) . . . . . . 14 % Public support percentage from 2023 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . 15 % 33 1/3% support test - 2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . b 33 1/3% support test - 2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . 17a 10%-facts-and-circumstances test - 2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 10%-facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Space Coast United Soccer Club, Inc
59-2377476
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees 2
3
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
received. (Do not include any "unusual grants.")
896,953 1,142,890 1,447,232 1,730,924 1,958,098
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose . . . . Gross receipts from activities that are not an unrelated trade or business under section 513
247,368
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 6 Total. Add lines 1 through 5 . . . . . 7a Amounts included on lines 1, 2, and 3 received from disqualified persons . . b Amounts included on lines 2 and 3
357,311
4,520
20,915
7,176,097
279,544
909,658
1,144,321 1,500,201 1,451,752 1,751,839 2,237,642
8,085,755
4
received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year
c 8
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Add lines 7a and 7b . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . .
0
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . . . . . 10a Gross income from interest, dividends,
b
c 11
12
13 14
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0
0
0
0
8,085,755
(a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 1,144,321 1,500,201 1,451,752 1,751,839 2,237,642
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0
(f) Total 8,085,755
payments received on securities loans, rents, royalties, and income from similar sources .
981
277
138
147
1,543
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . Add lines 10a and 10b . . . . . . . . .
981
277
138
147
1,543
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . 1,145,302 1,500,478 1,451,890 1,751,986 2,237,642 8,087,298 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) ........................................... organization, check this box and stop here
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2024 (line 8, column (f), divided by line 13, column (f)) . . . . . . . Public support percentage from 2023 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . .
15 16
99.98 % 99.97 %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2024 (line 10c, column (f), divided by line 13, column (f)) . . . 17 0% Investment income percentage from 2023 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . 18 0% 33 1/3% support tests - 2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization X
b
33 1/3% support tests - 2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . .
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . .
EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Space Coast United Soccer Club, Inc
Page 4
59-2377476
Part IV
Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
2
3a b
c 4a b
c
5a
b c 6
7
8 9a
b c 10a
b EEA
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below. Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked 12a or 12b in Part I, answer lines 4b and 4c below. Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
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No
1
2 3a
3b 3c 4a
4b
4c
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part IV
Space Coast United Soccer Club, Inc
Page 5
59-2377476
Supporting Organizations (continued) Yes No
11 a b c
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
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Section C. Type II Supporting Organizations 1
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Section D. All Type III Supporting Organizations 1
2
3
Yes No
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1 Yes No
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
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1 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 2 By reason of the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard. 3
Section E. Type III Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). 2 Activities Test. Answer lines 2a and 2b below. Yes No a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. 2a b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 2b 3 Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No," provide details in Part VI. 3a b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard. 3b EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part V
Space Coast United Soccer Club, Inc
59-2377476
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A - Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B - Minimum Asset Amount (A) Prior Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities 1a b Average monthly cash balances 1b c Fair market value of other non-exempt-use assets 1c d Total (add lines 1a, 1b, and 1c) 1d e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1d. 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by 0.035. 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8
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Section C - Distributable Amount 1 2 3 4 5 6 7 EEA
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Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part V
Space Coast United Soccer Club, Inc
59-2377476
Section D - Distributions 1 2 3 4 5 6 7 8 9 10
Current Year
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. Distributable amount for 2024 from Section C, line 6 Line 8 amount divided by line 9 amount
3 a b c d e f g h i j 4 a b c 5
6
7 8 a b c d e EEA
Distributable amount for 2024 from Section C, line 6 Underdistributions, if any, for years prior to 2024 (reasonable cause required - explain in Part VI). See instructions. Excess distributions carryover, if any, to 2024 From 2019 . . . . . . . . From 2020 . . . . . . . . From 2021 . . . . . . . . From 2022 . . . . . . . . From 2023 . . . . . . . . Total of lines 3a through 3e Applied to underdistributions of prior years Applied to 2024 distributable amount Carryover from 2019 not applied (see instructions) Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2024 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2024 distributable amount Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2025. Add lines 3j and 4c. Breakdown of line 7: Excess from 2020 . . . . Excess from 2021 . . . . Excess from 2022 . . . . Excess from 2023 . . . . Excess from 2024 . . . .
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2024
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(i) Excess Distributions
Section E - Distribution Allocations (see instructions) 1 2
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
(iii) Distributable Amount for 2024
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Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part VI
Space Coast United Soccer Club, Inc
59-2377476
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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Schedule A (Form 990) 2024
SCHEDULE D (Form 990) (Rev. December 2024) Department of the Treasury Internal Revenue Service Name of the organization
Supplemental Financial Statements Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Employer identification number
Space Coast United Soccer Club, Inc 59-2377476 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . Aggregate value of grants from (during year) . . . . . Aggregate value at end of year . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6
Part II
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Conservation Easements
Yes
No
Yes
No
Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1
2 a b c d 3 4 5 6 7 8 9
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Number of conservation easements on a certified historic structure included on line 2a ........ 2c Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year ...................................... Number of states where property subject to conservation easement is located ................. Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B) (i) and section 170(h)(4)(B)(ii)? ............................................ Yes No In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Part III
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Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items. (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items. a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) (Rev. 12-2024) EEA
Schedule D (Form 990) (Rev. 12-2024) Space
Part III 3 a b c 4 5
b c d e f 2a b
f g 2 a b c 3a
b 4
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(c) Two years back
(d) Three years back
Beginning of year balance . . . . . . Contributions . . . . . . . . . . . . . Net investment earnings, gains, and losses . . . . . . . . . . . . . . Grants or scholarships . . . . . . . . Other expenditures for facilities and programs . . . . . . . . . . . . . . . Administrative expenses . . . . . . . End of year balance . . . . . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % Permanent endowment % Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
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No
No
(e) Four years back
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
1a Land . . . . . . . . . . . . . . . . . . . b Buildings . . . . . . . . . . . . . . . . . c Leasehold improvements . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . 134,268 106,869 e Other . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) . . . . . . . . . . . . . . EEA
No
Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year
d e
Yes
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII and complete the following table. Amount Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII . . . . . . . . . . . . . .
Part V
1a b c
Page 2
59-2377476
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply). Public exhibition d Loan or exchange program Scholarly research e Other Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . . . . . . . . . .
Part IV
1a
Coast United Soccer Club, Inc
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
(d) Book value
27,399 27,399
Schedule D (Form 990) (Rev. 12-2024)
Schedule D (Form 990) (Rev. 12-2024)
Part VII
Space Coast United Soccer Club, Inc
59-2377476
Page 3
Investments - Other Securities Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests . . . . . . . . . . . . . . . . . . . . . . (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) . . . . . .
Part VIII
Investments - Program Related Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
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(a) Description of investment
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) . . . . . .
Part IX
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(c) Method of valuation: Cost or end-of-year market value
Other Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
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(a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
1.
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(1) Federal income taxes (2)Accrued Payroll (3)Chase CC (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)). .
(b) Book value
86,613 47,317
133,930
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . . . . . EEA
Schedule D (Form 990) (Rev. 12-2024)
Schedule D (Form 990) (Rev. 12-2024) Space
Coast United Soccer Club, Inc
59-2377476
Page 4
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . 2a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2b Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . . . . . . . . . . . . . . .
2e 3
4c 5
Part XII
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
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Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . . . . . . . . . . . . . . .
Part XIII
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Supplemental Information
2e 3
4c 5
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
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EEA
Schedule D (Form 990) (Rev. 12-2024)
Schedule D (Form 990) (Rev. 12-2024) Space
Part XIII
Coast United Soccer Club, Inc
59-2377476
Page 5
Supplemental Information (continued)
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Schedule D (Form 990) (Rev. 12-2024)
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
OMB No. 1545-0047
(Rev. December 2024) Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
Space Coast United Soccer Club, Inc 59-2377476 01. Form 990 governing body review (Part VI, line 11) The form is provided electronically to all board memebers for review prior to filing. 02. Governing documents, etc, available to public (Part VI, line 19) The public may obtain a coy of the Form 990 or other governing documents
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For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule O (Form 990) (Rev. 12-2024)
Form
Depreciation and Amortization
4562
Attach to your tax return. Go to www.irs.gov/Form4562 for instructions and the latest information.
Name(s) shown on return
Business or activity to which this form relates
Space Coast United Soccer Club,
1 2 3 4 5 6
2024
(Including Information on Listed Property)
Department of the Treasury Internal Revenue Service
Part I
OMB No. 1545-0172
Attachment Sequence No. 179 Identifying number
FORM 990 - 1
59-2377476
Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I. Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property
(b) Cost (business use only)
1 2 3 4 5
(c) Elected cost
7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . . . 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2023 Form 4562 . . . . . . . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions . . . . 11 12 Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 . . . . . . . . . 12 13 Carryover of disallowed deduction to 2025. Add lines 9 and 10, less line 12 . . . 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don't include listed property. See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don't include listed property. See instructions.) Section A .......... 17 MACRS deductions for assets placed in service in tax years beginning before 2024 17 7,233 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B - Assets Placed in Service During 2024 Tax Year Using the General Depreciation System
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(a) Classification of property
19a b c d e f g h
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(b) Month and year (c) Basis for depreciation placed in (business/investment use service only-see instructions)
(d) Recovery period
(e) Convention
(f) Method
(g) Depreciation deduction
3-year property 5-yearStatement property #567 7-year property 10-year property 15-year property 20-year property 25-year property 25 yrs. S/L Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L i Nonresidential real 39 yrs. MM S/L property MM S/L Section C - Assets Placed in Service During 2024 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs. S/L c 30-year 30 yrs. MM S/L d 40-year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions . . 22 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions. EEA
857
8,090
Form 4562 (2024)
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2024, or fiscal year beginning
OMB No. 1545-0047
, 2024, and ending
, 20
2024
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
Space Coast United Soccer Club, Inc
59-2377476
Name and title of officer or person subject to tax
Brad Oxley, Treasurer
Part I
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 1a 2a 3a 4a 5a 6a 7a 8a 9a 10a
Form 990 check here . . . . . X Form 990-EZ check here . . . Form 1120-POL check here. . Form 990-PF check here . . . Form 8868 check here . . . . Form 990-T check here. . . . Form 4720 check here . . . . Form 5227 check here . . . . Form 5330 check here . . . . Form 8038-CP check here. . .
Part II
b b b b b b b b b b
Total revenue, if any (Form 990, Part VIII, column (A), line 12). . . . . . 1b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . . . . . . . . 2b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . 3b Tax based on investment income (Form 990-PF, Part V, line 5). . . . . 4b Balance due (Form 8868, line 3c). . . . . . . . . . . . . . . . . . . . 5b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . 6b Total tax (Form 4720, Part III, line 1). . . . . . . . . . . . . . . . . . . 7b FMV of assets at end of tax year (Form 5227, Item D) . . . . . . . . . 8b Tax due (Form 5330, Part II, line 19). . . . . . . . . . . . . . . . . . . 9b Amount of credit payment requested (Form 8038-CP, Part III, line 22) . 10b
2,237,767
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Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) , (EIN) and that I have examined a copy of the 2024 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
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PIN: check one box only
X I authorize
Boehm & Associates, Inc.
ERO firm name
to enter my PIN
77476
as my signature
Enter five numbers, but do not enter all zeros
on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
03-20-2025
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
504572
32904 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2024 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
Date
03-16-2025
ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see the instructions. EEA
Form 8879-TE (2024)
Federal Supporting Statements Name(s) as shown on return
2024
Space Coast United Soccer Club, Inc
59-2377476
Form 4562 - Line 19b Basis 812 7,200 5,880
RP 5 5 5
CV MQ MQ MQ
Statement #567 Method 200 DB 200 DB 200 DB
Total
Deduction 203 360 ___________ 294 ___________ 857 ___________
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PG01
Tax ID Number
990
Overflow Statement (This page is not filed with the return. It is for your records only.)
Name(s) as shown on return
2024
Page 1
FEIN
Space Coast United Soccer Club, Inc
59-2377476
Membership Dues _________________________________________________________ Description ______________ Amount _________________________________________________________ Adult League $ ______________ 36,805 _________________________________________________________ Competetive Programs ______________ 1,236,710 _________________________________________________________ Recreational Programs ______________ 431,310 _________________________________________________________ Team Fees ______________ 236,423 Total: $______________ 1,941,248 ______________ Part IX, Line 24e, Other Expenses Program Services
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_________________________________________________________ Description ______________ Amount _________________________________________________________ Adult League Expensse $ ______________ 25,671 _________________________________________________________ Camp Expense ______________ 9,936 _________________________________________________________ Deminimus Equipment ______________ 15,863 _________________________________________________________ Facilities and Field Rentals ______________ 245 _________________________________________________________ Fuel for Golf Carts ______________ 300 _________________________________________________________ Leased Equipment ______________ 920 _________________________________________________________ Payroll Processing Fees ______________ 7,010 _________________________________________________________ Repairs and Maintenance ______________ 4,773 _________________________________________________________ Telephone ______________ 5,540 _________________________________________________________ Teams Exp from Old Accounts ______________ 3,686 _________________________________________________________ Tryout Expense ______________ 507 _________________________________________________________ Uniforms and Tshirts ______________ 44,946 Total: $______________ 119,397 ______________
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Pt IX, Line 24e Other Expenses Mgmt and General _________________________________________________________ Description ______________ Amount _________________________________________________________ Directors Discrectionary Budget $ ______________ 1,979 _________________________________________________________ Merchant Services ______________ 1,877 _________________________________________________________ Miscellaneous ______________ 3,322 _________________________________________________________ Postage and Delivery ______________ 753 _________________________________________________________ Club Card - unclassified ______________ (16,448) _________________________________________________________ Team Expenses ______________ (9,981) _________________________________________________________ Quickbooks Payments Fees ______________ 15 Total: $______________ -18,483 ______________
OVERFLOW.LD
* Item is included in UBIA for Section 199A calculations. See "UBIA" in lower right corner.
Depreciation Detail Listing
2024
Program Services
PAGE
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Name(s) as shown on return
Space Coast United Soccer Club, Inc No.
Description
Date
Basis
Business
Section
Adjustment
percentage
179
Cost
1
Trailer 2
07-24-2021
799
100.00
2
Aed
08-18-2021
650
100.00
3
Aed-2
08-18-2021
650
100.00
4
4x16 Forza Goal
09-15-2021
1,067
5
4x16 Forza Goal-2
09-15-2021
1,067
6
Goals
08-24-2012
4,000
7
Golf Cart
10-19-2014
2,000
8
Pop Up Goals
02-26-2015
4,500
9
Pop Up Goals
06-04-2015
3,786
09-10-2015
15,050
10 Shed
1
(This page is not filed with the return. It is for your records only.)
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11 Field Security Nettin 09-22-2015
6,750
12 8x24 Soccer Goal
08-22-2017
2,650
13 6.5x18.5 Soccer Goal
08-22-2017
2,400
14 Computer {New in 2017 08-30-2017
2,000
100.00 100.00 100.00 100.00 100.00 100.00 100.00
Bonus
Depreciable
depreciation
Basis
Social security number/EIN
59-2377476 Life
Prior
Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
Method
Rate
799 7
200 DB HY
12.49
799
799
650 7
200 DB HY
12.49
650
650
650 7
200 DB HY
12.49
650
650
1,067 7
200 DB HY
12.49
1,067
1,067
1,067 7
200 DB HY
12.49
1,067
1,067
4,000 7
0
4,000
4,000
2,000 7
0
2,000
2,000
4,500 7
0
4,500
4,500
3,786 7
0
3,786
3,786
15,050 7
0
15,049
15,049
100.00
6,750 7
0
6,750
100.00
2,650 7
200 DB HY
4.46
2,532
118
2,650
6,750
100.00
2,400 7
200 DB HY
4.46
2,293
107
2,400
100.00
2,000 7
200 DB HY
4.46
2,000
100.00
709 7
200 DB MQ
8.73
593
62
655
100.00
2,825 7
200 DB MQ
8.73
2,363
247
2,610
100.00
908 7
200 DB MQ
8.73
759
79
838
100.00
908 7
200 DB HY
8.92
908
908
2,000
15 7.5' Aluminum Bench
10-02-2018
709
16 8'x24' Soccer Goal 2
10-23-2018
2,825
17 15' Aluminum Bench
11-12-2018
908
18 15' Aluminum Bench 2
01-16-2019
908
19 15' Aluminum Bench 3
01-16-2019
908
100.00
908 7
200 DB HY
8.92
908
908
20 15' Aluminum Bench 4
01-16-2019
908
100.00
908 7
200 DB HY
8.92
908
908
21 15' Alumunum Bench 5
01-16-2019
908
100.00
908 7
200 DB HY
8.92
908
908
22 7.5" Aluminum Bench 3 01-16-2019
709
100.00
709 7
200 DB HY
8.92
709
709
23 7.5" Aluminum Bench 2 01-16-2019
709
100.00
709 7
200 DB HY
8.92
709
709
24 7.5" Aluminum Bench 4 01-16-2019
709
100.00
709 7
200 DB HY
8.92
709
709
200 DB HY
8.92
2,800
2,800
25 7' x 21' Soccer Goal
03-13-2019
2,800
100.00
2,800 7
26 8'x24' Soccer Goal 3
03-13-2019
2,950
100.00
2,950 7
200 DB HY
8.92
2,950
2,950
27 7.5' Aluminum Bench 5 03-25-2019
709
100.00
709 7
200 DB HY
8.92
709
709
28 15' Aluminum Bench 7
03-25-2019
908
100.00
908 7
200 DB HY
8.92
908
908
29 15' Aluminum Bench 8
03-25-2019
908
100.00
908 7
200 DB HY
8.92
908
908
30 15' Aluminum Bench 6
03-25-2019
908
100.00
908 7
200 DB HY
8.92
908
908
* Item is included in UBIA for Section 199A calculations. See "UBIA" in lower right corner.
Depreciation Detail Listing
2024
Program Services
PAGE
y po
Name(s) as shown on return
Space Coast United Soccer Club, Inc No.
Description
Date
Basis
Business
Section
Adjustment
percentage
179
Cost
depreciation
Basis
59-2377476 Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
709 7
200 DB HY
8.92
709
709
709 7
200 DB HY
8.92
709
709
975 7
200 DB HY
8.92
975
975
709 7
200 DB HY
8.92
709
709
731 7
200 DB HY
8.92
731
731
500 7
200 DB HY
8.92
500
500
500 7
200 DB HY
8.92
500
500
600 7
200 DB HY
8.92
600
600
600 7
200 DB HY
8.92
600
600
3,396 7
200 DB MQ
8.75
3,396
3,396
100.00
2,800 7
200 DB MQ
8.87
2,800
2,800
100.00
600 7
200 DB MQ
9.3
600
600
100.00
1,099 7
200 DB MQ
9.3
1,099
1,099
100.00
2,800 7
200 DB MQ
10.04
2,800
2,800
100.00
2,800 7
200 DB MQ
10.04
2,800
2,800
100.00
2,800 7
200 DB MQ
10.04
2,800
100.00
1,318 7
200 DB HY
17.49
511
231
742
100.00
3,000 7
200 DB HY
17.49
1,164
525
1,689
709
100.00
709
100.00
33 Drinks Cooler
05-06-2019
975
100.00
34 7.5' Aluminum Bench 8 09-12-2019
709
35 Trailer
09-18-2019
731
36 6.5 x 18.5 Shooting G 10-04-2019
500
37 6.5 x 18.5 Shooting G 10-04-2019
500
38 8x24 Shooting Goal 2
10-04-2019
600
39 8x24 Shooting Goal
10-04-2019
600
40 Lightning
Detector
03-09-2020
3,396
41 7x12 Soccer Goal 2
04-28-2020
2,800
42 Video Camera
08-25-2020
600
43 Ipad
09-05-2020
1,099
44 6.5 x 18.5 Soccer Goa 10-26-2020
2,800
45 6.5 x 18.5 Soccer Goa 10-26-2020
2,800
46 7x12 Soccer Goal 3
11-05-2020
2,800
47 2 Soccer Goal Dollies 05-31-2022
1,318
48 2013 Yamaha Golf Cart 09-23-2022
3,000
C tn 100.00 100.00 100.00 100.00 100.00 100.00 100.00
Life
Prior
Rate
32 7.5' Aluminum Bench 6 03-25-2019
e lC i
Bonus
Depreciable
Social security number/EIN
Method
31 7.5' Aluminum Bench 7 03-25-2019
49 7 x 21 Soccer Goas
2
(This page is not filed with the return. It is for your records only.)
2,800
04-30-2022
626
100.00
626 7
200 DB HY
17.49
242
109
351
50 4 - 7 x 21 Soccer Goa 06-01-2022
6,975
100.00
6,975 7
200 DB HY
17.49
2,705
1,220
3,925
51 4 - 8 x 24 Soccer Goa 06-30-2022
7,525
100.00
7,525 7
200 DB HY
17.49
2,918
1,316
4,234
52 6.5 x 18.5 Soccer Goa 11-30-2022
3,150
100.00
3,150 7
200 DB HY
17.49
1,221
551
1,772
53 iPad Pro 10.5 in 256
01-01-2022
800
100.00
800 7
200 DB HY
17.49
310
140
450
54 Zoll AED Plus - 3
01-31-2023
1,420
100.00
1,420 5
200 DB HY
32
284
454
738
55 Zoll AED Plus - 4
01-31-2023
1,420
100.00
1,420 5
200 DB HY
32
284
454
738
56 Laptop - MacBook Air
01-31-2023
1,412
100.00
1,412 5
200 DB HY
32
282
452
734
57 iPad Pro 12.9 in Wi-F 07-19-2023
1,149
100.00
1,149 5
200 DB HY
32
230
368
598
58 Utility Cart
08-15-2023
2,500
100.00
2,500 5
200 DB HY
32
500
800
1,300
59 Apple MacBook Air (O
04-30-2024
812
100.00
812 5
200 DB MQ
25
203
203
60 4 - 7 x 21 Goals and
11-30-2024
7,200
100.00
7,200 5
200 DB MQ
5
360
360
* Item is included in UBIA for Section 199A calculations. See "UBIA" in lower right corner.
Depreciation Detail Listing
2024
Program Services
PAGE
y po
Name(s) as shown on return
Space Coast United Soccer Club, Inc No.
Description
61 4 - 6.5 x 18.5 Goas
3
(This page is not filed with the return. It is for your records only.)
Date
Basis
Business
Section
Adjustment
percentage
179
Cost
12-31-2024
5,880
100.00
Bonus
Depreciable
depreciation
Basis
Social security number/EIN
59-2377476 Life
5,880 5
Method
200 DB MQ
Rate
Prior
Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
5
294
294
C tn
e lC i Totals Land Amount Net Depreciable Cost
134,268 134,268
134,268
98,779
CY 179 and CY Bonus TOTAL CY Depr including 179/bonus
8,090
106,869 ST ADJ:
8,090
Next Year's Depreciation Worksheet 2024
(This page is not filed with the return. It is for your records only.) Name(s) as shown on return
Tax ID Number
Space Coast United Soccer Club, Inc
59-2377476
Form
Multi-Form Description
Date
PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
07-24-2021 08-18-2021 08-18-2021 09-15-2021 09-15-2021 08-24-2012 10-19-2014 02-26-2015 06-04-2015 09-10-2015 09-22-2015 08-22-2017 08-22-2017 08-30-2017 10-02-2018 10-23-2018 11-12-2018 01-16-2019 01-16-2019 01-16-2019 01-16-2019 01-16-2019 01-16-2019 01-16-2019 03-13-2019 03-13-2019 03-25-2019 03-25-2019 03-25-2019 03-25-2019 03-25-2019 03-25-2019 05-06-2019 09-12-2019 09-18-2019 10-04-2019 10-04-2019 10-04-2019 10-04-2019 03-09-2020 04-28-2020 08-25-2020 09-05-2020 10-26-2020 10-26-2020 11-05-2020 05-31-2022 09-23-2022 04-30-2022 06-01-2022 06-30-2022 11-30-2022
Trailer 2 Aed Aed-2 4x16 Forza Goal 4x16 Forza Goal-2 Goals Golf Cart Pop Up Goals Pop Up Goals Shed Field Security Netting 8x24 Soccer Goal 6.5x18.5 Soccer Goal Computer {New in 2017) 7.5' Aluminum Bench 8'x24' Soccer Goal 2 15' Aluminum Bench 15' Aluminum Bench 2 15' Aluminum Bench 3 15' Aluminum Bench 4 15' Alumunum Bench 5 7.5" Aluminum Bench 3 7.5" Aluminum Bench 2 7.5" Aluminum Bench 4 7' x 21' Soccer Goal 8'x24' Soccer Goal 3 7.5' Aluminum Bench 5 15' Aluminum Bench 7 15' Aluminum Bench 8 15' Aluminum Bench 6 7.5' Aluminum Bench 7 7.5' Aluminum Bench 6 Drinks Cooler 7.5' Aluminum Bench 8 Trailer 6.5 x 18.5 Shooting Goal 6.5 x 18.5 Shooting Goal 8x24 Shooting Goal 2 8x24 Shooting Goal Lightning Detector 7x12 Soccer Goal 2 Video Camera Ipad 6.5 x 18.5 Soccer Goal 2 6.5 x 18.5 Soccer Goal 3 7x12 Soccer Goal 3 2 Soccer Goal Dollies 2013 Yamaha Golf Cart 7 x 21 Soccer Goas 4 - 7 x 21 Soccer Goals 4 - 8 x 24 Soccer Goals 6.5 x 18.5 Soccer Goal
Basis
Life
200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 7 7 7 7 7 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7
y po
C tn
e lC i
Method
799 650 650 1,067 1,067 4,000 2,000 4,500 3,786 15,050 6,750 2,650 2,400 2,000 709 2,825 908 908 908 908 908 709 709 709 2,800 2,950 709 908 908 908 709 709 975 709 731 500 500 600 600 3,396 2,800 600 1,099 2,800 2,800 2,800 1,318 3,000 626 6,975 7,525 3,150
Deduction
54 215 69
165 375 78 871 940 393
Next Year's Depreciation Worksheet 2024
(This page is not filed with the return. It is for your records only.) Name(s) as shown on return
Tax ID Number
Space Coast United Soccer Club, Inc
59-2377476
Form
Multi-Form Description
Date
PRG PRG PRG PRG PRG PRG PRG PRG PRG
1 1 1 1 1 1 1 1 1
01-01-2022 01-31-2023 01-31-2023 01-31-2023 07-19-2023 08-15-2023 04-30-2024 11-30-2024 12-31-2024
iPad Pro 10.5 in 256 GB Zoll AED Plus - 3 Zoll AED Plus - 4 Laptop - MacBook Air M1 iPad Pro 12.9 in Wi-Fi 5 Utility Cart Apple MacBook Air (O Sim 4 - 7 x 21 Goals and Whe 4 - 6.5 x 18.5 Goas
Basis
Method
800 1,420 1,420 1,412 1,149 2,500 812 7,200 5,880
Life
200 DBHY 7 200 DBHY 5 200 DBHY 5 200 DBHY 5 200 DBHY 5 200 DBHY 5 200 DBMQ 5 200 DBMQ 5 200 DBMQ 5
TOTAL
Deduction
100 273 273 271 221 480 244 2,736 2,234 9,992
y po
e lC i
C tn
Marketing Support Program
Space Coast Cup
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
Payroll
$17,000.00
$22,822.72
-$5,822.72
Registration
$81,000.00
Referees
$20,000.00
$26,316.00
-$6,316.00
Merchandise Vendor
$3,000.00
Expenses Subtotal Other Expenses
$37,000.00
Registration Fees and Application
$4,500.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$49,138.72 -$12,138.72
$0.00 $0.00
$6,326.35
-$1,826.35
$0.00
$167.99
$332.01
$1,575.00
$3,425.00
BCPR Staff
$1,500.00
$1,474.66
$25.34
Supplies/Food for staff & trainers
$2,000.00
$1,954.94
$45.06
Athletic trainers
$2,800.00
$3,141.25
-$341.25
Cash in Bank to start Other Income
Event insurance
$1,000.00
$963.10
$36.90
TDC grant funding
$0.00
$2,085.00
-$2,085.00
Transport goals
$500.00
$300.00
$200.00
Paint for fields
$700.00
$657.00
$43.00
Gas for golf carts
$25.00
$25.00
$0.00
Marketing - please specify Brevard/Out-of-County
-$745.00 $0.00
$500.00
Other Expenses Subtotal
$3,745.00
$0.00
$5,000.00
Goals
$104,520.00 -$23,520.00
$0.00
Trophies/Medals
Hotel Room
VAR
$18,525.00
$18,670.29
-$145.29
$0.00
$0.00 Income Subtotal
$84,000.00
$108,265.00 -$24,265.00 $0.00
$23,145.00
$15,000.00
$8,145.00 $0.00
Other Income Subtotal
$23,145.00
$15,000.00
$8,145.00
Total Income
$107,145.00
$123,265.00 -$16,120.00
Total Expenses Paid
$55,525.00
$67,809.01 -$12,284.01
Profit/Loss
$51,620.00
$55,455.99
$0.00 $0.00
-$3,835.99
$0.00 $0.00 $0.00 $0.00 Marketing Subtotal Total Expenses 2025-2026
$0.00 $55,525.00
$0.00
$0.00 $0.00
$67,809.01 -$12,284.01
.
Updated: 6/18/2025
I D f.
Tourism Development Office FY 2025-2026 Marketing Support Program Applicant checklist
S__
Applicant organization name: ___.....:..S,... , _ - _ �_c=�==----�_'..4-u..:...,____ea_�_,__
Space Coast Cup Applicant name completing this form:
l � l� � 'j,l,:j
Applicant- Use this checklist to confirm that you have completed all :ements of the application prior to submitting. Initial next ta each item. Items (Z-9) must be uploaded within the application.
Applicant TOO staff TOO staff comments
1. Application Copy of IRS Articles of Incorporation (submit if for-profit) 3. Copy of IRS Determination Letter (submit if 501(c)(3) 4. Copy of SUnBiz.com - (if applicable, see a plication for details) 5. Copy of 990 form (if applicable, see application) 6. Copy of completed W-9 form (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of this checklist- (completed, initialed, and signed by applicant) I, consent that all above documents have been submitted completely by uploading within the application packet. 2.
Applicant signature & date
Florida Marathon Weekend
Return to Table of Contents
For TDO use: PROJECT#- S 4
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Smooth Running, LLC Applicant Event Name: Florida Marathon Weekend
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Comment
Yes No
• N/A • • NIA • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
f� �
7(-J(LP'CS
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:34 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Mitchell Varnes
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Smooth Running Organization address 660 Cinnamon Court State Florida City Satellite Beach Zip 32937 Primary contact name Mitch Varnes Primary contact phone number 3217597200
Primary contact email mitchvarnes@gmail.com Secondary contact name Hannah McClatchey Secondary contact phone number 3217597200 Secondary contact email info@thefloridamarathon.com Organization website address www.thefloridamarathon.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 26-3025672
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Florida Marathon Weekend Event website address (if different from organization website) www.thefloridamarathon.com Event location Melbourne, Indialantic, Eau Gallie, Indian Harbour Beach, Melbourne and Eau Gallie Causeways
9. (untitled) 8. What is the first date of your event? 02/07/2026
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Direct mail Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Traditional Marketing Cards and at other events
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : #runfla Instagram : n/a YouTube : n/a
22. (untitled) 13. What hashtags do you currently use? #runfla
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. Smooth_Running_Articles_of_Incorporation.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. smooth_running_sun_biz.pdf
27. (untitled) 16. Upload your completed W-9 form. Smooth_Running_w9_updated_late_April_2025.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. Florida_Marathon_Weekend_2026_Projected_revenues_and_expenses.pdf
29. (untitled) 18. Upload your completed Checklist. Tourism_Grant_Checklist_updated_2025-2026_cycle.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Mitchell Varnes
31. Thank You! New Send Email May 30, 2025 16:53:16 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Marketing Support Program
Florida Marathon Weekend
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
City Permitting/Melbourne Police
$14,000.00
$13,000.00
$1,000.00
Brevard County Sheriff Fees
$8,500.00
$8,000.00
$500.00
$0.00
Expenses
Income Entry Fees
2025-2026 projection
2024-2025 actuals
VAR
$125,000.00
$120,000.00
$5,000.00
Timing
$7,000.00
$7,000.00
$0.00
$0.00
Athlete shirts and medals
$19,000.00
$16,000.00
$3,000.00
$0.00
USA Triathlon sanctioning fees
$900.00
$750.00
$150.00
$0.00
Traffic Control and barricading
$16,000.00
$16,000.00
$0.00
$0.00
Portalets
$1,600.00
$1,600.00
$0.00
$0.00
Medical Support Expenses Subtotal Other Expenses Ice Trailer
$800.00
$800.00
$0.00
$0.00
$67,800.00
$63,150.00
$4,650.00
$0.00
$750.00
$750.00
$0.00
$0.00
Beverages/Snacks/Athletes/Vol
$2,000.00
$600.00
$1,400.00
Awards
$3,400.00
$3,400.00
$0.00 $0.00
Light Tower Rentals Staffing DJ/Announcer
Other Expenses Subtotal
$700.00
$700.00
$4,000.00
$4,000.00
$0.00
$800.00
$800.00
$0.00
$11,650.00
$10,250.00
$1,400.00
Billboards in Brevard County
$1,500.00
$1,500.00
$0.00
National Race Calendars
$6,000.00
$6,000.00
$0.00
Rack Cards & Mailing
$2,000.00
$2,000.00
$0.00
Social Media
$3,000.00
$3,000.00
$0.00
Marketing - please specify Brevard/Out-of-County
$0.00 $0.00 Income Subtotal
$125,000.00
$120,000.00
$5,000.00
Cash in Bank to start Other Income
$10,000.00
$10,000.00
$0.00
Sponsors
$10,000.00
$25,000.00 -$15,000.00
TDC grant funding
$20,490.00
$20,000.00
Other Income Subtotal
$30,490.00
$45,000.00 -$14,510.00
Total Income
$155,490.00
$165,000.00
-$9,510.00
Total Expenses Paid
$91,950.00
$85,900.00
$6,050.00
Profit/Loss
$63,540.00
$79,100.00 -$15,560.00
$490.00
$0.00 $0.00 $0.00 Marketing Subtotal
$12,500.00
$12,500.00
$0.00 $0.00
Total Expenses 2025-2026
$91,950.00
$85,900.00
$6,050.00
.
Updated: 6/18/2025
Cocoa Beach Half Marathon & 10k
Return to Table of Contents
For TDO use: PROJECT#- S 5
Tourism Development Office FY 2025�2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Smooth Running, LLC Applicant Event Name: Cocoa Beach Half Marathon and 1Ok
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
Comment
• N/A • • N/A • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
�Jt,c �
7{7('(otf
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:33 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Mitchell Varnes
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Smooth Running Organization address 660 Cinnamon Court State Florida City Satellite Beach Zip 32937 Primary contact name Mitch Varnes Primary contact phone number 3217597200
Primary contact email mitchvarnes@gmail.com Secondary contact name Hannah McClatchey Secondary contact phone number 3217597200 Secondary contact email info@thefloridamarathon.com Organization website address www.runcocoabeach.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 26-3025672
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Cocoa Beach Half Marathon & 10k Event website address (if different from organization website) www.runcocoabeach.com Event location Cocoa Beach, A1A, Patrick Space Force Base start
9. (untitled) 8. What is the first date of your event? 11/01/2025
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Direct mail Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Traditional Marketing Cards and at other events
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : #runcocoabeach Instagram : n/a YouTube : n/a
22. (untitled) 13. What hashtags do you currently use? #runfla
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. Smooth_Running_Articles_of_Incorporation.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. smooth_running_sun_biz.pdf
27. (untitled) 16. Upload your completed W-9 form. Smooth_Running_w9_updated_late_April_2025.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. Cocoa_Beach_Half_Marathon_and_10k_2025_projected_revenues_and_expenses.pdf
29. (untitled) 18. Upload your completed Checklist. Tourism_Grant_Checklist_updated_2025-2026_cycle.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Mitchell Varnes
31. Thank You! New Send Email May 30, 2025 16:40:25 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Marketing Support Program
Cocoa Beach Half Marathon & 10K
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
City Permitting and Park Usage
$21,000.00
$20,000.00
$1,000.00
Brevard County Sheriff Fees
$1,000.00
$1,000.00
$0.00
$0.00
Expenses
Income Entry Fees
2025-2026 projection
2024-2025 actuals
$70,000.00
VAR $0.00
$70,000.00
Timing
$7,000.00
$6,000.00
$1,000.00
$0.00
Athlete shirts and medals
$12,000.00
$10,000.00
$2,000.00
$0.00
USA Triathlon sanctioning fees
$900.00
$750.00
$150.00
$0.00
Traffic Control and barricading
$5,000.00
$5,000.00
$0.00
$0.00
Portalets
$1,200.00
$1,200.00
$0.00
$0.00
$800.00
$800.00
$0.00
$0.00
$48,900.00
$44,750.00
$4,150.00
$0.00
$750.00
$750.00
$0.00
Beverages/Snacks/Athletes/Vol
$1,500.00
$1,500.00
$0.00
Awards
$2,600.00
$2,600.00
$0.00
Medical Support Expenses Subtotal Other Expenses Ice Trailer
Light Tower Rentals Staffing DJ/Announcer
Other Expenses Subtotal
$0.00
$700.00
$700.00
$0.00
$4,000.00
$4,000.00
$0.00
$800.00
$800.00
$0.00
$0.00 $0.00 Income Subtotal
$70,000.00
$70,000.00
$0.00
Cash in Bank to start Other Income
$10,000.00
$10,000.00
$0.00
Sponsors
$15,000.00
$15,000.00
$0.00
TDC grant funding
$16,905.00
$20,000.00
-$3,095.00
Other Income Subtotal
$31,905.00
$35,000.00
-$3,095.00
$10,350.00
$10,350.00
$0.00
Total Income
$101,905.00
$105,000.00
-$3,095.00
Billboards in Brevard County
$1,500.00
$1,500.00
$0.00
Total Expenses Paid
$69,250.00
$65,100.00
$4,150.00
National Race Calendars
$4,000.00
$4,000.00
$0.00
Rack Cards & Mailing
$2,000.00
$2,000.00
$0.00
Profit/Loss
$32,655.00
$39,900.00
-$7,245.00
Social Media
$2,500.00
$2,500.00
$0.00
Marketing - please specify Brevard/Out-of-County
$0.00 $0.00 $0.00 Marketing Subtotal
$10,000.00
$10,000.00
$0.00 $0.00
Total Expenses 2025-2026
$69,250.00
$65,100.00
$4,150.00
.
Updated: 6/18/2025
Space Coast Clash/Soccer
Return to Table of Contents
For TOO use: PROJECT#- S 6
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Space Coast United Soccer Applicant Event Name: Space Coast Clash
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes X
No
Comment
X
NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
li&. < /'>
•
1 f 7/t 0{r
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:68 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Kelly Rogers
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Space Coast United Soccer Organization address 7824 Citrus Creek Dr State FL City Melbourne Zip 32940 Primary contact name Kelly Jean Rogers Primary contact phone number 3214030755
Primary contact email kelly.rogers@spacecoastsoccer.org Secondary contact name Bev Gibbs Secondary contact phone number 3217200890 Secondary contact email admin@spacecoastsoccer.org Organization website address https://spacecoastsoccer.org/
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 592377476
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Space Coast Clash Event website address (if different from organization website) spacecoastsoccer.org Event location Viera Regional Park, Rotary Park, and Dick Blake
9. (untitled) 8. What is the first date of your event? 11/14/2025
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 11. EVENT INFORMATION - #2 Name of event
Event website address (if different from organization website)
Event location
13. (untitled) 12. What is the first date of your event?
14. (untitled) 13. In total, how many days will your event be held?
15. (untitled) 14. Do you have a third event? No
16. (untitled) 1. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 15. What types of marketing do you plan to do for this event? Direct mail Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 16. What are your social media handles? Facebook : https://facebook.com/SpaceCoastUnited Instagram : @spacecoastsoccer.org YouTube : n/a
22. (untitled) 17. What hashtags do you currently use? N/A
23. (untitled)
18. Upload a copy of your organization's IRS Determination letter. SCUSC_cert_of_exemption_2025-2030.pdf
24. (untitled) 19. Upload a copy of your organization's 990 form. 2024_Tax_Return_990_(Space_Coast_United_Soccer_Club_Inc_-_Client_Copy)_UL.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 20. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Sunbiz_Detail_by_Entity.pdf
27. (untitled) 21. Upload your completed W-9 form. W-9.pdf
28. (untitled) 22. Upload your completed Event Income/Expense report. Space_Coast_Clash_Form.pdf
29. (untitled) 23. Upload your completed Checklist. Space_Coast_Clash_Form.pdf
30. (untitled) 24.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Kelly Rogers
31. Thank You! New Send Email Jun 06, 2025 16:24:12 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
FOR TAX YEAR 2024 SPACE COAST UNITED SOCCER CLUB, INC
Boehm & Associates, Inc. 1934 Dairy Road W Melbourne, FL 32904 (321)956-1800
Form
990
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
2024
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Open to Public Department of the Treasury Internal Revenue Service Go to www.irs.gov/Form990 for instructions and the latest information. Inspection A For the 2024 calendar year, or tax year beginning , 2024, and ending , 20 B Check if applicable: C Name of organization D Employer identification number Space Coast United Soccer Club, Inc
59-2377476
Address change
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
E
Telephone number
G
Gross receipts
PO Box 410301
Initial return Final return/terminated
(321)288-0449
City or town, state or province, country, and ZIP or foreign postal code
Melbourne, FL 32941
Amended return Application pending
$
F Name and address of principal officer:
H(a) Is this a group return for subordinates?
2,237,767 Yes X No
H(b) Are all subordinates included?
X 501(c)(3) 501(c) ( ) (insert no.) Website: www.spacecoastsoccer.org Form of organization: X Corporation Trust Association Other
I
Tax-exempt status:
J K
Part I
4947(a)(1) or
527
Briefly describe the organization's mission or most significant activities:
Activities & Governance Revenue Expenses Net Assets or Fund Balances
1984
M State of legal domicile:
y po
2 Check this box 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) . . . . . . . . . . . . . . . . . . . . 4 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . 5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) . . . . . . . . . . . . . . . . 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . b Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . . . . . . . . . . . . .
C tn
8 Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . . . . . . . . . . . . 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . . . . . . . . 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . . . . . . . . . . . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) . . . . . 16a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) 0 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . . . . . . . . . . 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . .
Part II
e lC i
3 4 5 6 7a 7b
11 11 62 150 0 0
Prior Year
Current Year
1,730,922 441,379 147
1,958,098 279,544 125 0 2,237,767 0 0 1,146,724 0
2,172,448
1,066,353
1,025,340 2,091,693 80,755
618,418 1,765,142 472,625
Beginning of Current Year
Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . .
Signature Block
FL
Promote youth physcial activity through the
sport of soccer
20 21 22
No
H(c) Group exemption number L Year of formation:
Summary 1
Yes
If "No," attach a list. See instructions
End of Year
1,253,949 81,792 1,172,157
1,564,575 133,930 1,430,645
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.
Brad Oxley
Sign Here
Signature of officer
Date
Brad Oxley, Treasurer Type or print name and title Preparer's name
Preparer's signature
Paid Jacquelyn Boehm Preparer Firm's name Boehm & Associates, Inc. Use Only Firm's address 1934 Dairy Road W Melbourne FL 32904 May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. EEA
Date
Check
03-16-2025
self-employed
if
PTIN
XXXXXXXXX
Firm's EIN Phone no.
321-956-1800
..........................
Yes X No Form 990 (2024)
Form 990 (2024)
Part III 1
Space Coast United Soccer Club, Inc
59-2377476
Page 2
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission:
............................
Promote youth physcial activity through the sport of soccer
2
3
4
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
y po
Yes
X No
Yes
X No
4a
(Code: ) (Expenses $ ) (Revenue $ ) 1,737,702 including grants of $ To provide educational, cultural, recreational, and/or social benefits to youth. The organization serves over 1450 youths annually through soccer training and competition.
4b
(Code:
C tn
) (Expenses $
e lC i
$
including grants of
$
4c
(Code:
4d
Other program services (Describe on Schedule O.) (Expenses $ including grants of $ Total program service expenses 1,737,702
4e EEA
) (Expenses $
including grants of
) (Revenue $
) (Revenue
$
)
) (Revenue
$
)
) Form 990 (2024)
Form 990 (2024)
Part IV
Space Coast United Soccer Club, Inc
Page 3
59-2377476
Checklist of Required Schedules Yes
1 2 3 4 5 6
7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16 17 18 19 20a b 21 EEA
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors? See instructions ............... Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III . . . . . . . . . . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II . . . . . . . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X . . . . . . . Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X . . . . . Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . . . . . . . . . . . . . . Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV. . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . . . . . . . . . . . . . . . . . . If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ............ Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II . . . . . . . . . . . . . . .
y po
e lC i
C tn
1 2
No
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d 11e
X X
11f
X
12a
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18
X
19 20a 20b
X X
21 X Form 990 (2024)
Form 990 (2024)
Part IV
Space Coast United Soccer Club, Inc
Page 4
59-2377476
Checklist of Required Schedules (continued) Yes
22 23
24a
b c d 25a b
26
27
28 a b c 29 30 31 32 33 34 35a b 36 37 38
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . . . . . . . . . . . . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I. . . . . . . . . . . . . . . . . . Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II . . . . . . . . . . . . . . Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV ................. A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule M . . . . . . . . . . . Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I . . . . . . . Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II .............................................. Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I . . . . . . . . . . . . . . . . . . . . . . . . . Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line . 2. . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI . . . . . . . . . Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Part V
22
X
23
X
24a 24b
X
24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X
38
X
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . Yes
1a b c EEA
No
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . . 1a 35 Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . . . . . . . . . . . 1b 0 Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? .................................
No
1c X Form 990 (2024)
Form 990 (2024)
Part V 2a b 3a b 4a b 5a b c 6a b 7 a b c d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
EEA
Space Coast United Soccer Club, Inc
59-2377476
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . 2a 62 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule O. . . . . . . . . . . . At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . . . . . . . . . . . . . If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. . . .
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If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . .
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . . . . . . . . . . . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? .......... If "Yes," enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . . . . . . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . . . . . . . . . . . . . . If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O ............ Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . . . . . . . . . . If "Yes," complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . . . . . . . . . . . . . . . If "Yes," complete Form 6069.
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Yes
2b 3a 3b
Page 5 No
X X
4a
X
5a 5b 5c
X X
6a
X
6b
7a 7b 7c 7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b
X
15
X
16
X
17 Form 990 (2024)
Form 990 (2024)
Part VI
Space Coast United Soccer Club, Inc
Page 6
59-2377476
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management Yes 1a
b 2 3 4 5 6 7a b 8 a b 9
Enter the number of voting members of the governing body at the end of the tax year . . . . . . . . . . . 1a 11 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O. Enter the number of voting members included on line 1a, above, who are independent . . . . . . . . . . . 1b 11 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? . . . . . . . Did the organization become aware during the year of a significant diversion of the organization's assets? . . . . . . . . . . . . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O . . . . . . . . . . . . . . . .
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No
2
X
3 4 5 6
X X X X
7a
X
7b
X
8a 8b
X X
9
X
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) 10a b 11a b 12a b c 13 14 15 a b 16a b
Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If "No," go to line 13 . . . . . . . . . . . . . . . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done .......................................... Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Yes 10a 10b 11a 12a 12b
No
X
X X
12c 13 14
X X
15a 15b
X X
16a
X
16b
Section C. Disclosure 17 18
19 20
List the states with which a copy of this Form 990 is required to be filed Florida Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Another's website X Upon request Own website Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records.
Brad Oxley (321)288-0449, PO Box 410301, Melbourne, FL 32941 EEA
Form 990 (2024)
Form 990 (2024)
Space Coast United Soccer Club, Inc
Page 7
59-2377476
Part VII
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors ...................... Check if Schedule O contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See the instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations.
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See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
X
(C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(E)
(F)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
0
0
0
per week Highest compensated employee
Key employee
Officer
Institutional trustee
C tn
related
organizations below dotted line)
(1) Kara Ehrhardt Vice President (2) Adam Ferguson Director (3) Kevin Koegel Director (4) Kellie McGuire Director (5) Todd Olson Director (6) Matt Shannon Director (7) David Trout Director (8) Allie Goff President (9) Brad Oxley Treasurer (10) Mike Perry Vice President (11) Scott Armstrong Exec Dir Coaching
Individual trustee or director
(list any hours for
5.00
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Former
(D)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
5.00
5.00
5.00
5.00
5.00
5.00
20.00 20.00 20.00 60.00 X
(12) (13) (14) EEA
Form 990 (2024)
Form 990 (2024)
Part VII
Space Coast United Soccer Club, Inc
Page 8
59-2377476
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C) (A)
(B)
Name and title
Average hours
Position (do not check more than one box, unless person is both an officer and a director/trustee)
per week Former
Highest compensated employee
Key employee
below dotted line)
Officer
related organizations
Institutional trustee
hours for
Individual trustee or director
(list any
(D)
(E)
(F)
Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
(15) (16) (17)
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(18) (19) (20) (21)
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(22) (23) (24) (25) 1b c d 2
3 4
5
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Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A .............. Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 0 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0 0 Yes
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person . . . . . . . . . . . . . . . . . .
No
3
X
4
X
5
X
Section B. Independent Contractors 1
2 EEA
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization Form 990 (2024)
Form 990 (2024)
Part VIII
Space Coast United Soccer Club, Inc Check if Schedule O contains a response or note to any line in this Part VIII (A) Total revenue
Contributions, Gifts, Grants and Other Similar Amounts
Page 9
59-2377476
Statement of Revenue
1a b c d e f g h
Federated campaigns . . . . . . . . 1a Membership dues . . . . . . . . . . 1b 1,941,248 Fundraising events . . . . . . . . . 1c Related organizations . . . . . . . . 1d Government grants (contributions) . . 1e 16,850 All other contributions, gifts, grants, and similar amounts not included above 1f Noncash contributions included in lines 1a-1f . . . . . . . . . . . . . 1g $ Total. Add lines 1a-1f . . . . . . . . . . . . . . . . . . .
...................... (B)
(C)
(D)
Related or exempt function revenue
Unrelated business revenue
Revenue excluded from tax under sections 512–514
1,958,098
Program Service Revenue
Business Code
2a Misc Other Donations 900099 b Field Hosting Commssion 900099 c Camp Revenue 711210 d Rebates 711210 e Tournament Fees 711210 f All other program service revenue . . . . . . g Total. Add lines 2a-2f . . . . . . . . . . . . . . . . . . . . 3 4 5
Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . . . . . . . . . . Income from investment of tax-exempt bond proceeds .... Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Personal
Other Revenue Miscellanous Revenue
21,526 1,853 84,624 16,431 155,110
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279,544
125
125
2,237,767
279,669
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(i) Real
6a Gross rents . . . . . . 6a b Less: rental expenses . . 6b c Rental income or (loss) 6c d Net rental income or (loss) . . . . . . . . . . . . . . . . . .
EEA
21,526 1,853 84,624 16,431 155,110
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(i) Securities (ii) Other 7a Gross amount from sales of assets other than inventory . . 7a b Less: cost or other basis and sales expenses . . 7b c Gain or (loss) . . . . . 7c d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . 8a Gross income from fundraising events (not including $ of contributions reported on line 8a 1c). See Part IV, line 18 . . . . . . . . b Less: direct expenses . . . . . . . . . 8b c Net income or (loss) from fundraising events . . . . . . . . . 9a Gross income from gaming 9a activities. See Part IV, line 19 . . . . . . b Less: direct expenses . . . . . . . . . 9b c Net income or (loss) from gaming activities . . . . . . . . . .
10a Gross sales of inventory, less returns and allowances . . . . . . . . . 10a b Less: cost of goods sold . . . . . . . . 10b c Net income or (loss) from sales of inventory . . . . . . . . . . Business Code 11a b c d All other revenue . . . . . . . . . . . . . . e Total. Add lines 11a-11d . . . . . . . . . . . . . . . . . . 12 Total revenue. See instructions . . . . . . . . . . . . . . .
0
0 Form 990 (2024)
Form 990 (2024)
Part IX
Space Coast United Soccer Club, Inc
59-2377476
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ... 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . . . 3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 . . . . 4 Benefits paid to or for members . . . . . . . . . . . . 5 Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . . . . 6 Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . 7 Other salaries and wages . . . . . . . . . . . . . . 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .. 9 Other employee benefits . . . . . . . . . . . . . . . 10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . 11 Fees for services (nonemployees): a Management . . . . . . . . . . . . . . . . . . . . . b Legal. . . . . . . . . . . . . . . . . . . . . . . . . c Accounting . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17. . f Investment management fees . . . . . . . . . . . . . g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) . . 12 Advertising and promotion . . . . . . . . . . . . . . 13 Office expenses . . . . . . . . . . . . . . . . . . . 14 Information technology . . . . . . . . . . . . . . . . 15 Royalties . . . . . . . . . . . . . . . . . . . . . . . 16 Occupancy . . . . . . . . . . . . . . . . . . . . . . 17 Travel . . . . . . . . . . . . . . . . . . . . . . . . 18 Payments of travel or entertainment expenses for any federal, state, or local public officials ..... 19 Conferences, conventions, and meetings . . . . . . . 20 Interest . . . . . . . . . . . . . . . . . . . . . . . . 21 Payments to affiliates . . . . . . . . . . . . . . . . . 22 Depreciation, depletion, and amortization . . . . . . . 23 Insurance . . . . . . . . . . . . . . . . . . . . . . 24 Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.) a Soccer Program Expenses b Continuing Education c Business License and Permits d Tournament Expenses e All other expenses 25 Total functional expenses. Add lines 1 through 24e. . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) . . . . . . . . . .
(A) Total expenses
203,520
y po 831,116
81,188
(D) Fundraising expenses
30,900
81,188
C tn 1,598 1,300
(C) Management and general expenses
203,520
862,016
e lC i
EEA
(B) Program service expenses
1,598
1,300
4,555 3,255
4,555
74,393 3,896
74,393 3,896
8,090 37,117
8,090 26,649
10,468
220,212 3,719 20,775 138,594 100,914 1,765,142
220,212 3,719 20,775 138,594 119,397 1,737,702
(18,483) 27,440
3,255
0
Form 990 (2024)
Form 990 (2024)
Part X
Space Coast United Soccer Club, Inc
59-2377476
Check if Schedule O contains a response or note to any line in this Part X
........................ (A) Beginning of year
1 2 3 4 5
Liabilities
Assets
6 7 8 9 10a b 11 12 13 14 15 16 17 18 19 20 21 22
Net Assets or Fund Balances
Cash - non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . . Notes and loans receivable, net . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . . . . 10a 134,268 Less: accumulated depreciation . . . . . . . . . . 10b 106,869 Investments - publicly traded securities . . . . . . . . . . . . . . . . . . . . . Investments - other securities. See Part IV, line 11 . . . . . . . . . . . . . . . Investments - program-related. See Part IV, line 11 . . . . . . . . . . . . . . . Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . Total assets. Add lines 1 through 15 (must equal line 33) . . . . . . . . . . . . Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Escrow or custodial account liability. Complete Part IV of Schedule D . . . . . . Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ........... Secured mortgages and notes payable to unrelated third parties . . . . . . . . Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
493,370 738,981
(B) End of year 1 2 3 4
563,070 974,106
5 6 7 8 9
y po
21,598 10c
27,399
11 12 13 14 15 16 17 18 19 20 21
1,564,575
C tn
1,253,949
81,792 81,792
25 26
133,930 133,930
27 28
Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
1,172,157
27 28
1,430,645
29 30 31 32 33
Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund ......... Retained earnings, endowment, accumulated income, or other funds ...... Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . .
23 24 25
26
EEA
Page 11
Balance Sheet
e lC i
22 23 24
1,172,157 1,253,949
29 30 31 32 33
1,430,645 1,564,575 Form 990 (2024)
Form 990 (2024)
Part XI
Space Coast United Soccer Club, Inc
Check if Schedule O contains a response or note to any line in this Part XI 1 2 3 4 5 6 7 8 9 10
......................
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . . . . . . . . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
Page 12
59-2377476
Reconciliation of Net Assets 1 2 3 4 5 6 7 8 9
2,237,767 1,765,142 472,625 1,172,157
10
1,430,645
(214,137) 0
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII
....................... Yes
1
2a
b
c
3a b EEA
X Accrual Accounting method used to prepare the Form 990: Cash Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both. X Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? . . . . . . . . . . . . . . . . . . . . . If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. Separate basis Consolidated basis Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . . . . . . . . . . . . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . . . . . . . . . . .
y po
e lC i
C tn
2a
X
2b
2c
3a
No
X
X
X
3b Form 990 (2024)
SCHEDULE A (Form 990)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
2024
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Department of the Treasury Internal Revenue Service Name of the organization
Employer identification number
Space Coast United Soccer Club, Inc
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
59-2377476
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: X An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross 10 receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of 12 one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving a the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having b control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, c its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) d that is not functionally integrated. The organization must generally satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III e functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations ....................................... g Provide the following information about the supported organization(s).
y po
C tn
(i) Name of supported organization
e lC i (ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
(v) Amount of monetary support (see instructions)
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Space Coast United Soccer Club, Inc
59-2377476
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 4 Total. Add lines 1 through 3 . . . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . . . 6 Public support. Subtract line 5 from line 4.
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
y po
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total 7 Amounts from line 4 . . . . . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . . . . . 9 Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . 11 Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . 12 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C tn
e lC i
Section C. Computation of Public Support Percentage 14 15 16a
Public support percentage for 2024 (line 6, column (f), divided by line 11, column (f)) . . . . . . 14 % Public support percentage from 2023 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . 15 % 33 1/3% support test - 2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . b 33 1/3% support test - 2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . 17a 10%-facts-and-circumstances test - 2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 10%-facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Space Coast United Soccer Club, Inc
59-2377476
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees 2
3
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) 2024
(f) Total
received. (Do not include any "unusual grants.")
896,953 1,142,890 1,447,232 1,730,924 1,958,098
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose . . . . Gross receipts from activities that are not an unrelated trade or business under section 513
247,368
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . 6 Total. Add lines 1 through 5 . . . . . 7a Amounts included on lines 1, 2, and 3 received from disqualified persons . . b Amounts included on lines 2 and 3
357,311
4,520
20,915
7,176,097
279,544
909,658
1,144,321 1,500,201 1,451,752 1,751,839 2,237,642
8,085,755
4
received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year
c 8
C tn
Add lines 7a and 7b . . . . . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . . .
0
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . . . . . 10a Gross income from interest, dividends,
b
c 11
12
13 14
y po
0
0
0
0
8,085,755
(a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 1,144,321 1,500,201 1,451,752 1,751,839 2,237,642
e lC i
0
(f) Total 8,085,755
payments received on securities loans, rents, royalties, and income from similar sources .
981
277
138
147
1,543
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . . Add lines 10a and 10b . . . . . . . . .
981
277
138
147
1,543
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . . . . . . . 1,145,302 1,500,478 1,451,890 1,751,986 2,237,642 8,087,298 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) ........................................... organization, check this box and stop here
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2024 (line 8, column (f), divided by line 13, column (f)) . . . . . . . Public support percentage from 2023 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . .
15 16
99.98 % 99.97 %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2024 (line 10c, column (f), divided by line 13, column (f)) . . . 17 0% Investment income percentage from 2023 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . 18 0% 33 1/3% support tests - 2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization X
b
33 1/3% support tests - 2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . .
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . .
EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Space Coast United Soccer Club, Inc
Page 4
59-2377476
Part IV
Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes 1
2
3a b
c 4a b
c
5a
b c 6
7
8 9a
b c 10a
b EEA
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below. Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked 12a or 12b in Part I, answer lines 4b and 4c below. Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
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No
1
2 3a
3b 3c 4a
4b
4c
5a 5b 5c
6
7 8
9a 9b 9c
10a 10b
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part IV
Space Coast United Soccer Club, Inc
Page 5
59-2377476
Supporting Organizations (continued) Yes No
11 a b c
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
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Section C. Type II Supporting Organizations 1
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Section D. All Type III Supporting Organizations 1
2
3
Yes No
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1 Yes No
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
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1 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 2 By reason of the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard. 3
Section E. Type III Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). 2 Activities Test. Answer lines 2a and 2b below. Yes No a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. 2a b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 2b 3 Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No," provide details in Part VI. 3a b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard. 3b EEA
Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part V
Space Coast United Soccer Club, Inc
59-2377476
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A - Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B - Minimum Asset Amount (A) Prior Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities 1a b Average monthly cash balances 1b c Fair market value of other non-exempt-use assets 1c d Total (add lines 1a, 1b, and 1c) 1d e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1d. 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by 0.035. 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8
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Section C - Distributable Amount 1 2 3 4 5 6 7 EEA
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Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part V
Space Coast United Soccer Club, Inc
59-2377476
Section D - Distributions 1 2 3 4 5 6 7 8 9 10
Current Year
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. Distributable amount for 2024 from Section C, line 6 Line 8 amount divided by line 9 amount
3 a b c d e f g h i j 4 a b c 5
6
7 8 a b c d e EEA
Distributable amount for 2024 from Section C, line 6 Underdistributions, if any, for years prior to 2024 (reasonable cause required - explain in Part VI). See instructions. Excess distributions carryover, if any, to 2024 From 2019 . . . . . . . . From 2020 . . . . . . . . From 2021 . . . . . . . . From 2022 . . . . . . . . From 2023 . . . . . . . . Total of lines 3a through 3e Applied to underdistributions of prior years Applied to 2024 distributable amount Carryover from 2019 not applied (see instructions) Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2024 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2024 distributable amount Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2025. Add lines 3j and 4c. Breakdown of line 7: Excess from 2020 . . . . Excess from 2021 . . . . Excess from 2022 . . . . Excess from 2023 . . . . Excess from 2024 . . . .
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2024
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(i) Excess Distributions
Section E - Distribution Allocations (see instructions) 1 2
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Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
(iii) Distributable Amount for 2024
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Schedule A (Form 990) 2024
Schedule A (Form 990) 2024
Part VI
Space Coast United Soccer Club, Inc
59-2377476
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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Schedule A (Form 990) 2024
SCHEDULE D (Form 990) (Rev. December 2024) Department of the Treasury Internal Revenue Service Name of the organization
Supplemental Financial Statements Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Employer identification number
Space Coast United Soccer Club, Inc 59-2377476 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . Aggregate value of contributions to (during year) . . . . Aggregate value of grants from (during year) . . . . . Aggregate value at end of year . . . . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 3 4 5 6
Part II
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Conservation Easements
Yes
No
Yes
No
Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1
2 a b c d 3 4 5 6 7 8 9
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Number of conservation easements on a certified historic structure included on line 2a ........ 2c Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . . . 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year ...................................... Number of states where property subject to conservation easement is located ................. Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B) (i) and section 170(h)(4)(B)(ii)? ............................................ Yes No In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Part III
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Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items. (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items. a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) (Rev. 12-2024) EEA
Schedule D (Form 990) (Rev. 12-2024) Space
Part III 3 a b c 4 5
b c d e f 2a b
f g 2 a b c 3a
b 4
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(c) Two years back
(d) Three years back
Beginning of year balance . . . . . . Contributions . . . . . . . . . . . . . Net investment earnings, gains, and losses . . . . . . . . . . . . . . Grants or scholarships . . . . . . . . Other expenditures for facilities and programs . . . . . . . . . . . . . . . Administrative expenses . . . . . . . End of year balance . . . . . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % Permanent endowment % Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
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No
No
(e) Four years back
Yes
No
3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
1a Land . . . . . . . . . . . . . . . . . . . b Buildings . . . . . . . . . . . . . . . . . c Leasehold improvements . . . . . . . . . d Equipment . . . . . . . . . . . . . . . . 134,268 106,869 e Other . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) . . . . . . . . . . . . . . EEA
No
Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year
d e
Yes
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII and complete the following table. Amount Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . . . . . . Yes If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII . . . . . . . . . . . . . .
Part V
1a b c
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59-2377476
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply). Public exhibition d Loan or exchange program Scholarly research e Other Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . . . . . . . . . .
Part IV
1a
Coast United Soccer Club, Inc
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
(d) Book value
27,399 27,399
Schedule D (Form 990) (Rev. 12-2024)
Schedule D (Form 990) (Rev. 12-2024)
Part VII
Space Coast United Soccer Club, Inc
59-2377476
Page 3
Investments - Other Securities Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests . . . . . . . . . . . . . . . . . . . . . . (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) . . . . . .
Part VIII
Investments - Program Related Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
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(a) Description of investment
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) . . . . . .
Part IX
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(c) Method of valuation: Cost or end-of-year market value
Other Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
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(a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
1.
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(1) Federal income taxes (2)Accrued Payroll (3)Chase CC (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)). .
(b) Book value
86,613 47,317
133,930
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . . . . . EEA
Schedule D (Form 990) (Rev. 12-2024)
Schedule D (Form 990) (Rev. 12-2024) Space
Coast United Soccer Club, Inc
59-2377476
Page 4
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . 2a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2b Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . . . . . . . . . . . . . . .
2e 3
4c 5
Part XII
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 2 a b c d e 3 4 a b c 5
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Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . 2a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b Other losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 2d Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . . . . . . . . 4a Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . 4b Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . . . . . . . . . . . . . . .
Part XIII
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Supplemental Information
2e 3
4c 5
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
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Schedule D (Form 990) (Rev. 12-2024)
Schedule D (Form 990) (Rev. 12-2024) Space
Part XIII
Coast United Soccer Club, Inc
59-2377476
Page 5
Supplemental Information (continued)
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Schedule D (Form 990) (Rev. 12-2024)
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
OMB No. 1545-0047
(Rev. December 2024) Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
Space Coast United Soccer Club, Inc 59-2377476 01. Form 990 governing body review (Part VI, line 11) The form is provided electronically to all board memebers for review prior to filing. 02. Governing documents, etc, available to public (Part VI, line 19) The public may obtain a coy of the Form 990 or other governing documents
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For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. EEA
Schedule O (Form 990) (Rev. 12-2024)
Form
Depreciation and Amortization
4562
Attach to your tax return. Go to www.irs.gov/Form4562 for instructions and the latest information.
Name(s) shown on return
Business or activity to which this form relates
Space Coast United Soccer Club,
1 2 3 4 5 6
2024
(Including Information on Listed Property)
Department of the Treasury Internal Revenue Service
Part I
OMB No. 1545-0172
Attachment Sequence No. 179 Identifying number
FORM 990 - 1
59-2377476
Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I. Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . . . . Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) Description of property
(b) Cost (business use only)
1 2 3 4 5
(c) Elected cost
7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . . . 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2023 Form 4562 . . . . . . . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions . . . . 11 12 Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11 . . . . . . . . . 12 13 Carryover of disallowed deduction to 2025. Add lines 9 and 10, less line 12 . . . 13 Note: Don't use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don't include listed property. See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Part III MACRS Depreciation (Don't include listed property. See instructions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2024 .......... 17 7,233 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B - Assets Placed in Service During 2024 Tax Year Using the General Depreciation System
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(a) Classification of property
19a b c d e f g h
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(b) Month and year (c) Basis for depreciation placed in (business/investment use service only-see instructions)
(d) Recovery period
(e) Convention
(f) Method
(g) Depreciation deduction
3-year property 5-yearStatement property #567 7-year property 10-year property 15-year property 20-year property 25-year property 25 yrs. S/L Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L i Nonresidential real 39 yrs. MM S/L property MM S/L Section C - Assets Placed in Service During 2024 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs. S/L c 30-year 30 yrs. MM S/L d 40-year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions . . 22 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . 23 For Paperwork Reduction Act Notice, see separate instructions. EEA
857
8,090
Form 4562 (2024)
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2024, or fiscal year beginning
OMB No. 1545-0047
, 2024, and ending
, 20
2024
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
Space Coast United Soccer Club, Inc
59-2377476
Name and title of officer or person subject to tax
Brad Oxley, Treasurer
Part I
Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 1a 2a 3a 4a 5a 6a 7a 8a 9a 10a
Form 990 check here . . . . . X Form 990-EZ check here . . . Form 1120-POL check here. . Form 990-PF check here . . . Form 8868 check here . . . . Form 990-T check here. . . . Form 4720 check here . . . . Form 5227 check here . . . . Form 5330 check here . . . . Form 8038-CP check here. . .
Part II
b b b b b b b b b b
Total revenue, if any (Form 990, Part VIII, column (A), line 12). . . . . . 1b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . . . . . . . . 2b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . 3b Tax based on investment income (Form 990-PF, Part V, line 5). . . . . 4b Balance due (Form 8868, line 3c). . . . . . . . . . . . . . . . . . . . 5b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . . . . . . . . . 6b Total tax (Form 4720, Part III, line 1). . . . . . . . . . . . . . . . . . . 7b FMV of assets at end of tax year (Form 5227, Item D) . . . . . . . . . 8b Tax due (Form 5330, Part II, line 19). . . . . . . . . . . . . . . . . . . 9b Amount of credit payment requested (Form 8038-CP, Part III, line 22) . 10b
2,237,767
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Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) , (EIN) and that I have examined a copy of the 2024 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
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PIN: check one box only
X I authorize
Boehm & Associates, Inc.
ERO firm name
to enter my PIN
77476
as my signature
Enter five numbers, but do not enter all zeros
on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2024 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Signature of officer or person subject to tax
Part III
Date
03-20-2025
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
504572
32904 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2024 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature
Date
03-16-2025
ERO Must Retain This Form - See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see the instructions. EEA
Form 8879-TE (2024)
Federal Supporting Statements Name(s) as shown on return
2024
Space Coast United Soccer Club, Inc
59-2377476
Form 4562 - Line 19b Basis 812 7,200 5,880
RP 5 5 5
CV MQ MQ MQ
Statement #567 Method 200 DB 200 DB 200 DB
Total
Deduction 203 360 ___________ 294 ___________ 857 ___________
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PG01
Tax ID Number
990
Overflow Statement (This page is not filed with the return. It is for your records only.)
Name(s) as shown on return
2024
Page 1
FEIN
Space Coast United Soccer Club, Inc
59-2377476
Membership Dues _________________________________________________________ Description ______________ Amount _________________________________________________________ Adult League ______________ $ 36,805 _________________________________________________________ Competetive Programs ______________ 1,236,710 _________________________________________________________ Recreational Programs ______________ 431,310 _________________________________________________________ Team Fees ______________ 236,423 Total: $______________ 1,941,248 ______________ Part IX, Line 24e, Other Expenses Program Services
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_________________________________________________________ Description ______________ Amount _________________________________________________________ Adult League Expensse ______________ $ 25,671 _________________________________________________________ Camp Expense ______________ 9,936 _________________________________________________________ Deminimus Equipment ______________ 15,863 _________________________________________________________ Facilities and Field Rentals ______________ 245 _________________________________________________________ Fuel for Golf Carts ______________ 300 _________________________________________________________ Leased Equipment ______________ 920 _________________________________________________________ Payroll Processing Fees ______________ 7,010 _________________________________________________________ Repairs and Maintenance ______________ 4,773 _________________________________________________________ Telephone ______________ 5,540 _________________________________________________________ Teams Exp from Old Accounts ______________ 3,686 _________________________________________________________ Tryout Expense ______________ 507 _________________________________________________________ Uniforms and Tshirts ______________ 44,946 Total: $______________ 119,397 ______________
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Pt IX, Line 24e Other Expenses Mgmt and General _________________________________________________________ Description ______________ Amount _________________________________________________________ Directors Discrectionary Budget ______________ $ 1,979 _________________________________________________________ Merchant Services ______________ 1,877 _________________________________________________________ Miscellaneous ______________ 3,322 _________________________________________________________ Postage and Delivery ______________ 753 _________________________________________________________ Club Card - unclassified ______________ (16,448) _________________________________________________________ Team Expenses ______________ (9,981) _________________________________________________________ Quickbooks Payments Fees ______________ 15 Total: $______________ -18,483 ______________
OVERFLOW.LD
* Item is included in UBIA for Section 199A calculations. See "UBIA" in lower right corner.
Depreciation Detail Listing
2024
Program Services
PAGE
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Name(s) as shown on return
Space Coast United Soccer Club, Inc No.
Description
Date
Basis
Business
Section
Adjustment
percentage
179
Cost
1
Trailer 2
07-24-2021
799
100.00
2
Aed
08-18-2021
650
100.00
3
Aed-2
08-18-2021
650
100.00
4
4x16 Forza Goal
09-15-2021
1,067
5
4x16 Forza Goal-2
09-15-2021
1,067
6
Goals
08-24-2012
4,000
7
Golf Cart
10-19-2014
2,000
8
Pop Up Goals
02-26-2015
4,500
9
Pop Up Goals
06-04-2015
3,786
09-10-2015
15,050
10 Shed
1
(This page is not filed with the return. It is for your records only.)
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11 Field Security Nettin 09-22-2015
6,750
12 8x24 Soccer Goal
08-22-2017
2,650
13 6.5x18.5 Soccer Goal
08-22-2017
2,400
14 Computer {New in 2017 08-30-2017
2,000
100.00 100.00 100.00 100.00 100.00 100.00 100.00
Bonus
Depreciable
depreciation
Basis
Social security number/EIN
59-2377476 Life
Prior
Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
Method
Rate
799 7
200 DB HY
12.49
799
799
650 7
200 DB HY
12.49
650
650
650 7
200 DB HY
12.49
650
650
1,067 7
200 DB HY
12.49
1,067
1,067
1,067 7
200 DB HY
12.49
1,067
1,067
4,000 7
0
4,000
4,000
2,000 7
0
2,000
2,000
4,500 7
0
4,500
4,500
3,786 7
0
3,786
3,786
15,050 7
0
15,049
15,049
100.00
6,750 7
0
6,750
100.00
2,650 7
200 DB HY
4.46
2,532
118
2,650
6,750
100.00
2,400 7
200 DB HY
4.46
2,293
107
2,400
100.00
2,000 7
200 DB HY
4.46
2,000
100.00
709 7
200 DB MQ
8.73
593
62
655
100.00
2,825 7
200 DB MQ
8.73
2,363
247
2,610
100.00
908 7
200 DB MQ
8.73
759
79
838
100.00
908 7
200 DB HY
8.92
908
908
2,000
15 7.5' Aluminum Bench
10-02-2018
709
16 8'x24' Soccer Goal 2
10-23-2018
2,825
17 15' Aluminum Bench
11-12-2018
908
18 15' Aluminum Bench 2
01-16-2019
908
19 15' Aluminum Bench 3
01-16-2019
908
100.00
908 7
200 DB HY
8.92
908
908
20 15' Aluminum Bench 4
01-16-2019
908
100.00
908 7
200 DB HY
8.92
908
908
21 15' Alumunum Bench 5
01-16-2019
908
100.00
908 7
200 DB HY
8.92
908
908
22 7.5" Aluminum Bench 3 01-16-2019
709
100.00
709 7
200 DB HY
8.92
709
709
23 7.5" Aluminum Bench 2 01-16-2019
709
100.00
709 7
200 DB HY
8.92
709
709
24 7.5" Aluminum Bench 4 01-16-2019
709
100.00
709 7
200 DB HY
8.92
709
709
200 DB HY
8.92
2,800
2,800
25 7' x 21' Soccer Goal
03-13-2019
2,800
100.00
2,800 7
26 8'x24' Soccer Goal 3
03-13-2019
2,950
100.00
2,950 7
200 DB HY
8.92
2,950
2,950
27 7.5' Aluminum Bench 5 03-25-2019
709
100.00
709 7
200 DB HY
8.92
709
709
28 15' Aluminum Bench 7
03-25-2019
908
100.00
908 7
200 DB HY
8.92
908
908
29 15' Aluminum Bench 8
03-25-2019
908
100.00
908 7
200 DB HY
8.92
908
908
30 15' Aluminum Bench 6
03-25-2019
908
100.00
908 7
200 DB HY
8.92
908
908
* Item is included in UBIA for Section 199A calculations. See "UBIA" in lower right corner.
Depreciation Detail Listing
2024
Program Services
PAGE
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Name(s) as shown on return
Space Coast United Soccer Club, Inc No.
Description
Date
Basis
Business
Section
Adjustment
percentage
179
Cost
31 7.5' Aluminum Bench 7 03-25-2019
709
100.00
32 7.5' Aluminum Bench 6 03-25-2019
709
100.00
33 Drinks Cooler
05-06-2019
975
100.00
34 7.5' Aluminum Bench 8 09-12-2019
709
35 Trailer
09-18-2019
731
36 6.5 x 18.5 Shooting G 10-04-2019
500
37 6.5 x 18.5 Shooting G 10-04-2019
500
38 8x24 Shooting Goal 2
10-04-2019
600
39 8x24 Shooting Goal
10-04-2019
600
40 Lightning
Detector
03-09-2020
3,396
41 7x12 Soccer Goal 2
04-28-2020
2,800
42 Video Camera
08-25-2020
600
43 Ipad
09-05-2020
1,099
44 6.5 x 18.5 Soccer Goa 10-26-2020
2,800
45 6.5 x 18.5 Soccer Goa 10-26-2020
2,800
46 7x12 Soccer Goal 3
11-05-2020
2,800
47 2 Soccer Goal Dollies 05-31-2022
1,318
48 2013 Yamaha Golf Cart 09-23-2022
3,000
49 7 x 21 Soccer Goas
2
(This page is not filed with the return. It is for your records only.)
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Bonus
Depreciable
depreciation
Basis
Social security number/EIN
59-2377476 Life
Prior
Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
Method
Rate
709 7
200 DB HY
8.92
709
709
709 7
200 DB HY
8.92
709
709
975 7
200 DB HY
8.92
975
975
709 7
200 DB HY
8.92
709
709
731 7
200 DB HY
8.92
731
731
500 7
200 DB HY
8.92
500
500
500 7
200 DB HY
8.92
500
500
600 7
200 DB HY
8.92
600
600
600 7
200 DB HY
8.92
600
600
3,396 7
200 DB MQ
8.75
3,396
3,396 2,800
100.00
2,800 7
200 DB MQ
8.87
2,800
100.00
600 7
200 DB MQ
9.3
600
600
100.00
1,099 7
200 DB MQ
9.3
1,099
1,099
100.00
2,800 7
200 DB MQ
10.04
2,800
2,800
100.00
2,800 7
200 DB MQ
10.04
2,800
2,800
100.00
2,800 7
200 DB MQ
10.04
2,800
100.00
1,318 7
200 DB HY
17.49
511
231
742
100.00
3,000 7
200 DB HY
17.49
1,164
525
1,689
2,800
04-30-2022
626
100.00
626 7
200 DB HY
17.49
242
109
351
50 4 - 7 x 21 Soccer Goa 06-01-2022
6,975
100.00
6,975 7
200 DB HY
17.49
2,705
1,220
3,925
51 4 - 8 x 24 Soccer Goa 06-30-2022
7,525
100.00
7,525 7
200 DB HY
17.49
2,918
1,316
4,234
52 6.5 x 18.5 Soccer Goa 11-30-2022
3,150
100.00
3,150 7
200 DB HY
17.49
1,221
551
1,772
53 iPad Pro 10.5 in 256
01-01-2022
800
100.00
800 7
200 DB HY
17.49
310
140
450
54 Zoll AED Plus - 3
01-31-2023
1,420
100.00
1,420 5
200 DB HY
32
284
454
738
55 Zoll AED Plus - 4
01-31-2023
1,420
100.00
1,420 5
200 DB HY
32
284
454
738
56 Laptop - MacBook Air
01-31-2023
1,412
100.00
1,412 5
200 DB HY
32
282
452
734
57 iPad Pro 12.9 in Wi-F 07-19-2023
1,149
100.00
1,149 5
200 DB HY
32
230
368
598
58 Utility Cart
08-15-2023
2,500
100.00
2,500 5
200 DB HY
32
500
800
1,300
59 Apple MacBook Air (O
04-30-2024
812
100.00
812 5
200 DB MQ
25
203
203
60 4 - 7 x 21 Goals and
11-30-2024
7,200
100.00
7,200 5
200 DB MQ
5
360
360
* Item is included in UBIA for Section 199A calculations. See "UBIA" in lower right corner.
Depreciation Detail Listing
2024
Program Services
PAGE
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Name(s) as shown on return
Space Coast United Soccer Club, Inc No.
Description
61 4 - 6.5 x 18.5 Goas
3
(This page is not filed with the return. It is for your records only.)
Date
Basis
Business
Section
Adjustment
percentage
179
Cost
12-31-2024
5,880
100.00
Bonus
Depreciable
depreciation
Basis
Social security number/EIN
59-2377476 Life
5,880 5
Method
200 DB MQ
Rate
Prior
Current
Accumulated
AMT
Depreciation
Depreciation
Depreciation
Current
5
294
294
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134,268 134,268
134,268
98,779
CY 179 and CY Bonus TOTAL CY Depr including 179/bonus
8,090
106,869 ST ADJ:
8,090
Next Year's Depreciation Worksheet 2024
(This page is not filed with the return. It is for your records only.) Name(s) as shown on return
Tax ID Number
Space Coast United Soccer Club, Inc
59-2377476
Form
Multi-Form Description
Date
PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG PRG
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
07-24-2021 08-18-2021 08-18-2021 09-15-2021 09-15-2021 08-24-2012 10-19-2014 02-26-2015 06-04-2015 09-10-2015 09-22-2015 08-22-2017 08-22-2017 08-30-2017 10-02-2018 10-23-2018 11-12-2018 01-16-2019 01-16-2019 01-16-2019 01-16-2019 01-16-2019 01-16-2019 01-16-2019 03-13-2019 03-13-2019 03-25-2019 03-25-2019 03-25-2019 03-25-2019 03-25-2019 03-25-2019 05-06-2019 09-12-2019 09-18-2019 10-04-2019 10-04-2019 10-04-2019 10-04-2019 03-09-2020 04-28-2020 08-25-2020 09-05-2020 10-26-2020 10-26-2020 11-05-2020 05-31-2022 09-23-2022 04-30-2022 06-01-2022 06-30-2022 11-30-2022
Trailer 2 Aed Aed-2 4x16 Forza Goal 4x16 Forza Goal-2 Goals Golf Cart Pop Up Goals Pop Up Goals Shed Field Security Netting 8x24 Soccer Goal 6.5x18.5 Soccer Goal Computer {New in 2017) 7.5' Aluminum Bench 8'x24' Soccer Goal 2 15' Aluminum Bench 15' Aluminum Bench 2 15' Aluminum Bench 3 15' Aluminum Bench 4 15' Alumunum Bench 5 7.5" Aluminum Bench 3 7.5" Aluminum Bench 2 7.5" Aluminum Bench 4 7' x 21' Soccer Goal 8'x24' Soccer Goal 3 7.5' Aluminum Bench 5 15' Aluminum Bench 7 15' Aluminum Bench 8 15' Aluminum Bench 6 7.5' Aluminum Bench 7 7.5' Aluminum Bench 6 Drinks Cooler 7.5' Aluminum Bench 8 Trailer 6.5 x 18.5 Shooting Goal 6.5 x 18.5 Shooting Goal 8x24 Shooting Goal 2 8x24 Shooting Goal Lightning Detector 7x12 Soccer Goal 2 Video Camera Ipad 6.5 x 18.5 Soccer Goal 2 6.5 x 18.5 Soccer Goal 3 7x12 Soccer Goal 3 2 Soccer Goal Dollies 2013 Yamaha Golf Cart 7 x 21 Soccer Goas 4 - 7 x 21 Soccer Goals 4 - 8 x 24 Soccer Goals 6.5 x 18.5 Soccer Goal
Basis
Life
200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 7 7 7 7 7 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBMQ 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7 200 DBHY 7
y po
C tn
e lC i
Method
799 650 650 1,067 1,067 4,000 2,000 4,500 3,786 15,050 6,750 2,650 2,400 2,000 709 2,825 908 908 908 908 908 709 709 709 2,800 2,950 709 908 908 908 709 709 975 709 731 500 500 600 600 3,396 2,800 600 1,099 2,800 2,800 2,800 1,318 3,000 626 6,975 7,525 3,150
Deduction
54 215 69
165 375 78 871 940 393
Next Year's Depreciation Worksheet 2024
(This page is not filed with the return. It is for your records only.) Name(s) as shown on return
Tax ID Number
Space Coast United Soccer Club, Inc
59-2377476
Form
Multi-Form Description
Date
PRG PRG PRG PRG PRG PRG PRG PRG PRG
1 1 1 1 1 1 1 1 1
01-01-2022 01-31-2023 01-31-2023 01-31-2023 07-19-2023 08-15-2023 04-30-2024 11-30-2024 12-31-2024
iPad Pro 10.5 in 256 GB Zoll AED Plus - 3 Zoll AED Plus - 4 Laptop - MacBook Air M1 iPad Pro 12.9 in Wi-Fi 5 Utility Cart Apple MacBook Air (O Sim 4 - 7 x 21 Goals and Whe 4 - 6.5 x 18.5 Goas
Basis
Method
800 1,420 1,420 1,412 1,149 2,500 812 7,200 5,880
Life
200 DBHY 7 200 DBHY 5 200 DBHY 5 200 DBHY 5 200 DBHY 5 200 DBHY 5 200 DBMQ 5 200 DBMQ 5 200 DBMQ 5
TOTAL
Deduction
100 273 273 271 221 480 244 2,736 2,234 9,992
y po
e lC i
C tn
Marketing Support Program
Space Coast Clash
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
Payroll
$15,000.00
$14,585.00
$415.00
Registration
$66,542.00
$67,566.67
-$1,024.67
Referees
$20,000.00
$19,460.00
$540.00
Vendors
$1,500.00
$2,102.00
-$602.00
Expenses Subtotal Other Expenses
$35,000.00
Registration fees and application
$4,000.00
$34,045.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$955.00
$3,664.75
$335.25
$500.00
$423.36
$76.64
$4,000.00
$4,327.50
-$327.50
$0.00
$0.00
$0.00
Supplies/Food for staff
$1,200.00
$1,104.68
$95.32
Athletic Trainers
$2,500.00
$2,003.75
Event Insurance
$1,000.00
Transport goals Paint for fields Gas for golf carts
Hotel room Trophies/medals BCPR Staff
$0.00 $0.00 $0.00 $0.00 Income Subtotal
$68,042.00
$69,668.67
-$1,626.67
Cash in Bank to start Other Income
$0.00
$0.00
$0.00
$496.25
$791.17
$208.83
TDC grant funding
$15,450.00
$20,000.00
-$4,550.00
$500.00
$400.00
$100.00
$500.00
$500.00
$0.00
$40.00
$41.94
-$1.94
$0.00
$0.00
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$14,240.00
$13,257.15
$982.85
$0.00
Other Income Subtotal
$15,450.00
$20,000.00
-$4,550.00
Total Income
$83,492.00
$89,668.67
-$6,176.67
Total Expenses Paid
$49,240.00
$47,302.15
$1,937.85
Profit/Loss
$34,252.00
$42,366.52
-$8,114.52
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal Total Expenses 2025-2026
$0.00
$0.00
$0.00 $0.00
$49,240.00
$47,302.15
$1,937.85
.
Updated: 6/18/2025
Cocoa Beach Triathlon & Duathlon
Return to Table of Contents
For TDO use: PROJECT#- S 7
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Smooth Running, LLC Applicant Event Name: Cocoa Beach Triathlon and Duathlon
1. Completed application
2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
Comment
• NIA • • N/A • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All d cuments have been submitted, reviewed and/or addressed in the comments.
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:32 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Mitchell Varnes
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Smooth Running Organization address 660 Cinnamon Court State Florida City Satellite Beach Zip 32937 Primary contact name Mitch Varnes Primary contact phone number 3217597200
Primary contact email mitchvarnes@gmail.com Secondary contact name h Secondary contact phone number 3217597200 Secondary contact email info@thefloridamarathon.com Organization website address 660 Cinnamon Court
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 26-3025672
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Cocoa Beach Triathlon & Duathlon Event website address (if different from organization website) www.cocoabeachtriathlon.com Event location Cocoa Beach, A1A, Patrick Space Force Base
9. (untitled) 8. What is the first date of your event? 04/11/2026
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Direct mail Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Traditional Marketing Cards and at other events
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : #cocoabeachtri Instagram : n/a YouTube : n/a
22. (untitled) 13. What hashtags do you currently use? #runfla
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. Smooth_Running_Articles_of_Incorporation.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. smooth_running_sun_biz.pdf
27. (untitled) 16. Upload your completed W-9 form. Smooth_Running_w9_as_of_April_2025.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. Cocoa_Beach_Triathlon_2026_projected_revenues_and_expenses.pdf
29. (untitled) 18. Upload your completed Checklist. Tourism_Grant_Checklist_updated_2025-2026_cycle.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Mitchell Varnes
31. Thank You! New Send Email May 30, 2025 11:32:03 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Marketing Support Program
Cocoa Beach Triathlon & Duathlon
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
City Permitting and Park Usage
$2,200.00
$2,000.00
$200.00
Police
$3,000.00
$3,000.00
$0.00
$0.00
Expenses
Income Athlete Entry Fees
2025-2026 projection $58,000.00
2024-2025 actuals
VAR
$54,000.00
$4,000.00
Timing
$5,500.00
$5,200.00
$300.00
$0.00
Athlete shirts and medals
$13,500.00
$11,500.00
$2,000.00
$0.00 $0.00
USA Triathlon sanctioning fees
$700.00
$700.00
$0.00
Traffic Control and barricading
$5,800.00
$5,200.00
$600.00
$0.00
$750.00
$750.00
$0.00
$0.00
Portalets
$600.00
$600.00
$0.00
$0.00
$32,050.00
$28,950.00
$3,100.00
$0.00
$600.00
$600.00
$0.00
Beverages/Snacks/Athletes/Vol
$1,200.00
$1,000.00
$200.00
Awards
$2,400.00
$2,000.00
$400.00
Medical Support Expenses Subtotal Other Expenses Ice Trailer
$0.00
Light Tower Rentals
$700.00
$700.00
$0.00
Lifeguards
$800.00
$700.00
$100.00
Staffing
$3,000.00
$3,000.00
$0.00
Other Expenses Subtotal
$8,700.00
$8,000.00
$700.00
Billboards in Brevard County
$1,500.00
$1,500.00
$0.00
Southeast US Regional Calendars
$2,000.00
$2,000.00
$0.00
Marketing in other races
$1,500.00
$1,500.00
$0.00
Social Media - Florida & SE USA
$2,500.00
$2,500.00
$0.00
Marketing - please specify Brevard/Out-of-County
$0.00 $0.00 Income Subtotal
$58,000.00
$54,000.00
$4,000.00
Cash in Bank to start Other Income
$10,000.00
$10,000.00
$0.00
Sponsors
$10,000.00
$10,000.00
$0.00
TDC grant funding
$9,660.00
$15,000.00
-$5,340.00
Other Income Subtotal
$19,660.00
$25,000.00
-$5,340.00
Total Income
$77,660.00
$79,000.00
-$1,340.00
Total Expenses Paid
$48,250.00
$44,450.00
$3,800.00
Profit/Loss
$29,410.00
$34,550.00
-$5,140.00
$0.00 $0.00 $0.00 Marketing Subtotal
$7,500.00
$7,500.00
$0.00 $0.00
Total Expenses 2025-2026
$48,250.00
$44,450.00
$3,800.00
.
Updated: 6/18/2025
Brevard Winter Classic/Soccer
Return to Table of Contents
For TOO use: PROJECT#- S 8
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Central Brevard Soccer Applicant Event Name: Brevard Winter Classic
•
Yes
1. Completed application 2. Copy of IRS Articles of Incorporation -(if applicable) 3. Copy of IRS Determination letter -(if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• • • • • •
No
Comment
•
N/A
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
f� � �
1(1(1-�'lr
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:85 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Brittany J Lee
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Central Brevard Soccer Organization address PO Box 540241 State Florida City Merritt Island Zip 32953 Primary contact name Brittany Lee Primary contact phone number 303-895-6902
Primary contact email treasurer@centralbrevardsoccer.com Secondary contact name Jenna Scaglione Secondary contact phone number 321-271-6583 Secondary contact email cbs.scaglione@gmail.com Organization website address www.centralbrevardsoccer.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-2193805
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Brevard Winter Classic Event website address (if different from organization website) www.centralbrevardsoccer.com Event location Mitchell Ellington Park 577 W Hall Rd. Merritt Island FL 32953
9. (untitled) 8. What is the first date of your event? 01/24/2026
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : Central Brevard Soccer Instagram : @centralbrevardsoccer
22. (untitled) 13. What hashtags do you currently use? #TeamCBS #winterclassic
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. TaxExemptCBS.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. 990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Sunbiz.pdf
27. (untitled) 17. Upload your completed W-9 form. W9.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Expense_Report-Brevard_Winter_Classic.pdf
29. (untitled) 19. Upload your completed Checklist. MSP_applicant_checklist_5.30.2025.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Brittany Lee
31. Thank You! New Send Email Jun 09, 2025 08:36:14 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED May 01, 2025 Secretary of State 3553606143CC
DOCUMENT# 763720 Entity Name: CENTRAL BREVARD SOCCER, INC. Current Principal Place of Business: 1265 LITTLE OAK CIRCLE TITUSVILLE, FL 32780
Current Mailing Address: P.O. BOX 540241 MERRITT ISLAND, FL 32954 US FEI Number: 59-2193805
Certificate of Status Desired: Yes
Name and Address of Current Registered Agent: BAKER, JONATHAN 1265 LITTLE OAK CIRCLE TITUSVILLE, FL 32780 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: JONATHAN BAKER
05/01/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
TREASURER
Title
VP
Name
LEE, BRITTANY TREASURER
Name
WEAVER, SHEILA VP
Address
3961 TRADEWINDS TRL HOME
Address
P.O. BOX 540241
City-State-Zip:
MERRITT ISLAND FL 32954
Title
DIRECTOR OF COACHING
Name
CAREY, SCOOTY DIRECTOR OF COACHING
City-State-Zip:
MERRITT ISLAND FL 32953
Title
PRESIDENT
Name
BAKER, JONATHAN PRESIDENT
Address
1265 LITTLE OAK CIRCLE
Address
P.O. BOX 540241
City-State-Zip:
TITUSVILLE FL 32780
City-State-Zip:
MERRITT ISLAND FL 32954
Title
DIRECTOR OF COACHING
Name
HUMBERT, JORDAN
Address
P.O. BOX 540241
City-State-Zip:
MERRITT ISLAND FL 32954
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: JONATHAN BAKER Electronic Signature of Signing Officer/Director Detail
PRESIDENT
05/01/2025 Date
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Victorio Canales 2
Business name/disregarded entity name, if different from above.
Print or type. See Specific Instructions on page 3.
Canales Legacy Unlimited, LLC 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor ✔
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions)
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
990
3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
521 Eastbrook Drive 6
City, state, and ZIP code
Decatur, IN 46733 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
Social security number
–
–
or Employer identification number
9
3
–
2
9
4
0
1 2
9
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
6/9/2025
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program
Central Brevard Soccer Winter Classic
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Signs and Banners
$400.00
$200.00
$200.00
Flags
$150.00
$115.00
$35.00
$0.00
Signs/Keychains/Stickers
$200.00
$147.00
$53.00
$0.00
Field Maps
$75.00
$56.00
$19.00
$0.00
Nets
$200.00
$165.00
$35.00
$0.00
Field Paint
$950.00
$930.00
$20.00
$0.00
Facility Permit and Staff
$1,000.00
$750.00
$250.00
$0.00
Athletic Trainers
$1,000.00
$740.00
$260.00
$0.00
$3,975.00
$3,103.00
$872.00
Expenses
Expenses Subtotal Other Expenses Volunteer Meals Field Lining
Income Quinter Tournaments
2025-2026 projection
2024-2025 actuals
$10,000.00
$11,400.00
VAR -$1,400.00
$0.00 $0.00
$500.00
$335.00
$165.00
$1,500.00
$1,250.00
$250.00
$0.00 $0.00 Income Subtotal
Police
$1,500.00
$1,250.00
$250.00
Tournament Host Coordinators
$3,500.00
$3,500.00
$0.00
Tournament Bookkeeper
$1,000.00
$1,000.00
$0.00
Field set up and break down
$1,800.00
$1,500.00
$300.00
Cash in Bank to start Other Income
Staff Apparel
$250.00
$250.00
$0.00
TDC grant funding
$8,160.00
$15,000.00
-$6,840.00
Photographer
$500.00
$200.00
$300.00
Registration/Scheduler
$1,000.00
$750.00
$250.00
Referee Assignor
$1,000.00
$750.00
$250.00
Robot rental
$500.00
$500.00
$0.00
Golf Cart rental
$600.00
$600.00
$0.00
$1,500.00
$1,000.00
$500.00
Other Income Subtotal
$8,160.00
$15,000.00
-$6,840.00
$15,150.00
$12,885.00
$2,265.00
Total Income
$18,160.00
$26,400.00
-$8,240.00
Online ads/FB/IG
$500.00
$150.00
$350.00
Total Expenses Paid
$20,125.00
$16,338.00
$3,787.00
Signs and banners-Brevard
$500.00
$200.00
$300.00 Profit/Loss
-$1,965.00
$10,062.00 -$12,027.00
Goals/Benches/Tents Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$0.00
$10,000.00
$11,400.00
-$1,400.00 $0.00
$0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$1,000.00
$350.00
$0.00 $650.00
Total Expenses 2025-2026
$20,125.00
$16,338.00
$3,787.00
.
Updated: 6/29/2025
Brevard Hurricane Classic/Soccer
Return to Table of Contents
For TOO use: PROJECT#- S 9
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Central Brevard Soccer Applicant Event Name: Brevard Hurricane Classic
•
Yes 1. Completed application 2. Copy of I RS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• • • • • •
No
Comment
•
NIA
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
Q� � 7(1/-c'JtJ
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:81 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Brittany J Lee
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Central Brevard Soccer Organization address PO Box 540241 State Florida City Merritt Island Zip 32954 Primary contact name Brittany Lee Primary contact phone number 303-895-6902
Primary contact email treasurer@centralbrevardsoccer.com Secondary contact name Jenna Scaglione Secondary contact phone number 321-271-6583 Secondary contact email cbs.scaglione@gmail.com Organization website address www.centralbrevardsoccer.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-2193805
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Brevard Winter Classic Event website address (if different from organization website) www.centralbrevardsoccer.com Event location Mitchell Ellington Park 577 W Hall Rd. Merritt Island FL 32953
9. (untitled) 8. What is the first date of your event? 01/24/2026
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? Yes
12. (untitled) 11. EVENT INFORMATION - #2 Name of event Brevard Hurricane Classic Event website address (if different from organization website) www.centralbrevardsoccer.com Event location Mitchell Ellington Park 577 W Hall Rd. Merritt Island FL 32953
13. (untitled) 12. What is the first date of your event? 08/22/2026
14. (untitled) 13. In total, how many days will your event be held? 2
15. (untitled) 14. Do you have a third event? No
16. (untitled) 1. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 15. What types of marketing do you plan to do for this event? Billboards Digital advertising (banner ads, etc.) Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 16. What are your social media handles? Facebook : Central Brevard Soccer Instagram : @centralbrevardsoccer
22. (untitled) 17. What hashtags do you currently use? #TeamCBS #winterclassic #hurricaneclassic
23. (untitled) 18. Upload a copy of your organization's IRS Determination letter. TaxExemptCBS.pdf
24. (untitled) 19. Upload a copy of your organization's 990 form. 990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 20. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Sunbiz.pdf
27. (untitled) 21. Upload your completed W-9 form. W9.pdf
28. (untitled) 22. Upload your completed Event Income/Expense report. Expense_Report-Brevard_Winter_Classic.pdf
29. (untitled) 23. Upload your completed Checklist. Checklist.pdf
30. (untitled) 24.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will
comply with the requirements set forth, if awarded support.
Signature of: Brittany J Lee
31. Thank You! New Send Email Jun 08, 2025 16:57:01 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED May 01, 2025 Secretary of State 3553606143CC
DOCUMENT# 763720 Entity Name: CENTRAL BREVARD SOCCER, INC. Current Principal Place of Business: 1265 LITTLE OAK CIRCLE TITUSVILLE, FL 32780
Current Mailing Address: P.O. BOX 540241 MERRITT ISLAND, FL 32954 US FEI Number: 59-2193805
Certificate of Status Desired: Yes
Name and Address of Current Registered Agent: BAKER, JONATHAN 1265 LITTLE OAK CIRCLE TITUSVILLE, FL 32780 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: JONATHAN BAKER
05/01/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
TREASURER
Title
VP
Name
LEE, BRITTANY TREASURER
Name
WEAVER, SHEILA VP
Address
3961 TRADEWINDS TRL HOME
Address
P.O. BOX 540241
City-State-Zip:
MERRITT ISLAND FL 32954
Title
DIRECTOR OF COACHING
Name
CAREY, SCOOTY DIRECTOR OF COACHING
City-State-Zip:
MERRITT ISLAND FL 32953
Title
PRESIDENT
Name
BAKER, JONATHAN PRESIDENT
Address
1265 LITTLE OAK CIRCLE
Address
P.O. BOX 540241
City-State-Zip:
TITUSVILLE FL 32780
City-State-Zip:
MERRITT ISLAND FL 32954
Title
DIRECTOR OF COACHING
Name
HUMBERT, JORDAN
Address
P.O. BOX 540241
City-State-Zip:
MERRITT ISLAND FL 32954
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: JONATHAN BAKER Electronic Signature of Signing Officer/Director Detail
PRESIDENT
05/01/2025 Date
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Victorio Canales 2
Business name/disregarded entity name, if different from above.
Print or type. See Specific Instructions on page 3.
Canales Legacy Unlimited, LLC 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor ✔
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions)
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
990
3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
521 Eastbrook Drive 6
City, state, and ZIP code
Decatur, IN 46733 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
Social security number
–
–
or Employer identification number
9
3
–
2
9
4
0
1 2
9
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
6/9/2025
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program
Central Brevard Soccer Hurricane Classic
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Signs and Banners
$600.00
$585.00
$15.00
Flags
$150.00
$110.00
$40.00
$0.00
Parking Cones/Nets/Zipties
$360.00
$360.00
$0.00
$0.00
Registration/Scheduler
$1,000.00
$750.00
$250.00
$0.00
Refefee Assignor
$1,000.00
$750.00
$250.00
$0.00
Athletic Trainer
$1,130.00
$1,130.00
$0.00
$0.00
Game Balls/Ball Pumps
$650.00
$620.00
$30.00
$0.00
Field Paint
$950.00
$930.00
$20.00
$0.00
$5,840.00
$5,235.00
$605.00
$0.00
Expenses
Expenses Subtotal Other Expenses
Income Quinter Tournaments
2025-2026 projection
2024-2025 actuals
$10,000.00
$9,700.00
VAR $300.00
$0.00
Facility Permit and Staff
$1,000.00
$1,750.00
-$750.00
Tournament Bookkeeper
$1,000.00
$250.00
$750.00
$0.00 $0.00 Income Subtotal
Concession Fridge
$0.00
$500.00
-$500.00
Field Prep/Set up
$2,150.00
$2,150.00
$0.00
Gofl cart rental
$600.00
$600.00
$0.00
Volunteer Meals
$500.00
$140.00
$360.00
Cash in Bank to start Other Income
Field Painting/Robot rental
$1,500.00
$1,100.00
$400.00
TDC grant funding
$8,055.00
$15,000.00
-$6,945.00
Nets
$1,500.00
$1,435.00
$65.00
Tournament Coordinators
$3,500.00
$2,000.00
$1,500.00
$250.00
$250.00
$0.00
Photographer
$800.00
$800.00
$0.00
Field Marshalls
$1,500.00
$500.00
$1,000.00
Benches, goals, tents
$1,500.00
$1,000.00
$500.00
Other Income Subtotal
$8,055.00
$15,000.00
-$6,945.00
$15,800.00
$12,475.00
$3,325.00
Total Income
$18,055.00
$24,700.00
-$6,645.00
Social Media
$500.00
$250.00
$250.00
Total Expenses Paid
$22,640.00
$18,060.00
$4,580.00
Signs and banners-Brevard
$500.00
$100.00
$400.00 Profit/Loss
-$4,585.00
$6,640.00 -$11,225.00
Staff Apparel
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$0.00
$10,000.00
$9,700.00
$300.00 $0.00
$0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$1,000.00
$350.00
$0.00 $650.00
Total Expenses 2025-2026
$22,640.00
$18,060.00
$4,580.00
.
Updated: 6/29/2025
NKF Rich Salick Surf Fest
Return to Table of Contents
For TDO use: PROJECT#- S 10
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: National Kidney Foundation Applicant Event Name: NKF Rich Salick Surf Fest
•
Yes 1.
2. 3.
4. 5. 6.
Completed application Copy of IRS Articles of Incorporation - (if applicable) Copy of IRS Determination letter - (if applicable) Copy of SunBiz.org (if applicable) Copy of 990 (if applicable) Copy of completed W-9 (March 2024)
7. Income/Expense worksheet
(required for all applicants) 8. Copy of the Applicant checklist
No
Comment
•
N/A
• • • • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
k�
7fJf-co�r
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:26 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Savanna Lanza
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming National Kidney Foundation of FL Organization address 5756 S. Semoran Blvd State FL City Orlando Zip 32822 Primary contact name Savanna Lanza Primary contact phone number 1321298443
Primary contact email slanza@kidneyfla.org Secondary contact name Phil Salick Secondary contact phone number 321-848-1507 Secondary contact email slanza@kidneyfla.org Organization website address www.kidneyfl.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 59-2190073
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event NKF Rich Salick Surf Fest Event website address (if different from organization website) www.nkfsurf.com Event location Westgate Cocoa Beach Pier
9. (untitled) 8. What is the first date of your event? 10/10/2025
10. (untitled) 9. In total, how many days will your event be held? 4
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Radio Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) TV/Video
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : NKF Rich Salick Pro-Am Surf Festival Instagram : nkf_surf_fest
22. (untitled) 13. What hashtags do you currently use? #surffest2025 #cocoabeach #ronjonsurfshop #surflegacy #cocoabeach #eastcoastsurfing
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. FL_Tax_Exempt_Form_2023-2028.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. National_Kidney_Foundation_of_Florida_Financial_Statements.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. NKFF_SunBiz.pdf
27. (untitled) 17. Upload your completed W-9 form. 2025_W9_NKFF.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_nkff.pdf
29. (untitled) 19. Upload your completed Checklist. NKF_Checklist.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Savanna Lanza
31. Thank You! New Send Email May 27, 2025 15:13:06 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Departmentof the Treasury
lrita,.tal RevenueService DistrictDirector 2 ? 1ss3 DEC
D a t o : D E2C 31983
Our Letter Datod: JuTg 30 , J982 Person to Contact ChergJ Itafle/jdt Cootact Telephone Numben
(404) Kidneg Foundation 7 D a vis B oulev ar d , Taapa, FL 33606
of FTorida, 3 O4 S u j te
22J_-4sJ5
Inc. EmpToger Identification 59-2J90073
Number :
Fil-e Fol-der l/unber: 5 80 0J_7J_2J
of the above date in which we stated that our letter T'his nodifies foundation which is not a private you would. be treated as an organization p e r i o d . y o u r r u l i n g a d v a n c e o f the expiration until B a s e d o n t h e i n f o r n a t i o n y o u s u b r n it t e d , w e h a v e d e t e r m i n e d t h a t y o u the neaqing of section 509 (a ) of the are not a private 1'6undation within escribed tJrpe d h e fI?9 o f ttne or o u are rganization an o organization a r e an e yyou Internal Revenue Code, because 99:9rr9e9. y o u r ( exempt status under section _50f c ) t 3 ) of the . in section i-n effect. code is still the until xBay rely on this deternination Grantors and, contributors a H o w e v e r , t o t h e c o n t r a r y . p u b l i s h e s n o t i c e Internal Revenue Service uury not rely on this deterroination if he or she was grantor or a contributor to act that in part responsible for, or was aware of, the act or failure acquired o F s t a t u s , resulted in your loss of section Revenue Serwice had given notice that You would knowledge that the Internal * organization. as a secti-on be removed froi classification could help resolve ary questlons about your private Because this letter foundati-on status, please keep it i-n your peroanent records. please If you have any questions, telephone nr:mber are shown above -
contact
the person whose name and
= ' ::.< -= -' S i nce re
* 770 (b) (7) (A) (vi)
& 50e (a) (J)
27) hachtrec St., N.E , Altrnta, Gl. 30043
Letter 1O5O(DO) \7'n)
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Feb 10, 2025 Secretary of State 3262582529CC
DOCUMENT# 758225 Entity Name: NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Current Principal Place of Business: 5756 S. SEMORAN BLVD ORLANDO, FL 32822
Current Mailing Address: 5756 S. SEMORAN BLVD ORLANDO, FL 32822 US FEI Number: 59-2190073
Certificate of Status Desired: Yes
Name and Address of Current Registered Agent: LANZA, SAVANNA 5756 S. SEMORAN BLVD ORLANDO, FL 32822 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: SAVANNA LANZA
02/10/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
CEO
Title
SECRETARY
Name
LANZA, SAVANNA
Name
KNOTT, SARAH
Address
5756 S. SEMORAN BLVD
Address
City-State-Zip:
ORLANDO FL 32822
4631 WOODLAND CORPORATE BLVD. SUITE 113
City-State-Zip:
TAMPA FL 33614
Title
TREASURER
Title
PRESIDENT
Name
HOWARD, LUCAS
Name
SACKET, KEVIN
Address
8300 SW 84TH TERRACE
Address
570 TYLER AVE
City-State-Zip:
MIAMI FL 33143
City-State-Zip:
CAPE CANAVERAL FL 32920
Title
PAST PRESIDENT
Name
MARVE ANN, ALAIMO
Address
9132 STRADA PLACE 3RD FLOOR
City-State-Zip:
NAPLES FL 34108
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: SAVANNA LANZA Electronic Signature of Signing Officer/Director Detail
CEO
02/10/2025 Date
ELECTRONIC FILING STATUS REPORT
TAXING AUTHORITY
FEDERAL FORM 990 FEDERAL FORM 8868 (FORM 990) FLORIDA
328131 04-01-23
RETURN STATUS
QUALIFIED ACCEPTED QUALIFIED ACCEPTED NOT SELECTED
ELECTRONIC FILING STATUS
DATE EXPORTED
04/07/2025 10/01/2024
Electronic Filing History and Return Results Taxing Authority FEDERAL 990 Form Date ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Time ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Release Number ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxable Income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Refund / Balance Due ••••••••••••••••••••••••••••••••••
Taxing Authority Form Date ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Time ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Release Number ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxable Income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Refund / Balance Due ••••••••••••••••••••••••••••••••••
Taxing Authority Form Date ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Time ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Release Number ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxable Income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Refund / Balance Due ••••••••••••••••••••••••••••••••••
Taxing Authority Form Date ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Time ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Release Number ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxable Income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Refund / Balance Due ••••••••••••••••••••••••••••••••••
Taxing Authority Form Date ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Time ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Release Number ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxable Income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Refund / Balance Due ••••••••••••••••••••••••••••••••••
314255 04-01-23
Prior Export
Current Export
04/07/2025 12:49:46 2023.05060 1764931. 0. 0.
Prior Export
Current Export
Prior Export
Current Export
Prior Export
Current Export
Prior Export
Current Export
8868
Form (Rev. January 2024)
Application for Extension of Time To File an Exempt Organization Return or Excise Taxes Related to Employee Benefit Plans
Department of the Treasury Internal Revenue Service
File a separate application for each return. Go to www.irs.gov/Form8868 for the latest information.
OMB No. 1545-0047
Electronic filing (e-file). You can electronically file Form 8868 to request up to a 6-month extension of time to file any of the forms listed below except for Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts. An extension request for Form 8870 must be sent to the IRS in a paper format (see instructions). For more details on the electronic filing of Form 8868, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits. Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment instructions. All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Part I - Identification Type or Name of exempt organization, employer, or other filer, see instructions. Taxpayer identification number (TIN) NATIONAL KIDNEY FOUNDATION OF FLORIDA, Print File by the due date for filing your return. See instructions.
INC.
59-2190073
Number, street, and room or suite no. If a P.O. box, see instructions.
5756 S. SEMORAN BLVD.
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
ORLANDO, FL
32822
01 Enter the Return Code for the return that this application is for (file a separate application for each return) ••••••••••••••••• Application Is For Return Application Is For Return Code Code Form 990 or Form 990-EZ 01 Form 4720 (other than individual) 09 Form 4720 (individual) 03 Form 5227 10 Form 990-PF 04 Form 6069 11 Form 990-T (sec. 401(a) or 408(a) trust) 05 Form 8870 12 Form 990-T (trust other than above) 06 Form 5330 (individual) 13 Form 990-T (corporation) 07 Form 5330 (other than individual) 14 Form 1041-A 08 ¥ After you enter your Return Code, complete either Part II or Part III. Part III, including signature, is applicable only for an extension of time to file Form 5330. ¥ If this application is for an extension of time to file Form 5330, you must enter the following information. Plan Name Plan Number Plan Year Ending (MM/DD/YYYY) Part II - Automatic Extension of Time To File for Exempt Organizations (see instructions) The books are in the care of SAVANNA LANZA 5756 S. SEMORAN BLVD. - ORLANDO, FL 32822 800-927-9659 Fax No.
Telephone No. ¥ If the organization does not have an office or place of business in the United States, check this box ~~~~~~~~~~~~~~~~~~ ¥ If this is for a Group Return, enter the organization's four-digit Group Exemption Number (GEN) . If this is for the whole group, check this box •• . If it is for part of the group, check this box •• and attach a list with the names and TINs of all members the extension is for. 1
I request an automatic 6-month extension of time until MAY 15 , 20 25 the organization named above. The extension is for the organization's return for: calendar year 20 or X tax year beginning JUL 1 , 20 23 , and ending
If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Change in accounting period 3a If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions. b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions. 2
LHA
323841 12-22-23
, to file the exempt organization return for
JUN 30 .
, 20 24
Final return
3a
$
0.
3b
$
0.
3c
$
0. Form 8868 (Rev. 1-2024)
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2023, or fiscal year beginning
JUL 1
, 2023, and ending
OMB No. 1545-0047
JUN 30
24
2023
,20
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service
EIN or SS If
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Name and title of officer or person subject to tax SAVANNA LANZA CEO Part I Type of Return and Return Information
Name of filer
59-2 190073
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I.
1a
Form 990 check here
b Total revenue, if any (Form 990, Part VIII, column (A), line 12)
1b
2a
Form 990-EZ check here
b Total revenue, if any (Form 990-EZ, line 9)
2b
3a
Form 1120-POL check here
b Total tax (Form 1120-POL, line 22)
4a
Form 990-PF check here ...
b Tax based on investment income (Form 990-PF, Part V, line 5)
3b ........
4b
5a
Form 8868 check here
b Balance due (Form 8868, line 3c).............................................................
5b
6a
Form 990-T check here
b Total tax (Form 990-T, Part III, line 4)
6b
7a
Form 4720 check here
b Total tax (Form 4720, Part III, line 1).........................................................
7b
8a 9a
Form 5227 check here
b FMV of assets at end of tax year (Form 5227, Item D)
8b
Form 5330 check here
b Tax due (Form 5330, Part II, line 19)
9b
10a
Form 8038-CP check here
b Amount of credit payment requested Form 8038-CP, Part III line 22)
10b
; Part II
1585626
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of
jury, I declare that I..X
I am an officer of the above entity or I----- 1 I am a person subject to tax with respect to (name
and that I have examined a copy of the , (EIN) and accompanying schedules and statement^, and, to the best of my knowledge and belief, they are true, correct, and 2023 electronic re complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1 -888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
of entity)
c
PIN: check one box only EX] (authorize PORTER
WRIGHT MORRIS & ARTHUR LLP
to enter my PIN___
90073
Enter five numbers, but do not enter all zeros
ERO firm name
as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agencv(ies) regulating charities as oart of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Date
Signature of officer or person subject to tax
| Part III |
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification
number (EFIN) followed by your five-digit self-selected PIN.
0557814 Do not enter all zeros
I certify that the above num^rtoentry is my PI submitting this return Business Returns.
which is my signature on the 2023 electronically filed return indicated above. I confirm that I am uirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for
ERO's signature
Date
ERO Must Retain This Form - See Instructions Do Ng - Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see instructions. LHA
Form 8879-TE (2023)
302521 01-05-24
17580310 758901 208486
2023.05060 NATIONAL KIDNEY FOUNDATION
208486 1
EXTENDED TO MAY 15, 2025
Return of Organization Exempt From Income Tax
990
____
OMB No. 1545-0047
2023
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Department of the Treasury Go to www.irs.gov/Form99O for instructions and the latest information. Internal Revenue Service A For the 2023 calendar year, or tax year beginning JUL 1, 2023 and ending JUN 30, 2024 B Check if applicable:
|------ (Address |___ (change r (Name L__ (change i (Initial I___ (return | (Final I------ 1 return/ termin ated | (Amended I___ I return □ft"'” pending
5756 S.
SEMORAN BLVD.
ORLANDO, FL 32822 F Name and address of principal officer: SAVANNA LANZA 5756 S. SEMORAN BLVD., ORLANDO, FL
o c c
8
o CD od w .2
> o <
32822
4947(a)(1) or
(insert no.)
501(c) (
X
Corporation
.
Trust
59-2190073 E Telephone number 800-927-9659 G Gross receipts $ 1987733. H(a) Is this a group return for subordinates? ... Dyes IS No H(b) Are all subordinates included?nYes 1 1 No
527
WWW. KIDNEYFLA. ORG
K Form of organization:
[Part I 1 0
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
I Tax-exempt status: l X 501(c)(3) J Website:
D Employer identification number
C Name of organization NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Doing business as Number and street (or P.O. box if mail is not delivered to street address)
If "No,” attach a list. See instructions
H(c) Group exemption number Association
I
L Year of formation: 1981 M State of legal domicile: FL
I Other
Summary
MISSION OF THE NA TIONAL OF FLORIDA IS TO PREVENT KIDNEY AND J RI NARY TRACT 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its n rt a ssets. 32 3 Number of voting members of the governing body (Part VI, line 1a) 3 32 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 6 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) 5 120 6 Total number of volunteers (estimate if necessary)................................................................................................. 6 0. 7 a Total unrelated business revenue from Part VIII, column (C), line 12 7a 0. b Net unrelated business taxable income from Form 990-T, Part I, line 11 ........................................................... 7b Briefly describe the organization’s mission or most significant activities: THE
KIDNEY F0UNDATI01
Prior Year O 3 C O > a
w ID 10 C Q Q X LU
°8 «1= 03.52
Open to Public Inspection
8 9
Contributions and grants (Part VIII, line 1 h)
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d) ...........................................
Current Year
1106904. 11035. 35640. -118169. 1035410. 235832.
Program service revenue (Part VIII, line 2g)
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11 e) 12 Total revenue ■ add lines 8 through 11 (must equal Part VIII, column (A), line 12) ......... 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 14 Benefits paid to or for members (Part IX, column (A), line 4) 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)......... 16a Professional fundraising fees (Part IX, column (A), line 11 e) b Total fundraising expenses (Part IX, column (D), line 25) 8 7 5 3 3. 17 Other expenses (Part IX, column (A), lines 11 a-11d, 11 f-24e) 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)...................... 19 Revenue less exi enses. Subtract line 18 from line 12 .....................................................
409184. 0.
1665063. 14819. 58812. -153068. 1585626. 284745. 0. 429889. 0.
437480. 1082496. -47086.
447146. 1161780. 423846.
0.
Beginning of Current Yeai
21 22 Part
End of Year
2003498. 238567. 1764931.
1526361. 228618. 1297743.
20 Total assets (Part X, line 16)
Total liabilities (Part X, line 26)
Net assets or fund balances. Subtract line 21 from line 20..............................................
Block
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, corrector
mplete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign
Sign^tGre o( officer
Here
SAVANNA
~
LANZA,
\J
Date
CEO
/)(
type or print name and We
Paid
Print/Type preparer's name HARVE ANN M. ALAIMO
Preparer
Firm's name
PORTER
Use Only
Firm's address
9132
NAPLES,
FL
Uate
: Check
----------- ^fel/2035 Lmuced
WRIGHT
STRADA
/f
P reptfrerf-sig native.-
MORRIS
PLACE ,
& ARTHUR
LLP
|
|
PTIN
P00655179
Firm's EIN
31-4373657
STE .i.301/ Phone no.(239)593-2900
34108- 2683
May the IRS discuss this return with the preparer shown above? See instructions
LHA For Paperwork Reduction Act Notice, see the separate instructions.
......................................... ..........................
1 X 1 Yes
332001 12-21-23
SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION
No
Form 990 (2023)
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Form 990 (2023) Part III Statement of Program Service Accomplishments 1
2
3 4
4a
4b
Page 2
Check if Schedule O contains a response or note to any line in this Part III •••••••••••••••••••••••••••• Briefly describe the organization's mission:
X
THE MISSION OF THE NATIONAL KIDNEY FOUNDATION OF FLORIDA IS TO PREVENT KIDNEY AND URINARY TRACT DISEASES, IMPROVE THE HEALTH AND WELL-BEING OF PATIENTS AND FAMILIES AFFECTED BY THESE DISEASES AND INCREASE THE AVAILABILITY OF ALL ORGANS FOR TRANSPLANTATION. Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes X No If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services?~~~~~~ Yes X No If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 421063. including grants of $ 284745. ) (Revenue $ (Code: ) (Expenses $ )
PATIENT SERVICES - LOW INCOME AND OTHER KIDNEY PATIENTS RECEIVE MEDICINES, TRANSPORTATION, SEMINARS, RETREATS AND OTHER KIDNEY DISEASE RELATED SERVICES. THROUGH THE DIRECT AID PROGRAM, THE NATIONAL KIDNEY FOUNDATION OF FLORIDA PROVIDED $167,815 IN DIRECT FINANCIAL AID TO PATIENTS FOR GROCERIES, GAS, TRANSPORTATION, UTILITIES, AND RENT IN FISCAL YEAR 2024. THIS AID WAS DISTRIBUTED TO 1597 INDIVIDUALS OVER THE COURSE OF THE YEAR.
THE HAWTHORNE FUND - DESIGNED TO ASSIST KIDNEY TRANSPLANT RECIPIENTS WHO MEET STATED CRITERIA WITH THE COST OF THEIR POST-TRANSPLANT MEDICATIONS, INCLUDING IMMUNOSUPPRESSANT AND PROPHYLAXIS DRUGS. IN FISCAL YEAR 2024, THE NKFF DISTRIBUTED NEARLY $57,655 TO OVER 70 226126. including grants of $ (Code: ) (Expenses $ ) (Revenue $ ) PROFESSIONAL EDUCATION AND RESEARCH - SEMINARS, LITERATURE AND RESEARCH FUNDING TO EDUCATE HEALTHCARE PERSONNEL IN THE TREATMENT OF KIDNEY DISEASE.
172729. including grants of $ ) (Expenses $ ) (Revenue $ ) COMMUNITY SERVICES - THE FLORIDA KIDNEY PATIENT SUPPORT GROUP PROVIDES FREE VIRTUAL EDUCATIONAL SEMINARS FOR PATIENTS WITH KIDNEY DISEASE AND THEIR CAREGIVERS.THE NKFF PARTNERS WITH COMMUNITY LEADERS AND EDUCATORS TO HOLD MONTHLY MEETINGS, SUPPORTING HUNDREDS OF PATIENTS AND THEIR CAREGIVERS ACROSS THE STATE. DURING THE LAST FISCAL YEAR, THE NKFF CONDUCTED TWELVE SUPPORT GROUP MEETINGS AND CONTINUES TO GROW THIS PROGRAM THROUGH ADDITIONAL ORGANIZATIONAL PARTNERSHIPS. IN ADDITION, NKFF EMPLOYS A FULL TIME PATIENT ADVOCATE TO LEAD THE MEETINGS AND WORK WITH PATIENTS ONE ON ONE TO PROMOTE BETTER OUTCOMES.
4c
(Code:
4d
Other program services (Describe on Schedule O.) 132774. including grants of $ (Expenses $ 952692. Total program service expenses
4e
59-2190073
332002 12-21-23
17580310 758901 208486
) (Revenue $
14819.)
SEE SCHEDULE O FOR CONTINUATION(S) 3 2023.05060 NATIONAL KIDNEY FOUNDATION
Form 990 (2023)
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Form 990 (2023) Part IV Checklist of Required Schedules
59-2190073
Page 3 Yes
1 2 3 4 5 6 7 8 9
10 11 a b c d e f 12a b 13 14a b
15 16
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization required to complete Schedule B, Schedule of Contributors? See instructions ~~~~~~~~~~~~~~ Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III ~~~~~~~~~~~~~~~~~~~ Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II~~~~~~~~~~~~~~ Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If "Yes," complete Schedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X ~~~~~~ Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X ~~~~ Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional ~~~~~ Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ~~~~~~~~~~~~~~ Did the organization maintain an office, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~ Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions ~~~~~~~~~~~~~~~~~~~~ 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H ~~~~~~~~~~~~~~~~~ b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ~~~~~~~~~~ 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II •••••••••••••• ~~~~~~~~~~~~~~
1 2
X X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X X
11c 11d 11e
X
12a
17580310 758901 208486
4 2023.05060 NATIONAL KIDNEY FOUNDATION
X X
11f
X
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
17
332003 12-21-23
No
18 19 20a 20b
X X X
X 21 Form 990 (2023) 208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Form 990 (2023) Part IV Checklist of Required Schedules (continued)
59-2190073
Page 4 Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~ 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 24 a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? ~~~~~~~~~~~ c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? ~~~~~~~~~~~ 25 a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~ b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 26 Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II ~~~~~~~~~~~~~ 27 Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If "Yes," complete Schedule L, Part III~~~ 28 Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV~~~~~~~~~~~~~~~ c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 29 Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule M ~~~~~~~~~ 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I~~~~~~ 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~ 34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)? ~~~~~~~~~~~~~~~~~~ b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~ 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI ~~~~~~~~ 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O ••••••••••••••••••••••••••••••• 22
Part V
Statements Regarding Other IRS Filings and Tax Compliance
22
No
X X
23
X
24a 24b 24c 24d 25a
X
25b
X
26
X
27
X
28a 28b
X X
28c 29
X
X
30 31
X X
32
X
33
X
34 35a
X X
35b 36
X
37
X
38
X
Check if Schedule O contains a response or note to any line in this Part V ••••••••••••••••••••••••••• Yes No 4 1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ~~~~~~~~~~~ 1a 0 b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable~~~~~~~~~~ 1b Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming c X (gambling) winnings to prize winners? ••••••••••••••••••••••••••••••••••••••••••• 1c 332004 12-21-23 Form 990 (2023)
17580310 758901 208486
5 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Form 990 (2023) Part V Statements Regarding Other IRS Filings and Tax Compliance (continued)
59-2190073
Page 5
Yes No 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, 6 filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~ 2a X b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?~~~~~~~~~~ 2b X 3a Did the organization have unrelated business gross income of $1,000 or more during the year? ~~~~~~~~~~~~~~ 3a If "No" to line 3b, provide an explanation on Schedule O b If "Yes," has it filed a Form 990-T for this year? ~~~~~~~~~~ 3b 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a X financial account in a foreign country (such as a bank account, securities account, or other financial account)?~~~~~~~ 4a b If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). X 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ~~~~~~~~~~~~ 5a X b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?~~~~~~~~~ 5b c If "Yes" to line 5a or 5b, did the organization file Form 8886-T?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit X any contributions that were not tax deductible as charitable contributions? ~~~~~~~~~~~~~~~~~~~~~~~~ 6a b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts X were not tax deductible? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6b 7 Organizations that may receive deductible contributions under section 170(c). X a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? 7a b If "Yes," did the organization notify the donor of the value of the goods or services provided? ~~~~~~~~~~~~~~~ 7b c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required X to file Form 8282? •••••••••••••••••••••••••••••••••••••••••••••••••••• 7c d If "Yes," indicate the number of Forms 8282 filed during the year ~~~~~~~~~~~~~~~~ 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ~~~~~~~ 7e f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~ 7f g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?~ 7g h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~ 8 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? ~~~~~~~~~~~~~~~~~~~ 9a b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? ~~~~~~~~~~~~~ 9b 10 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 ~~~~~~~~~~~~~~~ 10a b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities ~~~~~~ 10b 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ 11a b Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11b 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 12a b If "Yes," enter the amount of tax-exempt interest received or accrued during the year •••••• 12b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? ~~~~~~~~~~~~~~~~~~~~~ 13a Note: See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ~~~~~~~~~~~~~~~~~~~~~~ 13b c Enter the amount of reserves on hand ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13c X 14a Did the organization receive any payments for indoor tanning services during the tax year? ~~~~~~~~~~~~~~~~ 14a If "No," provide an explanation on Schedule O b If "Yes," has it filed a Form 720 to report these payments? ~~~~~~~~~ 14b 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or X excess parachute payment(s) during the year?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 15 If "Yes," see the instructions and file Form 4720, Schedule N. X 16 Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ~~~~~~ 16 If "Yes," complete Form 4720, Schedule O. 17 Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953? ~~~~~~~~~~~~~~~~~~~ 17 If "Yes," complete Form 6069. 332005 12-21-23 Form 990 (2023)
17580310 758901 208486
6 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Form 990 (2023) Page 6 Part VI Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI
•••••••••••••••••••••••••••
X
Yes
No
Section A. Governing Body and Management 1a Enter the number of voting members of the governing body at the end of the tax year ~~~~~~ If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
1a
32
32 1b b Enter the number of voting members included on line 1a, above, who are independent ~~~~~~ Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other 2 officer, director, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 Did the organization delegate control over management duties customarily performed by or under the direct supervision 3 of officers, directors, trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~~ 3 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 4 4 ~~~~~ Did the organization become aware during the year of a significant diversion of the organization's assets? 5 5 ~~~~~~~~~ Did the organization have members or stockholders? 6 6 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or 7 more members of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7a b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7b Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: 8 a The governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Each committee with authority to act on behalf of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~
8a 8b
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O ••••••••••••••••• Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
9
X X X X X X X X X
9
X Yes
10a Did the organization have local chapters, branches, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ~~~~~~~~~~~~~ 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? If "No," go to line 13 ~~~~~~~~~~~~~~~~~~~~~ b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ~~~~~~ c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13 Did the organization have a written whistleblower policy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14 Did the organization have a written document retention and destruction policy? ~~~~~~~~~~~~~~~~~~~~~~ 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official ~~~~~~~~~~~~~~~~~~~~~~~~~~ b Other officers or key employees of the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? ••••••••••••••••••••••••••••••••••••
Section C. Disclosure 17 18
19 20
10a 10b 11a
X
12a 12b
X X
12c 13 14
X X
15a 15b
X X
16a
No
X
X
X
16b
NONE List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Own website Another's website Upon request Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records SAVANNA LANZA - 800-927-9659 5756 S. SEMORAN BLVD., ORLANDO, FL
332006 12-21-23
17580310 758901 208486
32822
7 2023.05060 NATIONAL KIDNEY FOUNDATION
Form 990 (2023)
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Form 990 (2023) Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Page 7
Check if Schedule O contains a response or note to any line in this Part VII ••••••••••••••••••••••••••• Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. ¥ List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. ¥ List all of the organization's current key employees, if any. See the instructions for definition of "key employee." ¥ List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. ¥ List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ¥ List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above.
(1) SAVANNA LANZA CHIEF EXECUTIVE OFFICER (2) DOUGLAS RAY PAST-PRESIDENT (3) MARVE ANN ALAIMO, ESQ. PRESIDENT (4) AMY KOZSUCH PAST-PRESIDENT (5) HOWARD LUCAS TREASURER (6) SARAH KNOTT SECRETARY (7) ANDREW HELFAN PAST-PRESIDENT (8) KEVIN SACKET VICE PRESIDENT (9) ANTHONY DEFEO, MD PAST-PRESIDENT (10) WILLIAM CARRIERE, MD TRUSTEE (11) THOMAS PETERS, MD TRUSTEE (12) STEVE LOSO TRUSTEE (13) BOB WINSTON TRUSTEE (14) AMMA SEEWA-BONSU TRUSTEE (15) MARK RUSSO, MD TRUSTEE (16) GARY GREEN TRUSTEE (17) CHRISTOPHER S. REID, MD TRUSTEE 332007 12-21-23
17580310 758901 208486
2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
X X X
X
X
Former
Highest compensated employee
Key employee
Officer
Institutional trustee
40.00
Individual trustee or director
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (A) (B) (C) (D) (E) Position Name and title Average Reportable Reportable (do not check more than one hours per box, unless person is both an compensation compensation officer and a director/trustee) week from from related (list any the organizations hours for organization (W-2/1099-MISC/ related (W-2/1099-MISC/ 1099-NEC) organizations 1099-NEC) below line)
(F) Estimated amount of other compensation from the organization and related organizations
98468.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
X
X
0.
0.
0.
X
X
0.
0.
0.
0.
0.
0.
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X X
X
8 2023.05060 NATIONAL KIDNEY FOUNDATION
Form 990 (2023)
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
1b c d 2
2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00
Former
Highest compensated employee
Officer
Institutional trustee
2.00
Key employee
(18) GORDON BURTCH, MD TRUSTEE (19) FEDERICO DUMENIGO TRUSTEE (20) DAN MACKIN TRUSTEE (21) JOSEPH MOSCATO TRUSTEE (22) PAUL SAPIA TRUSTEE (23) SHANNON L. MOORE TRUSTEE (24) VICTORIA PAGE TRUSTEE (25) AARON EMMEL TRUSTEE (26) BARBARA VALLE TRUSTEE
Individual trustee or director
59-2190073 Page 8 Form 990 (2023) Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (B) (C) (A) (D) (E) (F) Position Average Name and title Reportable Reportable Estimated (do not check more than one hours per box, unless person is both an compensation compensation amount of officer and a director/trustee) week from from related other (list any the organizations compensation hours for organization (W-2/1099-MISC/ from the related (W-2/1099-MISC/ 1099-NEC) organization organizations 1099-NEC) and related below organizations line) X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0. 98468. 0. 98468.
0. 0. 0. 0.
0. 0. 0. 0.
Subtotal ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total from continuation sheets to Part VII, Section A ~~~~~~~~~~~ Total (add lines 1b and 1c) ••••••••••••••••••••••~•• Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
0 Yes
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual~~~~~~~~~~~~~ 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person •••••••••••••••••••••••• Section B. Independent Contractors
3
X
4
X
5
X
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) (B) (C) Name and business address Description of services Compensation NONE
2
Total number of independent contractors (including but not limited to those listed above) who received more than 0 $100,000 of compensation from the organization
SEE PART VII, SECTION A CONTINUATION SHEETS
332008 12-21-23
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9 2023.05060 NATIONAL KIDNEY FOUNDATION
No
Form 990 (2023)
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
Form 990
59-2190073
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(27) REX BUCHANAN PAST-PRESIDENT (28) FATIMA AMMONS TRUSTEE (29) AARON BANGSUND TRUSTEE (30) RACHEL CAFARCHIO THOMAS TRUSTEE (31) ANTONE P. CRASTO TRUSTEE (32) LISA GOODWIN SECRETARY (33) HOLLY PELTON TRUSTEE
2.00 2.00 2.00 2.00 2.00 2.00 2.00
(D) Reportable compensation from the organization (W-2/1099-MISC)
(E) Reportable compensation from related organizations (W-2/1099-MISC)
(F) Estimated amount of other compensation from the organization and related organizations
Former
Highest compensated employee
Key employee
Officer
(B) (C) Average Position hours (check all that apply) per week (list any hours for related organizations below line) Individual trustee or director
(A) Name and title
Institutional trustee
Part VII Section A.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
Total to Part VII, Section A, line 1c •••••••••••••••••••••••••
332201 04-01-23
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10 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Form 990 (2023) Part VIII Statement of Revenue
59-2190073
Page 9
Contributions, Gifts, Grants and Other Similar Amounts
Check if Schedule O contains a response or note to any line in this Part VIII ••••••••••••••••••••••••• (A) (B) (C) (D) Revenue excluded Related or exempt Unrelated Total revenue function revenue business revenue from tax under sections 512 - 514 1 a b c d e f
Federated campaigns ~~~~~ 1a Membership dues ~~~~~~~ 1b Fundraising events ~~~~~~~ 1c Related organizations ~~~~~ 1d Government grants (contributions) 1e All other contributions, gifts, grants, and similar amounts not included above ~ 1f
g h Total. Add lines 1a-1f
842096.
822967. 47614.
1g $ ••••••••••••••••••
Noncash contributions included in lines 1a-1f
Program Service Revenue
Business Code
813212 2 a RPF SEMINAR REGISTRATI b c d e f All other program service revenue ~~~~~ g Total. Add lines 2a-2f ••••••••••••••••••• 3 Investment income (including dividends, interest, and other similar amounts) ~~~~~~~~~~~~~~~~~~ 4 Income from investment of tax-exempt bond proceeds 5 Royalties ••••••••••••••••••••••••• (i) Real (ii) Personal
Other Revenue
6 a b c d 7 a
14819.
14819.
14819. 58812.
58812.
-204685.
-204685.
Gross rents ~~~~~ 6a Less: rental expenses ~ 6b Rental income or (loss) 6c Net rental income or (loss)••••••••••••••••• (i) Securities (ii) Other Gross amount from sales of
assets other than inventory b Less: cost or other basis and sales expenses ~~~
7a
7b c Gain or (loss) ~~~~~ 7c d Net gain or (loss) ••••••••••••••••••••• 8 a Gross income from fundraising events (not 842096. of including $
b c 9 a b c 10 a b c Miscellaneous Revenue
1665063.
contributions reported on line 1c). See Part IV, line 18 ~~~~~~~~~~~~ 8a 197422. Less: direct expenses ~~~~~~~~ 8b 402107. Net income or (loss) from fundraising events ••••••• Gross income from gaming activities. See Part IV, line 19 ~~~~~~~~~~~~ 9a Less: direct expenses ~~~~~~~~ 9b Net income or (loss) from gaming activities •••••••• Gross sales of inventory, less returns and allowances ~~~~~~~~~~~~ 10a Less: cost of goods sold ~~~~~~~ 10b Net income or (loss) from sales of inventory ••••••••
11 a THRIFT STORE
Business Code
459510
51617.
51617.
b c d All other revenue ~~~~~~~~~~~~~ e Total. Add lines 11a-11d ••••••••••••••••• Total revenue. See instructions ••••••••••••••• 12
51617. 1585626.
66436.
332009 12-21-23
17580310 758901 208486
0. -145873. Form 990 (2023)
11 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Form 990 (2023) Part IX Statement of Functional Expenses
59-2190073
Page 10
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX •••••••••••••••••••••••••• (A) (B) (C) (D) Do not include amounts reported on lines 6b, Total expenses Program service Management and Fundraising 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses expenses 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ~ 2 3
4 5 6
Grants and other assistance to domestic individuals. See Part IV, line 22 ~~~~~~~ Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ~~~ Benefits paid to or for members ~~~~~~~ Compensation of current officers, directors, trustees, and key employees ~~~~~~~~ Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ~~~
7 8
Other salaries and wages ~~~~~~~~~~ Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
9 10 11 a b c d e f g
Other employee benefits ~~~~~~~~~~ Payroll taxes ~~~~~~~~~~~~~~~~ Fees for services (nonemployees): Management ~~~~~~~~~~~~~~~~ Legal ~~~~~~~~~~~~~~~~~~~~ Accounting ~~~~~~~~~~~~~~~~~ Lobbying ~~~~~~~~~~~~~~~~~~ Professional fundraising services. See Part IV, line 17
12 13 14 15 16 17 18
Advertising and promotion ~~~~~~~~~ Office expenses~~~~~~~~~~~~~~~ Information technology ~~~~~~~~~~~ Royalties ~~~~~~~~~~~~~~~~~~
19 20 21 22 23 24
Investment management fees ~~~~~~~~ Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Sch O.)
Occupancy ~~~~~~~~~~~~~~~~~ Travel ~~~~~~~~~~~~~~~~~~~ Payments of travel or entertainment expenses for any federal, state, or local public officials ~ Conferences, conventions, and meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Payments to affiliates ~~~~~~~~~~~~ Depreciation, depletion, and amortization ~~ Insurance ~~~~~~~~~~~~~~~~~ Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
a PATIENT ADVOCATE b TELEPHONE c POSTAGE & SHIPPING d PRINTING & PUBLICATIONS e All other expenses 25 Total functional expenses. Add lines 1 through 24e 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) 332010 12-21-23
17580310 758901 208486
284745.
284745.
352863.
285819.
17643.
49401.
49419. 27607.
40029. 22361.
2471. 1381.
6919. 3865.
82784.
31439.
50848.
497.
21455.
17379.
1072.
3004.
49638. 51096.
40207. 33543.
2482. 17553.
6949.
194651.
164616.
17714.
12321.
4368.
3539.
217.
612.
17760. 7322. 7311. 6339. 4422. 1161780.
15984. 5931. 620. 5135. 1345. 952692.
533. 366. 6114. 317. 2844. 121555.
1243. 1025. 577. 887. 233. 87533.
12 2023.05060 NATIONAL KIDNEY FOUNDATION
Form 990 (2023)
208486_1
Form 990 (2023)
Part X
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
59-2190073
Balance Sheet
Page 11
Check if Schedule O contains a response or note to any line in this Part X ••••••••••••••••••••••••••••• (A) (B) Beginning of year End of year Cash - non-interest-bearing ~~~~~~~~~~~~~~~~~~~~~~~~~ Savings and temporary cash investments ~~~~~~~~~~~~~~~~~~ Pledges and grants receivable, net ~~~~~~~~~~~~~~~~~~~~~ Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ~~~~~~~~~ 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ~~ 7 Notes and loans receivable, net ~~~~~~~~~~~~~~~~~~~~~~~ 8 Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ 9 Prepaid expenses and deferred charges ~~~~~~~~~~~~~~~~~~ 10 a Land, buildings, and equipment: cost or other 2504. basis. Complete Part VI of Schedule D ~~~ 10a b Less: accumulated depreciation ~~~~~~ 10b 11 Investments - publicly traded securities ~~~~~~~~~~~~~~~~~~~ 12 Investments - other securities. See Part IV, line 11 ~~~~~~~~~~~~~~ 13 Investments - program-related. See Part IV, line 11 ~~~~~~~~~~~~~ 14 Intangible assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 15 Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~ 16 Total assets. Add lines 1 through 15 (must equal line 33) •••••••••• 17 Accounts payable and accrued expenses ~~~~~~~~~~~~~~~~~~ 18 Grants payable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 19 Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 20 Tax-exempt bond liabilities ~~~~~~~~~~~~~~~~~~~~~~~~~ 21 Escrow or custodial account liability. Complete Part IV of Schedule D ~~~~ 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ~~~~~~~~~
Liabilities
Assets
1 2 3 4 5
23 24 25
Net Assets or Fund Balances
26
27 28
29 30 31 32 33
Secured mortgages and notes payable to unrelated third parties ~~~~~~ Unsecured notes and loans payable to unrelated third parties ~~~~~~~~ Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total liabilities. Add lines 17 through 25 •••••••••••••••••• X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33. Net assets without donor restrictions ~~~~~~~~~~~~~~~~~~~~ Net assets with donor restrictions ~~~~~~~~~~~~~~~~~~~~~~ Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33. Capital stock or trust principal, or current funds ~~~~~~~~~~~~~~~ Paid-in or capital surplus, or land, building, or equipment fund ~~~~~~~~ Retained earnings, endowment, accumulated income, or other funds ~~~~ Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~ Total liabilities and net assets/fund balances ••••••••••••••••
332011 12-21-23
17580310 758901 208486
204975. 5000.
1 2 3 4
241074. 20375.
5 6 7 8 9
2504. 10c 11
1211837. 12 102045. 1526361. 46559. 85073.
13 14 15 16 17 18 19 20 21
2504. 1660239. 79306. 2003498. 50050. 116450.
22 23 24
96986. 25 228618. 26
72067. 238567.
904576. 27 393167. 28
1305672. 459259.
1297743. 1526361.
29 30 31 32 33
13 2023.05060 NATIONAL KIDNEY FOUNDATION
1764931. 2003498. Form 990 (2023)
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Form 990 (2023) Part XI Reconciliation of Net Assets
59-2190073
Page 12
Check if Schedule O contains a response or note to any line in this Part XI •••••••••••••••••••••••••••• 1 2 3 4 5 6 7 8 9 10
Total revenue (must equal Part VIII, column (A), line 12) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Total expenses (must equal Part IX, column (A), line 25) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Revenue less expenses. Subtract line 2 from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ~~~~~~~~~~ Net unrealized gains (losses) on investments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Investment expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other changes in net assets or fund balances (explain on Schedule O) ~~~~~~~~~~~~~~~~~~ Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) ••••••••••••••••••••••••••••••••••••••••••••••••
Part XII Financial Statements and Reporting
1 2 3 4 5 6 7 8 9 10
1585626. 1161780. 423846. 1297743. 43342.
0. 1764931.
Check if Schedule O contains a response or note to any line in this Part XII ••••••••••••••••••••••••••• Yes
1 2a
b
c
3a b
X Accrual Accounting method used to prepare the Form 990: Cash Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: X Separate basis Consolidated basis Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?~~~~~~~~~~~~~~~ If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits ••••••••••••••••
332012 12-21-23
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14 2023.05060 NATIONAL KIDNEY FOUNDATION
X
2a
2b
X
2c
X
3a
X No
X
3b Form 990 (2023)
208486_1
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
NATIONAL KIDNEY FOUNDATION OF FLORIDA, Employer identification number INC. 59-2190073 Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
Name of the organization
Part I
Public Charity Status and Public Support
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, 4 city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in 5 section 170(b)(1)(A)(iv). (Complete Part II.) 6 7 8 9
10
11 12
a
b
c d
e f g
X
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:
An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
Total LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
No
(v) Amount of monetary (vi) Amount of other support (see instructions) support (see instructions)
332021 12-21-23
Schedule A (Form 990) 2023
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Schedule A (Form 990) 2023 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Page 2
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
396476.
375384.
356633.
333575.
709111. 2171179.
396476.
375384.
356633.
333575.
709111. 2171179.
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~ 3 The value of services or facilities furnished by a governmental unit to the organization without charge ~ 4 Total. Add lines 1 through 3 ~~~ 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ~~~~~~~~~~~~
2171179.
6 Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total 396476. 375384. 356633. 333575. 709111. 2171179. 7 Amounts from line 4 ~~~~~~~ 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, 25761. 16364. 17990. 35640. 58812. 154567. and income from similar sources ~ 9 Net income from unrelated business activities, whether or not the business is regularly carried on ~ 10 Other income. Do not include gain or loss from the sale of capital 58786. 57821. 49493. 54651. 51617. 272368. assets (Explain in Part VI.) ~~~~ 2598114. Add lines 7 through 10 11 Total support. 12 Gross receipts from related activities, etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~ 12 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here •••••••••••••••••••••••••••••••••••••••••••••••
Section C. Computation of Public Support Percentage
83.57 % 14 Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) ~~~~~~~~~~~ 14 81.21 % 15 15 Public support percentage from 2022 Schedule A, Part II, line 14 ~~~~~~~~~~~~~~~~~~~~~ 16a 33 1/3% support test - 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ X b 33 1/3% support test - 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17a 10% -facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~ b 10% -facts-and-circumstances test - 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~ 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions ••••• Schedule A (Form 990) 2023
332022 12-21-23
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16 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Schedule A (Form 990) 2023 Part III Support Schedule for Organizations Described in Section 509(a)(2)
59-2190073
Page 3
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support Calendar year (or fiscal year beginning in)
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ~~ 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 ~~~~~ 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ~~~~ 5 The value of services or facilities furnished by a governmental unit to the organization without charge ~ 6 Total. Add lines 1 through 5 ~~~ 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year ~~~~~~
c Add lines 7a and 7b ~~~~~~~ 8 Public support. (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in) 9 Amounts from line 6 ~~~~~~~ 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~ b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 ~~~~ c Add lines 10a and 10b ~~~~~~ 11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on ~~~~~~~ 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ~~~~ 13 Total support. (Add lines 9, 10c, 11, and 12.)
14 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ••••••••••••••••••••••••••••••••••••••••••••••••••••••
Section C. Computation of Public Support Percentage
15 Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) ~~~~~~~~~~~ 16 Public support percentage from 2022 Schedule A, Part III, line 15 ••••••••••••••••••••
Section D. Computation of Investment Income Percentage
15 16
% %
17 Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) ~~~~~~~~ 17 % 18 Investment income percentage from 2022 Schedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~ 18 % 19 a 33 1/3% support tests - 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~ b 33 1/3% support tests - 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~ 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions •••••••••• 332023 12-21-23 Schedule A (Form 990) 2023
17580310 758901 208486
17 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Schedule A (Form 990) 2023 Part IV Supporting Organizations
59-2190073
Page 4
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations Yes 1
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
No
1
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). 3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
2
2
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
3c 4a
b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. 5a Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
4c
5a
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI. 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990). 8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990). 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI. b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI. c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI. 10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 332024 12-21-23
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5b 5c
6
7 8
9a 9b 9c
10a 10b Schedule A (Form 990) 2023
18 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Schedule A (Form 990) 2023 Part IV Supporting Organizations (continued)
59-2190073
11 Has the organization accepted a gift or contribution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
3
Yes
No
Yes
No
Yes
No
1
Section D. All Type III Supporting Organizations
2
No
11c
1
1
Yes
11a 11b
Section B. Type I Supporting Organizations
1
Page 5
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
1
2
By reason of the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations
1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year(see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). 2 Activities Test. Answer lines 2a and 2b below. Yes a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. 2a b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3 Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No" provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
332025 12-21-23
17580310 758901 208486
No
2b
3a 3b Schedule A (Form 990) 2023
19 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Schedule A (Form 990) 2023 Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
59-2190073
Page 6
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A - Adjusted Net Income (A) Prior Year (optional) 1
1 2 3 4 5 6
7 8
Net short-term capital gain Recoveries of prior-year distributions Other gross income (see instructions) Add lines 1 through 3. Depreciation and depletion Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) Other expenses (see instructions) Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
1 2 3 4 5
6 7 8 (A) Prior Year
Section B - Minimum Asset Amount 1 a b c d e 2 3 4 5 6 7 8
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): Average monthly value of securities Average monthly cash balances Fair market value of other non-exempt-use assets Total (add lines 1a, 1b, and 1c) Discount claimed for blockage or other factors (explain in detail in Part VI): Acquisition indebtedness applicable to non-exempt-use assets Subtract line 2 from line 1d. Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). Net value of non-exempt-use assets (subtract line 4 from line 3) Multiply line 5 by 0.035. Recoveries of prior-year distributions Minimum Asset Amount (add line 7 to line 6)
(B) Current Year (optional)
1a 1b 1c 1d
2 3 4 5 6 7 8 Current Year
Section C - Distributable Amount 1 2 3 4 5 6 7
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Schedule A (Form 990) 2023 Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Section D - Distributions 1 Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity 3 Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts paid to acquire exempt-use assets 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 6 Other distributions (describe in Part VI). See instructions. 7 Total annual distributions. Add lines 1 through 6. 8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. 9 Distributable amount for 2023 from Section C, line 6 10 Line 8 amount divided by line 9 amount (i) Section E - Distribution Allocations (see instructions) Excess Distributions 1 2 3 a b c d e f g h i j 4 a b c 5
6
7 8 a b c d e
Page 7
Current Year 1 2 3 4 5 6 7 8 9 10 (ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required - explain in Part VI). See instructions. Excess distributions carryover, if any, to 2023 From 2018 From 2019 From 2020 From 2021 From 2022 Total of lines 3a through 3e Applied to underdistributions of prior years Applied to 2023 distributable amount Carryover from 2018 not applied (see instructions) Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2023 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2023 distributable amount Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2024. Add lines 3j and 4c. Breakdown of line 7: Excess from 2019 Excess from 2020 Excess from 2021 Excess from 2022 Excess from 2023 Schedule A (Form 990) 2023
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Schedule A (Form 990) 2023 Part VI Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12;
Page 8
Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
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Schedule A (Form 990) 2023
22 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
Schedule B
Schedule of Contributors
(Form 990)
OMB No. 1545-0047
2023
Attach to Form 990, 990-EZ, or 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
Employer identification number
59-2190073
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X
501(c)(
3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions. Special Rules
X
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "N/A" in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~~~ $
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
LHA
323451 12-26-23
Schedule B (Form 990) (2023)
Page 2 Employer identification number
Schedule B (Form 990) (2023) Name of organization
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.
1
59-2190073
(b) Name, address, and ZIP + 4
(c) Total contributions
FRANCO FOUNDATION 1395 BRICKELL AVE. 14TH FLOOR
$
35906.
2
(b) Name, address, and ZIP + 4
CHESTER COLE ESTATE C/O ANDREW THOMPSON, ESQ., 315 E. ROBINSON ST. STE. 600
(c) Total contributions
$
97632.
3
(b) Name, address, and ZIP + 4
(c) Total contributions
LOUIS J AND JUNE E KAY FOUNDATION 71-11 YELLOWSTONE BLVD.
$
15000.
4
(b) Name, address, and ZIP + 4
JOSEPH S. TAYLOR LIVING TRUST C/O CREWS BANK & TRUST, 1100 TAMIAMI TR.,
(c) Total contributions
$
144340.
5
(b) Name, address, and ZIP + 4
GLORIA FUSS TRUST C/O KERA E. HAGAN, ESQ., 1800 S. AUSTRAILIAN AVE. STE. 350
(c) Total contributions
$
95075.
6
(b) Name, address, and ZIP + 4
(c) Total contributions
HUMANA 8935 PROMINENCE PKWY.
$
JACKSONVILLE, FL 32256 323452 12-26-23
17580310 758901 208486
X
(d) Type of contribution Person Payroll Noncash
X
(d) Type of contribution Person Payroll Noncash
X
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.)
WEST PALM BEACH, FL 33409 (a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
PORT CHARLOTTE, FL 33953 (a) No.
(d) Type of contribution
(Complete Part II for noncash contributions.)
FOREST HILLS, NY 11375-3532 (a) No.
X
(Complete Part II for noncash contributions.)
ORLANDO, FL 32801 (a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
MIAMI, FL 33131 (a) No.
(d) Type of contribution
51000.
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
24 2023.05060 NATIONAL KIDNEY FOUNDATION
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Page 2 Employer identification number
Schedule B (Form 990) (2023) Name of organization
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.
7
59-2190073
(b) Name, address, and ZIP + 4
(c) Total contributions
BAYER HEALTHCARE PHARMACEUTICALS INC. 100 BAYER BLVD,
$
50000.
8
(b) Name, address, and ZIP + 4
GARRICK NORLAND C/O ENTERTAINMENT CRUISE PROD., 120 S. CENTRAL AVE. STE. 135
(c) Total contributions
$
16668.
9
(b) Name, address, and ZIP + 4
(c) Total contributions
JOHN AND NELLIE BASTIEN MEM FDN 440 E. SAMPLE RD. STE. 209
$
5000.
10
(b) Name, address, and ZIP + 4
(c) Total contributions
WILLIAM WALTON 1 INDEPENDENT DR., STE. 1660
$
5000.
Person Payroll Noncash
X
(d) Type of contribution Person Payroll Noncash
X
(d) Type of contribution Person Payroll Noncash
X
(Complete Part II for noncash contributions.)
JACKSONVILLE, FL 32202 (a) No.
(d) Type of contribution
(Complete Part II for noncash contributions.)
POMPANO BEACH, FL 33064 (a) No.
X
(Complete Part II for noncash contributions.)
ST. LOUIS, MO 63105 (a) No.
Person Payroll Noncash
(Complete Part II for noncash contributions.)
WHIPPANY, NJ 07981 (a) No.
(d) Type of contribution
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.)
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Schedule B (Form 990) (2023)
25 2023.05060 NATIONAL KIDNEY FOUNDATION
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Page 3 Employer identification number
Schedule B (Form 990) (2023) Name of organization
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Part II
59-2190073
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I
(b) Description of noncash property given
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
(c) FMV (or estimate) (See instructions.)
(d) Date received
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ 323453 12-26-23
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Schedule B (Form 990) (2023)
26 2023.05060 NATIONAL KIDNEY FOUNDATION
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Page 4 Employer identification number
Schedule B (Form 990) (2023) Name of organization
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this info. once.) $
Use duplicate copies of Part III if additional space is needed. (a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
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Relationship of transferor to transferee
Schedule B (Form 990) (2023)
27 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Supplemental Financial Statements
2023
Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
NATIONAL KIDNEY FOUNDATION OF FLORIDA, Employer identification number INC. 59-2190073 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.Complete if the
Name of the organization
Part I
organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds
(b) Funds and other accounts
Total number at end of year ~~~~~~~~~~~~~~~ Aggregate value of contributions to (during year) ~~~~ Aggregate value of grants from (during year) ~~~~~~ Aggregate value at end of year ~~~~~~~~~~~~~ Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? ~~~~~~~~~~~~~~~~~~ 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? •••••••••••••••••••••••••••••••••••••••••••• Part II Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1 2 3 4 5
Yes
No
Yes
No
1
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last Held at the End of the Tax Year day of the tax year.
a b c d
6
Total number of conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2a Total acreage restricted by conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~ 2b Number of conservation easements on a certified historic structure included on line 2a ~~~~~~~~~ 2c Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Yes Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.
3 4 5
9
Part III
No
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items. (i) Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ (ii) Assets included in Form 990, Part X ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ b Assets included in Form 990, Part X ••••••••••••••••••••••••••••••••••••• $ LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2023 332051 09-28-23
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Page 2 Schedule D (Form 990) 2023 Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets(continued) Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply). a Public exhibition d Loan or exchange program b Scholarly research e Other c Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? •••••••••••• Yes Part IV Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 3
1a Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b If "Yes," explain the arrangement in Part XIII and complete the following table:
No
Yes
No
Amount
Beginning balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c Additions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1d Distributions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1e Ending balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ~~~~~ Yes No If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ••••••••••••• Part V Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back c d e f 2a b
1a b c d e f g 2 a b c 3a
b 4
0. Beginning of year balance ~~~~~~~ 97632. Contributions ~~~~~~~~~~~~~~ 1372. Net investment earnings, gains, and losses Grants or scholarships ~~~~~~~~~ Other expenditures for facilities and programs ~~~~~~~~~~~~~ Administrative expenses ~~~~~~~~ 99004. End of year balance ~~~~~~~~~~ Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % 100 Permanent endowment % Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (ii) Related organizations? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? ~~~~~~~~~~~~~~~~~~~~ Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Yes 3a(i) 3a(ii) 3b
No
X X
Land, Buildings, and Equipment
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(c) Accumulated depreciation
(d) Book value
2504. 2504. 1a Land ~~~~~~~~~~~~~~~~~~~~ b Buildings ~~~~~~~~~~~~~~~~~~ c Leasehold improvements ~~~~~~~~~~ d Equipment ~~~~~~~~~~~~~~~~~ e Other •••••••••••••••••••• 2504. Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) ••••••••••••••• Schedule D (Form 990) 2023
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Schedule D (Form 990) 2023 Part VII Investments - Other Securities
59-2190073
Page 3
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category (including name of security) (1) Financial derivatives ~~~~~~~~~~~~~~~ (2) Closely held equity interests ~~~~~~~~~~~ (3) Other (A) EQUITY INVESTMENTS (B) (C) (D) (E) (F) (G) (H) Total. (Col. (b) must equal Form 990, Part X, line 12, col. (B))
(b) Book value
1660239.
(c) Method of valuation: Cost or end-of-year market value
END-OF-YEAR MARKET VALUE
1660239.
Part VIII Investments - Program Related.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Col. (b) must equal Form 990, Part X, line 13, col. (B))
Part IX
Other Assets
Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) •••••••••••••••••••••••••••••
Part X
1.
Other Liabilities
Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(b) Book value
(1) Federal income taxes 34956. (2) OPERATING LEASE LIABILITY OPERATING LEASE LIABILITY LESS (3) 37111. (4) CURRENT OBLIGATIONS (5) (6) (7) (8) (9) 72067. Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) ••••••••••••••••••••••••••••• 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII• Schedule D (Form 990) 2023 332053 09-28-23
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. 59-2190073 Schedule D (Form 990) 2023 Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1 2 a b c d e 3 4 a b c 5
Total revenue, gains, and other support per audited financial statements ~~~~~~~~~~~~~~~~~~~ 1 Amounts included on line 1 but not on Form 990, Part VIII, line 12: 43342. Net unrealized gains (losses) on investments ~~~~~~~~~~~~~~~~~~ 2a Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~ 2b Recoveries of prior year grants ~~~~~~~~~~~~~~~~~~~~~~~~~ 2c Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 2d Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2e Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Amounts included on Form 990, Part VIII, line 12, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ 4a Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 4b Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4c Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ••••••••••••••••• 5
Page 4
1628968.
43342. 1585626.
0. 1585626.
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1 2 a b c d e 3 4 a b c 5
Total expenses and losses per audited financial statements ~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~ 2a Prior year adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2b Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2c Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 2d Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~ 4a Other (Describe in Part XIII.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 4b Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ••••••••••••••••
Part XIII Supplemental Information
1
1161780.
2e 3
0. 1161780.
4c 5
0. 1161780.
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
PART V, LINE 4: THE INCOME EARNED BY THE ENDOWMENT FUNDS SHALL BE WITHDRAWN ANNUALLY, BUT IS AVAILABLE TO THE FOUNDATION TO USE TOWARDS THEIR CHARITABLE PURPOSE WITHOUT RESTRICTION.
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31 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
SCHEDULE G (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Part I
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
2023
Open to Public Inspection Employer identification number
59-2190073
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part.
1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. a Mail solicitations e Solicitation of non-government grants b Internet and email solicitations f Solicitation of government grants c Phone solicitations g Special fundraising events d In-person solicitations 2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? Yes b If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (i) Name and address of individual or entity (fundraiser)
(ii) Activity
(iii) Did fundraiser have custody or control of contributions? Yes
(v) Amount paid (iv) Gross receipts to (or retained by) fundraiser from activity listed in col. (i)
No
(vi) Amount paid to (or retained by) organization
No
Total •••••••••••••••••••••••••••••••••••••••• 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. LHA
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Schedule G (Form 990) 2023
32 2023.05060 NATIONAL KIDNEY FOUNDATION
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
59-2190073 Page 2 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000
Schedule G (Form 990) 2023
Revenue
Part II
of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1 (b) Event #2 (c) Other events (d) Total events GOLF SURF - COCOA (add col. (a) through LAKELAND BEACH 14 col. (c)) (event type) (event type) (total number)
1 Gross receipts ~~~~~~~~~~~~~~
276784.
143282.
619452.
1039518.
2 Less: Contributions ~~~~~~~~~~~
157370.
127890.
556836.
842096.
3 Gross income (line 1 minus line 2) ••••
119414.
15392.
62616.
197422.
Direct Expenses
4 Cash prizes ~~~~~~~~~~~~~~~ 5 Noncash prizes ~~~~~~~~~~~~~ 6 Rent/facility costs ~~~~~~~~~~~~ 7 Food and beverages
~~~~~~~~~~
Entertainment ~~~~~~~~~~~~~~ 119414. 78957. 203736. 402107. Other direct expenses ~~~~~~~~~~ 402107. Direct expense summary. Add lines 4 through 9 in column (d) ~~~~~~~~~~~~~~~~~~~~~~~~~~ -204685. Net income summary. Subtract line 10 from line 3, column (d) •••••••••••••••••••••••••• Part III Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (b) Pull tabs/instant (d) Total gaming (add (a) Bingo (c) Other gaming bingo/progressive bingo col. (a) through col. (c))
Direct Expenses
Revenue
8 9 10 11
1 Gross revenue •••••••••••••• 2 Cash prizes ~~~~~~~~~~~~~~~ 3 Noncash prizes ~~~~~~~~~~~~~ 4 Rent/facility costs ~~~~~~~~~~~~ 5 Other direct expenses •••••••••• 6 Volunteer labor ~~~~~~~~~~~~~
Yes No
%
Yes No
%
Yes No
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 8 Net gaming income summary. Subtract line 7 from line 1, column (d) ••••••••••••••••••••••• 9 Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states? ~~~~~~~~~~~~~~~~~~~~ b If "No," explain:
10a Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year?~~~~~~~~~ b If "Yes," explain:
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Yes
No
Yes
No
Schedule G (Form 990) 2023
33 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
Schedule G (Form 990) 2023
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
59-2190073
11 Does the organization conduct gaming activities with nonmembers?~~~~~~~~~~~~~~~~~~~~~~~~~~~ 12 Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to administer charitable gaming? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 13 Indicate the percentage of gaming activity conducted in: a The organization's facility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b An outside facility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Page 3
Yes
No
Yes
No % %
13a 13b
Name Address 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? ~~~~~~ b If "Yes," enter the amount of gaming revenue received by the organization of gaming revenue retained by the third party $ c If "Yes," enter name and address of the third party:
$
Yes
No
and the amount
Name Address 16 Gaming manager information: Name Gaming manager compensation
$
Description of services provided
Director/officer
Employee
Independent contractor
17 Mandatory distributions: a Is the organization required under state law to make charitable distributions from the gaming proceeds to Yes No retain the state gaming license? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year $ Part IV Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
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34 2023.05060 NATIONAL KIDNEY FOUNDATION
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. Schedule G (Form 990) Part IV Supplemental Information (continued)
59-2190073
Page 4
Schedule G (Form 990) 332084 04-01-23
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35 2023.05060 NATIONAL KIDNEY FOUNDATION
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SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization Part I
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
OMB No. 1545-0047
2023
Open to Public Inspection Employer identification number
59-2190073
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection X Yes criteria used to award the grants or assistance? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States. Part II Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. (f) Method of 1 (a) Name and address of organization (b) EIN (c) IRC section (d) Amount of (e) Amount of (g) Description of (h) Purpose of grant valuation (book, or government (if applicable) cash grant noncash noncash assistance or assistance FMV, appraisal, assistance other) 1
No
2 Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Enter total number of other organizations listed in the line 1 table •••••••••••••••••••••••••••••••••••••••••••••••••••• For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) 2023 LHA
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36
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
Schedule I (Form 990) 2023 Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III Part III can be duplicated if additional space is needed. (a) Type of grant or assistance
DIRECT ASSISTANCE IS GIVEN TO LOW INCOME AND OTHER DIALYSIS PATIENTS TO AID WITH MEDICINE, TRANSPORTATION, FOOD, EMERGENCY ASSISTANCE AND OTHER RELATED SERVICES.
Part IV
(b) Number of recipients
1597
(c) Amount of cash grant
(d) Amount of noncash assistance
167815.
(e) Method of valuation (book, FMV, appraisal, other)
0.BOOK
59-2190073
Page 2
(f) Description of noncash assistance
GAS, FOOD, TRANSPORTATION AND VOUCHERS.
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
SCHEDULE I, PART I, LINE 2 THE CEO AND BOARD TREASURER MONITOR ALL GRANTS, INCOME AND EXPENDITURES.
ALL GRANT INCOME IS DEPOSITED IN A PROGRAM SUB ACCOUNT
AND EXPENDITURE CHECKS ARE WRITTEN OUT OF THAT SUB ACCOUNT.
THE
EXPENDITURES ARE REVIEWED BY THE CEO AND A CHECK SIGNING BOARD MEMBER.
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37
Schedule I (Form 990) 2023
Noncash Contributions
SCHEDULE M (Form 990) Department of the Treasury Internal Revenue Service
Name of the organization
Part I
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
OMB No. 1545-0047
2023
Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Open to Public Attach to Form 990. Inspection Go to www.irs.gov/Form990 for instructions and the latest information. NATIONAL KIDNEY FOUNDATION OF FLORIDA, Employer identification number
INC. Types of Property
Art - Works of art ~~~~~~~~~~~~~ Art - Historical treasures ~~~~~~~~~ Art - Fractional interests ~~~~~~~~~~ Books and publications ~~~~~~~~~~ Clothing and household goods ~~~~~~ Cars and other vehicles ~~~~~~~~~~ Boats and planes ~~~~~~~~~~~~~ Intellectual property ~~~~~~~~~~~ Securities - Publicly traded ~~~~~~~~ Securities - Closely held stock ~~~~~~~ Securities - Partnership, LLC, or trust interests ~~~~~~~~~~~~~~ Securities - Miscellaneous ~~~~~~~~ Qualified conservation contribution Historic structures ~~~~~~~~~~~~ Qualified conservation contribution - Other~
59-2190073
(a) (b) (c) Number of Noncash contribution Check if amounts reported on applicable contributions or items contributed Form 990, Part VIII, line 1g
X
26
Real estate - Residential ~~~~~~~~~ Real estate - Commercial ~~~~~~~~~ Real estate - Other ~~~~~~~~~~~~ Collectibles ~~~~~~~~~~~~~~~~ Food inventory ~~~~~~~~~~~~~~ Drugs and medical supplies ~~~~~~~~ Taxidermy ~~~~~~~~~~~~~~~~ Historical artifacts ~~~~~~~~~~~~ Scientific specimens ~~~~~~~~~~~ Archeological artifacts ~~~~~~~~~~ Other ( ) Other ( ) Other ( ) Other ( ) Number of Forms 8283 received by the organization during the tax year for contributions for which the organization completed Form 8283, Part V, Donee Acknowledgement ~~~~
(d) Method of determining noncash contribution amounts
19939.SALE PRICE LESS EXPE
29
Yes No 30a During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least 3 years from the date of the initial contribution, and which isn't required to be used for X exempt purposes for the entire holding period? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 30a b If "Yes," describe the arrangement in Part II. X 31 Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions? ~~~~~~ 31 32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash contributions? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 32a X b If "Yes," describe in Part II. 33 If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked, describe in Part II. For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule M (Form 990) 2023
LHA
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38 2023.05060 NATIONAL KIDNEY FOUNDATION
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NATIONAL KIDNEY FOUNDATION OF FLORIDA, 59-2190073 Schedule M (Form 990) 2023 INC. Page 2 Part II Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
SCHEDULE M, LINE 32B: THE NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. BENEFITS FROM A VEHICLE DONATION PROGRAM THAT IS MANAGED BY THE NATIONAL KIDNEY FOUNDATION, INC.
THE NATIONAL KIDNEY FOUNDATION, INC. FULFILLS ALL NECESSARY IRS
DISCLOSURE AND REPORTING REQUIREMENTS FOR THE VEHICLE DONATIONS WITH THE LIQUIDATED AMOUNT OF THE VEHICLES, NET OF EXPENSES, GOING TO THE NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
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39 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
SCHEDULE O (Form 990)
Department of the Treasury Internal Revenue Service
Name of the organization
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC.
OMB No. 1545-0047
2023
Open to Public Inspection Employer identification number
59-2190073
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: DISEASES, IMPROVE THE HEALTH AND WELL-BEING OF PATIENTS AND FAMILIES AFFECTED BY THESE DISEASES AND INCREASE THE AVAILABILITY OF ALL ORGANS FOR TRANSPLANTATION.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: INDIVIDUAL PATIENTS FOR ASSISTANCE.
PUBLIC EDUCATION - LITERATURE AND SPEAKING ENGAGEMENTS TO EDUCATE THE PUBLIC OF THE NEEDS OF KIDNEY PATIENTS AND TO TEACH ABOUT THE EARLY DETECTION OF THE DISEASE.
FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: ITEM 1.
PUBLIC EDUCATION - NKFF PROVIDES LITERATURE AND HOLDS SPEAKING
ENGAGEMENTS TO EDUCATE THE PUBLIC OF THE NEEDS OF KIDNEY PATIENTS AND TO TEACH ABOUT THE EARLY DETECTION OF THE DISEASE.
ITEM 2.
NKFF HOLDS PROFESSIONAL EDUCATIONAL SEMINARS DESIGNED TO BRING
UP-TO-DATE RENAL-SPECIFIC INFORMATION TO NURSES, SOCIAL WORKERS, TECHNICIANS, AND DIETICIANS WHO CARE FOR KIDNEY PATIENTS. DURING THE LAST FISCAL YEAR, THE NKFF PARTNERED WITH SEVERAL ORGANIZATIONS TO CONDUCT VIRTUAL EDUCATIONAL OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS IN ADDITION TO HOLDING THE RENAL PROFESSIONAL FORUM (RPF).
84
PROFESSIONALS ATTENDED RPF AND RECEIVED UP TO 18 CONTINUING EDUCATION CREDITS FOR ATTENDING ALL SESSIONS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 332211 11-14-23 LHA
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Schedule O (Form 990) 2023
40 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
Schedule O (Form 990) 2023 Name of the organization NATIONAL
INC.
ITEM 3.
KIDNEY FOUNDATION OF FLORIDA,
Page 2 Employer identification number
59-2190073
PATIENT ADVOCACY - NKFF IS UNIQUE IN THAT IT HAS A FULL-TIME
EXPERIENCED PATIENT ADVOCATE.
THE ADVOCATE TRAVELS AROUND THE STATE
OFFERING PROGRAMS DESIGNED TO APPEAL TO THE SPECIFIC AUDIENCE.
HIS
RECENT PRESENTATIONS ARE TO HEALTH CARE PROFESSIONALS, CORPORATIONS, TRANSPLANT CENTERS, THE NAACP AND OTHER ORGANIZATIONS, COLLEGE STUDENTS, AND THE GENERAL PUBLIC.
HE IS ALSO AVAILABLE 7 DAYS A WEEK
BY PHONE OR EMAIL TO PATIENTS OR THE GENERAL PUBLIC. EXPENSES $ 132774.
INCLUDING GRANTS OF $ 0.
REVENUE $ 14819.
FORM 990, PART VI, SECTION B, LINE 11B: COMPLETION OF THE FORM 990 IS REPORTED TO THE GOVERNING BOARD AND COPIES ARE MADE AVAILABLE TO THE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15: COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE REFLECTED IN THE ORGANIZATION'S ANNUAL BUDGET.
EACH YEAR, THE ORGANIZATION'S BUDGET
COMMITTEE PREPARES AND PRESENTS A PROPOSED BUDGET TO THE BOARD OF TRUSTEES FOR APPROVAL.
PROPOSED CHANGES IN OFFICER AND KEY EMPLOYEE COMPENSATION
ARE DISCUSSED BY THE BOARD'S BUDGET COMMITTEE AND THE EXECUTIVE COMMITTEE BEFORE PRESENTATION AND APPROVAL BY THE FULL BOARD.
IN 2024, AFTER
INITIATING COMPENSATION DISCUSSIONS WITH THE CEO, THE BUDGET COMMITTEE PROPOSED A CHANGE TO THE CEO'S COMPENSATION WHICH WAS APPROVED BY BOTH THE EXECUTIVE COMMITTEE AND THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
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41 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
Schedule O (Form 990) 2023 Name of the organization NATIONAL
INC.
KIDNEY FOUNDATION OF FLORIDA,
Page 2 Employer identification number
59-2190073
FORM 990, PART XII, 2C THE ORGANIZATION FORMED A COMMITTEE THAT CONSISTS OF THREE NATIONAL KIDNEY FOUNDATION OF FLORIDA, INC. BOARD MEMBERS WHO ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR.
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Schedule O (Form 990) 2023
42 2023.05060 NATIONAL KIDNEY FOUNDATION
208486_1
Marketing Support Program
NKF Rich Salick Surf Fest
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
Trophies
$3,000.00
$2,615.00
$385.00
Donations
$10,000.00
$6,061.00
$3,939.00
Pro Cash Payouts
$15,000.00
$13,068.00
$1,932.00
t-shirt/sales
$10,000.00
$13,121.00
-$3,121.00
Raffles
$3,000.00
$1,600.00
$1,400.00
Surf registration
$12,000.00
$9,271.00
$2,729.00
Sponsorship
$75,000.00
$68,000.00
$7,000.00
Taste of Brevard
$35,000.00
$27,500.00
$7,500.00
Block party
$10,000.00
$10,000.00
$0.00
$155,000.00
$135,553.00
$19,447.00
$0.00
$0.00
$0.00
$7,800.00
$6,666.66
$1,133.34
Total Income
$162,800.00
$142,219.66
$20,580.34
Total Expenses Paid
$74,439.00
$68,388.00
$6,051.00
Profit/Loss
$88,361.00
$73,831.66
$14,529.34
Staging
$7,174.00
$7,174.00
$0.00
City of Cocoa Beach
$7,500.00
$6,590.00
$910.00
Tents/Tables/Chairs
$5,000.00
$3,918.00
$1,082.00
Expenses Subtotal
$37,674.00
$33,365.00
$4,309.00
Income Sponsors
Other Expenses Judges
$5,000.00
$4,900.00
$100.00
Taste of Brevard expenses
$6,000.00
$5,439.00
$561.00
Meetings
$1,200.00
$1,200.00
$0.00
Cash in Bank to start Income Other
Pods
$400.00
$400.00
$0.00
TDC grant funding
Shirts
$7,000.00
$6,335.00
$665.00
Radios
$200.00
$200.00
$0.00
Supplies
$1,500.00
$1,084.00
$416.00
(520 projected RN x $15)
$0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses Subtotal
$21,300.00
$19,558.00
$1,742.00
Marketing - please specify Brevard/Out-of-County Palapa Mac Rado (OOC)
$2,760.00
$2,760.00
$0.00
iHeart Radio - OOC
$11,055.00
$11,055.00
$0.00
NPI productions
$1,650.00
$1,650.00
$0.00
Marketing Subtotal
$15,465.00
$15,465.00
$0.00
Total Expenses 2025-2026
$74,439.00
$68,388.00
$6,051.00
.
Updated: 6/17/2025
University of Louisville Athletic Association/Moon Golf Invitational
Return to Table of Contents
For TDO use: PROJECT#- S 11
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: University of Louisville Athletic Association Applicant Event Name: Moon Golf Invitational
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet {required for all applicants) 8. Copy of the Applicant checklist
•
Yes No
Comment
• N/A
• NIA • • • • •
This application meets the minimum requirement of 5,001 out-of-county attendees {Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
�Jc:_
G
11>(tQtJ
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:22 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Whitney Young
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming University of Louisville Athletic Association Organization address 1670 S. Floyd St. State KY City Louisville Zip KY Primary contact name Whitney Young Primary contact phone number 2707797367
Primary contact email whitney@gocards.com Secondary contact name Zach Brooks Secondary contact phone number 502-852-7079 Secondary contact email zach@gocards.com Organization website address www.gocards.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 31-1106941
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Moon Golf Invitational Event website address (if different from organization website) www.gocards.com Event location Suntree Country Club in Melbourne, FL
9. (untitled) 8. What is the first date of your event? 02/15/2026
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: programs will be printed along with signage around the course
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : MGI Instagram : MGI YouTube : n/a
22. (untitled) 13. What hashtags do you currently use? #MGI
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. irsletterulaa.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. ULAA_-_2023_-_990_-_Public_Disclosure.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization.
27. (untitled) 17. Upload your completed W-9 form. W-9_ULAA_2024.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. 2025_MGI_Event_Report.pdf
29. (untitled) 19. Upload your completed Checklist. MSP_applicant_checklist_4.30.2025.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Whitney Young
31. Thank You! New Send Email May 21, 2025 18:04:28 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Form
PUBLIC DISCLOSURE COPY
990
Return of Organization Exempt From Income Tax
B
Do not enter social security numbers on this form as it may be made public.
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
07/01 For the 2022 calendar year, or tax year beginning , 2022, and ending Check if applicable: C Name of organization UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
06/30
, 20 23
D Employer identification number
31-1106941
Address change
Doing business as
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
E Telephone number
2215 S. BROOK STREET
Initial return
(502) 852-7072
City or town, state or province, country, and ZIP or foreign postal code
Final return/terminated Amended return
LOUISVILLE, KY 40208-2772
Application pending
F Name and address of principal officer: KIM E. SCHATZEL, PH.D.
H(a) Is this a group return for subordinates?
Yes
SAME AS C ABOVE
H(b) Are all subordinates included?
Yes
✔
I
Tax-exempt status:
J
Website:
K
Form of organization: ✔ Corporation
Part I 1 Activities & Governance
2022
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Department of the Treasury Internal Revenue Service
A
OMB No. 1545-0047
501(c)(3)
501(c) (
) (insert no.)
4947(a)(1) or
527
Revenue Expenses
No No
H(c) Group exemption number Association
Other
1984
L Year of formation:
KY
M State of legal domicile:
Summary Briefly describe the organization’s mission or most significant activities: THE UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION IS ORGANIZED TO DEVELOP INTERCOLLEGIATE ATHLETIC TEAMS COMPOSED OF STUDENTS OF THE (CONTINUED ON SCHEDULE O)
2 3 4 5 6 7a b
Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets. Number of voting members of the governing body (Part VI, line 1a) . . . . . . . . . 3 Number of independent voting members of the governing body (Part VI, line 1b) . . . . 4 Total number of individuals employed in calendar year 2022 (Part V, line 2a) . . . . . 5 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . 6 Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . 7b
8 9 10 11 12 13 14 15 16a b 17 18 19
Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . Program service revenue (Part VIII, line 2g) . . . . . . . . . . . Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . . Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . 2,494,395 Total fundraising expenses (Part IX, column (D), line 25) Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) . . . . . Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) . Revenue less expenses. Subtract line 18 from line 12 . . . . . . . .
20 21 22
Total assets (Part X, line 16) . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20
Prior Year
Net Assets or Fund Balances
✔
If “No,” attach a list. See instructions.
HTTP://WWW.GOCARDS.COM/ Trust
137,009,046
G Gross receipts $
Current Year
36,767,130 46,932,228 24,434 54,133,035 137,856,827 17,670,370
38,545,944 47,440,204 24,702 50,954,406 136,965,256 19,916,667
53,583,004 0
51,523,589 0
75,231,128 146,484,502 (8,627,675)
69,587,686 141,027,942 (4,062,686) End of Year
Beginning of Current Year
Part II
. . .
. . .
. . .
. . .
. . .
329,843,287 221,785,725 108,057,562
. . .
29 11 624 121 391,889 391,889
352,949,635 249,575,937 103,373,698
Signature Block
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
Date
Signature of officer
MICHELLE COMER, ASST VICE PRES - TREASURER/CONTROLLER Type or print name and title Print/Type preparer’s name
Paid RACHEL SPURLOCK Preparer CROWE LLP Use Only Firm’s name Firm’s address
Preparer’s signature
Date
Check if PTIN self-employed P00520729
May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions.
35-0921680 (502) 326-3996
Firm’s EIN
9600 BROWNSBORO ROAD, SUITE 400, LOUISVILLE, KY 40241-3902
.
.
.
Phone no.
.
.
.
Cat. No. 11282Y
.
.
.
.
.
✔
Yes
No
Form 990 (2022)
Page 2
Form 990 (2022)
Part III 1
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III
. . . . . . . . . . . . .
✔
Briefly describe the organization’s mission: THE UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION IS ORGANIZED TO DEVELOP INTERCOLLEGIATE ATHLETIC TEAMS COMPOSED OF STUDENTS OF THE UNIVERSITY OF LOUISVILLE AND TO SCHEDULE AND MANAGE INTERCOLLEGIATE ATHLETIC CONTESTS, ALL IN THE HARMONY WITH AND IN SUBJECTION TO THE GENERAL EDUCATION POLICY OF THE UNIVERSITY OF LOUISVILLE.
2
3
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
✔
If “Yes,” describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
✔
No
4
No If “Yes,” describe these changes on Schedule O. Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a
(Code:
135,468,504 including grants of $ 19,916,667 ) (Revenue $ 49,042,579 ) ) (Expenses $ THE UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION (ULAA) CONTINUED TO FURTHER AND ENHANCE ITS MISSION DURING FISCAL YEAR 2023, PROVIDING INVALUABLE SUPPORT FOR BOTH THE STUDENT ATHLETES AND THE UNIVERSITY WHICH IT SERVES. DURING THE YEAR, ULAA AWARDED OVER $16.1 MILLION IN SCHOLARSHIPS TO NEARLY 800 STUDENTS. THE GRADUATION SUCCESS RATE FOR ULAA STUDENT ATHLETES DURING THE YEAR WAS 92% -- A RATE WHICH TIES FOR THE HIGHEST IN PROGRAM HISTORY. OVERALL STUDENT GRADE POINT AVERAGE (GPA) OF 3.28 WAS THE HIGHEST IN THE PROGRAM'S HISTORY, WITH FISCAL YEAR 2023 ALSO CONTAINING THE 25TH CONSECUTIVE SEMESTER WHERE STUDENTS EARNED A DEPARTMENT GRADE POINT AVERAGE (GPA) OF 3.0 OR HIGHER. ULAA'S STUDENT ATHLETES COMPLETED MORE THAN 4,000 HOURS OF COMMUNITY SERVICE THROUGH THE CARDS (CONTINUED ON SCHEDULE O)
4b (Code:
) (Expenses $
including grants of $
) (Revenue $
)
4c
) (Expenses $
including grants of $
) (Revenue $
)
(Code:
4d Other program services (Describe on Schedule O.) (Expenses $ including grants of $ 135,468,504 4e Total program service expenses
) (Revenue $
) Form 990 (2022)
Page 3
Form 990 (2022)
Part IV
Checklist of Required Schedules Yes
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If “Yes,” complete Schedule C, Part III . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . .
8 9
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . 11 If the organization’s answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If “Yes,” complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII . . . . . . . . c Did the organization report an amount for investments—program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII . . . . . . . . d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX . . . . . . . . . . . . . .
1 2
No
✔ ✔
3
✔
4
✔
5
✔
6
✔
7
✔
8
✔
9
✔
10
e f 12a
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered “No” to line 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . 14a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . 15 16 17 18 19
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV. . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . .
20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . .
10
✔
11a
✔
11b
✔
11c
✔
11d 11e
✔ ✔ ✔
11f 12a
✔
12b 13 14a
✔
14b
✔
✔ ✔
15
✔
16
✔
17
✔
18
✔
19 20a 20b
✔ ✔
21
✔
Form 990 (2022)
Page 4
Form 990 (2022)
Part IV
Checklist of Required Schedules (continued) Yes
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J . . . . . . . . . . . . . . . . . . . . . .
23
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . .
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . . b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . 26
27
28 a
31 32 33 34
✔
23
✔
✔
24a 24b 24c 24d 25a
✔
25b
✔
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . .
26
✔
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . .
27
✔
28a 28b
✔ ✔
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . .
b A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV . . . . c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . 29 30
22
No
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . b If “Yes” to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O . . . . . . . . . . . . . .
Part V
28c 29
✔ ✔
30 31
✔ ✔
32
✔
33
✔
34 35a
✔ ✔
35b 36
✔
37
✔
38
✔
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V
. . . . . . . . . . . . . Yes
258 1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . 1a 0 b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . 1b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . 1c
No
✔
Form 990 (2022)
Page 5
Form 990 (2022)
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Yes
No
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return 624 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . b If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O . 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If “Yes,” enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . b If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a
Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . .
b If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . 10b Section 501(c)(12) organizations. Enter: 11a Gross income from members or shareholders . . . . . . . . . . . . . . . Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . If “Yes,” has it filed a Form 720 to report these payments? If “No,” provide an explanation on Schedule O . Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . If “Yes,” see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If “Yes,” complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . .
2b 3a 3b
✔ ✔ ✔
4a
✔
5a 5b 5c
✔ ✔
6a
✔
6b
7a 7b
✔
7c
✔
7e 7f 7g 7h
✔ ✔
8 9a 9b
12a
13a
✔
14a 14b 15 16
✔ ✔
17
If “Yes,” complete Form 6069. Form 990 (2022)
Page 6 Governance, Management, and Disclosure. For each “Yes” response to lines 2 through 7b below, and for a “No” response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Form 990 (2022)
Part VI
Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . .
✔
Section A. Governing Body and Management Yes
1a
Enter the number of voting members of the governing body at the end of the tax year . . If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
1a
No
29
11 b Enter the number of voting members included on line 1a, above, who are independent . 1b 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? .
4 5 6 7a
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization’s assets? . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . .
2
✔
3 4 5 6
✔ ✔ ✔ ✔
7a
✔
7b
✔
8a 8b
✔ ✔ ✔
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes
10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . b If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization’s exempt purposes? 11a b 12a b c 13 14 15
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . .
10b 11a
✔
12a 12b
✔ ✔
12c 13 14
✔ ✔ ✔
15a 15b
✔ ✔
16a
No
✔
10a
✔
16b
Section C. Disclosure 17 18
List the states with which a copy of this Form 990 is required to be filed KY Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
✔ ✔ Own website Another’s website Upon request Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization’s books and records. MICHELLE COMER, SERVICE COMPLEX-UNIV OF LOUISVILLE, LOUISVILLE, KY 40292, (502) 852-6164 Form 990 (2022)
Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Form 990 (2022)
Part VII
Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year. • List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization’s current key employees, if any. See the instructions for definition of “key employee.” • List the organization’s five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization’s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C)
(4) JEFF WALZ
50.0 0.0 50.0
WOMEN'S BASKETBALL COACH (5) DANIEL S. MCDONNELL MEN'S BASEBALL COACH (6) JOSHUA HEIRD ATHLETIC DIRECTOR (7) LORI GONZALEZ, PH.D. PRES/CHAIR TO 1/31/23 (8) DR. THOMAS GERARD BRADLEY DIRECTOR
(9) DANIEL A. DURBIN ASST. TREASURER
0.0 50.0 0.0 0.5 49.5 0.5 49.5 0.5 49.5
(D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
✔
5,105,691
0
1,774
3,241,608
0
50,328
2,750,005
0
217,059
1,952,678
0
45,478
1,618,421
0
150,076
844,410
0
159,705
0
834,244
48,556
0
583,531
52,303
0
433,919
52,259
0
318,001
20,898
0
271,764
44,552
0
256,748
47,987
234,270
0
37,314
181,726
0
38,268
✔ ✔ ✔ ✔ ✔ ✔
✔
✔ ✔
✔
(10) DR. NEELI BENDAPUDI FORMER PRES/CHAIR (11) AMY S. LINGO
Former
50.0 0.0 50.0 0.0 50.0 0.0
Highest compensated employee
(1) CHRISTOPHER L. MACK FORMER HCE AS MEN'S BB COACH TO 1/31/22 (2) FREDRIC SCOTT SATTERFIELD HEAD FOOTBALL COACH (3) KENNETH PAYNE MEN'S BB COACH FROM 3/18/22
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
✔
50.0
DIRECTOR (12) PROF. LARS S. SMITH DIRECTOR (13) MARVIN MITCHELL
0.5 49.5 0.5 49.5 50.0
DEPUTY ATHLETIC DIRECTOR (14) AMY M CALABRESE DEPUTY ATHLETIC DIRECTOR
0.0 50.0 0.0
✔ ✔ ✔
✔
Form 990 (2022)
Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Form 990 (2022)
Part VII
(C)
DIRECTOR (18) CAROLYN KLINGE, PH.D. DIRECTOR (19) CLAUDIA ANGELI, PH.D. DIRECTOR EUGENE G. MUELLER FORMER VICE CHAIR (21) DR. KRISTA B. WALLACE-BOAZ DIRECTOR (22) JEREMY D. CLARK DIRECTOR (23) PROF. SHARON MOORE DIRECTOR (24) MARGARET HANCOCK, PH.D. DIRECTOR (25) (SEE STATEMENT)
Former
0.5 49.5 0.5 49.5 0.5
Highest compensated employee
DOUGLAS CRADDOCK DIRECTOR (16) LEE A. GILL, J.D. DIRECTOR (17) SHANNON I. RICKETT
(15)
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
✔
0
170,821
41,093
✔
0
184,555
19,341
49.5 0.5
✔
0
158,968
31,028
49.5 0.5
✔
0
149,294
33,993
49.5
✔
0
147,335
29,872
0
134,441
28,102
✔
0
128,231
33,390
✔
0
122,683
23,172
✔
0
111,740
27,334
✔
0
102,983
26,015
(20)
50.0 0.5 49.5 0.5 49.5 0.5 49.5 0.5 49.5
✔
1b c d 2
15,928,809 4,109,258 Subtotal . . . . . . . . . . . . . . . . . . . . . . 0 314,689 Total from continuation sheets to Part VII, Section A . . . . . . 15,928,809 4,423,947 Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 79
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1,259,897 91,546 1,351,443
Yes
4
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . .
3
✔
4
✔
No
✔
5
Section B. Independent Contractors 1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year. (A) Name and business address
(B) Description of services
AT&T CORP, 360 GEES MILL PKWY, CONYERS, GA 30013
UPGRADE STADIUM WIFI BUFFALO CONSTRUCTION, INC., 12700 OTTO KNOP DR, LOUISVILLE, KY 40299 CONSTRUCTION SERVICES SERVICE AMERICA CORPORATION, 300 FIRST STAMFORD PL, STAMFORD, CT 06904-2203 CONCESSION SERVICES SHORTS TRAVEL MANAGEMENT INC, 1203 WEST RIDGEWAY AVE, WATERLOO, IA 50701 TRAVEL SERVICES ANC SPORTS ENTERPRISES LLC, 2 MANHATTANVILLE RD, PURCHASE, NY 10577 MEDIA SERVICES
2
(C) Compensation
4,997,411 4,853,620 1,890,199 1,270,755 1,113,603
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 46 Form 990 (2022)
Page 9
Form 990 (2022)
Part VIII Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . .
Contributions, Gifts, Grants, and Other Similar Amounts
(A) Total revenue
1a b c d e f
Federated campaigns . . . . Membership dues . . . . . Fundraising events . . . . . Related organizations . . . . Government grants (contributions) All other contributions, gifts, grants, and similar amounts not included above g Noncash contributions included in lines 1a–1f . . . . . . . . h
Total. Add lines 1a–1f .
.
.
.
.
1a 1b 1c 1d 1e
991,300
1f
37,554,644
1g $ . . .
.
(B) Related or exempt function revenue
(C) Unrelated business revenue
46,540,204 900,000
46,148,315 900,000
391,889
0 47,440,204
0
0
(D) Revenue excluded from tax under sections 512–514
178,000
.
.
38,545,944
Program Service Revenue
Business Code
711210 2a TOTAL SPORTS REVENUE 713940 b STUDENT ATHLETIC FEES AND RELATED c d e f All other program service revenue . . g Total. Add lines 2a–2f . . . . . . . . . . . 3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . .
4 5
Income from investment of tax-exempt bond proceeds Royalties . . . . . . . . . . . . . . .
6a b c d 7a
Gross rents . . 6a Less: rental expenses 6b 0 0 Rental income or (loss) 6c Net rental income or (loss) . . . . . . . . . (i) Securities (ii) Other Gross amount from sales of assets other than inventory 7a Less: cost or other basis and sales expenses . 7b 43,790 (43,790) 0 Gain or (loss) . . 7c Net gain or (loss) . . . . . . . . . . . . Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 . . . 8a Less: direct expenses . . . . 8b Net income or (loss) from fundraising events . . . Gross income from gaming activities. See Part IV, line 19 . 9a Less: direct expenses . . . . 9b Net income or (loss) from gaming activities . . . . Gross sales of inventory, less returns and allowances . . . 10a Less: cost of goods sold . . . 10b Net income or (loss) from sales of inventory . . . .
Other Revenue
(i) Real
b c d 8a
b c 9a b c 10a
Miscellaneous Revenue
b c
0
68,492
68,492
48,960,142
48,960,142
(43,790)
(43,790)
(ii) Personal
Business Code
11a ADMINISTRATIVE SUPPORT SERVICES b MARKETING AND DEVELOPMENT REVENUE c d All other revenue . . . . . . . e Total. Add lines 11a–11d . . . . . . 12 Total revenue. See instructions . . .
561990 711320
. .
. .
. .
. .
1,850,801 143,463
1,850,801 143,463
0 1,994,264 136,965,256
0
0
0
49,042,579
391,889
48,984,844 Form 990 (2022)
Page 10
Form 990 (2022)
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . .
(A) Total expenses
(B) Program service expenses
3,731,006
3,731,006
16,185,661
16,185,661
(C) Management and general expenses
(D) Fundraising expenses
3
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16
4 5
Benefits paid to or for members . . . . Compensation of current officers, directors, trustees, and key employees . . . . .
6
Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . .
7 8
Other salaries and wages . . . . . . Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
40,725,429
38,814,553
961,100
949,776
Other employee benefits . . . . . . . Payroll taxes . . . . . . . . . . . Fees for services (nonemployees): a Management . . . . . . . . . . b Legal . . . . . . . . . . . . . c Accounting . . . . . . . . . . . d Lobbying . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17 f Investment management fees . . . . . g Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) .
5,839,963 3,684,284
5,325,950 3,522,527
285,344 93,688
228,669 68,069
240,925 44,522
240,925 10,787
26,800
6,935
6,959,769 642,792 238,153 1,332,227
6,601,723 609,717 226,886 1,275,497
273,148 5,300 5,294 12,416
84,898 27,775 5,973 44,314
3,601,992 17,058,742
3,508,983 16,436,733
19,700
93,009 602,309
18,749 2,543,125
18,749 2,543,125
12,381,428 1,645,889
12,381,428 1,645,889
3,348,237 3,737,004 3,229,064 2,079,294 10,485,774 141,027,942
3,330,049 3,630,924 3,017,251 2,054,950 10,355,191 135,468,504
9 10 11
12 13 14 15 16 17 18
Advertising and promotion . . . . . . Office expenses . . . . . . . . . Information technology . . . . . . . Royalties . . . . . . . . . . . . Occupancy . . . . . . . . . . . Travel . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials
19 20 21 22 23 24
Conferences, conventions, and meetings . Interest . . . . . . . . . . . . Payments to affiliates . . . . . . . . Depreciation, depletion, and amortization . Insurance . . . . . . . . . . . . Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
a ATHLETIC EVENT FEES AND EXPENSES b REPAIRS AND MAINTENANCE c SMALL EQUIPMENT PURCHASES AND RENTALS d OTHER LICENSES AND FEES e All other expenses 25 Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the 26 organization reported in column (B) joint costs from a combined educational campaign and if fundraising solicitation. Check here following SOP 98-2 (ASC 958-720) . . .
1,273,913
1,273,913
8,824 2,316 24,344 72,856 3,065,043
9,364 106,080 209,497 57,727 2,494,395
Form 990 (2022)
Page 11
Form 990 (2022)
Part X
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X
. . . . . . . . . . . . .
(A) Beginning of year
1 2 3 4 5
Net Assets or Fund Balances
Liabilities
Assets
6
Cash—non-interest-bearing . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
7 Notes and loans receivable, net . . . . . . . . . . . . . 8 Inventories for sale or use . . . . . . . . . . . . . . . 9 Prepaid expenses and deferred charges . . . . . . . . . . 10a Land, buildings, and equipment: cost or other 361,591,073 basis. Complete Part VI of Schedule D . . . 10a 111,296,767 b Less: accumulated depreciation . . . . . 10b 11 Investments—publicly traded securities . . . . . . . . . . 12 Investments—other securities. See Part IV, line 11 . . . . . . . 13 Investments—program-related. See Part IV, line 11 . . . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . 23 24 25
Secured mortgages and notes payable to unrelated third parties . . Unsecured notes and loans payable to unrelated third parties . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17–24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . . .
.
(B) End of year
51,500 24,272,306 9,279,214 34,604,358
1 2 3 4
51,500 11,043,895 8,948,229 70,241,413
0
5
0
0
6 7 8 9
0 5,400,451 1,543,051
250,451,565 10c 3,961,002 11 0 12 0 13
250,294,306 3,907,852 0 0
4,838,215 821,499
14 15 16 17 18 31,111,297 19 20 21
1,563,628 329,843,287 25,619,562
1,518,938 352,949,635 21,836,554 70,378,248
0 34,777,313
22 23 24
0 32,348,965
130,277,553 221,785,725
25 26
125,012,170 249,575,937
26
Total liabilities. Add lines 17 through 25 . . . . . . Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
.
.
27 28
Net assets without donor restrictions . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here ✔ and complete lines 29 through 33.
. .
27 28
29 30 31 32 33
Capital stock or trust principal, or current funds . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund . . . Retained earnings, endowment, accumulated income, or other funds . Total net assets or fund balances . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . .
29 30 108,057,562 31 108,057,562 32 329,843,287 33
103,373,698 103,373,698 352,949,635 Form 990 (2022)
Page 12
Form 990 (2022)
Part XI
Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . .
1 2 3 4 5 6 7 8 9 10
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
✔
1 2 3 4 5 6 7 8 9
136,965,256 141,027,942 (4,062,686) 108,057,562 821,175
10
103,373,698
(1,442,353)
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . Yes
1
✔ Accrual Accounting method used to prepare the Form 990: Cash Other If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant? . . . If “Yes,” check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
Separate basis Consolidated basis Both consolidated and separate basis b Were the organization’s financial statements audited by an independent accountant? . . . . . . . If “Yes,” check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: c
✔ Both consolidated and separate basis Separate basis Consolidated basis If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits .
No
✔
2a
2b
✔
2c
✔
3a
3a
✔
3b Form 990 (2022)
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and Title
(B) Average hours per week
Former
Highest compensated employee
0.5 ------------------------49.5 0.5 ------------------------49.5 0.5 ------------------------49.5 0.5 ------------------------10.5 0.5 ------------------------49.5 0.5 ------------------------0.0 0.5 ------------------------0.0 0.5 ------------------------0.5 0.5 ------------------------0.5 0.5 ------------------------0.0 0.5 ------------------------0.0 0.5 ------------------------0.0 0.5 ------------------------0.0 0.5 ------------------------0.5 0.5 ------------------------0.0 0.5 ------------------------0.0
Key employee
0.5 ------------------------49.5
Officer
MCCORMACK ---------------------------------------------------DIRECTOR (26) KYLE J. BEAMER ---------------------------------------------------ASSISTANT SECRETARY (27) ROBERT K DETMERING ---------------------------------------------------VICE CHAIR (28) KEVIN LEDFORD ---------------------------------------------------TREASURER (29) DORAIN BROWN ---------------------------------------------------SECRETARY (30) DR. KIM SCHATZEL ---------------------------------------------------PRES/CHAIR FROM 2/1/23 (31) DENNIS P. HEISHMAN ---------------------------------------------------DIRECTOR (32) GAYLE SAUNDERS ---------------------------------------------------DIRECTOR (33) JAMES M. ROGERS ---------------------------------------------------DIRECTOR (34) LAURENCE BENZ ---------------------------------------------------DIRECTOR (35) ROBERT KOHN ---------------------------------------------------DIRECTOR (36) RONALD L. WRIGHT ---------------------------------------------------DIRECTOR (37) RYAN BRIDGEMAN ---------------------------------------------------DIRECTOR (38) SAM RECHTER ---------------------------------------------------DIRECTOR (39) SHERRILL ZIMMERMAN ---------------------------------------------------DIRECTOR (40) STEVE JONES ---------------------------------------------------DIRECTOR (41) TAYLAR HART-NOLDEN ---------------------------------------------------DIRECTOR
Institutional trustee
(25) MICHAEL BRANDON
(C) Position (Check all that apply) Individual trustee or director
(list any hours for related organizations below dotted line)
(D) Reportable compensation from the organization
(E) Reportable compensation from related organizations
(W-2/1099-MISC)
(W-2/1099-MISC)
(F) Estimated amount of other compensation from the organization and related organizations
0
96,468
21,719
0
84,348
22,736
0
70,688
26,651
0
61,285
20,440
0
1,900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
2022
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
31-1106941
Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 3 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the 4 hospital’s name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 7
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)
8 9
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). ✔ An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
10
11 12
a
✔
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
c d
e
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . 1 g Provide the following information about the supported organization(s). ✔
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organization (v) Amount of monetary listed in your governing support (see document? instructions)
Yes
(A)
(vi) Amount of other support (see instructions)
No
(SEE STATEMENT)
(B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
0 Cat. No. 11285F
0
Schedule A (Form 990) 2022
Page 2
Schedule A (Form 990) 2022
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . 2
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . .
6
Public support. Subtract line 5 from line 4
.
.
.
(a) 2018
(b) 2019
(c) 2020
(d) 2021
(e) 2022
(f) Total
41,938,861
39,240,784
35,399,937
36,767,130
38,545,944
191,892,656
0
41,938,861
39,240,784
35,399,937
36,767,130
38,545,944
0 191,892,656
0 191,892,656
Section B. Total Support Calendar year (or fiscal year beginning in) 7 Amounts from line 4 . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . .
(a) 2018
(b) 2019
(c) 2020
(d) 2021
(e) 2022
(f) Total
41,938,861
39,240,784
35,399,937
36,767,130
38,545,944
191,892,656
40,095,908
42,326,450
44,629,525
50,047,757
49,028,634
226,128,274
9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . .
196,695
83,512
32,704
76,186
391,889
780,986
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . .
0
0
0
0
0
0
11 12 13
418,801,916 Total support. Add lines 7 through 10 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . 210,875,819 12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 15 16a
45.82 % Public support percentage for 2022 (line 6, column (f), divided by line 11, column (f)) . . . . 14 46.82 % Public support percentage from 2021 Schedule A, Part II, line 14 . . . . . . . . . . 15 331/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this ✔ box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . 1 1 b 33 /3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 /3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . .
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2022
Page 3
Schedule A (Form 990) 2022
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) Gifts, grants, contributions, and membership fees 1 received. (Do not include any “unusual grants.”) 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
6 7a
Total. Add lines 1 through 5 . . . . Amounts included on lines 1, 2, and 3 received from disqualified persons .
(a) 2018
(b) 2019
(c) 2020
(d) 2021
(e) 2022
(f) Total
(a) 2018
(b) 2019
(c) 2020
(d) 2021
(e) 2022
(f) Total
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year c 8
Add lines 7a and 7b . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . c 11
12
Add lines 10a and 10b . . . . . Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
13 14
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2022 (line 8, column (f), divided by line 13, column (f)) . Public support percentage from 2021 Schedule A, Part III, line 15 . . . . . . .
. .
. .
. .
. .
15 16
% %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2022 (line 10c, column (f), divided by line 13, column (f)) . . . 17 % Investment income percentage from 2021 Schedule A, Part III, line 17 . . . . . . . . . . 18 % 331/3% support tests—2022. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line 17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . b 331/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization .
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.
Schedule A (Form 990) 2022
Page 4 Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Schedule A (Form 990) 2022
Part IV
Yes No 1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
3a
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer lines 3b and 3c below.
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination. c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
1
✔
2
✔
3a
3b 3c 4a
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization’s organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
✔
4b
c
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization’s organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization’s control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
✔
✔
5b 5c
6
✔
7
✔
8
✔
9a
✔
9b
✔
9c
✔
10a
✔
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
10b
Schedule A (Form 990) 2022
Page 5
Schedule A (Form 990) 2022
Part IV
Supporting Organizations (continued) Yes No
11
a
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b
✔
11c
✔
✔
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
✔
✔
Section C. Type II Supporting Organizations Yes No 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations Yes No 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
3
By reason of the relationship described on line 2, above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations 1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). c 2 Activities Test. Answer lines 2a and 2b below. Yes No a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
b Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
2a
2b
3
3a 3b
Schedule A (Form 990) 2022
Schedule A (Form 990) 2022
Part V
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A—Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B—Minimum Asset Amount (A) Prior Year (optional) 1
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1a a Average monthly value of securities 1b b Average monthly cash balances 1c c Fair market value of other non-exempt-use assets 1d d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): Acquisition indebtedness applicable to non-exempt-use assets 2 2 Subtract line 2 from line 1d. 3 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 5 Multiply line 5 by 0.035. 6 6 Recoveries of prior-year distributions 7 7 Minimum Asset Amount (add line 7 to line 6) 8 8 Section C—Distributable Amount 1 2 3 4 5 6 7
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2022
Page 7
Schedule A (Form 990) 2022
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D—Distributions
Current Year
1 2
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions.
9 10
Distributable amount for 2022 from Section C, line 6 Line 8 amount divided by line 9 amount
Section E—Distribution Allocations (see instructions) 1
(i) Excess Distributions
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2022
(iii) Distributable Amount for 2022
Distributable amount for 2022 from Section C, line 6
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required—explain in Part VI). See instructions. 3 Excess distributions carryover, if any, to 2022 a From 2017 . . . . . b From 2018 . . . . . c From 2019 . . . . . d From 2020 . . . . . e From 2021 . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2022 distributable amount i Carryover from 2017 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2022 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2022 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6
7 8 a b c d e
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2023. Add lines 3j and 4c. Breakdown of line 7: Excess from 2018 . . . Excess from 2019 . . . Excess from 2020 . . . Excess from 2021 . . . Excess from 2022 . . . Schedule A (Form 990) 2022
Page 8 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990) 2022
Part VI
Schedule A (Form 990) 2022
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Return Reference - Identifier Explanation SCHEDULE A, PART IV, THE UNIVERSITY OF LOUISVILLE ATHLETICS ASSOCIATION SUPPORTS THE UNIVERSITY OF LOUISVILLE, A SECTION A, LINE 2 STATE UNIVERSITY EXEMPT UNDER IRC SEC 115. SUPPORTED ORG. WITHOUT IRS STATUS 509(A)1 OR (2)
Part I
Part I
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Line 12g. Information about the supported organization(s). (continued) (i)
(ii)
(iii)
Name of supported organization
EIN
Type of organization (described on lines 1-10 above (see instructions))
UNIVERSITY OF LOUISVILLE
61-1014882
6. FEDERAL, STATE, OR LOCAL GOVERNMENTAL UNIT. SECTION 170(B)(1)(A)(V).
(iv)
(v)
(vi)
Is the Amount of Amount of organization monetary other listed in your support (see support (see governing instructions) instructions) document? Yes No
Schedule B (Form 990) Department of the Treasury Internal Revenue Service
Schedule of Contributors
OMB No. 1545-0047
Attach to Form 990 or Form 990-PF. Go to www.irs.gov/Form990 for the latest information.
2022 Employer identification number
Name of the organization UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
31-1106941
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
✔
501(c)(
3
) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor’s total contributions. Special Rules ✔
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering “N/A” in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don’t complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . . . . . . . . . . . $
Caution: An organization that isn’t covered by the General Rule and/or the Special Rules doesn’t file Schedule B (Form 990), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn’t meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613X
Schedule B (Form 990) (2022)
Page 2
Schedule B (Form 990) (2022)
Employer identification number
Name of organization UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part I (a) No.
31-1106941
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(c) Total contributions
1
$
1,700,000
(d) Type of contribution Person Payroll Noncash
✔
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
2
$
5,000,700
(d) Type of contribution Person Payroll Noncash
✔
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2022)
Page 3
Schedule B (Form 990) (2022)
Employer identification number
Name of organization UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part II (a) No. from Part I
31-1106941
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ Schedule B (Form 990) (2022)
Page 4
Schedule B (Form 990) (2022)
Employer identification number
Name of organization UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part III
(a) No. from Part I
31-1106941
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed. (b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee’s name, address, and ZIP + 4
Relationship of transferor to transferee
Schedule B (Form 990) (2022)
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
OMB No. 1545-0047
2022
Complete if the organization answered “Yes” on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part I
31-1106941
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered “Yes” on Form 990, Part IV, line 6. (a) Donor advised funds
1 2 3 4 5
(b) Funds and other accounts
Total number at end of year . . . . . . . . Aggregate value of contributions to (during year) . Aggregate value of grants from (during year) . . Aggregate value at end of year . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . .
6
Part II 1
2 a b c d
Yes
No
Yes
No
Conservation Easements. Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year 2a 2b 2c
Total number of conservation easements . . . . . . . . . . . . . . . . . Total acreage restricted by conservation easements . . . . . . . . . . . . . . Number of conservation easements on a certified historic structure included in (a) . . . . Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . . .
6
2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
3 4 5
9
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
2
(i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . $ If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items:
a Revenue included on Form 990, Part VIII, line 1 b Assets included in Form 990, Part X . . . .
. .
. .
. .
. .
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
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Cat. No. 52283D
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$ $ Schedule D (Form 990) 2022
Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2022
Part III 3
Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply): a b c
4 5
Public exhibition Loan or exchange program d Scholarly research Other e Preservation for future generations Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection? . . Yes No
Part IV 1a
Escrow and Custodial Arrangements. Complete if the organization answered “Yes” on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b If “Yes,” explain the arrangement in Part XIII and complete the following table: c d e f 2a b
Amount 1c Beginning balance . . . . . . . . . . . . . . . . . . . . . . Additions during the year . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? Yes If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . .
Part V
Endowment Funds. Complete if the organization answered “Yes” on Form 990, Part IV, line 10. (a) Current year
1a Beginning of year balance . . . b Contributions . . . . . . . c Net investment earnings, gains, and losses . . . . . . . . . . d Grants or scholarships . . . . e Other expenditures for facilities and programs . . . . . . . . . f g 2 a b c 3a
(c) Two years back
(d) Three years back
(e) Four years back
3,399,568 20,878
(b) Prior year
3,468,200 0
5,459,918 339,000
11,148,321 15,091
12,229,757 21,334
163,638 20,878
25,325 60,000
740,747 1,492,944
420,662 476,275
2,802,971 1,061,273
0
0
1,528,552
5,544,637
2,575,413 269,055 11,148,321
26,013 33,957 49,969 103,244 Administrative expenses . . . . 3,537,193 3,399,568 3,468,200 5,459,918 End of year balance . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment 39.10 % Permanent endowment 60.90 % Term endowment 0.00 % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by:
(i) Unrelated organizations . . . . . . . . . . . . . . . . . . . . (ii) Related organizations . . . . . . . . . . . . . . . . . . . . b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? . 4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI
No
. . .
. . .
. . .
. . .
. . .
. . .
. . .
Yes No 3a(i) ✔ ✔ 3a(ii) 3b
Land, Buildings, and Equipment. Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(c) Accumulated depreciation
5,150,911 1a Land . . . . . . . . . . . 286,646,320 b Buildings . . . . . . . . . . 799,301 c Leasehold improvements . . . . d Equipment . . . . . . . . . 14,154,976 e Other . . . . . . . . . . . 54,839,565 Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.) .
(d) Book value
93,850,793 675,600
.
.
5,150,911 192,795,527 123,701
8,182,121
5,972,855
8,588,253
46,251,312 250,294,306
.
.
Schedule D (Form 990) 2022
Page 3
Schedule D (Form 990) 2022
Part VII
Investments—Other Securities. Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(1) Financial derivatives . . . (2) Closely held equity interests . (3) Other
. .
. .
. .
. .
. .
(b) Book value
. .
. .
. .
. .
. .
. .
. .
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.) .
.
(c) Method of valuation: Cost or end-of-year market value
(A) (B) (C) (D) (E) (F) (G) (H)
Part VIII
Investments—Program Related. Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 13.) .
Part IX
.
Other Assets. Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.) .
Part X 1.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Other Liabilities. Complete if the organization answered “Yes” on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
(1) Federal income taxes (2) DUE TO UNIVERSITY OF LOUISVILLE (3) LEASES PAYABLE (4) DUE TO UNIVERSITY OF LOUISVILLE FOUNDATION
(b) Book value
81,153,338 42,858,832 1,000,000
(5) (6) (7) (8) (9) 125,012,170 Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.) . . . . . . . . . . . . . . . 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization’s liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . Schedule D (Form 990) 2022
Page 4
Schedule D (Form 990) 2022
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total revenue, gains, and other support per audited financial statements . . Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments . . . . . . . . . 2a b Donated services and use of facilities . . . . . . . . . . . 2b c Recoveries of prior year grants . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
Part XII
.
.
.
.
.
.
1
135,939,446
2e 3
821,175 135,118,271
4c 5
1,846,985 136,965,256
821,175
0
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. .
1,846,985
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Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total expenses and losses per audited financial statements . . . . . . . Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities . . . . . . . . . . . 2a b Prior year adjustments . . . . . . . . . . . . . . . . 2b c Other losses . . . . . . . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) .
Part XIII
.
Supplemental Information.
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1
139,180,957
2e 3
(1,846,985) 141,027,942
4c 5
0 141,027,942
(1,846,985)
0
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. SEE STATEMENT
Schedule D (Form 990) 2022
Part XIII
Return Reference - Identifier SCHEDULE D, PART XI, LINE 4(B) - OTHER REVENUE
SCHEDULE D, PART XII, LINE 2(D) - OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. Explanation (a) Description RECLASS REVENUE NETTED WITH OTHER NONOPERATING EXPENSES ON FINANCIAL STATEMENTS RECLASS LOSS ON ASSET DISPOSAL TO PART VIII
(b) Amount 1,891,300
(a) Description RECLASS REVENUE NETTED WITH OTHER NONOPERATING EXPENSES ON FINANCIAL STATEMENTS RECLASS LOSS ON ASSET DISPOSAL TO PART VIII
(b) Amount - 1,891,300
- 44,315
44,315
Part XIII
Supplemental Information. Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference - Identifier Explanation SCHEDULE D, PART V, THE UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION'S MAIN ENDOWMENT INVESTMENTS ARE LINE 4 - INTENDED USES INTENDED FOR ATHLETIC SCHOLARSHIPS. OF ENDOWMENT FUNDS
SCHEDULE F (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Statement of Activities Outside the United States
2022
Complete if the organization answered “Yes” on Form 990, Part IV, line 14b, 15, or 16. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Employer identification number
Name of the organization
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part I
31-1106941
General Information on Activities Outside the United States. Complete if the organization answered “Yes” on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activities per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.) (a) Region
(b) Number of offices in the region
(c) Number of employees, agents, and independent contractors in the region
0
0
SOUTH AMERICA
(1) (2)
EUROPE (INCLUDING ICELAND AND GREENLAND)
0
(4)
0 MIDDLE EAST AND NORTH AFRICA
0
(5) (6) (7)
0 NORTH AMERICA (CANADA & MEXICO ONLY) CENTRAL AMERICA AND THE CARIBBEAN
0
(f) Total expenditures for and investments in the region
STUDENT ATHLETE RECRUITING
5,099
PROGRAM SERVICES
STUDENT ATHLETE RECRUITING
57,222
PROGRAM SERVICES
STUDENT ATHLETE RECRUITING
11,276
PROGRAM SERVICES
STUDENT ATHLETE RECRUITING
4,721
PROGRAM SERVICES
STUDENT ATHLETE RECRUITING
3,030
PROGRAM SERVICES
STUDENT ATHLETE RECRUITING
5,641
PROGRAM SERVICES
TEAM TRAVEL
0 0
EAST ASIA AND THE PACIFIC
(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region
PROGRAM SERVICES
0
SUB-SAHARAN AFRICA
(3)
(d) Activities conducted in the region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)
0 0
0
0
6,578
0
0
93,567
0
0
0
0
0
93,567
(8) (9) (10) (11) (12) (13) (14) (15) (16) (17) 3a Subtotal . . . . . . b Total from continuation sheets to Part I . . . . c Totals (add lines 3a and 3b)
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50082W
Schedule F (Form 990) 2022
Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2022
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) 2 3
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax ▶ exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter . . ▶ Enter total number of other organizations or entities . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule F (Form 990) 2022
Page 3 Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered “Yes” on Form 990, Part IV, line 16. Part III can be duplicated if additional space is needed.
Schedule F (Form 990) 2022
Part III
(a) Type of grant or assistance
(b) Region
(c) Number of recipients
(d) Amount of cash grant
(e) Manner of cash disbursement
(f) Amount of noncash assistance
(g) Description of noncash assistance
(h) Method of valuation (book, FMV, appraisal, other)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) Schedule F (Form 990) 2022
Page 4
Schedule F (Form 990) 2022
Part IV 1
2
3
4
5
6
Foreign Forms
Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,” the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926) . . . . . . . . . . . . . . . . . . . . .
Yes
✔
No
Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organization may be required to separately file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990) . . . . . . .
Yes
✔
No
Did the organization have an ownership interest in a foreign corporation during the tax year? If “Yes,” the organization may be required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations (see Instructions for Form 5471) . . . . . . . . . . . . . .
Yes
✔
No
Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund (see Instructions for Form 8621) . . . . . . . . . . . . . . . . . . . . . .
Yes
✔
No
Did the organization have an ownership interest in a foreign partnership during the tax year? If “Yes,” the organization may be required to file Form 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships (see Instructions for Form 8865) . . . . . . . . . . . . . . . . .
Yes
✔
No
Did the organization have any operations in or related to any boycotting countries during the tax year? If “Yes,” the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990) . . . . . . . . . . . . . . . . . .
Yes
✔
No
Schedule F (Form 990) 2022
Part V
Supplemental Information. Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method;amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); andPart III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference - Identifier Explanation SCHEDULE F, PART I, LINE CENTRAL AMERICA AND THE CARIBBEAN -ACCRUAL 3 - METHOD USED TO EAST ASIA AND THE PACIFIC -ACCRUAL ACCOUNT FOR EUROPE (INCLUDING ICELAND AND GREENLAND) -ACCRUAL EXPENDITURES ON ORG'S MIDDLE EAST AND NORTH AFRICA -ACCRUAL FINANCIAL STATEMENTS NORTH AMERICA (CANADA & MEXICO ONLY) -ACCRUAL SOUTH AMERICA -ACCRUAL SUB-SAHARAN AFRICA -ACCRUAL
SCHEDULE I (Form 990)
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
OMB No. 1545-0047
2022
Complete if the organization answered “Yes” on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service Name of the organization
Open to Public Inspection Employer identification number
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part I 1 2
31-1106941
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Describe in Part IV the organization’s procedures for monitoring the use of grant funds in the United States.
Part II
✔
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered “Yes” on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
61-1014882
115
(d) Amount of cash grant
(f) Method of valuation (e) Amount of (book, FMV, appraisal, noncash assistance other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) UNIVERSITY OF LOUISVILLE 2215 S. BROOK ST., LOUISVILLE, KY 40208
3,731,006
(SEE STATEMENT)
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) 2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table . Enter total number of other organizations listed in the line 1 table . . . . . . . . . .
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
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Cat. No. 50055P
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1 0 Schedule I (Form 990) 2022
Page 2
Schedule I (Form 990) 2022
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered “Yes” on Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed. (a) Type of grant or assistance
1 SCHOLARSHIPS
(b) Number of recipients
778
(c) Amount of cash grant
(d) Amount of noncash assistance
(e) Method of valuation (book, FMV, appraisal, other)
(f) Description of noncash assistance
16,185,661
2 3 4 5 6 7
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
(SEE STATEMENT)
Schedule I (Form 990) 2022
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference - Identifier Explanation SCHEDULE I, PART I, LINE STUDENTS ARE SELECTED AND CONTINUE TO RECEIVE ASSISTANCE BASED ON THEIR ABILITY TO 2 - PROCEDURES FOR CONTRIBUTE TO THE ATHLETIC PROGRAM OF THE UNIVERSITY OF LOUISVILLE. ALL FINANCIAL AID BOTH MONITORING USE OF ATHLETIC AND NON-ATHLETIC IS UNDER THE CONTROL OF THE UNIVERSITY OFFICE OF FINANCIAL AID. THE GRANT FUNDS. OFFICE OF ATHLETIC COMPLIANCE EMPLOYS A FULL-TIME COMPLIANCE COORDINATOR WHO WORKS AS A LIAISON WITH THE UNIVERSITY FINANCIAL AID OFFICE TO MONITOR ALL ATHLETIC AND NON-ATHLETIC FINANCIAL AID PROVIDED TO OUR STUDENT-ATHLETES. THIS INCLUDES MONITORING ALL INDIVIDUAL AND TEAM NCAA LIMITS, RENEWALS, NON-RENEWAL AND CANCELLATION OF ATHLETIC SCHOLARSHIPS, THE AWARDING OF SUMMER FINANCIAL AID, AND OVERSEES THE DISBURSEMENT OF THE STUDENTASSISTANCE FUND FOR ELIGIBLE STUDENT-ATHLETES. SCHEDULE I, PART II , UNIVERSITY OF LOUISVILLE: COLUMN H - PURPOSE OF GRANT OR ASSISTANCE STUDENT RETENTION AND GENERAL OPERATIONS SUPPORT
SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Service Name of the organization
Compensation Information
OMB No. 1545-0047
2022
For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered “Yes” on Form 990, Part IV, line 23. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Employer identification number
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part I
31-1106941
Questions Regarding Compensation Yes
1a
Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. ✔ ✔
First-class or charter travel Travel for companions Tax indemnification and gross-up payments Discretionary spending account
Housing allowance or residence for personal use Payments for business use of personal residence ✔ Health or social club dues or initiation fees Personal services (such as maid, chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If “No,” complete Part III to explain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
No
1b
✔
2
✔
Indicate which, if any, of the following the organization used to establish the compensation of the organization’s CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III. ✔ ✔
4
Compensation committee Independent compensation consultant Form 990 of other organizations
Written employment contract Compensation survey or study ✔ Approval by the board or compensation committee ✔ ✔
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a Receive a severance payment or change-of-control payment? . . . . . . . . . . . . . . . b Participate in or receive payment from a supplemental nonqualified retirement plan? . . . . . . . . c Participate in or receive payment from an equity-based compensation arrangement? . . . . . . . . If “Yes” to any of lines 4a–c, list the persons and provide the applicable amounts for each item in Part III.
4a 4b 4c
✔ ✔ ✔
5a 5b
✔ ✔
6a 6b
✔ ✔
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments not described on lines 5 and 6? If “Yes,” describe in Part III . . . . . . . . . . . . .
7
✔
Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If “Yes,” describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
✔
If “Yes” on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? . . . . . . . . . . . . . . . . . . . . . . . .
9
Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5–9. For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of:
5
a The organization? . . . . . . . . . b Any related organization? . . . . . . If “Yes” on line 5a or 5b, describe in Part III.
. .
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For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of:
6
a The organization? . . . . . . . . . b Any related organization? . . . . . . If “Yes” on line 6a or 6b, describe in Part III. 7 8
9
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For Paperwork Reduction Act Notice, see the Instructions for Form 990.
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Cat. No. 50053T
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Schedule J (Form 990) 2022
Page 2
Schedule J (Form 990) 2022
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that aren’t listed on Form 990, Part VII. Note: The sum of columns (B)(i)–(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual. (B) Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC compensation (i) Base compensation
(A) Name and Title
CHRISTOPHER L. MACK 1
FORMER HCE AS MEN'S BB COACH TO 1/31/22
FREDRIC SCOTT SATTERFIELD
2 HEAD FOOTBALL COACH KENNETH PAYNE 3 MEN'S BB COACH FROM 3/18/22 JEFF WALZ 4 WOMEN'S BASKETBALL COACH DANIEL S. MCDONNELL 5 MEN'S BASEBALL COACH JOSHUA HEIRD 6 ATHLETIC DIRECTOR LORI GONZALEZ, PH.D. 7 PRES/CHAIR TO 1/31/23 DR. THOMAS GERARD BRADLEY 8 DIRECTOR DANIEL A. DURBIN 9 ASST. TREASURER DR. NEELI BENDAPUDI 10 FORMER PRES/CHAIR AMY S. LINGO 11 DIRECTOR PROF. LARS S. SMITH
(i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i)
12 DIRECTOR MARVIN MITCHELL 13 DEPUTY ATHLETIC DIRECTOR
(ii) (i) (ii)
AMY M CALABRESE 14 DEPUTY ATHLETIC DIRECTOR
(i) (ii) (i)
DOUGLAS CRADDOCK 15 DIRECTOR (SEE STATEMENT) 16
(ii)
353,420 0 3,008,066 0 2,726,644 0 1,647,879 0 1,267,894 0 825,436 0 0 831,958 0 582,757 0 432,731 0 311,614 0 271,350 0 255,974 231,656 0 175,204 0 0 170,659
(ii) Bonus & incentive compensation
0 0 199,000 0 0 0 250,000 0 331,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(iii) Other reportable compensation
4,752,271 0 34,542 0 23,361 0 54,799 0 19,527 0 18,974 0 0 2,286 0 774 0 1,188 0 6,387 0 414 0 774 2,614 0 6,522 0 0 162
(C) Retirement and other deferred compensation
0 0 29,646 0 200,000 0 24,240 0 130,103 0 141,829 0 0 30,500 0 29,000 0 30,500 0 16,023 0 27,545 0 26,436 22,692 0 17,740 0 0 18,077
(D) Nontaxable benefits
1,774 0 20,682 0 17,059 0 21,238 0 19,973 0 17,876 0 0 18,056 0 23,303 0 21,759 0 4,875 0 17,007 0 21,551 14,622 0 20,528 0 0 23,016
(E) Total of columns (B)(i)–(D)
5,107,465 0 3,291,936 0 2,967,064 0 1,998,156 0 1,768,497 0 1,004,115 0 0 882,800 0 635,834 0 486,178 0 338,899 0 316,316 0 304,735 271,584 0 219,994 0 0 211,914
(F) Compensation in column (B) reported as deferred on prior Form 990
0 0 0 0 0 0 0 0 180,357 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(i) (ii) Schedule J (Form 990) 2022
Part II
Officers, Directors, Trustees, Key Employees and Highest Compensated Employees (continued) (a)
(b)
(c)
(d)
(e)
(f)
Name
Breakdown of W-2 and/or 1099-MISC compensation (i) Base (ii) Bonus & (iii) Other Compensation incentive reportable compensation compensation 0 0 0 183,113 0 1,442 0 0 0 158,788 0 180 0 0 0 147,008 0 2,286 0 0 0 146,921 0 414 0 0 0 133,667 0 774 0 0 0 127,817 0 414
Retirement and other deferred compensation
Nontaxable benefits
Total of columns (b)(i)-(d)
Compensation reported in prior Form 990 or Form 990-EZ
0 203,896 0 189,996 0 183,287 0 177,207 0 162,543 0 161,621
0 0 0 0 0 0 0 0 0 0 0 0
(16) LEE A. GILL, J.D.
DIRECTOR (17) SHANNON I. RICKETT
DIRECTOR (18) CAROLYN KLINGE, PH.D.
DIRECTOR (19) CLAUDIA ANGELI, PH.D.
DIRECTOR (20) EUGENE G. MUELLER
FORMER VICE CHAIR (21) DR. KRISTA B. WALLACE-BOAZ
DIRECTOR
(i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii)
0 10,938 0 16,086 0 15,285 0 14,902 0 12,809 0 13,258
0 8,403 0 14,942 0 18,708 0 14,970 0 15,293 0 20,132
Part III
Supplemental Information. Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference - Identifier Explanation SCHEDULE J, PART I, LINE BOTH MEN'S AND WOMEN'S BASKETBALL TEAMS, VOLLEYBALL TEAMS, AND OUR FOOTBALL TEAM ALL 1A - FIRST-CLASS OR TRAVEL TO AWAY COMPETITIONS ON CHARTER PLANES. CHARTER SERVICE IS SUBMITTED FOR CHARTER TRAVEL COMPETITIVE BIDS FOR BOTH TEAMS TO OBTAIN THE PRICE/SERVICE. THIS PROCESS IS PER INDUSTRY STANDARD FOR THE MAJORITY OF DIVISION I SCHOOLS. PER THE ORGANIZATION'S POLICIES, FIRST CLASS AIRFARE CANNOT BE EXPENSED BACK TO THE ORGANIZATION. SCHEDULE J, PART I, LINE THE ORGANIZATION OBTAINS APPROVAL FROM THE PRESIDENT'S OFFICE FOR ALL TRAVEL OF ATHLETIC 1A - TRAVEL FOR STAFF FAMILY MEMBERS TO SPECIAL EVENTS SUCH AS POST-SEASON COMPETITIONS, HOLIDAY COMPANIONS TOURNAMENTS, AND OTHER EVENTS WHERE SPOUSES ARE EXPECTED TO ATTEND FOR BONA FIDE BUSINESS PURPOSES. EXPENSES ARE COVERED FROM UNRESTRICTED MONIES AND NOT PART OF THE ATHLETIC ASSOCIATION'S OPERATING BUDGET. ALL SPOUSAL OR FAMILY MEMBER TRAVEL IS TAXED AS APPLICABLE ACCORDING TO IRS RULES AND REGULATIONS. SCHEDULE J, PART I, LINE THE ORGANIZATION IS AUTHORIZED TO PROVIDE COUNTRY CLUB MEMBERSHIPS FOR THE ATHLETIC 1A - HEALTH OR SOCIAL DIRECTOR AND SOME OF ITS COACHING STAFF AS PART OF THEIR RESPECTIVE EMPLOYMENT CLUB DUES OR CONTRACTS. THESE BENEFITS ARE TAXED ACCORDINGLY WHERE PROVIDED. INITIATION FEES
Noncash Contributions
SCHEDULE M (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Art—Works of art . . . Art—Historical treasures . Art—Fractional interests . Books and publications . Clothing and household goods . . . . . . .
. . . .
. . . .
.
.
6 7 8 9 10 11
Cars and other vehicles . . . Boats and planes . . . . . Intellectual property . . . . Securities—Publicly traded . . Securities—Closely held stock . Securities—Partnership, LLC, or trust interests . . . . .
12 13
Securities—Miscellaneous Qualified conservation contribution—Historic structures . . . . . . Qualified conservation contribution—Other . .
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
31-1106941
Types of Property (a) Check if applicable
1 2 3 4 5
Open to Public Inspection
Employer identification number
Name of the organization
Part I
2022
Complete if the organizations answered “Yes” on Form 990, Part IV, lines 29 or 30. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
.
.
.
.
.
.
(b) Number of contributions or items contributed
(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g
(d) Method of determining noncash contribution amounts
Real estate—Residential . . . Real estate—Commercial . . Real estate—Other . . . . . Collectibles . . . . . . . Food inventory . . . . . . Drugs and medical supplies . . Taxidermy . . . . . . . Historical artifacts . . . . . Scientific specimens . . . . Archeological artifacts . . . ✔ 2 178,000 COST Other ( MATERIALS & SUPPLIES ) Other ( ) Other ( ) Other ( ) Number of Forms 8283 received by the organization during the tax year for contributions for which the organization completed Form 8283, Part V, Donee Acknowledgement . . . . . 29
0
Yes No 30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least 3 years from the date of the initial contribution, and which isn’t required to be used for exempt purposes for the entire holding period? . . . . . . . . . . . . . . . . .
b If “Yes,” describe the arrangement in Part II. 31 Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30a
31 32a
✔
✔ ✔
b If “Yes,” describe in Part II. 33 If the organization didn’t report an amount in column (c) for a type of property for which column (a) is checked, describe in Part II. For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2022
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference - Identifier Explanation SCHEDULE M, PART I OTHER - MATERIALS & SUPPLIES MULTIPLE CONTRIBUTIONS OF MATERIALS AND SUPPLIES USED IN EXPLANATIONS OF CONSTRUCTION PROJECT REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS
SCHEDULE O (Form 990)
OMB No. 1545-0047
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
2022
Attach to Form 990 or 990-EZ.
Department of Treasury Internal Revenue Service
Open to Public Inspection
Go to www.irs.gov/Form990 for the latest information.
Name of the Organization
Employer Identification Number
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
31-1106941
Return Reference - Identifier
Explanation
FORM 990, PART I, LINE 1 BRIEF MISSION
UNIVERSITY OF LOUISVILLE AND TO SCHEDULE AND MANAGE INTERCOLLEGIATE ATHLETIC CONTESTS, ALL IN THE HARMONY WITH AND IN SUBJECTION TO THE GENERAL EDUCATION POLICY OF THE UNIVERSITY OF LOUISVILLE.
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION
CARE PROGRAM, AND THE ORGANIZATION EXPANDED ITS ELEVATE NIL PROGRAM WITH THE CREATION OF THE CARDS NIL EXCHANGE TO HELP STUDENT ATHLETES AND BUSINESSES/INDIVIDUALS CONNECT EASIER THAN EVER BEFORE. THE ORGANIZATION COMPLETED ITS FIRST YEAR OF A TRANSFORMATIONAL PARTNERSHIP WITH UOFL HEALTH. THE PARTNERSHIP HAS YIELDED NUMEROUS GAINS FOR ITS STUDENTS, BUT NONE MORE NOTABLE THAN THE UNPRECEDENTED GROWTH OF ULAA'S MENTAL HEALTH AND PERFORMANCE DEPARTMENT, WHICH NOW INCLUDES 10 PROFESSIONALS - THE MOST IN THE ATLANTIC COAST CONFERENCE (ACC). ULAA ALSO UPGRADED OR ADDED A NUMBER OF FACILITIES IN SUPPORT OF ITS MISSION. IN PARTNERSHIP WITH THE UNIVERSITY OF LOUISVILLE, ULAA OPENED DENNY CRUM HALL. THE STATE-OF-THE-ART, $23.5 MILLION RESIDENCE HALL IS HOME TO MEN'S BASKETBALL, WOMEN'S BASKETBALL AND LACROSSE STUDENT-ATHLETES, AS WELL AS THE UNIVERSITY'S GENERAL STUDENT POPULATION. THE ORGANIZATION ALSO UPGRADED WI-FI ACCESS FOR ITS FOOTBALL STADIUM AND UNVEILED A NEW TURF. A $1 MILLION PROJECT WAS ALSO COMPLETED TO UPDATE THE ENTRANCE AND CONCOURSE OF THE BASEBALL PROGRAM'S JIM PATTERSON STADIUM. IN TERMS OF ACHIEVEMENTS IN COMPETITIVE SPORTS, ULAA FINISHED THE YEAR'S CAMPAIGN WITH 13 DIFFERENT SPORT PROGRAMS RANKED IN THE TOP 25 AT ONE POINT DURING THEIR SEASONS, WITH SEVEN PROGRAMS RANKING IN THE TOP 10 AT SOME OF ITS RESPECTIVE SEASONS. THE CARDINALS RECORDED 50 ALL-AMERICANS DURING THE 2022-23 ATHLETIC SEASONS, MOST NOTABLY, 35 COMING FROM THE WOMEN'S SWIMMING AND DIVING PROGRAM. VOLLEYBALL ALSO REGISTERED FOUR ALL-AMERICANS IN ITS RUN TO THE NATIONAL TITLE GAME. LOUISVILLE FINISHED 32ND IN THE NATION IN THE LEARFIELD DIRECTORS' CUP STANDINGS, THE 13TH CONSECUTIVE SEASON THAT THE CARDINALS HAVE FINISHED AMONG THE TOP 40 TEAMS IN THE COUNTRY. THE CARDINALS' WOMEN'S SPORTS PROGRAMS RANKED 12TH IN THE NATION IN THE CAPITAL ONE CUP STANDINGS.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS
THE ORGANIZATION'S BYLAWS PROVIDE FOR AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE INCLUDES THE FOLLOWING MEMBERS: (1) CHAIR OF THE BOARD OR THE CHAIR'S DESIGNEE; (2) FACULTY ATHLETICS REPRESENTATIVE TO THE NCAA (FAR); (3) ONE VICE PRESIDENT; (4) ONE ADMINISTRATOR; (5) ONE FACULTY MEMBER; (6) ONE TRUSTEE; (7) ONE AT-LARGE MEMBER; AND (8) THE RESPONSIBLE OFFICER (VP FOR ATHLETICS) AS NON-VOTING, EX OFFICIO. THE EXECUTIVE COMMITTEE ACTS FOR THE BOARD IN THE INTERIM BETWEEN REGULAR MEETINGS IN ACTIONS SUCH AS HIRING OF COACHES AND TO ELECT, APPOINT, OR REMOVE OTHER MEMBERS OF THE BOARD. ANY MAJORITY VOTE FOR AN ACTION MUST INCLUDE THE PRESIDENT VOTING IN THE AFFIRMATIVE.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY
UNIVERSITY OF LOUISVILLE FINANCE PERSONNEL AND AN OUTSIDE FIRM PREPARED THE RETURN AND A COPY OF THE RETURN WAS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY
IF AN ITEM IS PRESENTED TO THE BOARD OF DIRECTORS (OR ANY OTHER POLICY BOARD) FOR ACTION, E.G., PURCHASE OF PROPERTY, MERGING WITH ANOTHER ENTITY, BUYING SERVICES, ETC., THE BOARD MEMBER WILL DISCLOSE HIS OR HER POSSIBLE CONFLICT OF INTEREST AND MUST RECUSE HIMSELF OR HERSELF FROM VOTING. THE BOARD MEMBER ALSO AVOIDS PARTICIPATING IN ANY DECISION OR ADVOCATING FOR ANY DECISION OF THE BOARD. IN SOME CIRCUMSTANCES, E.G., WHEN THE CONFLICT OF THE BOARD MEMBER PLACES THE BOARD MEMBER IN COMPETITION WITH THE UNIVERSITY, THE BOARD MEMBER WILL LEAVE THE BOARD MEETING DURING DISCUSSION OR UPDATE ON THE ACTION. BEFORE ANY MEETING OF THE VARIOUS BOARDS, AN AGENDA IS CIRCULATED TO EACH MEMBER OR DIRECTOR WITH DESCRIPTIONS OF THE ACTION ITEMS. THIS ALLOWS SUFFICIENT TIME FOR ANY BOARD MEMBER OR DIRECTOR TO ALERT THE BOARD ABOUT A POTENTIAL CONFLICT OF INTEREST. PAST PRACTICE INCLUDES WRITTEN DISCLOSURE BY THE BOARD MEMBER OUTLINING: (1) THAT A CONFLICT OF INTEREST MAY EXIST; (2) THE NATURE AND EXTENT OF THE CONFLICT; AND (3) THE DESCRIPTION AND POTENTIAL BENEFIT, DIRECT OR INDIRECT, TO THE MEMBER OF THE BOARD. THIS INFORMATION WILL BE SUPPLIED TO LEGAL COUNSEL AND THE ENTIRE BOARD AHEAD OF THE MEETING, AND A COPY OF THE INFORMATION WILL BE MAINTAINED IN THE BOARD MEMBER'S FILE.
Return Reference - Identifier
Explanation
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL
THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S ATHLETIC DIRECTOR, THE TOP MANAGEMENT OFFICIAL, INVOLVED ALL OF THE FOLLOWING ELEMENTS: - DATA GATHERING AND ANALYSIS OF COMPENSATION AT COMPARABLY SIZED ORGANIZATIONS BY AN INDEPENDENT THIRD-PARTY CONSULTING FIRM ALONG WITH BENCHMARKING AGAINST OTHER QUALIFIED OFFICIALS IN SIMILARLY SITUATED POSITIONS; - REVIEW AND APPROVAL OF THE THIRD-PARTY FIRM'S ANALYSIS BY THE ORGANIZATION'S INDEPENDENT PERSONNEL COMMITTEE; - REVIEW AND APPROVAL BY THE ORGANIZATION'S BOARD OF DIRECTORS PURSUANT TO FEEDBACK FROM THE PERSONNEL AND THE THIRD-PARTY CONSULTING FIRM; AND - CONTEMPORANEOUS DOCUMENTATION OF THE COMPENSATION DETERMINATION PROCESS BY THE THIRD-PARTY CONSULTING FIRM AND BY BOTH THE PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS IN EACH BODY'S RESPECTIVE MINUTES.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES
THE PROCESS FOR DETERMINING COMPENSATION OF THE DEPUTY ATHLETIC DIRECTOR INVOLVED ALL OF THE FOLLOWING ELEMENTS: - DATA GATHERING BY THE BOARD'S INDEPENDENT PERSONNEL COMMITTEE AND ANALYSIS OF COMPENSATION AT COMPARABLY SIZED ORGANIZATIONS ALONG WITH BENCHMARKING AGAINST OTHER QUALIFIED OFFICIALS IN SIMILARLY SITUATED POSITIONS; - REVIEW AND APPROVAL BY THE ORGANIZATION'S BOARD OF DIRECTORS; AND - CONTEMPORANEOUS DOCUMENTATION OF THE COMPENSATION DETERMINATION PROCESS BY THE ORGANIZATION'S ADMINISTRATION AND BY THE PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS IN EACH BODY'S RESPECTIVE MINUTES.
FORM 990, PART VI, LINE 18 TAX RETURN DISCLOSURE
COPIES OF THE ORGANIZATION'S MOST RECENT FORMS 990 AND 990-T ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC
COPIES OF THE ORGANIZATION'S FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE AT WWW.LOUISVILLE.EDU OR UPON REQUEST.
FORM 990, PART XI, LINE 8 PRIOR PERIOD ADJUSTMENTS
NET PRIOR PERIOD ADJUSTMENTS PERTAIN TO (1) $5.3 MILLION REDUCTION IN LOSS RELATING TO UNDERSTATED BALANCE DUE TO THE UNIVERSITY FOR DEBT SERVICE, AND (2) $600 THOUSAND REDUCTION IN NET INVESTED IN CAPITAL ASSETS DUE TO IMPLEMENTATION OF GASB STATEMENT NO. 87, LEASES.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES
(a) Description ADJUST FOR GASB STATEMENT NO. 94 (P3 ARRANGEMENTS) CHANGE IN ACCOUNTING ADJUST FOR GASB STATEMENT NO. 96 (SUBSCRIPTION-BASED ARRANGMENTS) CHANGE IN ACCOUNTING
(b) Amount - 1,332,403 - 109,950
SCHEDULE R (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Related Organizations and Unrelated Partnerships
2022
Complete if the organization answered “Yes” on Form 990, Part IV, line 33, 34, 35b, 36, or 37. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection Employer identification number
Name of the organization
UNIVERSITY OF LOUISVILLE ATHLETIC ASSOCIATION
Part I
31-1106941
Identification of Disregarded Entities. Complete if the organization answered “Yes” on Form 990, Part IV, line 33. (a) Name, address, and EIN (if applicable) of disregarded entity
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Total income
(e) End-of-year assets
(f) Direct controlling entity
(1) (2) (3) (4) (5) (6)
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered “Yes” on Form 990, Part IV, line 34, because it had one or more related tax-exempt organizations during the tax year. (a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code section
(e) Public charity status (if section 501(c)(3))
(f) Direct controlling entity
(g) Section 512(b)(13) controlled entity?
Yes
(1) UNIVERSITY OF LOUISVILLE (61-1014882)
EDUCATION
KY
(2) UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC. (61-1029626) RESEARCH
KY
N/A
No
✔
UNIVERSITY OF LOUISVILLE, LOUISVILLE, KY 40292 501(C)(3)
(3) UNIVERSITY OF LOUISVILLE MEDICAL SCHOOL PRACTICE ASSOC. (61-1250153) MEDICAL CARE 550 SOUTH JACKSON STREET, LOUISVILLE, KY 40202 (4) UNIVERSITY PHYSICIANS GROUP, INC. (61-1346817) 323 EAST CHESTNUT STREET, LOUISVILLE, KY 40202-1823
(5) UNIVERSITY MEDICAL CENTER, INC. (61-1293786) 250 E LIBERTY ST, LOUISVILLE, KY 40202
5 UNIVERSITY
✔
OF LOUISVILLE
UNIVERSITY OF LOUISVILLE, LOUISVILLE, KY 40292 KY
501(C)(3)
7 UNIVERSITY
✔
OF LOUISVILLE MEDICAL CARE
KY
501(C)(3)
3 UNIVERSITY
✔
OF LOUISVILLE MEDICAL CARE
KY
501(C)(3)
3 UNIVERSITY
✔
OF LOUISVILLE
(6) (7) For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2022
Page 2
Schedule R (Form 990) 2022
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered “Yes” on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Direct controlling entity
(e) Predominant income (related, unrelated, excluded from tax under sections 512—514)
(f) Share of total income
(g) (h) (i) Share of end-of- Disproportionate Code V—UBI year assets allocations? amount in box 20 of Schedule K-1 (Form 1065)
Yes
No
(j) General or managing partner?
Yes
(k) Percentage ownership
No
(1) (2) (3) (4) (5) (6) (7)
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered “Yes” on Form 990, Part IV, line 34, because it had one or more related organizations treated as a corporation or trust during the tax year.
(a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Direct controlling entity
(e) (f) Type of entity Share of total (C corp, S corp, or trust) income
(i) (g) (h) Share of Percentage Section 512(b)(13) controlled end-of-year assets ownership entity?
Yes
No
(1) (2) (3) (4) (5) (6) (7) Schedule R (Form 990) 2022
Page 3
Schedule R (Form 990) 2022
Part V
Transactions With Related Organizations. Complete if the organization answered “Yes” on Form 990, Part IV, line 34, 35b, or 36.
Note: Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. 1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II–IV? a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f g h i j
Yes
. . . . .
. . . . .
. . . . .
1a 1b 1c 1d 1e
No
✔ ✔ ✔ ✔ ✔
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1f 1g 1h 1i 1j
✔ ✔ ✔ ✔ ✔
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . l Performance of services or membership or fundraising solicitations for related organization(s) . m Performance of services or membership or fundraising solicitations by related organization(s) . n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . .
. . . . .
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1k 1l 1m 1n 1o
✔ ✔ ✔ ✔ ✔
p Reimbursement paid to related organization(s) for expenses . q Reimbursement paid by related organization(s) for expenses .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
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1p 1q
✔ ✔
r s 2
Dividends from related organization(s) . . . . . . . . . . . Sale of assets to related organization(s) . . . . . . . . . . . Purchase of assets from related organization(s) . . . . . . . . Exchange of assets with related organization(s) . . . . . . . . Lease of facilities, equipment, or other assets to related organization(s)
. .
. .
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. .
✔ Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1r ✔ Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1s If the answer to any of the above is “Yes,” see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (a) Name of related organization
(b) Transaction type (a—s)
(c) Amount involved
(d) Method of determining amount involved
(1) (2) (3) (4) (5) (6) Schedule R (Form 990) 2022
Page 4
Schedule R (Form 990) 2022
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered “Yes” on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (a) Name, address, and EIN of entity
(b) Primary activity
(c) (d) (e) Legal domicile Predominant Are all partners (state or foreign income (related, section country) unrelated, excluded 501(c)(3) organizations? from tax under sections 512—514)
Yes
No
(f) Share of total income
(g) Share of end-of-year assets
(h) (i) Code V—UBI Disproportionate allocations? amount in box 20 of Schedule K-1 (Form 1065)
(j) General or managing partner?
Yes
Yes
No
(k) Percentage ownership
No
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) Schedule R (Form 990) 2022
4/11/2025
Marketing Support Program
Moon Golf Invitational
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Golf course Green Fees
$18,000.00
$18,000.00
$0.00
$400.00
$400.00
$0.00
Signage
$10,000.00
$10,000.00
$0.00
Rules Officials & athletic Trainer
$2,500.00
$2,500.00
$0.00
breakfast & lunch each day for playe $23,000.00
$21,000.00
-$2,000.00
Live scoring for Moon Golf Inv.
Cart attendants Dinner one night & snacks/water for event
Hotel nights for officials, trainer & sponso
Other Expenses
$500.00
$500.00
$0.00
$6,000.00
$5,872.92
-$127.08
$2,500.00 $2,400.00 $62,900.00 $60,672.92
$0.00
Income
2025-2026 projection
2024-2025 actuals
Entry Fees from teams
$43,200.00
$43,200.00
VAR
-$2,227.08 $0.00 $0.00 $0.00 $0.00
Income Sponsors
$0.00 $0.00 $0.00
Cash in Bank to start Income Other
$0.00
TDC grant funding
$6,630.00
$15,000.00
$0.00
Total Income
$49,830.00
$58,200.00
Total Expenses Paid
$63,200.00
$60,972.92
Profit/Loss
-$13,370.00
-$2,772.92
$0.00 $0.00 $0.00 $0.00 Marketing - please specify Brevard/Out-of-County programs
$0.00
$0.00
$300.00
$300.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Marketing Expense Total Expenses 2025-2026
$300.00
$300.00
$63,200.00
$60,972.92
$0.00 -$2,227.08
.
Updated: 6/23/2025
USA Beach Running Championships
Return to Table of Contents
For TDO use: PROJECT#- S 12
ti,
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Smooth Running, LLC Applicant Event Name: USA Beach Running Championships
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
Comment
• NIA • • N/A • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
��i::A � ----
7 (1[1.�'()
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:35 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Mitchell Varnes
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Smooth Running Organization address 660 Cinnamon Court State Florida City Satellite Beach Zip 32937 Primary contact name Mitch Varnes Primary contact phone number 3217597200
Primary contact email mitchvarnes@gmail.com Secondary contact name Hannah McClatchey Secondary contact phone number 3217597200 Secondary contact email info@thefloridamarathon.com Organization website address www.runonthebeach.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 26-3025672
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event USA Beach Running Championships Event website address (if different from organization website) www.runonthebeach.com Event location Shepard Park, beach from SR-520 to PSFB
9. (untitled) 8. What is the first date of your event? 05/10/2026
10. (untitled) 9. In total, how many days will your event be held? 1
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Direct mail Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Traditional Marketing Cards and at other events
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : #beachrun Instagram : n/a YouTube : n/a
22. (untitled) 13. What hashtags do you currently use? #runfla
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. Smooth_Running_Articles_of_Incorporation.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. smooth_running_sun_biz.pdf
27. (untitled) 16. Upload your completed W-9 form. Smooth_Running_w9_updated_late_April_2025.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. USA_Beach_Running_Championships_2026_projected_expenses_and_revenues.pdf
29. (untitled) 18. Upload your completed Checklist. Tourism_Grant_Checklist_updated_2025-2026_cycle.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Mitchell Varnes
31. Thank You! New Send Email May 31, 2025 10:20:21 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Marketing Support Program
USA Beach Running Championships
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
City Permitting and CBPD
$3,000.00
$2,700.00
$300.00
Timing
$3,500.00
$3,200.00
$300.00
$0.00
Athlete Shirts and Finisher Medals
Expenses
Income Entry Fees
2025-2026 projection $32,000.00
2024-2025 actuals
VAR
$28,000.00
$4,000.00
$7,000.00
$5,000.00
$2,000.00
$0.00
USATF Sanctioning Fees
$600.00
$500.00
$100.00
$0.00
Portalets
$800.00
$800.00
$0.00
$0.00
Medical Support
$600.00
$600.00
$0.00
$0.00 $0.00 $0.00
Expenses Subtotal Other Expenses
$15,500.00
$12,800.00
$2,700.00
Ice Trailer
$500.00
$500.00
$0.00
Beverages/Snacks/Athletes/Vol
$800.00
$800.00
$0.00
Awards Light Tower Rentals
$0.00 $0.00
$1,600.00
$1,600.00
$0.00
$700.00
$700.00
$0.00
$0.00 $0.00 Income Subtotal
$32,000.00
$28,000.00
$4,000.00
$2,000.00
$2,000.00
$0.00
$10,000.00
$0.00
$800.00
$800.00
$0.00
Cash in Bank to start Other Income
$10,000.00
DJ/Announcer ATV Rental
$800.00
$800.00
$0.00
TDC grant funding
$6,135.00
$12,350.00
-$6,215.00
Other Income Subtotal
$6,135.00
$12,350.00
-$6,215.00
$0.00
Total Income
$38,135.00
$40,350.00
-$2,215.00
Total Expenses Paid
$29,700.00
$27,000.00
$2,700.00
Profit/Loss
$8,435.00
$13,350.00
-$4,915.00
Staffing
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$7,200.00
$7,200.00
Billboards in Brevard County
$1,500.00
$1,500.00
$0.00
National Race Calendars
$2,000.00
$2,000.00
$0.00
Rack Cards & Mailing
$1,500.00
$1,500.00
$0.00
Social Media
$2,000.00
$2,000.00
$0.00 $0.00 $0.00 $0.00
Marketing Subtotal
$7,000.00
$7,000.00
$0.00 $0.00
Total Expenses 2025-2026
$29,700.00
$27,000.00
$2,700.00
.
Updated: 6/18/2025
ESA Surfing Championship
Return to Table of Contents
For TDO use: PROJECT#- S 13
"'
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Eastern Surfing Association, Inc. Applicant Event Name: ESA 2026 Southeast Regional Surfing Championship
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024)
7. Income/Expense worksheet
(required for all applicants) 8. Copy of the Applicant checklist
•
Yes No
• •• • • •
•
Comment NIA
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
NO All documents have been submitted, reviewed and/or addressed in the comments.
f.J:;:c, (D- �
7( '.J (-inf
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:18 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Michelle Sommers - ESA executive director
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming EASTERN SURFING ASSOCIATION, INC. Organization address PO Box 4736 State MD City Ocean City Zip 21843 Primary contact name Michelle Sommers Primary contact phone number 4102518583
Primary contact email centralhq@surfesa.org Secondary contact name Pam Hill Secondary contact phone number 3862952242 Secondary contact email surfkittypam@msn.com Organization website address www.surfesa.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 05-0392315
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event ESA 2026 Southeast Regional Surfing Championship Event website address (if different from organization website) www.surfesa.org Event location Paradise Beach Park, Indian Harbour Beach, FL
9. (untitled) 8. What is the first date of your event? 04/10/2026
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Live Webcast, Banners, Tshirts
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : Eastern Surfing Association Instagram : surfesa YouTube : SurfESA
22. (untitled) 13. What hashtags do you currently use? #surfesa #ESAregionals
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. 501(c)3_Status_Letter.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. 2023_ESA_form_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. 6200454501CC.pdf
27. (untitled) 17. Upload your completed W-9 form. ESA_W-9_Mar2025_(1).pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 19. Upload your completed Checklist. ESA_checklist.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Michelle Sommers - ESA executive director
31. Thank You! New Send Email May 21, 2025 12:57:22 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
State of Florida Department of State I certify from the records of this office that EASTERN SURFING ASSOCIATION, INC. is a New Jersey corporation authorized to transact business in the State of Florida, qualified on June 3, 2013. The document number of this corporation is F13000002396. I further certify that said corporation has paid all fees due this office through December 31, 2025, that its most recent annual report/uniform business report was filed on May 20, 2025, and that its status is active. I further certify that said corporation has not filed a Certificate of Withdrawal.
Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twentieth day of May, 2025
Tracking Number: 6200454501CC To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed. https://services.sunbiz.org/Filings/CertificateOfStatus/CertificateAuthentication
Form
990
Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
2023
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.
Open to Public Inspection
Department of the Treasury Internal Revenue Service
A
For the 2023 calendar year, or tax year beginning
B
Check if applicable:
Number and street (or P.O. box if mail is not delivered to street address)
Initial return
P O BOX 4736
Final return/terminated
City or town, state or province, country, and ZIP or foreign postal code
Room/suite
E Telephone number
(410)251-8583
OCEAN CITY, MD 21843
J
Website:
K
Form of organization:
Yes
No
MICHELLE SOMMERS, 37573 JANICE CIRCLE, SELBYVILLE, DE 19975 H(b) Are all subordinates included?
Yes
No
501(c)(3)
501(c) (
) (insert no.)
4947(a)(1) or
527
If “No,” attach a list. See instructions. H(c) Group exemption number
N/A Corporation
Trust
Association
Other
1967 M State of legal domicile: MD
L Year of formation:
Summary
1
Briefly describe the organization’s mission or most significant activities: TO PROMOTE AMATEUR SURFING COMPETITIONS
2 3 4 5 6 7a b
Check this box 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) . . . . . . . . . Number of independent voting members of the governing body (Part VI, line 1b) . . . . 4 Total number of individuals employed in calendar year 2023 (Part V, line 2a) . . . . . 5 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . 6 Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a Net unrelated business taxable income from Form 990-T, Part I, line 11 . . . . . . . 7b
8 9 10 11 12 13 14 15 16a b 17 18 19
Contributions and grants (Part VIII, line 1h) . . . . . . . . . . . . Program service revenue (Part VIII, line 2g) . . . . . . . . . . . Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . . Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . . Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . 0. Total fundraising expenses (Part IX, column (D), line 25) Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) . . . . . Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) . Revenue less expenses. Subtract line 18 from line 12 . . . . . . . .
20 21 22
Total assets (Part X, line 16) . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . Net assets or fund balances. Subtract line 21 from line 20
Expenses
Revenue
Prior Year
Net Assets or Fund Balances
450,397.
G Gross receipts $ H(a) Is this a group return for subordinates?
F Name and address of principal officer:
Tax-exempt status:
Activities & Governance
D Employer identification number
05-0392315
Doing business as
Part I
, 20
SURFING ASSOCIATION INC
Name change
Amended return
I
, 2023, and ending
C Name of organization EASTERN
Address change
Application pending
OMB No. 1545-0047
Current Year
171,609. 251,029.
126,533. 313,900. 9,964.
580. 423,218.
450,397.
11,000. 50,444.
10,000. 63,399.
289,505. 350,949. 72,269.
288,821. 362,220. 88,177.
Beginning of Current Year
Part II
. . .
. . .
. . .
. . .
. . .
. . .
30 30 2 30 0. 0.
End of Year
543,500.
662,559.
543,500.
662,559.
Signature Block
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
11/15/2024 Date
Signature of officer
MICHELLE SOMMERS, EXECUTIVE DIRECTOR Type or print name and title Print/Type preparer’s name
Preparer’s signature
Date
Paid Edward Gibbons CPA Edward Gibbons CPA Preparer Firm’s name Gibbons & O'Neill CPA's Use Only Firm’s address
1008 Pittsburgh Ave, Cape May, NJ 08204
May the IRS discuss this return with the preparer shown above? See instructions For Paperwork Reduction Act Notice, see the separate instructions. BAA
.
Check
if
PTIN
11/15/2024 self-employed P00111936 Firm’s EIN 22-2947725 Phone no. (609)884-3530 .
.
.
.
.
REV 09/17/24 PRO
.
.
.
.
.
Yes
No
Form 990 (2023)
Page 2
Form 990 (2023)
Part III 1
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III
. . . . . . . . . . . . .
Briefly describe the organization’s mission:
TO PROMOTE AMATEUR SURFING COMPETITIONS
2
3
4
4a
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No If “Yes,” describe these changes on Schedule O. Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. (Code: ) (Expenses $ 351,381. including grants of $ 0. ) (Revenue $ ORGANIZATION AND OPERATIONS OF THREE REGIONAL AND ONE CHAMPIONSHIP SURFING COMPETITIONS.
323,864. )
4b (Code:
) (Expenses $
including grants of $
) (Revenue $
)
4c
) (Expenses $
including grants of $
) (Revenue $
)
(Code:
4d Other program services (Describe on Schedule O.) (Expenses $ including grants of $ 4e Total program service expenses 351,381. REV 09/17/24 PRO
) (Revenue $
) Form 990 (2023)
Page 3
Form 990 (2023)
Part IV
Checklist of Required Schedules Yes
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 3
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I . . . . . . . . . . . . . . Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II . . . . . . . . . . . Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If “Yes,” complete Schedule C, Part III . . Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6
7
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV . . . . . . . . . . . . . .
8 9
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? If “Yes,” complete Schedule D, Part V . . . . . . . . . . . . . . . 11 If the organization’s answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If “Yes,” complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization report an amount for investments—other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII . . . . . . . . c Did the organization report an amount for investments—program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII . . . . . . . . d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX . . . . . . . . . . . . . .
No
1 2 3 4 5
6 7 8
9
10
e f
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered “No” to line 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E . . . . 14a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV . . . . . 15 16 17 18 19
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . . . . . . . . . . . Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV. . . . . . . . Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I. See instructions . . . . . Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II . . . . . . . . . . . . . . . Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III . . . . . . . . . . . . . . . . . . . . . . .
20a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H . . . . . . b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II . . . . REV 09/17/24 PRO
10
11a 11b 11c 11d 11e 11f 12a 12b 13 14a
14b 15 16 17 18 19 20a 20b 21 Form 990 (2023)
Page 4
Form 990 (2023)
Part IV
Checklist of Required Schedules (continued) Yes
22 23
24a
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . . . . . . Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J . . . . . . . . . . . . . . . . . . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . .
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I . . . . . b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . .
22
23
24a 24b 24c 24d 25a
25b
26
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part II . . .
26
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If “Yes,” complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . .
27
28
Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . .
a
b A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV . . . . c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If “Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . 29 30
Did the organization receive more than $25,000 in noncash contributions? If “Yes,” complete Schedule M Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . .
31 32
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I . . . . . . . . . . . Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33 34
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . b If “Yes” to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2 . . 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O . . . . . . . . . . . . . .
Part V
No
28a 28b 28c 29 30 31 32 33 34 35a 35b 36 37 38
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V
. . . . . . . . . . . . . Yes
No
0 1a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable . . . . 1a b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable . . . 1b 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . 1c REV 09/17/24 PRO
Form 990 (2023)
Page 5
Form 990 (2023)
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
Yes
No
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return 2 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . b If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O . 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If “Yes,” enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If “Yes” to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . b If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a
Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . .
b If “Yes,” did the organization notify the donor of the value of the goods or services provided? . . . . . c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . d e f g h 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b 15
16 17
If “Yes,” indicate the number of Forms 8282 filed during the year . . . . . . . . 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . . Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . . . . . 11a Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? If “Yes,” enter the amount of tax-exempt interest received or accrued during the year . . 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . Note: See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . 13b Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . 13c Did the organization receive any payments for indoor tanning services during the tax year? . . . . . . If “Yes,” has it filed a Form 720 to report these payments? If “No,” provide an explanation on Schedule O . Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . If “Yes,” see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If “Yes,” complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . . .
2b 3a 3b 4a
5a 5b 5c 6a 6b
7a 7b 7c 7e 7f 7g 7h 8 9a 9b
12a
13a
14a 14b 15 16
17
If “Yes,” complete Form 6069. Form 990 (2023) REV 09/17/24 PRO
Page 6 Governance, Management, and Disclosure. For each “Yes” response to lines 2 through 7b below, and for a “No” response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Form 990 (2023)
Part VI
Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . .
Section A. Governing Body and Management Yes
1a
Enter the number of voting members of the governing body at the end of the tax year . . If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
1a
No
30
b Enter the number of voting members included on line 1a, above, who are independent . 1b 30 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . 4 5 6 7a
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization’s assets? . Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses on Schedule O . . . .
2 3 4 5 6 7a 7b
8a 8b 9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes
10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . b If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization’s exempt purposes? 11a b 12a b c
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? Describe on Schedule O the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If “No,” go to line 13 . . . . . . . . Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . . . . .
13 14 15
Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . Did the organization have a written document retention and destruction policy? . . . . . . . . . Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization’s CEO, Executive Director, or top management official . . . . . . . . . . . . b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . If “Yes” to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . . . .
No
10a 10b 11a 12a 12b 12c 13 14
15a 15b
16a
16b
Section C. Disclosure 17 18
List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Own website Another’s website Upon request Other (explain on Schedule O) Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization’s books and records.
MICHELLE SOMMERS, 37573 JANICE CIRCLE, SELBYVILLE , DE 19975 (410)251-8583 REV 09/17/24 PRO
Form 990 (2023)
Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Form 990 (2023)
Part VII
Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year. • List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization’s current key employees, if any. See the instructions for definition of “key employee.” • List the organization’s five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. • List all of the organization’s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C)
Former
EXECUTIVE DIRECTOR (2) HARRY PURKEY SECRETARY (3) EDWARD GIBBONS TREASURER
Key employee
(1) MICHELLE SOMMERS
Highest compensated employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
40.00 50,145.
0.
0.
0.
0.
0.
0.
0.
0.
3.00 3.00
(4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) REV 09/17/24 PRO
Form 990 (2023)
Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Form 990 (2023)
Part VII
(C)
Former
Highest compensated employee
Key employee
Average hours per week (list any hours for related organizations below dotted line)
Officer
Name and title
Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional trustee
(B)
Individual trustee or director
(A)
(D)
(E)
(F)
Reportable Reportable Estimated amount compensation compensation of other from the from related compensation organization (W-2/ organizations (W-2/ from the 1099-MISC/ 1099-MISC/ organization and 1099-NEC) 1099-NEC) related organizations
(15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) 1b c d 2
50,145. 0. Subtotal . . . . . . . . . . . . . . . . . . . . . . Total from continuation sheets to Part VII, Section A . . . . . . Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . 50,145. 0. Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
3
Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person . . . . . .
0. 0.
Yes
4
5
No
3
4 5
Section B. Independent Contractors 1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year. (A) Name and business address
2
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization REV 09/17/24 PRO
Form 990 (2023)
Page 9
Form 990 (2023)
Part VIII Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . .
Contributions, Gifts, Grants, and Other Similar Amounts
(A) Total revenue
1a b c d e f
Federated campaigns . . . . Membership dues . . . . . Fundraising events . . . . . Related organizations . . . . Government grants (contributions) All other contributions, gifts, grants, and similar amounts not included above g Noncash contributions included in lines 1a–1f . . . . . . . . h
Total. Add lines 1a–1f .
.
.
.
1a 1b 1c 1d 1e
(C) Unrelated business revenue
(D) Revenue excluded from tax under sections 512–514
184,517. 129,283. 100.
0. 0. 0.
0. 0. 0.
9,964.
9,964.
0.
0.
450,397.
323,864.
0.
85,243.
1f
.
(B) Related or exempt function revenue
41,290.
1g $ . . .
.
.
.
126,533.
Program Service Revenue
Business Code
900099 2a CONTEST ENTRY FEES 900099 b SPONSORSHIPS c MISCELLANEOUS 900099 d e f All other program service revenue . . g Total. Add lines 2a–2f . . . . . . . . . . . 3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . . . 4 5 6a b c d 7a
Other Revenue
313,900.
Income from investment of tax-exempt bond proceeds Royalties . . . . . . . . . . . . . . . (i) Real
b c d 8a
b c 9a b c 10a b c Miscellaneous Revenue
184,517. 129,283. 100.
(ii) Personal
Gross rents . . 6a Less: rental expenses 6b Rental income or (loss) 6c Net rental income or (loss) . . . . . . . . . (i) Securities (ii) Other Gross amount from sales of assets other than inventory 7a Less: cost or other basis and sales expenses . 7b Gain or (loss) . . 7c Net gain or (loss) . . . . . . . . . . . . Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 . . . 8a Less: direct expenses . . . . 8b Net income or (loss) from fundraising events . . . Gross income from gaming activities. See Part IV, line 19 . 9a Less: direct expenses . . . . 9b Net income or (loss) from gaming activities . . . . Gross sales of inventory, less returns and allowances . . . 10a Less: cost of goods sold . . . 10b Net income or (loss) from sales of inventory . . . . Business Code
11a b c d All other revenue . . . . . e Total. Add lines 11a–11d . . . 12 Total revenue. See instructions
. . .
. . .
. .
. .
. .
. .
. .
REV 09/17/24 PRO
0. Form 990 (2023)
Page 10
Form 990 (2023)
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . 3
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16
4 5
Benefits paid to or for members . . . . Compensation of current officers, directors, trustees, and key employees . . . . .
6
Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . .
7 8
Other salaries and wages . . . . . . Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
9 10 11 a b c d e f g
Other employee benefits . . . . . . . Payroll taxes . . . . . . . . . . . Fees for services (nonemployees): Management . . . . . . . . . . Legal . . . . . . . . . . . . . Accounting . . . . . . . . . . . Lobbying . . . . . . . . . . . . Professional fundraising services. See Part IV, line 17 Investment management fees . . . . . Other. (If line 11g amount exceeds 10% of line 25, column (A), amount, list line 11g expenses on Schedule O.) .
12 13 14 15 16 17 18
Advertising and promotion . . . . . . Office expenses . . . . . . . . . Information technology . . . . . . . Royalties . . . . . . . . . . . . Occupancy . . . . . . . . . . . Travel . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials
19 20 21 22 23 24
Conferences, conventions, and meetings . Interest . . . . . . . . . . . . Payments to affiliates . . . . . . . . Depreciation, depletion, and amortization . Insurance . . . . . . . . . . . . Other expenses. Itemize expenses not covered above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
a b c d e All other expenses 25 Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the 26 organization reported in column (B) joint costs from a combined educational campaign and if fundraising solicitation. Check here following SOP 98-2 (ASC 958-720) . . .
(A) Total expenses
(B) Program service expenses
(C) Management and general expenses
(D) Fundraising expenses
10,000.
10,000.
57,021.
57,021.
0.
0.
6,378.
6,378.
0.
0.
4,227. 8,720.
4,227. 8,720.
0. 0.
0. 0.
275,874. 362,220.
265,035. 351,381.
10,839. 10,839.
0. 0.
REV 09/17/24 PRO
Form 990 (2023)
Page 11
Form 990 (2023)
Part X
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X
. . . . . . . . . . . . .
(A) Beginning of year
1 2 3 4 5
Net Assets or Fund Balances
Liabilities
Assets
6
Cash—non-interest-bearing . . . . . . . . . . . . . . Savings and temporary cash investments . . . . . . . . . . Pledges and grants receivable, net . . . . . . . . . . . . Accounts receivable, net . . . . . . . . . . . . . . . Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
7 8 9 10a
Notes and loans receivable, net . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D . . . 10a 71,803. 31,711. b Less: accumulated depreciation . . . . . 10b 11 Investments—publicly traded securities . . . . . . . . . . 12 Investments—other securities. See Part IV, line 11 . . . . . . . 13 Investments—program-related. See Part IV, line 11 . . . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . .
(B) End of year
286,883. 1 244,920. 2 3 4
5 6 7 8 9
3,546. 10c 11 12 13 14 8,151. 15 543,500. 16 17 18 19 20 21
Secured mortgages and notes payable to unrelated third parties . . Unsecured notes and loans payable to unrelated third parties . . . Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17–24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . .
26
Total liabilities. Add lines 17 through 25 . . . . . . Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
.
.
.
27 28
Net assets without donor restrictions . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
. .
. .
543,500. 27
29 30 31 32 33
Capital stock or trust principal, or current funds . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund . . . Retained earnings, endowment, accumulated income, or other funds . Total net assets or fund balances . . . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . . .
29 30 31 543,500. 32 543,500. 33
REV 09/17/24 PRO
40,092.
8,151. 662,559.
22 23 24
23 24 25
.
338,350. 275,966.
25 26
662,559.
28
662,559. 662,559. Form 990 (2023)
Page 12
Form 990 (2023)
Part XI
Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . .
1 2 3 4 5 6 7 8 9 10
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part XII
1 2 3 4 5 6 7 8 9
450,397. 362,220. 88,177. 543,500. 30,882.
10
662,559.
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . Yes
1
Accounting method used to prepare the Form 990: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked “Other,” explain on Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant? . . . If “Yes,” check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both.
Separate basis Consolidated basis Both consolidated and separate basis b Were the organization’s financial statements audited by an independent accountant? . . . . . . . If “Yes,” check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both. c
Separate basis Consolidated basis Both consolidated and separate basis If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . b If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits .
No
2a
2b
2c
3a
REV 09/17/24 PRO
3a 3b Form 990 (2023)
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Public Charity Status and Public Support
2023
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
EASTERN SURFING ASSOCIATION INC 05-0392315 Part I Reason for Public Charity Status. (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 3 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the 4 hospital’s name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 7
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)
8 9
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
10
11 12
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
c d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . g Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organization (v) Amount of monetary listed in your governing support (see document? instructions)
Yes
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. BAA REV 09/17/24 PRO
Cat. No. 11285F
Schedule A (Form 990) 2023
Page 2
Schedule A (Form 990) 2023
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . . 2
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . .
6
Public support. Subtract line 5 from line 4
.
.
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
.
Section B. Total Support Calendar year (or fiscal year beginning in) 7 Amounts from line 4 . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources . . . . . . . . 9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . .
11 12 13
Total support. Add lines 7 through 10 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . 12 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 15 16a
Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) . . . . 14 % Public support percentage from 2022 Schedule A, Part II, line 14 . . . . . . . . . . 15 % 331/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . b 331/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . .
17a
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REV 09/17/24 PRO
Schedule A (Form 990) 2023
Page 3
Schedule A (Form 990) 2023
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) Gifts, grants, contributions, and membership fees 1 received. (Do not include any “unusual grants.”) 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
6 7a
Total. Add lines 1 through 5 . . . . Amounts included on lines 1, 2, and 3 received from disqualified persons .
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
92,330.
93,664.
94,832.
93,809.
85,243.
459,878.
22,435.
22,387.
37,700.
77,800.
41,290.
201,612.
171,609. 126,533.
661,490.
114,765. 116,051. 132,532.
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year c 8
Add lines 7a and 7b . . . . . . Public support. (Subtract line 7c from line 6.) . . . . . . . . . . .
661,490.
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 . . . . . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources
(a) 2019
(b) 2020
(c) 2021
114,765. 116,051. 132,532.
(d) 2022
(e) 2023
171,609. 126,533.
(f) Total
661,490.
12,191.
8,298.
20,489.
12,191.
8,298.
20,489.
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . . c 11
12
Add lines 10a and 10b . . . . . Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . . 238,014. 131,776. 369,790. Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . . 364,970. 256,125. 132,532. 171,609. 126,533. 1,051,769. First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . .
13 14
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . .
. .
. .
. .
. .
15 16
62.89 % 56.22 %
Section D. Computation of Investment Income Percentage 17 18 19a
Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f)) . . . 17 1.95 % Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . 18 2.39 % 331/3% support tests—2023. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line 17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . b 331/3% support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization .
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions REV 09/17/24 PRO
.
Schedule A (Form 990) 2023
Page 4 Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Schedule A (Form 990) 2023
Part IV
Yes No 1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer lines 3b and 3c below.
3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination. c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
1
2 3a
3b 3c 4a
4b
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization’s organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization’s organizing document? c Substitutions only. Was the substitution the result of an event beyond the organization’s control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. 7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
5b 5c
6
7 8
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9a 9b 9c
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) REV 09/17/24 PRO
10a 10b
Schedule A (Form 990) 2023
Page 5
Schedule A (Form 990) 2023
Part IV
Supporting Organizations (continued) Yes No
11 a
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations Yes No 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations Yes No 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s), or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
3
By reason of the relationship described on line 2, above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations 1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). c 2 Activities Test. Answer lines 2a and 2b below. Yes No a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
b Did the activities described on line 2a, above, constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If “Yes” or “No,” provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
2a
2b
3
REV 09/17/24 PRO
3a 3b
Schedule A (Form 990) 2023
Page 6
Schedule A (Form 990) 2023
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year Section A—Adjusted Net Income (A) Prior Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8 (B) Current Year Section B—Minimum Asset Amount (A) Prior Year (optional) 1
Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1a a Average monthly value of securities 1b b Average monthly cash balances 1c c Fair market value of other non-exempt-use assets 1d d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): Acquisition indebtedness applicable to non-exempt-use assets 2 2 Subtract line 2 from line 1d. 3 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 5 Multiply line 5 by 0.035. 6 6 Recoveries of prior-year distributions 7 7 Minimum Asset Amount (add line 7 to line 6) 8 8 Section C—Distributable Amount 1 2 3 4 5 6 7
Current Year
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 990) 2023 REV 09/17/24 PRO
Page 7
Schedule A (Form 990) 2023
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D—Distributions
Current Year
1 2
Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 4 5 6 7 8
Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) Other distributions (describe in Part VI). See instructions. Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions.
9 10
Distributable amount for 2023 from Section C, line 6 Line 8 amount divided by line 9 amount (i) Excess Distributions
Section E—Distribution Allocations (see instructions) 1
1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Distributable amount for 2023 from Section C, line 6
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required—explain in Part VI). See instructions. 3 Excess distributions carryover, if any, to 2023 a From 2018 . . . . . b From 2019 . . . . . c From 2020 . . . . . d From 2021 . . . . . e From 2022 . . . . . f Total of lines 3a through 3e g Applied to underdistributions of prior years h Applied to 2023 distributable amount i Carryover from 2018 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2023 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2023 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6
7 8 a b c d e
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2024. Add lines 3j and 4c. Breakdown of line 7: Excess from 2019 . . . Excess from 2020 . . . Excess from 2021 . . . Excess from 2022 . . . Excess from 2023 . . . REV 09/17/24 PRO
Schedule A (Form 990) 2023
Page 8 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990) 2023
Part VI
Pt III Ln 12: Other Income Part III, Line 12 Description: ENTRY FEES, INSURANCE, SPONSORSHIPS 2019: 238014. 2020: 124121. Description: PPP LOAN PROCEEDS 2020: 7655.
REV 09/17/24 PRO
Schedule A (Form 990) 2023
SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Financial Statements
OMB No. 1545-0047
2023
Complete if the organization answered “Yes” on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
EASTERN SURFING ASSOCIATION INC 05-0392315 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered “Yes” on Form 990, Part IV, line 6. (a) Donor advised funds
1 2 3 4 5
(b) Funds and other accounts
Total number at end of year . . . . . . . . Aggregate value of contributions to (during year) . Aggregate value of grants from (during year) . . Aggregate value at end of year . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . .
6
Part II 1
2 a b c d
Yes
No
Yes
No
Conservation Easements Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year Total number of conservation easements . . . . . . . . . . . . . . . . . Total acreage restricted by conservation easements . . . . . . . . . . . . . . Number of conservation easements on a certified historic structure included on line 2a . . Number of conservation easements included on line 2c acquired after July 25, 2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . .
2a 2b 2c
6
2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
3 4 5
9
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items.
2
(i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . $ If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items.
a Revenue included on Form 990, Part VIII, line 1 b Assets included in Form 990, Part X . . . .
. .
. .
. .
. .
. .
. .
For Paperwork Reduction Act Notice, see the Instructions for Form 990. BAA
REV 09/17/24 PRO
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
$ $ Schedule D (Form 990) 2023
Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2023
Part III 3
Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply). a b c
4 5
Public exhibition Loan or exchange program d Scholarly research Other e Preservation for future generations Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection? . . Yes No
Part IV
1a
Escrow and Custodial Arrangements Complete if the organization answered “Yes” on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b If “Yes,” explain the arrangement in Part XIII and complete the following table. c d e f 2a b
Amount 1c Beginning balance . . . . . . . . . . . . . . . . . . . . . . Additions during the year . . . . . . . . . . . . . . . . . . . 1d Distributions during the year . . . . . . . . . . . . . . . . . . 1e Ending balance . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? Yes If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII . . . .
Part V
No
Endowment Funds Complete if the organization answered “Yes” on Form 990, Part IV, line 10. (a) Current year
(b) Prior year
(c) Two years back
(d) Three years back
(e) Four years back
1a Beginning of year balance . . . b Contributions . . . . . . . c Net investment earnings, gains, and losses . . . . . . . . . . d Grants or scholarships . . . . e Other expenditures for facilities and programs . . . . . . . . . f g 2 a b c 3a
Administrative expenses . . . . End of year balance . . . . . Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: Board designated or quasi-endowment % % Permanent endowment Term endowment % The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by:
(i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? . 4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI
. . .
. . .
. . .
. . .
. . .
. . .
Yes No 3a(i) 3a(ii) 3b
Land, Buildings, and Equipment Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(c) Accumulated depreciation
1a Land . . . . . . . . . . . . b Buildings . . . . . . . . . . . c Leasehold improvements . . . . . 71,803. d Equipment . . . . . . . . . . e Other . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B)) . BAA
. . .
REV 09/17/24 PRO
.
(d) Book value
31,711.
40,092.
.
40,092.
.
.
Schedule D (Form 990) 2023
Page 3
Schedule D (Form 990) 2023
Part VII
Investments—Other Securities Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(1) Financial derivatives . . . (2) Closely held equity interests . (3) Other
. .
. .
. .
. .
. .
(b) Book value
. .
. .
. .
. .
. .
. .
. .
Total. (Column (b) must equal Form 990, Part X, line 12, col. (B)) .
.
(c) Method of valuation: Cost or end-of-year market value
(A) (B) (C) (D) (E) (F) (G) (H)
Part VIII
Investments—Program Related Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, line 13, col. (B)) .
Part IX
.
Other Assets Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, line 15, col. (B)) .
Part X
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Other Liabilities Complete if the organization answered “Yes” on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.
(a) Description of liability
(b) Book value
(1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9)
Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) . . . . . . . . . . . . . . . 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization’s liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII . Schedule D (Form 990) 2023
Page 4
Schedule D (Form 990) 2023
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total revenue, gains, and other support per audited financial statements . . Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains (losses) on investments . . . . . . . . . 2a b Donated services and use of facilities . . . . . . . . . . . 2b c Recoveries of prior year grants . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
Part XII
.
.
.
.
.
.
.
1
. .
. .
. .
. .
. .
. .
. .
2e 3
. .
. .
. .
. .
. .
. .
. .
4c 5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 2
Total expenses and losses per audited financial statements . . . . . . . Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities . . . . . . . . . . . 2a b Prior year adjustments . . . . . . . . . . . . . . . . 2b c Other losses . . . . . . . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) .
Part XIII
.
.
.
.
.
.
1
. .
. .
. .
. .
. .
. .
2e 3
. .
. .
. .
. .
. .
. .
4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
BAA
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Schedule D (Form 990) 2023
Schedule D (Form 990) 2023
Part XIII
Page 5
Supplemental Information (continued)
Schedule D (Form 990) 2023
SCHEDULE O (Form 990)
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
2023
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization
Employer identification number
EASTERN SURFING ASSOCIATION INC
05-0392315
Pt VI, Line 11b: PREPARED BY TREASURER AND REVIEWED BY THE BOARD Pt VI, Line 6: YEARLY MEMBERSHIPS Pt VI, Line 15a: DETERMINED IN ACCORDANCE WITH SIMILAR OPERATIONS Pt VI, Line 15b: DETERMINED IN ACCORDANCE WITH SIMILAR OPERATIONS Pt IX, Line 24e: Description: LIVE HEATS FEES Total: $21,653 Program services: $21,653 Management and general: $0 Fundraising: $0 Description: COMPETITION EXPENSES Total: $176,036 Program services: $176,036 Management and general: $0 Fundraising: $0 Description: ADDITIONAL COMPETITION EXPENSES Total: $8,455 Program services: $8,455 Management and general: $0 Fundraising: $0 Description: OFFICE SUPPLIES & EXPENSES Total: $10,839 Program services: $0 Management and general: $10,839 Fundraising: $0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. REV 09/17/24 PRO
BAA
Schedule O (Form 990) 2023
Page 2
Schedule O (Form 990) 2023 Name of the organization
Employer identification number
EASTERN SURFING ASSOCIATION INC
05-0392315
Description: ALL STAR EXPENSE Total: $58,891 Program services: $58,891 Management and general: $0 Fundraising: $0
REV 09/17/24 PRO
Schedule O (Form 990) 2023
Form
IRS E-file Signature Authorization for a Tax Exempt Entity
8879-TE
For calendar year 2023, or fiscal year beginning
OMB No. 1545-0047
, 2023, and ending
2023
, 20
Do not send to the IRS. Keep for your records. Go to www.irs.gov/Form8879TE for the latest information.
Department of the Treasury Internal Revenue Service Name of filer
EIN or SSN
EASTERN SURFING ASSOCIATION INC
05-0392315
Name and title of officer or person subject to tax
MICHELLE SOMMERS, EXECUTIVE DIRECTOR Part I Type of Return and Return Information Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 450,397. b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . 1b 1a Form 990 check here . . . 2a Form 990-EZ check here . . b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . 2b 3a Form 1120-POL check here . . b Total tax (Form 1120-POL, line 22) . . . . . . . . . . 3b 4a Form 990-PF check here . . b Tax based on investment income (Form 990-PF, Part V, line 5) . 4b 5a Form 8868 check here . . . b Balance due (Form 8868, line 3c) . . . . . . . . . . . 5b 6a Form 990-T check here . . b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . 6b 7a Form 4720 check here . . . b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . 7b 8a Form 5227 check here . . . b FMV of assets at end of tax year (Form 5227, Item D) . . . . 8b 9a Form 5330 check here . . . b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . 9b 10a Form 8038-CP check here . . b Amount of credit payment requested (Form 8038͈CP, Part III, line 22) 10b
Part II
Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name of entity) , (EIN) and that I have examined a copy of the 2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal. PIN: check one box only I authorize
as my signature
to enter my PIN ERO firm name
Enter five numbers, but do not enter all zeros
on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen. As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2023 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen. Date
Signature of officer or person subject to tax
Part III
11/15/2024
Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
2 2 6 0 1 1 0 8 2 0 4 Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2023 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO’s signature
Date
11/15/2024
ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Privacy Act and Paperwork Reduction Act Notice, see back of form. BAA
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Form 8879-TE (2023)
Form 990 Part IX, Line 24e
All Other Expenses
2023
Name
Employer Identification No.
EASTERN SURFING ASSOCIATION INC
05-0392315
(A) Total
(B) Program services
LIVE HEATS FEES COMPETITION EXPENSES ADDITIONAL COMPETITION EXPENSES OFFICE SUPPLIES & EXPENSES ALL STAR EXPENSE
21,653. 176,036. 8,455. 10,839. 58,891.
21,653. 176,036. 8,455. 0. 58,891.
0. 0. 0. 10,839. 0.
0. 0. 0. 0. 0.
Total to Form 990, Part IX, line 24e
275,874.
265,035.
10,839.
0.
Description
teew1601.SCR 02/02/21
(C) Management and general
(D) Fundraising
Marketing Support Program
ESA SE Regional Surfing Championships
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Lodging
$5,500.00
$5,018.00
$482.00
Entry fees
Computer Scoring
$4,000.00
$3,558.00
$442.00
T-shirt sales
Awards
$4,000.00
$3,756.00
$244.00
$0.00
Scaffolding & Infrastructure
$9,500.00
$8,600.00
$900.00
$0.00
Officials' salary
$9,500.00
$9,275.00
$225.00
$0.00
Food
$1,500.00
$1,286.00
$214.00
$0.00
$0.00
$0.00
$0.00
$0.00
Expenses
Expenses Subtotal Other Expenses
$34,000.00
$31,493.00
Income
2025-2026 projection
2024-2025 actuals
VAR
$38,000.00
$37,383.00
$617.00
$200.00
$60.00
$140.00
$2,507.00
$0.00 $0.00
Permits & Insurance
$1,500.00
$1,383.00
$117.00
Travel Expenses
$4,100.00
$3,988.00
$112.00 $0.00
$0.00 $0.00 Income Subtotal
$38,200.00
$37,443.00
$757.00
$0.00 $0.00
$0.00
$0.00
Cash in Bank to start Other Income
$0.00
TDC grant funding
$6,795.00
$15,000.00
-$8,205.00
Other Income Subtotal
$6,795.00
$15,000.00
-$8,205.00
$229.00
Total Income
$44,995.00
$52,443.00
-$7,448.00
Total Expenses Paid
$48,550.00
$43,301.00
$5,249.00
Profit/Loss
-$3,555.00
$9,142.00 -$12,697.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$5,600.00
$5,371.00
$4,500.00
$3,736.00
$764.00
$1,500.00
$0.00
$1,500.00
$750.00
$750.00
$0.00
$2,200.00
$1,951.00
$249.00 $0.00 $0.00 $0.00
Marketing Subtotal
$8,950.00
$6,437.00
$0.00 $2,513.00
Total Expenses 2025-2026
$48,550.00
$43,301.00
$5,249.00
.
Updated: 6/25/2025
Softball Magazine Senior Softball Camp
Return to Table of Contents
For TOO use: PROJECT#- S 14
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Brevard Softball Magazine, Inc. OBA Softball Magazine Applicant Event Name: Softball Magazine Senior Softball Camp
1. Completed application
2. Copy of IRS Articles of 3. 4.
5.
6.
7. 8.
• •
Yes No
Incorporation - (if applicable) Copy of IRS Determination letter - (if applicable) Copy of SunBiz.org (if applicable) Copy of 990 (if applicable) Copy of completed W-9 (March 2024) Income/Expense worksheet {required for all applicants) Copy of the Applicant checklist
Comment
• NIA • • N/A • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
�� �
7()/'(o'(f
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:36 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Gene Smith
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Brevard Softball Magazine Inc. DBA Softball Magazine Organization address 400 Nora Ave State FL City Merritt Island Zip 32952 Primary contact name Gene Smith Primary contact phone number 321-432-4444
Primary contact email gene.smith@softballmag.com Secondary contact name Luann Madison Secondary contact phone number 321-432-0828 Secondary contact email luann.madison@softballmag.com Organization website address http://softballmag.com/
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 59-3413766
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Softball Magazine's Senior Softball Camp Event website address (if different from organization website) https://www.seniorsoftballcamp.com/ Event location Chain Of Lakes Complex - 2300 Truman Scarborough Way Titusville, FL 32796
9. (untitled) 8. What is the first date of your event? 11/13/2025
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Email blast sends that go directly to a email base that is twenty (20) years strong in building. List has real and active emails of current participants, past participants along with a list of potential attendees that we market to for six (6) months prior to hosting the event here in Brevard County. Note: We have three (3) websites that all promote each other. Our main site "Softballmag.com" promotes the camps, while the specific camp websites promote each other and the main site. We have included TDC Logos along the Florida Sports Foundation Logos on all of websites year round for over twenty years.
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : https://www.facebook.com/SoftballMagazine/about/ YouTube : https://www.youtube.com/user/SoftballMagazineInc
22. (untitled) 13. What hashtags do you currently use? n/a
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. brevardsoftballmagazine_AOI.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Softball_Magazine_Florida_For_Profit_Annual_Report.pdf
27. (untitled) 16. Upload your completed W-9 form. W9_25.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. Senior_Camp_Event_Income_Expense_Report_FY25-26.pdf
29. (untitled) 18. Upload your completed Checklist. Senior_Camp_checklist_5.30.2025.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Gene Smith
31. Thank You! New Send Email May 31, 2025 14:55:58 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P96000091866 Entity Name: BREVARD SOFTBALL MAGAZINE, INC. Current Principal Place of Business:
FILED Jan 07, 2025 Secretary of State 6875800764CC
400 NORA AVENUE MERRITT ISLAND, FL 32952
Current Mailing Address: 400 NORA AVENUE MERRITT ISLAND, FL 32952 US FEI Number: 59-3413766
Certificate of Status Desired: No
Name and Address of Current Registered Agent: SMITH, EUGENE W. 400 NORA AVENUE MERRITT ISLAND, FL 32952 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: EUGENE SMITH
01/07/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
DPVST
Name
SMITH, EUGENE W.
Address
400 NORA AVENUE
City-State-Zip:
MERRITT ISLAND FL 32952
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: EUGENE W SMITH Electronic Signature of Signing Officer/Director Detail
PRES/DIRECTOR
01/07/2025 Date
Marketing Support Program
SB Magazine Sr. Softball Camp
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
Field Rental Cost
$4,000.00
$4,000.00
$0.00
Event Insurance
$750.00
$1,200.00
-$450.00
$0.00
Staff Lodging
$2,000.00
$1,900.00
$100.00
$0.00
Staff Contract Labor
$5,000.00
$5,000.00
$0.00
$0.00
Trucks & Utility Carts
$2,000.00
$1,800.00
$200.00
$0.00
Event & Staff Shirts
$1,200.00
$1,200.00
$0.00
$0.00
Expenses
VAR+10% increase
Income Participant entry fees
2025-2026 projection $35,000.00
2024-2025 actuals
VAR
$32,000.00
$3,000.00
Tickets and Wristbands
$150.00
$150.00
$0.00
$0.00
Awards & Certificates
$1,250.00
$1,250.00
$0.00
$0.00
$16,350.00
$16,500.00
-$150.00
$0.00
Expenses Subtotal Other Expenses Camp Lunches & Drinks Freight to return event product
$0.00 $6,000.00
$5,500.00
$500.00
$500.00
$250.00
$250.00
Lodging & Registration Copies
$125.00
$125.00
$0.00
Truck & Cart Fuel
$150.00
$150.00
$0.00
$0.00 $0.00 Income Subtotal
$35,000.00
$32,000.00
$3,000.00 $0.00
Cash in Bank to start Other Income
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County Softball Magazine Promotion
$6,775.00
$6,025.00
$750.00
$5,000.00
$5,000.00
$0.00
TDC grant funding
$5,580.00
$12,350.00
-$6,770.00
Other Income Subtotal
$5,580.00
$12,350.00
-$6,770.00
Total Income
$40,580.00
$44,350.00
-$3,770.00
Total Expenses Paid
$28,125.00
$27,525.00
$600.00
Profit/Loss
$12,455.00
$16,825.00
-$4,370.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$5,000.00
$5,000.00
$0.00 $0.00
Total Expenses 2025-2026
$28,125.00
$27,525.00
$600.00
.
Updated: 6/18/2025
Softball Magazine Adult Spring Training Camp
Return to Table of Contents
For TOO use: PROJECT#- S 15
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Brevard Softball Magazine, Inc. DBA Softball Magazine Applicant Event Name: Softball Magazine Adult Spring Training Camp
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
Comment
• N/A • • N/A • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
�k � 1bl'(,D�r
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:37 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Gene Smith
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Brevard Softball Magazine Inc. DBA Softball Magazine Organization address 400 Nora Ave State FL City Merritt Island Zip 32952 Primary contact name Gene Smith Primary contact phone number 321-432-4444
Primary contact email gene.smith@softballmag.com Secondary contact name Luann Madison Secondary contact phone number 321-432-0828 Secondary contact email luann.madison@softballmag.com Organization website address http://softballmag.com/
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 59-3413766
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Softball Magazine's Adult Spring Training Camp Event website address (if different from organization website) https://www.softballspringtraining.com/ Event location Cocoa Beach Sports Complex - 1450 Minuteman Causeway - Cocoa Beach, FL. 32931
9. (untitled) 8. What is the first date of your event? 03/12/2026
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Email blast sends that go directly to a email base that is twenty (20) years strong in building. List has real and active emails of current participants, past participants along with a list of potential attendees that we market to for six (6) prior to hosting the event here in Brevard County. Note: We have three (3) websites that all promote each other. Our main site "Softballmag.com" promotes the camps, while the specific camp websites promote each other and the main site. We have included TDC Logos along the Florida Sports Foundation Logos on all of websites year round for over twenty years.
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : https://www.facebook.com/SoftballMagazine/about/ YouTube : https://www.youtube.com/user/SoftballMagazineInc
22. (untitled) 13. What hashtags do you currently use? n/a
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. brevardsoftballmagazine_AOI.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Softball_Magazine_Florida_For_Profit_Annual_Report.pdf
27. (untitled) 16. Upload your completed W-9 form. W9_25.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. Spring_Training_25_Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 18. Upload your completed Checklist. Sprg_Training_checklist_5.30.2025.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Gene Smith
31. Thank You! New Send Email May 31, 2025 15:02:19 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
2025 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P96000091866 Entity Name: BREVARD SOFTBALL MAGAZINE, INC. Current Principal Place of Business:
FILED Jan 07, 2025 Secretary of State 6875800764CC
400 NORA AVENUE MERRITT ISLAND, FL 32952
Current Mailing Address: 400 NORA AVENUE MERRITT ISLAND, FL 32952 US FEI Number: 59-3413766
Certificate of Status Desired: No
Name and Address of Current Registered Agent: SMITH, EUGENE W. 400 NORA AVENUE MERRITT ISLAND, FL 32952 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: EUGENE SMITH
01/07/2025 Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
DPVST
Name
SMITH, EUGENE W.
Address
400 NORA AVENUE
City-State-Zip:
MERRITT ISLAND FL 32952
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: EUGENE W SMITH Electronic Signature of Signing Officer/Director Detail
PRES/DIRECTOR
01/07/2025 Date
Marketing Support Program
SB Magazine Adult Spring Training Camp
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Field Rental Cost
$4,000.00
$3,049.50
$950.50
Event Insurance
$750.00
$750.00
$0.00
$0.00
Staff Lodging
$2,000.00
$1,900.00
$100.00
$0.00
Staff Contract Labor
$5,000.00
$5,000.00
$0.00
$0.00
Trucks & Utility Carts
$2,000.00
$1,800.00
$200.00
$0.00
Event & Staff Shirts
$1,200.00
$1,200.00
$0.00
$0.00
Expenses
Income Participant entry fees
2025-2026 projection $35,000.00
2024-2025 actuals
VAR
$31,000.00
$4,000.00
Tickets and Wristbands
$150.00
$150.00
$0.00
$0.00
Awards & Certificates
$1,250.00
$1,250.00
$0.00
$0.00
$16,350.00
$15,099.50
$1,250.50
Expenses Subtotal Other Expenses Camp Lunches & Drinks Freight to return event product
$0.00 $0.00
$6,000.00
$5,500.00
$500.00
$500.00
$250.00
$250.00
Lodging & Registration Copies
$125.00
$125.00
$0.00
Truck & Cart Fuel
$150.00
$150.00
$0.00
$0.00 $0.00 Income Subtotal
$35,000.00
$31,000.00
$4,000.00 $0.00
Cash in Bank to start Other Income
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County Softball Magazine Promotion
$6,775.00
$6,025.00
$5,000.00
$5,000.00
$750.00
$0.00
TDC grant funding
$5,310.00
$11,099.50
-$5,789.50
Other Income Subtotal
$5,310.00
$11,099.50
-$5,789.50
Total Income
$40,310.00
$42,099.50
-$1,789.50
Total Expenses Paid
$28,125.00
$26,124.50
$2,000.50
Profit/Loss
$12,185.00
$15,975.00
-$3,790.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$5,000.00
$5,000.00
$0.00 $0.00
Total Expenses 2025-2026
$28,125.00
$26,124.50
$2,000.50
.
Updated: 6/18/2025
Space Coast Triathlon
Return to Table of Contents
For TDO use: PROJECT#- S 16
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Smooth Running Applicant Event Name: Space Coast Triathlon & Duathlon
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
Comment
• NIA • • N/A • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
R� �
All documents have been submitted, reviewed and/or addressed in the comments.
7{J{1ol)
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:28 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Mitchell Varnes
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Smooth Running Organization address 660 Cinnamon Court State Florida City Satellite Beach Zip 32937 Primary contact name Mitch Varnes Primary contact phone number 3217597200
Primary contact email mitchvarnes@gmail.com Secondary contact name Hannah McClatchey Secondary contact phone number 3217597200 Secondary contact email info@thefloridamarathon.com Organization website address www.spacecoasttri.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 26-3025672
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Space Coast Triathlon & Duathlon Event website address (if different from organization website) www.spacecoasttri.com Event location Cocoa Village, Rockledge and Cocoa
9. (untitled) 8. What is the first date of your event? 10/11/2025
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Direct mail Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : #spacecoasttri Instagram : n/a YouTube : n/a
22. (untitled) 13. What hashtags do you currently use? #runfla
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. Smooth_Running_Articles_of_Incorporation.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. smooth_running_sun_biz.pdf
27. (untitled) 16. Upload your completed W-9 form. Smooth_Running_w9_updated_late_April_2025.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. Space_Coast_Tri_2025_updated_revenues_and_expenses.pdf
29. (untitled) 18. Upload your completed Checklist. Tourism_Grant_Checklist_updated_2025-2026_cycle.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Mitchell Varnes
31. Thank You! New Send Email May 28, 2025 08:16:18 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Marketing Support Program
Space Coast Triathlon & Duathlon
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Timing
$4,400.00
$4,000.00
$400.00
Entry fees
City Permitting and Park Fees
$3,000.00
$3,000.00
$0.00
Sponsors
Police Fees
$1,500.00
$1,200.00
$300.00
$0.00
Athlete Shirts and Medals
Expenses
Income
2025-2026 projection
2024-2025 actuals
VAR
$38,000.00
$35,000.00
$3,000.00
$4,000.00
$3,000.00
$1,000.00
$11,000.00
$9,600.00
$1,400.00
$0.00
USA Triathlon Sancioning Fees
$700.00
$600.00
$100.00
$0.00
Traffic Control and Barricading
$3,400.00
$3,000.00
$400.00
$0.00
Portalets
$700.00
$700.00
$0.00
$0.00
Medical Support
$600.00
$600.00
$0.00
$0.00
$25,300.00
$22,700.00
$2,600.00
$0.00
$340.00
$300.00
$40.00
$0.00
Beverages/Snacks for athletes
$1,200.00
$1,000.00
$200.00
$0.00
Awards
$2,200.00
$1,800.00
$400.00
Expenses Subtotal Other Expenses Ice Trailer
$0.00 Income Subtotal
Light tower rentals
$700.00
$700.00
$0.00
Lifeguards
$800.00
$700.00
$100.00
Advertising/Signage
$4,500.00
$4,000.00
$500.00
Staffing
$2,400.00
$2,000.00
$400.00
Cash in Bank to start Income Other
$0.00
TDC grant funding
$42,000.00
$38,000.00
$4,000.00 $0.00
$5,250.00
$0.00
$5,250.00
$0.00
$0.00
$0.00 $0.00 $0.00 Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County Social Media Traditional Rack Cards
$0.00 $12,140.00
$10,500.00
$2,500.00
$2,500.00
$0.00
$700.00
$700.00
$0.00
$1,640.00
Total Income
$47,250.00
$38,000.00
$9,250.00
Total Expenses Paid
$40,640.00
$36,400.00
$4,240.00
Profit/Loss
$6,610.00
$1,600.00
$5,010.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$3,200.00
$3,200.00
$0.00
Total Expenses 2025-2026
$40,640.00
$36,400.00
$4,240.00
.
Updated: 6/25/2025
Foil Surf Contest
Return to Table of Contents
For TOO use: PROJECT#- S 17
d,
��-.. �RIDA
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Foil Surfing Race League LLC Applicant Event Name: Foil Surf Contest
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
Comment
• N/A • • N/A • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). ..
- ' .I --,I -:;::: ,,
�
l
---
NO
All documents have been submitted, reviewed and/or addressed in the comments.
�� � 1h{1.Q�sPeter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:52 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Billy Bosch
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Foil Surfing Race League LLC Organization address 110 Dixie Ln State FL City Cocoa Beach Zip 32931 Primary contact name Billy Bosch Primary contact phone number 3862359804
Primary contact email billy@goodbreezekiteboarding.com Secondary contact name Brian Grubb Secondary contact phone number 4077589934 Secondary contact email briangrubb@gmail.com Organization website address https://foiloutlet.com/foil-surf-racing-league/
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 88-1590137
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Foil Surf Contest Event website address (if different from organization website) 299 E Cocoa Beach Causeway, Cocoa Beach, FL 32931 Event location Shepard Park- Cocoa Beach
9. (untitled) 8. What is the first date of your event? 03/06/2026
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: Magazine Ads
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Instagram : @foilsurfracingleague YouTube : https://www.youtube.com/@FoilOutlet
22. (untitled) 13. What hashtags do you currently use? #FSRL
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. FSRL_Articles_of_Incorporation.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. FSRL_Sunbiz_Detail_by_Entity_Name.pdf
27. (untitled) 16. Upload your completed W-9 form. FSRL_fw9.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. FSRL_Grant_Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 18. Upload your completed Checklist. FRSRL_applicant_checklist_4.30.2025_copy.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Billy Bosch
31. Thank You! New Send Email Jun 05, 2025 12:53:51 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
6/5/25, 9:11 AM
Detail by Entity Name
D I V I S I O N O F C O R P O R AT I O N S
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Limited Liability Company FOIL SURFING RACE LEAGUE LLC Filing Information
Document Number
L22000137111
FEI/EIN Number
88-1590137
Date Filed
03/21/2022
Effective Date
03/20/2022
State
FL
Status
ACTIVE
Principal Address
110 DIXIE LANE COCOA BEACH, FL 32931 Mailing Address
110 DIXIE LANE COCOA BEACH, FL 32931 https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=FOILSURFINGRACELEAGUE L220001371110&aggregateId=flal-l22000137…
1/3
6/5/25, 9:11 AM
Detail by Entity Name
Registered Agent Name & Address
BOSCH, WILLIAM J, IV 110 DIXIE LN COCOA BEACH, FL 32931-3542 Authorized Person(s) Detail
Name & Address Title MGR BOSCH, WILLIAM J, IV 110 DIXIE LANE COCOA BEACH, FL 32931 Title MGR GRUBB, BRIAN K 5802 SHELBURN CT ORLANDO, FL 32839 Annual Reports
Report Year
Filed Date
2023
01/22/2023
2024
02/27/2024
2025
04/24/2025
Document Images 04/24/2025 -- ANNUAL REPORT
View image in PDF format
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=FOILSURFINGRACELEAGUE L220001371110&aggregateId=flal-l22000137…
2/3
6/5/25, 9:11 AM
Detail by Entity Name
02/27/2024 -- ANNUAL REPORT
View image in PDF format
01/22/2023 -- ANNUAL REPORT
View image in PDF format
03/21/2022 -- Florida Limited Liability
View image in PDF format
Florida Department of State, Division of Corporations
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=FOILSURFINGRACELEAGUE L220001371110&aggregateId=flal-l22000137…
3/3
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Henegar Performing Arts Center, Inc 2
Business name/disregarded entity name, if different from above.
Print or type. See Specific Instructions on page 3.
Brevard Regional Arts Groups, Inc 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor
✔
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
625 E New Haven Ave 6
City, state, and ZIP code
Melbourne, FL 32901 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
Social security number
–
–
or Employer identification number
5
9
–
2
3
0
6
6
1 2
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
6/25/25
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
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Form W-9 (Rev. 3-2024)
must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid). • Form 1099-DIV (dividends, including those from stocks or mutual funds). • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds). • Form 1099-NEC (nonemployee compensation). • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers). • Form 1099-S (proceeds from real estate transactions). • Form 1099-K (merchant card and third-party network transactions). • Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition). • Form 1099-C (canceled debt). • Form 1099-A (acquisition or abandonment of secured property). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued); 2. Certify that you are not subject to backup withholding; or 3. Claim exemption from backup withholding if you are a U.S. exempt payee; and 4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and 5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What Is FATCA Reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441–1474). Under those rules, if a Form W-9 or other certification of non-foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities. The following persons must provide Form W-9 to the payor for purposes of establishing its non-foreign status. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity. • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust. • In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust. See Pub. 515 for more information on providing a Form W-9 or a certification of non-foreign status to avoid withholding.
Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a qualified foreign pension fund under Regulations section 1.897(l)-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non-foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non-foreign status). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if their stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and is relying on this exception to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.
Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include, but are not limited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third-party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester; 2. You do not certify your TIN when required (see the instructions for Part II for details); 3. The IRS tells the requester that you furnished an incorrect TIN; 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or 5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under “By signing the filledout form” above (for reportable interest and dividend accounts opened after 1983 only).
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Form W-9 (Rev. 3-2024)
Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier.
What Is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.
Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you are no longer tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies.
Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. • Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note for ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040 you filed with your application. • Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business, trade, or “doing business as” (DBA) name on line 2. • Partnership, C corporation, S corporation, or LLC, other than a disregarded entity. Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name on line 2. • Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2. • Disregarded entity. In general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner’s name on line 1. The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For
example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner’s name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.
Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2.
Line 3a Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a. IF the entity/individual on line 1 is a(n) . . .
THEN check the box for . . .
• Corporation • Individual or • Sole proprietorship
Corporation. Individual/sole proprietor.
• LLC classified as a partnership for U.S. federal tax purposes or • LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation
Limited liability company and enter the appropriate tax classification: P = Partnership, C = C corporation, or S = S corporation.
• Partnership • Trust/estate
Partnership. Trust/estate.
Line 3b Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b. Note: A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply.
Line 4 Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third-party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4. 1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2).
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Form W-9 (Rev. 3-2024)
2—The United States or any of its agencies or instrumentalities. 3—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities. 5—A corporation. 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or territory. 7—A futures commission merchant registered with the Commodity Futures Trading Commission. 8—A real estate investment trust. 9—An entity registered at all times during the tax year under the Investment Company Act of 1940. 10—A common trust fund operated by a bank under section 584(a). 11—A financial institution as defined under section 581. 12—A middleman known in the investment community as a nominee or custodian. 13—A trust exempt from tax under section 664 or described in section 4947. The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for . . .
THEN the payment is exempt for . . .
• Interest and dividend payments
All exempt payees except for 7. Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Exempt payees 1 through 4.
• Broker transactions
• Barter exchange transactions and patronage dividends • Payments over $600 required to be reported and direct sales over $5,0001
Generally, exempt payees 1 through 5.2
• Payments made in settlement of Exempt payees 1 through 4. payment card or third-party network transactions 1 See Form 1099-MISC, Miscellaneous Information, and its instructions. 2 However, the following payments made to a corporation and
reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) entered on the line for a FATCA exemption code. A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37). B—The United States or any of its agencies or instrumentalities. C—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i). E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i).
F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state. G—A real estate investment trust. H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940. I—A common trust fund as defined in section 584(a). J—A bank as defined in section 581. K—A broker. L—A trust exempt from tax under section 664 or described in section 4947(a)(1). M—A tax-exempt trust under a section 403(b) plan or section 457(g) plan. Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.
Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, enter “NEW” at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.
Line 6 Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have, and are not eligible to get, an SSN, your TIN is your IRS ITIN. Enter it in the entry space for the Social security number. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). If the LLC is classified as a corporation or partnership, enter the entity’s EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/EIN. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or Form SS-4 mailed to you within 15 business days. If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and enter “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier, for when you may instead be subject to withholding under chapter 3 or 4 of the Code. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.
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Form W-9 (Rev. 3-2024)
Part II. Certification
For this type of account:
To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third-party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.
What Name and Number To Give the Requester For this type of account:
Give name and SSN of:
1. Individual
The individual
2. Two or more individuals (joint account) other than an account maintained by an FFI
The actual owner of the account or, if combined funds, the first individual on the account1
3. Two or more U.S. persons (joint account maintained by an FFI)
Each holder of the account
4. Custodial account of a minor (Uniform Gift to Minors Act)
The minor2
5. a. The usual revocable savings trust (grantor is also trustee)
The grantor-trustee1
b. So-called trust account that is not a legal or valid trust under state law
1
The actual owner
6. Sole proprietorship or disregarded entity owned by an individual
The owner3
7. Grantor trust filing under Optional Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))**
The grantor*
Give name and EIN of:
8. Disregarded entity not owned by an individual
The owner
9. A valid trust, estate, or pension trust
Legal entity4
10. Corporation or LLC electing corporate status on Form 8832 or Form 2553
The corporation
11. Association, club, religious, charitable, educational, or other tax-exempt organization
The organization
12. Partnership or multi-member LLC
The partnership
13. A broker or registered nominee
The broker or nominee
14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments
The public entity
15. Grantor trust filing Form 1041 or under the Optional Filing Method 2, requiring Form 1099 (see Regulations section 1.671-4(b)(2)(i)(B))**
The trust
1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished. 2
Circle the minor’s name and furnish the minor’s SSN. You must show your individual name on line 1, and enter your business or DBA name, if any, on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 3
4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) * Note: The grantor must also provide a Form W-9 to the trustee of the trust. ** For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.
Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information, such as your name, SSN, or other identifying information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax return preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Identity Theft Hotline at 800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers.
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Form W-9 (Rev. 3-2024)
Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 877-777-4778 or TTY/TDD 800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027. Go to www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.
Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and territories for use in administering their laws. The information may also be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payors must generally withhold a percentage of taxable interest, dividends, and certain other payments to a payee who does not give a TIN to the payor. Certain penalties may also apply for providing false or fraudulent information.
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Form W-9 (Rev. 3-2024)
must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid). • Form 1099-DIV (dividends, including those from stocks or mutual funds). • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds). • Form 1099-NEC (nonemployee compensation). • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers). • Form 1099-S (proceeds from real estate transactions). • Form 1099-K (merchant card and third-party network transactions). • Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition). • Form 1099-C (canceled debt). • Form 1099-A (acquisition or abandonment of secured property). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued); 2. Certify that you are not subject to backup withholding; or 3. Claim exemption from backup withholding if you are a U.S. exempt payee; and 4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and 5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What Is FATCA Reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441–1474). Under those rules, if a Form W-9 or other certification of non-foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities. The following persons must provide Form W-9 to the payor for purposes of establishing its non-foreign status. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity. • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust. • In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust. See Pub. 515 for more information on providing a Form W-9 or a certification of non-foreign status to avoid withholding.
Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a qualified foreign pension fund under Regulations section 1.897(l)-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non-foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non-foreign status). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if their stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and is relying on this exception to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.
Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include, but are not limited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third-party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester; 2. You do not certify your TIN when required (see the instructions for Part II for details); 3. The IRS tells the requester that you furnished an incorrect TIN; 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or 5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under “By signing the filledout form” above (for reportable interest and dividend accounts opened after 1983 only).
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Form W-9 (Rev. 3-2024)
Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier.
What Is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.
Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you are no longer tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies.
Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. • Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note for ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040 you filed with your application. • Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business, trade, or “doing business as” (DBA) name on line 2. • Partnership, C corporation, S corporation, or LLC, other than a disregarded entity. Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name on line 2. • Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2. • Disregarded entity. In general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner’s name on line 1. The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For
example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner’s name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.
Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2.
Line 3a Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a. IF the entity/individual on line 1 is a(n) . . .
THEN check the box for . . .
• Corporation • Individual or • Sole proprietorship
Corporation. Individual/sole proprietor.
• LLC classified as a partnership for U.S. federal tax purposes or • LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation
Limited liability company and enter the appropriate tax classification: P = Partnership, C = C corporation, or S = S corporation.
• Partnership • Trust/estate
Partnership. Trust/estate.
Line 3b Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b. Note: A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply.
Line 4 Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third-party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4. 1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2).
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Form W-9 (Rev. 3-2024)
2—The United States or any of its agencies or instrumentalities. 3—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities. 5—A corporation. 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or territory. 7—A futures commission merchant registered with the Commodity Futures Trading Commission. 8—A real estate investment trust. 9—An entity registered at all times during the tax year under the Investment Company Act of 1940. 10—A common trust fund operated by a bank under section 584(a). 11—A financial institution as defined under section 581. 12—A middleman known in the investment community as a nominee or custodian. 13—A trust exempt from tax under section 664 or described in section 4947. The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for . . .
THEN the payment is exempt for . . .
• Interest and dividend payments
All exempt payees except for 7. Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Exempt payees 1 through 4.
• Broker transactions
• Barter exchange transactions and patronage dividends • Payments over $600 required to be reported and direct sales over $5,0001
Generally, exempt payees 1 through 5.2
• Payments made in settlement of Exempt payees 1 through 4. payment card or third-party network transactions 1 See Form 1099-MISC, Miscellaneous Information, and its instructions. 2 However, the following payments made to a corporation and
reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) entered on the line for a FATCA exemption code. A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37). B—The United States or any of its agencies or instrumentalities. C—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i). E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i).
F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state. G—A real estate investment trust. H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940. I—A common trust fund as defined in section 584(a). J—A bank as defined in section 581. K—A broker. L—A trust exempt from tax under section 664 or described in section 4947(a)(1). M—A tax-exempt trust under a section 403(b) plan or section 457(g) plan. Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.
Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, enter “NEW” at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.
Line 6 Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have, and are not eligible to get, an SSN, your TIN is your IRS ITIN. Enter it in the entry space for the Social security number. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). If the LLC is classified as a corporation or partnership, enter the entity’s EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/EIN. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or Form SS-4 mailed to you within 15 business days. If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and enter “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier, for when you may instead be subject to withholding under chapter 3 or 4 of the Code. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.
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Form W-9 (Rev. 3-2024)
Part II. Certification
For this type of account:
To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third-party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.
What Name and Number To Give the Requester For this type of account:
Give name and SSN of:
1. Individual
The individual
2. Two or more individuals (joint account) other than an account maintained by an FFI
The actual owner of the account or, if combined funds, the first individual on the account1
3. Two or more U.S. persons (joint account maintained by an FFI)
Each holder of the account
4. Custodial account of a minor (Uniform Gift to Minors Act)
The minor2
5. a. The usual revocable savings trust (grantor is also trustee)
The grantor-trustee1
b. So-called trust account that is not a legal or valid trust under state law
1
The actual owner
6. Sole proprietorship or disregarded entity owned by an individual
The owner3
7. Grantor trust filing under Optional Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))**
The grantor*
Give name and EIN of:
8. Disregarded entity not owned by an individual
The owner
9. A valid trust, estate, or pension trust
Legal entity4
10. Corporation or LLC electing corporate status on Form 8832 or Form 2553
The corporation
11. Association, club, religious, charitable, educational, or other tax-exempt organization
The organization
12. Partnership or multi-member LLC
The partnership
13. A broker or registered nominee
The broker or nominee
14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments
The public entity
15. Grantor trust filing Form 1041 or under the Optional Filing Method 2, requiring Form 1099 (see Regulations section 1.671-4(b)(2)(i)(B))**
The trust
1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished. 2
Circle the minor’s name and furnish the minor’s SSN. You must show your individual name on line 1, and enter your business or DBA name, if any, on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 3
4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) * Note: The grantor must also provide a Form W-9 to the trustee of the trust. ** For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.
Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information, such as your name, SSN, or other identifying information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax return preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Identity Theft Hotline at 800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers.
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Form W-9 (Rev. 3-2024)
Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 877-777-4778 or TTY/TDD 800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027. Go to www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.
Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and territories for use in administering their laws. The information may also be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payors must generally withhold a percentage of taxable interest, dividends, and certain other payments to a payee who does not give a TIN to the payor. Certain penalties may also apply for providing false or fraudulent information.
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$1,000.00
Hotels for staff
$2,500.00
$1,500.00
$1,000.00
$0.00
Jet ski rental
$1,800.00
$1,200.00
$600.00
$0.00
Drown Zero Safety
$1,000.00
$1,000.00
$0.00
$0.00
Meals for staff
$2,000.00
$1,500.00
$500.00
$0.00
$0.00
$0.00
$0.00
$0.00
Expenses Subtotal Other Expenses
$12,800.00
$9,400.00
$9,000.00
$8,140.00
$860.00
Raffle
$1,500.00
$1,200.00
$300.00
$3,400.00
$0.00 $0.00
$300.00
$200.00
$100.00
Good Breeze Registration
$1,500.00
$1,200.00
$300.00
Rider Jerseys
$1,600.00
$1,500.00
$100.00
Park Permit
$520.00
$310.00
$210.00
Fuel
Entry Fees
$0.00 $0.00 Income Subtotal
$10,500.00
$9,340.00
$1,160.00
$0.00
$0.00
$0.00
$120.00
$120.00
$0.00
Registration party food
$2,000.00
$1,500.00
$500.00
Cash in Bank to start Other Income
Cash prizes
$15,000.00
$10,000.00
$5,000.00
TDC grant funding
$4,500.00
$0.00
$4,500.00
Sponsors
$22,000.00
$21,700.00
$300.00
Other Income Subtotal
$26,500.00
$21,700.00
$4,800.00
Total Income
$37,000.00
$31,040.00
$5,960.00
Total Expenses Paid
$48,760.00
$30,130.00
$18,630.00
Profit/Loss
-$11,760.00
Parking
Credit card fees Web design Buoys Graphic design
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$200.00
$180.00
$20.00
$4,000.00
$2,000.00
$2,000.00
$0.00
$1,200.00
-$1,200.00
$1,000.00
$0.00
$1,000.00
$26,240.00
$18,210.00
$8,030.00
$720.00
$120.00
$600.00
Instagram Meta etc. - Both
$1,500.00
$500.00
$1,000.00
Foiling Magazine Ad - OOC
$2,000.00
$0.00
$2,000.00
Ikitesurf ads
Drone footabe - used for both
$1,500.00
$1,400.00
$100.00
Youtube and Social Media edits
$1,500.00
$500.00
$1,000.00
Live_Stream
$2,500.00
$0.00
$2,500.00
$910.00 -$12,670.00
$0.00 Marketing Subtotal
$9,720.00
$2,520.00
$0.00 $7,200.00
Total Expenses 2025-2026
$48,760.00
$30,130.00
$18,630.00
.
Updated: 6/18/2025
American Junior Golf Association Championship
Return to Table of Contents
For TDO use: PROJECT#- S 18
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization: American Junior Golf Association Championship Applicant Event Name: AIGA Junior Championship
1. Completed application
2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
Yes X
No
Comment
X
NIA
X X X X X
FY 24-25 event was canceled
X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
All documents have been submitted, reviewed and/or addressed in the comments.
�� �
1(7(1DttS
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:16 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Matt Emmi
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming American Junior Golf Association Organization address 1980 Sports Club Drive State GA City Braselton Zip 30517 Primary contact name Matt Emmi Primary contact phone number 772-834-1590
Primary contact email memmi@ajga.org Secondary contact name Patrick Cansfield Secondary contact phone number 810-488-6650 Secondary contact email pcansfield@ajga.org Organization website address ajga.org
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 581433914
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event AJGA Junior Championship Event website address (if different from organization website) ajga.org Event location Viera East Golf Club
9. (untitled) 8. What is the first date of your event? 05/01/2026
10. (untitled) 9. In total, how many days will your event be held? 4
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : American Junior Golf Association (AJGA) Instagram : ajgagolf YouTube : ajgavideos
22. (untitled) 13. What hashtags do you currently use? TBD
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. IRS_Determination_Letter_-_Association.pdf
24. (untitled)
15. Upload a copy of your organization's 990 form. AJGA_2023_990.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Sunbiz.pdf
27. (untitled) 17. Upload your completed W-9 form. 2025_AJGA_W9.pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. 2026_Viera_East_Budget.pdf
29. (untitled) 19. Upload your completed Checklist. AJGA_TDO_Checklist.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Matt Emmi
31. Thank You! New Send Email May 21, 2025 09:31:23 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Form
OMB No. 1545
Return of Organization Exempt From Income Tax
990
0047
2023
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)Do not enter social security numbers on this form as it may be made public.
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information. Department of the Treasury Internal Revenue Service A
For the 2023 calendar year, or tax year beginning 01012023
, and ending 12312023
C Name of organization American Junior Golf Association Inc
B Check if applicable: Address change Name change
D Employer identification number
581433914
% JASON MILLER CFO Doing business as
Initial return Final return/terminated
E Telephone number
Amended return Application pending
Number and street (or P.O. box if mail is not delivered to street address) Room/suite 1980 SPORTS CLUB DRIVE
(770) 8684200
City or town, state or province, country, and ZIP or foreign postal code BRASELTON, GA 30517
G Gross receipts $ 19,605,005
F Name and address of principal officer: STEPHEN HAMBLIN 1980 SPORTS CLUB DRIVE B R A S E L T O N, G A 3 0 5 1 7 I J
Taxexempt status:
Website:
501(c)(3)
501(c) (
H(a) Is this a group return for subordinates? H(b) Are all subordinates included?
) (insert no.)
4947(a)(1) or
Corporation
No No
If "No," attach a list. See instructions.
527
H(c) Group exemption number
WWW.AJGA.ORG
K Form of organization:
Yes Yes
Trust
Association
L Year of formation: 1980
Other
M State of legal domicile: GA
Summary
Part I
1 Briefly describe the organization’s mission or most significant activities: GOLF TOURNAMENTS A PROGRAM PROMOTING JUNIOR GOLF COMPETITIONS AND SERVING OVER 9,099 MEMBERS.
if the organization discontinued its operations or disposed of more than 25% of its net assets. 2 Check this box . . . . . . . 3 Number of voting members of the governing body (Part VI, line 1a) . 3 4 Number of independent voting members of the governing body (Part VI, line 1b) 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) .
6 Total number of volunteers (estimate if necessary) 7a
.
.
.
.
.
Total unrelated business revenue from Part VIII, column (C), line 12
.
.
.
.
.
.
.
.
.
.
.
.
9 Program service revenue (Part VIII, line 2g)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
b Net unrelated business taxable income from Form 990T, Part I, line 11 . . . . . . . . . 8 Contributions and grants (Part VIII, line 1h)
.
.
17
4
17
5
169
6
1,800
7a
0
7b Prior Year
.
Current Year
.
13,262,946
14,794,291
.
.
.
.
.
4,143,739
4,143,230
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d )
.
.
.
.
42,139
332,231
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
12
Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)
13
Grants and similar amounts paid (Part IX, column (A), lines 1–3 ) .
14
Benefits paid to or for members (Part IX, column (A), line 4) .
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)
16a Professional fundraising fees (Part IX, column (A), line 11e)
.
.
. .
.
. .
.
43,267
51,462
17,492,091
19,321,214
1,249,400
1,957,169
.
.
0
0
5,892,652
7,082,520
0
0
9,776,596
10,210,476
16,918,648
19,250,165
.
b Total fundraising expenses (Part IX, column (D), line 25) 912,595 17
Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e) .
18
Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)
19
Revenue less expenses. Subtract line 18 from line 12 .
.
.
.
.
.
.
.
.
.
573,443
71,049
Beginning of Current Year
20
Total assets (Part X, line 16) .
21
Total liabilities (Part X, line 26) .
22
Net assets or fund balances. Subtract line 21 from line 20 .
.
. .
. .
. .
. .
. .
. .
. .
. .
. .
.
. .
.
. .
.
. .
End of Year
10,810,273
12,604,292
3,016,642
4,517,998
7,793,631
8,086,294
Signature Block
Part II
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 JASON MILLER CFO Type or print name and title Print/Type preparer's name
Paid Preparer Use Only
Firm's name
20250501 Date
Preparer's signature
Date if 20250501 Check selfemployed Firm's EIN
SMITH & HOWARD ADVISORY LLC
Firm's address 271 17TH STREET NW SUITE 2100
PTIN P01372980
Phone no. (404) 8746244
ATLANTA, GA 30363
May the IRS discuss this return with the preparer shown above? See Instructions. For Paperwork Reduction Act Notice, see the separate instructions.
.
.
.
.
.
.
.
Cat. No. 11282Y
.
.
.
Yes
No
Form 990 (2023)
Page 2
Form 990 (2023)
Part III
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III .
1
.
.
.
.
.
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.
.
.
.
.
.
.
Briefly describe the organization’s mission:
GOLF TOURNAMENTS A PROGRAM PROMOTING JUNIOR GOLF COMPETITIONS AND SERVING OVER 9,099 MEMBERS.
2
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990EZ?
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.
Yes
No
.
.
Yes
No
If "Yes," describe these new services on Schedule O. 3
Did the organization cease conducting, or make significant changes in how it conducts, any program services?
.
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If "Yes," describe these changes on Schedule O. 4
4a
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. (Code:
) (Expenses $
16,128,916
including grants of $
1,957,169 ) (Revenue $
4,143,230 )
PROMOTE AND OPERATE JUNIOR GOLF TOURNAMENTS FOR OVER 9,099 MEMBERS IN ORDER FOR AMATEURS TO COMPETE AGAINST EACH OTHER IN HOPES OF IMPROVING THEIR PLAYING STATUS AND BUILDING ENOUGH STATUS TO GAIN THE ATTENTION OF NCAA COLLEGE GOLF COACHES AND POSSIBLY EARN A SCHOLARSHIP AT A COLLEGE/UNIVERSITY. THESE TOURNAMENTS ARE THE MAIN PROGRAM SERVICE OF THE AJGA AND ARE OPERATED MAINLY BY AJGA STAFF WITH HELP FROM VOLUNTEERS AT EACH TOURNAMENT. REVENUE IS RAISED VIA FUNDRAISING FOR CORPORATE SPONSORSHIP AND SALES OF JUNIORAMATEUR TEAM MEMBERSHIPS TO INDIVIDUALS AND ORGANIZATIONS.
4b
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4c
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4d
Other program services (Describe in Schedule O.) (Expenses $
4e
Total program service expenses
including grants of $
) (Revenue $
)
16,128,916 Form 990 (2023)
Page 3
Form 990 (2023)
Checklist of Required Schedules
Part IV
Yes 1
No
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . .
1
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions.
2
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I . . . . . . . . . . . . .
3
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II . . . . . . . . .
4
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 9819? If "Yes," complete Schedule C, Part III . . 5
No
6
7
8 9
10 11
.
.
.
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D,Part I . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III . . . . . . . . . . . . . .
Yes Yes No
No
6 7
No
8
No
9
No
10
No
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV . . . . . . . . . . . . . . Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V . . . . . . If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI.
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11a
.
Yes
b Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII c
.
.
.
.
.
.
.
11b
No
11c
No
11d
No
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII
.
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d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets e
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
11e
Yes
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? 11f "Yes," complete Schedule Part X independent audited financial statements for the tax year? If "Yes," complete 12a If Did the organization obtainD, separate, 12a Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional 13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
14a Did the organization maintain an office, employees, or agents outside of the United States?
.
.
.
.
.
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV . the . organization . . . . report . .on Part . 15 Did IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV . 16
.
.
.
. .
.
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. . . . .
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II . . . . . . . . . . . .
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? I f "Yes," complete Schedule G, Part III . . . . . . . . . . . . . . . . . . .
20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H .
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.
.
b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II .
.
.
.
.
No Yes
13
No
14a
No
14b
No
15
Yes
16
Yes
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV .
21
12b
Yes
17
No
18
No
19
No
20a
No
20b 21
Yes Form 990 (2023)
Page 4
Form 990 (2023)
Part IV
Checklist of Required Schedules (continued) Yes
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III . . . . . . . .
22
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . 24a Did the organization have a taxexempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a . . . . . . . . . . . . . . .
No
23
b Did the organization invest any proceeds of taxexempt bonds beyond a temporary period exception? . c
.
No
24a
.
24b
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any taxexempt bonds? . . . . . . . . . . . . . . .
24c 24d 25a
No
25b
No
former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, aPart II or . other . . assistance . . . to .any. current . . or .former officer, director, trustee, key Did the organization provide grant
26
No
employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If "Yes," completeSchedule L,Part III . . . . . . . . . . . . . . . . . . . . . . . . .
27
No
28a
No
b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990EZ? I f "Yes," complete Schedule L, Part I . the . organization . . . . report . .any. amount . . on. Part . X,. line . 5 .or 22 . for . receivables . . . . . or payables to any current or 26 Did from
28
Yes
23
d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . . 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I . . . .
27
No
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . b A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV .
.
.
.
. 28b
No
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . .
28c
No
29
Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule M .
.
29
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .terminate, . . . or dissolve . . . and . cease . . operations? . . . If."Yes," . complete . . Did the organization liquidate, Schedule N, Part I
30
No
31
No
32
No
33
No
c
31 32 33 34
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.77012 and 301.77013? If "Yes," Schedule R, Part I .taxexempt . . . or. taxable . . entity? . . If ."Yes," . complete . Was the complete organization related to any Schedule R, Part II, III, or IV, and Part V, line 1 .
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34
.
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)?
37 38
Yes
35a
b If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 . . . 36
Yes
No
35b
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt noncharitable related organization? If "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . .
36
No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
No
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . .
38
Part V
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V .
.
.
.
.
.
.
.
Yes
.
. Yes
1a Enter the number reported in box 3 of Form 1096. Enter 0 if not applicable . . b Enter the number of Forms W2G included on line 1a. Enter 0 if not applicable c
.
1a
16
1b
0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . .
1c
. No
Yes Form 990 (2023)
Page 5
Form 990 (2023)
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a Enter the number of employees reported on Form W3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . . . . . . . . . . . . . .
2a
169 2b
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 3a Did the organization have unrelated business gross income of $1,000 or more during the year? .
.
.
b If “Yes,” has it filed a Form 990T for this year? If “No” to line 3b, provide an explanation in Schedule O .
.
Yes
3a
No
.
3b
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial . the . name of the foreign country: b account)? If "Yes," enter See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts 5a (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . .
4a
No
5a
No
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
No
c
5c
If "Yes," to line 5a or 5b, did the organization file Form 8886T?
.
.
.
.
.
.
.
.
.
.
.
.
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . .
6a
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . 7
6b
Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . .
7a
b If "Yes," did the organization notify the donor of the value of the goods or services provided?
7b
c
.
.
.
.
.
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . .
d If "Yes," indicate the number of Forms 8282 filed during the year e
.
.
.
.
h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098C? . . . . . . . . . . . . . . . . . . . . . . . . . .
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . organizations . . . . maintaining . Sponsoring donor advised funds.
a Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . 10
No
7e
No
7f
No
7g 7h
8
9a .
.
9b
Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on Part VIII, line 12
.
.
.
10a
b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders
.
.
.
.
.
.
.
.
10b
.
11a
b Gross income from other sources. (Do not net amounts due or paid to other 11b sources against amounts due or received from them.) . . . . . . . . . . 12a Section 4947(a)(1) nonexempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? b If "Yes," enter the amount of taxexempt interest received or accrued during the year. 13
7c
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? . . . . . . . . . . . . . . . . . . . . . .
9
No
7d
f
8
No
12a
12b
Section 501(c)(29) qualified nonprofit health insurance issuers.
a Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . Note. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . .
13b
c
13c
Enter the amount of reserves on hand
.
.
.
.
.
.
.
.
.
.
.
.
14a Did the organization receive any payments for indoor tanning services during the tax year? .
.
.
14a
b If "Yes," has it filed a Form 720 to report these payments?If "No," provide an explanation in Schedule O .
.
14b
15
16 17
.
13a
.
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . . . If "Yes," Is the organization see the instructions an educational and file institution Form 4720, subject Schedule to theN. section 4968 excise tax on net investment income? . . If "Yes," complete Form 4720, Schedule O. Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . If "Yes," complete Form 6069.
No
15
No
16
No
17 Form 990 (2023)
Page 6
Form 990 (2023)
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . . .
Section A. Governing Body and Management Yes 1a Enter the number of voting members of the governing body at the end of the tax year If there are material differences in voting rights among members of the governing
1a
17
1b
17
No
body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O. b Enter the number of voting members included in line 1a, above, who are independent 2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . .
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person?
4
.
5
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the. organization become aware during the year of a significant diversion of the organization’s assets? .
6
Did the organization have members or stockholders?
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
No
3
No
4
No
5 .
7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . 8
2
No
6
Yes
7a
Yes
7b
No
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a The governing body?
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O . . . . . . .
8a
Yes
8b
Yes
9
9
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10a Did the organization have local chapters, branches, or affiliates?
.
.
.
.
.
.
.
.
.
.
.
.
10a
b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing 11a the form? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
b Describe on Schedule O the process, if any, used by the organization to review this Form 990. . . . . . 12a Did the organization have a written conflict of interest policy? If "No," go to line 13 . . . .
12a
Yes
.
.
.
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . .
12b
Yes
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done . . . . . . . . . . . . . . . . . . .
12c
Yes
13
Did the organization have a written whistleblower policy?
.
.
.
.
.
.
.
.
.
.
13
Yes
14
Did the organization have a written document retention and destruction policy?
.
.
.
.
.
.
.
.
.
14
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
c
.
.
.
.
.
a The organization’s CEO, Executive Director, or top management official b Other officers or key employees of the organization
.
.
.
.
.
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
No No
No
15a
Yes
15b
Yes
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . .
16a
b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? . . . . . . . . . . . .
16b
No
Section C. Disclosure 17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024A, if applicable), 990, and 990T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records: JASON MILLER CFO 1980 SPORTS CLUB DRIVE B R A S E L T O N, G A 3 0 5 1 7 ( 7 7 0 ) 8 6 8 4 2 0 0
GA
Own website
Another's website
Upon request
Other (explain in Schedule O)
Form 990 (2023)
Page 7
Form 990 (2023)
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII .
.
.
.
.
.
.
.
.
.
.
.
.
.
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year. List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter 0 in columns (D), (E), and (F) if no compensation was paid. List all of the organization’s current key employees, if any. See the instructions for definition of "key employee." List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee) who received reportable compensation (box 5 of Form W2, box 6 of Form 1099MISC, and/or box 1 of Form 1099NEC) of more than $100,000 from the organization and any related organizations. List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (A) Name and title
(B) Average hours per week (list any hours for related organizations below dotted line)
(C) Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional Trustee;
(D) (E) (F) Reportable Reportable Estimated compensation compensation amount of from the from related other organization organizations compensation (W2/1099 (W2/1099 from the MISC/1099 MISC/1099 organization NEC) NEC) and related organizations
50.0 (1) Stephen Hamblin ...................................................................... ................. EXECUTIVE DIRECTOR 0.5
X
772,020
0
111,907
50.0 (2) Jason Etzen ...................................................................... ................. CBO 0.5
X
381,080
0
54,664
50.0 (3) Jason Miller ...................................................................... ................. CFO 0.5
X
372,829
0
60,826
50.0 (4) Mark Oskarson ...................................................................... ................. COO 0.5
X
353,832
0
59,884
50.0 (5) Jason Ross ...................................................................... ................. Chief Tournament Business Offi 0.5
X
267,389
0
35,294
0.5 (6) Kevin Rinker ...................................................................... ................. Sr. VP Development 45.0
X
0
193,594
32,633
45.0 (7) Andrew Greenfield ...................................................................... ................. Sr. VP Tournament Operations 0.0
X
139,953
0
38,916
45.0 (8) Riley Tracy ...................................................................... ................. VP, Player Services 0.0
X
103,280
0
35,729
40.0 (9) Patricia Register ...................................................................... ................. Sr. Manager, Business Relation 0.0
X
100,404
0
23,141
40.0 (10) Adam Rogers ...................................................................... ................. Sr. Regional Director, West 0.0
X
101,767
0
15,832
0.5 (11) JR Digger Smith ...................................................................... ................. Chairman 0.0
X
0
0
0
0.5 (12) James E Nugent III ...................................................................... ................. President 0.5
X
0
0
0
0.5 (13) Joseph E Quirk III ...................................................................... ................. Vice President 0.0
X
0
0
0
0.5 (14) Gayle Champagne ...................................................................... ................. Vice President 0.0
X
0
0
0
0.5 (15) CA Roberts III ...................................................................... ................. Secretary 0.0
X
0
0
0
0.5 (16) Joe Louis Barrow Jr ...................................................................... ................. Director 0.0
X
0
0
0
0.5 (17) Vicki GoetzeAckerman ...................................................................... ................. Director 0.0
X
0
0
0
Form 990 (2023)
Page 8
Form 990 (2023)
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Part VII
(A) Name and title
(B) Average hours per week (list any hours for related organizations below dotted line)
(C) Position (do not check more than one box, unless person is both an officer and a director/trustee) Institutional Trustee;
(D) (E) (F) Reportable Reportable Estimated compensation compensation amount of from the from related other organization organizations compensation (W2/1099 (W2/1099 from the MISC/1099 MISC/1099 organization NEC) NEC) and related organizations
(18) James M Hinckley 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
(19) David Leadbetter 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
(20) Rob Ohno 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
(21) Angela Rho 0.5 ........................................................................ X ....................... 0.0 TREASURER
0
0
0
(22) Candy Hannemann 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
(23) Dan Fireman 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
(24) Scott Langley 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
(25) Courtney Myhrum 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
(26) Pat Saunders 0.5 ........................................................................ X ....................... 0.5 Director
0
0
0
(27) Charles Zink 0.5 ........................................................................ X ....................... 0.0 Director
0
0
0
1b SubTotal .
.
.
c Total from continuation sheets to Part VII, Section A .
.
.
.
.
.
.
.
.
d Total (add lines 1b and 1c) .
.
.
.
.
.
. .
. .
. .
.
2,592,554
193,594
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 1 0
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . .
3
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual
4
468,826
Yes
. 5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization?If "Yes," complete Schedule J for such person . . . . . . . .
No
No
Yes
5
No
Section B. Independent Contractors 1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year. (A) Name and business address
PWC, PO BOX 932011 ATLANTA, GA 31193
(B) Description of services SOFTWARE DEVELOPMENT
(C) Compensation 172,665
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1 Form 990 (2023)
Page 9
Form 990 (2023)
Part VIII
Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII . (A) Total revenue
.
.
.
.
.
(B) Related or exempt function revenue
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns .
.
.
.
(C) Unrelated business revenue
1,974,945
1c
10,876
d Related organizations
1d
38,160
e Government grants (contributions)
1e
.
c Fundraising events .
.
.
.
.
(D) Revenue excluded from tax under sections 512 514
1a 1b
b Membership dues .
.
.
f All other contributions, gifts, grants, and similar amounts not included above
12,770,310
1f
g Noncash contributions included in lines 1a 1f:$
1g
h Total. Add lines 1a1f .
.
.
1,229,206
.
.
.
.
14,794,291
Business Code 4,143,230
2a PLAYER FEES
4,143,230
b c d e f All other program service revenue. g Total. Add lines 2a–2f.
.
.
.
4,143,230
.
3 Investment income (including dividends, interest, and other . . . taxexempt . . . 4 similar Incomeamounts) from investment of bond proceeds 5 Royalties .
.
.
.
.
.
.
.
.
.
(i) Real 6a Gross rents
345,374
0 0
.
(ii) Personal
6a
b Less: rental 6b expenses c Rental income or 6c (loss) d Net rental income or (loss) .
0
.
.
0
.
.
(i) Securities 7a Gross amount from sales of assets other than inventory b Less: cost or other basis and sales expenses c Gain or (loss)
345,374
270,547
7b
283,791
d Net gain or (loss) .
101
13,244
.
.
.
.
8a Gross income from fundraising events (not including $ 10,876 of contributions reported on line 1c). See Part IV, line 18 . . . .
101
.
.
.
13,143
.
13,143
0
8a
0
b Less: direct expenses 8b . income . . or (loss) from fundraising events . c Net
0
.
9a Gross income from gaming activities. 9a See Part IV, line 19 . . . b Less: direct expenses 9b . income . . or (loss) from gaming activities . c Net 10a Gross sales of inventory, less returns and allowances . .
0
.
(ii) Other
7a
7c
.
0 0 0
.
0
10a
0
b Less: cost of goods sold 10b . . c Net income or (loss) from sales of inventory .
.
0
Business Code 51,462
11a M I S C E L L A N E O U S I N C O M E
51,462
b
OtherRevenueMiscAmt
c
d All other revenue
.
.
e Total. Add lines 11a–11d
.
. .
.
12 Total revenue. See instructions .
.
. .
. .
. .
51,462
.
19,321,214
4,143,230
383,693
Form 990 (2023)
Page 10
Form 990 (2023)
Part IX
Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX .
Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.
(A) Total expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . . . .
.
.
.
(B) Program service expenses
1,949,669
2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . . . . . . . . . .
0
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. . . . . . . . . . . . . .
7,500
.
.
.
.
.
.
(C) Management and general expenses
.
.
.
.
(D) Fundraising expenses
1,949,669
7,500
0
4 Benefits paid to or for members . . . . . . . 5 Compensation of current officers, directors, trustees, and key employees . . . . . . . . . . .
2,469,725
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . . . .
0
1,478,133
697,693
293,899
3,650,592
2,184,883
1,031,286
434,423
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) . . . .
24,503
14,665
6,922
2,916
9 Other employee benefits
593,838
355,413
167,758
70,667
343,862
205,802
97,140
40,920
7 Other salaries and wages .
10 Payroll taxes
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
11 Fees for services (nonemployees): a Management
.
.
.
.
.
.
b Legal
.
.
.
.
.
.
.
.
c Accounting d Lobbying
.
.
. .
. .
.
.
.
0
.
.
.
0
.
.
.
.
.
.
.
.
.
50,090
.
e Professional fundraising services. See Part IV, line 17 f Investment management fees
.
.
.
.
.
13 Office expenses
.
.
14 Information technology 15 Royalties
.
.
. .
.
. .
.
.
.
.
125,738
.
0
.
111,323
10,872
3,543
332,880
83,187
45,600
0
. .
404
0
0
. .
.
16 Occupancy 17 Travel
.
.
0 404
.
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 12 Advertising and promotion
50,090
0
.
. .
. .
. .
. .
. .
. .
. .
.
.
.
.
461,667
.
0
.
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .
0
19 Conferences, conventions, and meetings
.
.
0
20 Interest
.
.
0
.
285,851
253,081
24,716
8,054
180,654
159,944
15,620
5,090
8,044,572
8,044,572
b OTHER EXPENSES
743,657
743,657
c DUES & SUBSCRIPTIONS
265,569
235,120
22,966
7,483
d TRAINING & EDUCATION
52,274
52,274
19,250,165
16,128,916
2,208,654
912,595
.
.
.
.
21 Payments to affiliates
. .
. .
. .
. .
. .
22 Depreciation, depletion, and amortization 23 Insurance
.
.
.
.
.
0
. .
.
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.) a TOURNAMENT COSTS
e All other expenses 25 Total functional expenses. Add lines 1 through 24e 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here
if following SOP 982 (ASC 958720). Form 990 (2023)
Page 11
Form 990 (2023)
Part X
Balance Sheet Check if Schedule O contains a response or note to any line in this Part IX .
.
.
.
.
.
.
.
.
(A) Beginning of year 1 2
Cash–noninterestbearing
.
.
.
.
.
.
.
.
3
Savings and temporary cash investments . . . . . . . . . Pledges and grants receivable, net . .
4
Accounts receivable, net
5
7
Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons Loans . . and . other . .receivables . . from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . Notes and loans receivable, net . . . . . . . . . . .
8
Inventories for sale or use
9
Prepaid expenses and deferred charges
6
10a b
.
.
.
.
.
.
.
. .
. .
.
.
. .
.
.
. .
.
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.
.
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.
.
.
.
.
.
.
.
.
Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D
10a
2,740,530
Less: accumulated depreciation
10b
2,022,698
11
Investments—publicly traded securities
.
12
Investments—other securities. See Part IV, line 11
.
.
.
13
Investments—programrelated. See Part IV, line 11
14
Intangible assets
15 16
Other assets. See Part IV, line 11 . .assets. . . Add . lines . .1 through . . . (must . Total 15 equal line 33)
17
Accounts payable and accrued expenses
18
Grants payable
.
.
.
. .
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.
.
.
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. .
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.
.
.
2,511,672
1
1,492,963
4,748,217
2
5,501,849
223,205
3
995,243
0
4
0
0
5
0
0
6
0
0
7
0
0
8
0
54,442
9
105,755
732,314
10c
717,832
3,287,405
11
3,333,021
0
12
0
0
13
0
0
14
0
746,982
15
457,629
10,810,273
16
12,604,292
538,779
17
519,337
0
18
0
1,969,128
19
2,536,573
0
Taxexempt bond liabilities
20
0
21
Escrow or custodial account liability. Complete Part IV of Schedule D
0
21
0
22
0
22
0
23
Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . Secured mortgages and notes payable to unrelated third parties . .
0
23
0
24
Unsecured notes and loans payable to unrelated third parties
0
24
0
25
Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 24). Complete Part X of Schedule D
508,735
25
1,462,088
26
Total liabilities. Add lines 17 through 25
3,016,642
26
4,517,998
7,793,631
27
8,086,294
0
28
0
.
.
.
(B) End of year
Deferred revenue
.
.
.
20
.
.
.
19
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28
.
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.
Organizations that follow FASB ASC 958, check here 27
.
and complete
lines 27, 28, 32, and 33. Net assets without donor restrictions . . . . . . . . . . Net assets with donor restrictions . . . . . . . . . . . Organizations that do not follow FASB ASC 958, check here
and
29
complete lines 29 through 33. Capital stock or trust principal, or current funds
30
Paidin or capital surplus, or land, building or equipment fund
31
Retained earnings, endowment, accumulated income, or other funds
32
Total net assets or fund balances . . . . . . . . . . . Total liabilities and net assets/fund balances . . . . . . . .
33
.
.
.
.
. .
29 .
.
30 31 7,793,631
32
8,086,294
10,810,273
33
12,604,292 Form 990 (2023)
Page 12
Form 990 (2023)
Part XI
Reconcilliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI .
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.
1
Total revenue (must equal Part VIII, column (A), line 12)
.
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.
1
19,321,214
2
Total expenses (must equal Part IX, column (A), line 25)
.
.
.
.
.
.
.
.
.
.
.
.
2
19,250,165
3
Revenue less expenses. Subtract line 2 from line 1
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A))
.
.
5
Net unrealized gains (losses) on investments
.
.
6
Donated services and use of facilities
7
Investment expenses
8
Prior period adjustments
9
Other changes in net assets or fund balances (explain in Schedule O)
.
. .
. .
.
. .
.
. .
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. .
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. .
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. .
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. .
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.
. .
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.
. .
3
71,049
4
7,793,631
.
5
221,614
.
6
.
. .
.
7
. .
.
8
.
9
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column Part(B)) XII Financial Statements and Reporting
10
Check if Schedule O contains a response or note to any line in this Part XII .
.
.
.
.
.
10
.
.
8,086,294
.
.
.
. Yes
1
Accounting method used to prepare the Form 990:
Cash
Accrual
. No
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O. 2a Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: Separate basis
Consolidated basis
Both consolidated and separate basis
b Were the organization’s financial statements audited by an independent accountant?
2b
Yes
2c
Yes
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Separate basis c
Consolidated basis
Both consolidated and separate basis
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
No
Form 990 (2023)
Form 990 (2023)
Additional Data
Return to Form Software ID:
Software Version: Form 990, Special Condition Description: Special Condition Description
SCHEDULE A (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 15450047
Public Charity Status and Public Support
2023
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
American Junior Golf Association Inc
581433914
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)
8
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a landgrant college or university or a nonland grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:
10
An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
11
An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
12
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). C h e c k the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III nonfunctionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III nonfunctionally integrated supporting organization.
f g
Enter the number of supported organizations
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Provide the following information about the supported organization(s). (i) Name of supported organization
(ii) E I N
(iii) Type of organization (described on lines 1 10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
(v) Amount of monetary support (see instructions)
(vi) Amount of other support (see instructions)
No
Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990) 2023
Page 2 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.) Section A. Public Support
Schedule A (Form 990) 2023
Part II
Calendar year (a) 2 0 1 8 (b) 2 0 1 9 (c) 2 0 2 0 (d) 2 0 2 1 (e) 2 0 2 2 (f) Total (or fiscal year beginning in) 1 Gifts, grants, contributions, and 11,775,282 10,699,886 12,579,443 13,262,946 14,794,291 63,111,848 membership fees received. (Do not include any "unusual grant.") . . 2 Tax revenues levied for the organization's benefit and either 0 paid to or expended on its behalf . . . . 3 The value of services or facilities 0 furnished by a governmental unit to the organization without charge.. 11,775,282 10,699,886 12,579,443 13,262,946 14,794,291 63,111,848 4 Total. Add lines 1 through 3 5 The portion of total contributions by each person (other than a governmental unit or publicly 10,925,550 supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . 6 Public support. Subtract line 5 from 52,186,298 line 4.
Section B. Total Support Calendar year (a) 2 0 1 8 (b) 2 0 1 9 (c) 2 0 2 0 (d) 2 0 2 1 (e) 2 0 2 2 (f) Total (or fiscal year beginning in) 11,775,282 10,699,886 12,579,443 13,262,946 14,794,291 63,111,848 7 Amounts from line 4. . 8 Gross income from interest, dividends, payments received on 9,811 9,505 8,285 6,449 345,374 379,424 securities loans, rents, royalties and income from similar sources . . . 9 Net income from unrelated business activities, whether or 0 not the business is regularly carried on. . 10 Other income. Do not include gain 63,816 31,422 42,963 43,267 51,462 232,930 or loss from the sale of capital assets (Explain in Part VI.). . 11 Total support. Add lines 7 through 63,724,202 10 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . 12 19,136,280 13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14
Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) . . . . . . . . .
15
Public support percentage for 2022 Schedule A, Part II, line 14 . . . . . . . . . . . . . . .
14
81.894 %
15 81.373 % 16a 33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . b
33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . .
17a 10%factsandcircumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "factsandcircumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "factsandcircumstances" test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . b 10%factsandcircumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "factsandcircumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "factsandcircumstances" test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . 18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and s e e instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990) 2023
Page 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support
Schedule A (Form 990) 2023
Part III
Calendar year (or fiscal year beginning in) 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's taxexempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 . . . . . 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total. Add lines 1 through 5 7a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. c Add lines 7a and 7b. . 8 Public support. (Subtract line 7c from line 6.)
(a) 2 0 1 9
(b) 2 0 2 0
(c) 2 0 2 1
(d) 2 0 2 2
(e) 2 0 2 3
(f) Total
Section B. Total Support Calendar year (a) 2 0 1 9 (b) 2 0 2 0 (c) 2 0 2 1 (d) 2 0 2 2 (e) 2 0 2 3 (f) Total (or fiscal year beginning in) 9 Amounts from line 6. . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1 9 7 5. c Add lines 10a and 10b. 11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . 13 Total support. (Add lines 9, 10c, 11, and 12.). . First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, 14 check this box and stop here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 15
Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) . . . . . . . . .
15
16
Public support percentage from 2022 Schedule A, Part III, line 15 . . . . . . . . . . . . . . .
16
Section D. Computation of Investment Income Percentage 17
Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) . . . . . .
18
Investment income percentage from 2022 Schedule A, Part III, line 17 . . . . . . . . . . . . .
17
18 19a 33 1/3% support tests2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . b 33 1/3% support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . 20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . . . Schedule A (Form 990) 2023
Page 4
Schedule A (Form 990) 2023
Part IV
Supporting Organizations
checked checked box
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you 12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations Yes 1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
1
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
c
5a
b c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
3a
3b
3c
4a
4b
4c
5a
5b
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? I f “Yes,” complete Part I of Schedule L (Form 990).
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a) (1) or (2))? If “Yes,” provide detail in Part VI.
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III nonfunctionally integrated supporting organizations)? If “Yes,” answer line 10b below.
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
No
8
9a
9b
9c
10a
10b Schedule A (Form 990) 2023
Page 5
Schedule A (Form 990) 2023
Part IV 11
Supporting Organizations (continued) Yes
No
Yes
No
Yes
No
Yes
No
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
b
A family member of a person described on 11a above?
11b
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
Section B. Type I Supporting Organizations 1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
1
2
Section C. Type II Supporting Organizations 1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D. All Type III Supporting Organizations 1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
1
2
3
Section E. Type III FunctionallyIntegrated Supporting Organizations 1
2
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions): a
The organization satisfied the Activities Test. Complete line 2 below.
b
The organization is the parent of each of its supported organizations. Complete line 3 below.
c
The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions) Activities Test. Answer lines 2a and 2b below. Yes
a Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. b Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. 3
No
2a
2b
Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3a
3b Schedule A (Form 990) 2023
Page 6
Schedule A (Form 990) 2023
Part V
Type III NonFunctionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III nonfunctionally integrated supporting organizations must complete Sections A through E.
Section A Adjusted Net Income 1
Net shortterm capital gain
1
2
Recoveries of prioryear distributions
2
3
Other gross income (see instructions)
3
4
Add lines 1 through 3
4
5
Depreciation and depletion
5
6
Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
6
7
Other expenses (see instructions)
7
8
Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)
8
Section B Minimum Asset Amount 1
Aggregate fair market value of all nonexemptuse assets (see instructions for short tax year or assets held for part of year):
(A) Prior Year
(B) Current Year (optional)
(A) Prior Year
(B) Current Year (optional)
1
a Average monthly value of securities
1a
b Average monthly cash balances
1b
c Fair market value of other nonexemptuse assets
1c
d Total (add lines 1a, 1b, and 1c)
1d
e Discount claimed for blockage or other factors (explain in detail in Part VI): 2
Acquisition indebtedness applicable to nonexempt use assets
2
3
Subtract line 2 from line 1d
3
4
Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).
4
5
Net value of nonexemptuse assets (subtract line 4 from line 3)
5
6
Multiply line 5 by 0.035
6
7
Recoveries of prioryear distributions
7
8
Minimum Asset Amount (add line 7 to line 6)
8 Current Year
Section C Distributable Amount 1
Adjusted net income for prior year (from Section A, line 8, Column A)
1
2
Enter 85% of line 1
2
3
Minimum asset amount for prior year (from Section B, line 8, Column A)
3
4
Enter greater of line 2 or line 3
4
5
Income tax imposed in prior year
5
6
Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)
6
7
Check here if the current year is the organization's first as a nonfunctionallyintegrated Type III supporting organization (see instructions) Schedule A (Form 990) 2023
Page 7
Schedule A (Form 990) 2023
Part V
Type III NonFunctionally Integrated 509(a)(3) Supporting Section DOrganizations Distributions 1
(continued) Current Year
Amounts paid to supported organizations to accomplish exempt purposes
1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
2
3
Administrative expenses paid to accomplish exempt purposes of supported organizations
3
4
Amounts paid to acquire exemptuse assets
4
5
Qualified setaside amounts (prior IRS approval required provide details in Part VI)
5
6
Other distributions (describe in Part VI). See instructions
6
7 Total annual distributions. Add lines 1 through 6.
7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
8
9
9
Distributable amount for 2023 from Section C, line 6
10 Line 8 amount divided by Line 9 amount
Section E Distribution Allocations (see instructions)
10 (i) Excess Distributions
(ii) Underdistributions Pre2023
(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6 2 Underdistributions, if any, for years prior to 2023 (reasonable cause required explain in Part VI ). See instructions. 3 Excess distributions carryover, if any, to 2023: a From 2018.
.
.
.
.
.
b From 2019.
.
.
.
.
.
.
c From 2020.
.
.
.
.
.
.
d From 2021.
.
.
.
.
.
.
e
.
.
.
.
.
.
From 2022.
.
f Total of lines 3a through e g Applied to underdistributions of prior years h Applied to 2023 distributable amount i Carryover from 2018 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2023 from Section D, line 7: $ a Applied to underdistributions of prior years b Applied to 2023 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI . See instructions. 6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. 7 Excess distributions carryover to 2024. Add lines 3j and 4c. 8 Breakdown of line 7: a Excess from 2019.
.
.
.
b Excess from 2020.
.
.
.
.
c Excess from 2021.
.
.
.
.
d Excess from 2022.
.
.
.
.
e
.
.
.
.
Excess from 2023.
.
Schedule A (Form 990) (2023)
Page 8
Schedule A (Form 990) 2023
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Return Reference
Explanation Schedule A (Form 990) 2023
Additional Data
Return to Form Software ID: Software Version:
Schedule B
OMB No. 15450047
Schedule of Contributors
(Form 990)
2023
Attach to Form 990, 990EZ, or 990PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization American Junior Golf Association Inc
Employer identification number 581433914
Organization type (check one): Filers of: Form 990 or 990EZ
Section: 501(c)( ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization
Form 990PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 990, 990EZ, or 990PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions. Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990EZ that met the 331 /3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year . . . . . . . . . $ Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990, 990EZ, or 990PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990, 990EZ, or 990PF). For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990EZ, or 990PF.
Cat. No. 30613X
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 2
Name of organization American Junior Golf Association Inc
Part I
Employer identification number 581433914
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
Contributors (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person
RESTRICTED
Payroll $ RESTRICTED ,
(a) No.
Noncash (Complete Part II for noncash contributions.)
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll
$
Noncash (Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll
$
Noncash (Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll
$
Noncash (Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll
$
Noncash (Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll
$
Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023) Name of organization American Junior Golf Association Inc
Page 3 Employer identification number 581433914
Part II (a) No. from Part I
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (b) Description of noncash property given
(c) FMV (or estimate)
(d) Date received
(See instructions) $
(a) No. from Part I
(b) Description of noncash property given
(c) FMV (or estimate)
(d) Date received
(See instructions) $
(a) No. from Part I
(b) Description of noncash property given
(c) FMV (or estimate)
(d) Date received
(See instructions) $
(a) No. from Part I
(b) Description of noncash property given
(c) FMV (or estimate)
(d) Date received
(See instructions) $
(a) No. from Part I
(b) Description of noncash property given
(c) FMV (or estimate)
(d) Date received
(See instructions) $
(a) No. from Part I
(b) Description of noncash property given
(c) FMV (or estimate)
(d) Date received
(See instructions) $
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization American Junior Golf Association Inc
Employer identification number 581433914
Part III
(a) No. from Part I
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed. (b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP 4
Relationship of transferor to transferee
Schedule B (Form 990) (2023)
Additional Data
Return to Form Software ID: Software Version:
SCHEDULE D
Department of the Treasury Internal Revenue Service
OMB No. 15450047
Supplemental Financial Statements
(Form 990)
2022
Complete if the organization answered "Yes," on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
American Junior Golf Association Inc
581433914
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
1
Total number at end of year . . . . . . . . .
2
Aggregate value of contributions to (during year)
3
Aggregate value of grants from (during year)
4
Aggregate value at end of year . . . . . . . .
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? . . . . . . . . . . . .
Yes
No
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Part II 1
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e.g., recreation or education)
Preservation of an historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space 2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Year a
Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . .
2a
b
Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . .
2b
c
Number of conservation easements on a certified historic structure included in (a) . . . . .
2c
d
Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register . . .
2d
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year
4
Number of states where property subject to conservation easement is located
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . .
Yes
No
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year $
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4) (B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Yes
No
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . .
$
(ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items:
2 a
Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . .
$
b
Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2022
Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2022
Part III 3 a
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): d Public exhibition Loan or exchange programs
b
e
Scholarly research
c
Other
Preservation for future generations
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?. . .
Part IV
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If "Yes," explain the arrangement in Part XIII and complete the following table:
c
Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
d
Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
e
Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
f
Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
b
No
Yes
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII
Part V
No
Amount
b
2a
Yes
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
Yes
No
. . . .
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year
1a Beginning of year balance b Contributions
.
.
.
.
.
(b) Prior year
(c) Two years back (d) Three years back (e) Four years back
.
.
c Net investment earnings, gains, and losses d Grants or scholarships
.
.
.
e Other expenditures for facilities and programs . . . f
Administrative expenses
g End of year balance 2
.
. .
. .
. .
. .
.
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a
Board designated or quasiendowment
b
Permanent endowment
c
Term endowment The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations
b 4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
(ii) Related organizations . . . . . . . . . . . . . . . . If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . .
.
Yes
.
No
3a(i) 3a(ii)
.
3b
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. (a) Cost or other basis (investment)
Description of property
1a Land
.
.
b Buildings
. .
. .
(b) Cost or other basis (other)
(c) Accumulated depreciation
(d) Book value
1,435,996
1,104,548
331,448
1,304,534
918,150
386,384
. .
.
c Leasehold improvements d Equipment e Other
.
. .
. .
. .
. .
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).) .
.
717,832
Schedule D (Form 990) 2022
Page 3
Schedule D (Form 990) 2022
Part VII
Investments Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b.See Form 990, Part X, line 12. (a) Description of security or category (including name of security)
(1) Financial derivatives
.
(2) Closelyheld equity interests
(b) Book value
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
(c) Method of valuation: Cost or endofyear market value
(3)Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)
Part VIII
Investments Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation: Cost or endofyear market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)
Part X
.
.
.
.
.
.
.
.
.
.
.
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.
(a) Description of liability
(1) Federal income taxes DEFERRED COMPENSATION PAY
(b) Book value 0 288,950
DUE TO FOUNDATION
1,173,138
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
1,462,088
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII Schedule D (Form 990) 2022
Page 4
Schedule D (Form 990) 2022
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1
Total revenue, gains, and other support per audited financial statements
2
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
.
.
.
.
.
.
a
Net unrealized gains (losses) on investments
.
.
.
.
b
Donated services and use of facilities
.
.
.
.
.
.
.
.
.
2b
c
Recoveries of prior year grants
.
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2c
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Other (Describe in Part XIII.)
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e
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Amounts included on Form 990, Part VIII, line 12, but not on line 1: a
Investment expenses not included on Form 990, Part VIII, line 7b
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Other (Describe in Part XIII.)
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c
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4a 4b .
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Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
Part XII
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4c .
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5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1
Total expenses and losses per audited financial statements
2
Amounts included on line 1 but not on Form 990, Part IX, line 25:
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a
Donated services and use of facilities
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Prior year adjustments
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c
Other losses
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Other (Describe in Part XIII.)
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Amounts included on Form 990, Part IX, line 25, but not on line 1:
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Investment expenses not included on Form 990, Part VIII, line 7b . .
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Other (Describe in Part XIII.)
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c
Add lines 4a and 4b .
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Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)
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5
Part XIII Supplemental Information Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. Return Reference SCHEDULE D, PART X, LINE 2
Explanation THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS SUBJECT TO FEDERAL AND STATE INCOME TAXES ON INCOME WHICH IS DETERMINED TO BE UNRELATED TO ITS EXEMPT PURPOSE, IF ANY. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITY, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO KNOWN ITEMS WHICH WOULD RESULT IN A MATERIAL ACCRUAL RELATED TO WHERE THE ORGANIZATION HAS UNCERTAIN FEDERAL OR STATE TAX POSITIONS. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS DATE BACK TO THE YEAR ENDED DECEMBER 31, 2020. Schedule D (Form 990) 2022
Additional Data
Return to Form Software ID: Software Version:
SCHEDULE F (Form 990)
OMB No. 15450047
Statement of Activities Outside the United States
2023
Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Department of the Treasury Internal Revenue Service Name of the organization American Junior Golf Association Inc
Open to Public Inspection
Employer identification number 581433914
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
For grantmakers. Does the organization maintain records to substantiate the amount of its grants a n d assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used other to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . Yes . . For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
1
2
3
No
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.) (a) Region
(1)
Central America and the Caribbean Central America and the Caribbean
(b) Number of offices in the region
(c) Number of (d) Activities conducted in (e) If activity listed in (d) is a employees, region (by type) (such as, program service, describe agents, and fundraising, program specific type of independent services, investments, grants service(s) in the region contractors in the to recipients located in the region region)
0
0 Program Services
0
0 Grantmaking
3a Subtotal . . . . b Total from continuation sheets to Part I . . .
0
0
c Totals (add lines 3a and 3b)
0
0
(2)
JR. GOLF COMPETITION TRAVEL STIPEND
(f) Total expenditures for and investments in the region
213,719 7,500
(3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
221,219
221,219 Cat. No. 50082W
Schedule F (Form 990) 2023
Schedule F (Form 990) 2023
Part II 1
Page 2
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as taxexempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .
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3 Enter total number of other organizations or entities .
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. Schedule F (Form 990) 2023
Page 3 Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16. Part III can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part III
(a) Type of grant or assistance
(1)
TRAVEL STIPEND
(b) Region
Central America and the Caribbean
(c) Number of recipients
1
(d) Amount of cash grant
(e) Manner of cash disbursement
(f) Amount of noncash assistance
(g) Description of noncash assistance
(h) Method of valuation (book, FMV, appraisal, other)
7,500 C H E C K
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)
Schedule F (Form 990) 2023
Schedule F (Form 990) 2023
Part IV 1
2
3
4
5
6
Page 4
Foreign Forms
Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520A; don't file with Form 990) . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
Yes
No
Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Yes
No
.
Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Schedule F (Form 990) 2023
Schedule F (Form 990) 2023
Part V
Page 5
Supplemental Information Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions. ReturnReference
Explanation
Schedule F (Form 990) 2023
Additional Data Software ID: Software Version:
Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.
Schedule I (Form 990)
OMB No. 15450047
Grants and Other Assistance to Organizations, Governments and Individuals in the United States
2023
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Open to Public Inspection
Name of the organization
Employer identification number
American Junior Golf Association Inc
Part I
581433914
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . .
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization or government
(b) E I N
(1) A M E R I C A N J U N I O R GOLF FOUNDATION 1980 SPORTS CLUB DRIVE B R A S E L T O N, G A 3 0 5 1 7
581447686
(c) IRC section (if applicable)
(d) Amount of cash grant
501(C)(3)
(e) Amount of non (f) Method of valuation cash (book, FMV, appraisal, assistance other)
1,944,669
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table . . . . . . . . . . . . . . . . .
3
Enter total number of other organizations listed in the line 1 table .
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(h) Purpose of grant or assistance
Purpose & Grants
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
(g) Description of noncash assistance
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1 .
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Cat. No. 50055P
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. Schedule I (Form 990) 2023
Page 2
Schedule I (Form 990) 2023
Part III Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed. (a) Type of grant or assistance
(b) Number of recipients
(c) Amount of cash grant
(d) Amount of noncash assistance
(e) Method of valuation (book, FMV, appraisal, other)
(f) Description of noncash assistance
(1) (2) (3) (4) (5) (6) (7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference
Explanation
SCHEDULE I, PART I, LINE 2
FUNDS ARE GIVEN TO OUR RELATED FOUNDATION FOR USE TO MEET OUR JOINT PURPOSES. ALL ACTIVITY IS CLOSELY MONITORED. FUNDS ARE ALSO PROVIDED TO SUPPORT GOLF ACTIVITIES AND ARE MONITORED TO ENSURE PROPER USE OF FUNDS AS INTENDED. Schedule I (Form 990) 2023
Additional Data
Return to Form
Software ID: Software Version:
Compensation Information
Schedule J (Form 990)
OMB No. 15450047
For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered "Yes" on Form 990, Part IV, line 23. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Department of the Treasury Internal Revenue Service Name of the organization
2023 Open to Public Inspection
Employer identification number
American Junior Golf Association Inc
581433914
Part I
Questions Regarding Compensation Yes
1a
b
2
3
No
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. Firstclass or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and grossup payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain . . . . . Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? . . . .
1b
Yes
2
Yes
Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization: a
Receive a severance payment or changeofcontrol payment? .
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .Participate . . .in, .or receive . . . . payment from, an equitybased compensation arrangement?
c
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4a 4b
No Yes
4c
No
5a
No
5b
No
6a
No
6b
No
. "Yes" . . to .any . of lines . . 4ac, . .list the persons and provide the applicable amounts for each item in Part III. If Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 59. 5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: a
The organization? .
b
Any related organization? . . . . . . If "Yes," on line 5a or 5b, describe in Part III.
6
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For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of: a
The organization? .
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b
Any related organization? .
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If "Yes," on line 6a or 6b, describe in Part III. 7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments not described in lines 5 and 6? If "Yes," describe in Part III . . . . . . . . . .
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.49584(a)(3)? If "Yes," describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.49586(c)? . . . . . . . . . . . . . . . . . . . . . . . . .
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
.
.
7
Yes
No
Schedule J (Form 990) 2023
Page 2
Schedule J (Form 990) 2023
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns (B)(i)(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual. (A) Name and Title
(B) Breakdown of W2, 1099MISC compensation, and/or 1099NEC (i) B a s e compensation
1 Stephen Hamblin EXECUTIVE DIRECTOR
(i) (ii)
2 Jason Miller CFO
(i) (ii)
3 Jason Etzen CBO
(i) (ii)
4 Mark Oskarson COO
(i) (ii)
5 Jason Ross Chief Tournament Business Offi
(i) (ii)
6 Kevin Rinker Sr. VP Development
(i) (ii)
7 Andrew Greenfield Sr. VP Tournament Operations
(i) (ii)
(ii) Bonus & incentive compensation
(iii) Other reportable compensation
(C) Retirement and other deferred compensation
(D) Nontaxable benefits
(E) Total of columns (B)(i)(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
417,786
125,000
229,234
80,250
31,657
883,927
219,402
257,990
70,000
44,839
29,180
31,646
433,655
40,212
250,948
72,000
58,132
26,072
28,592
435,744
53,521
237,997
65,000
50,835
28,245
31,639
413,716
46,294
217,389
50,000
0
24,348
10,946
302,683
0
169,444
23,000
1,150
9,762
22,871
226,227
0
119,753
19,000
1,200
7,321
31,595
178,869
0
Schedule J (Form 990) 2023
Page 3
Schedule J (Form 990) 2023
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information. Return Reference
Explanation
SCHEDULE J, PART I, LINE 1A
AMERICAN JUNIOR GOLF ASSOCIATION PAYS UP TO ONE HALF OF MEMBERSHIP DUES TO A GOLF CLUB IN ORDER TO FACILITATE BUSINESS MEETINGS AND ORGANIZATIONAL SOCIAL EVENTS RELATED TO GOLF, WHICH IS THE ORGANIZATION'S TAX EXEMPT PURPOSES.
SCHEDULE J, PART I, LINE 4(B)
THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN: 1. STEPHEN HAMBLIN 2. JASON MILLER 3. JASON ETZEN 4. MARK OSKARSON 5. JASON ROSS ACCRUALS TO THE PLAN AND 401(K) MATCHING CONTRIBUTIONS ARE REPORTED IN PART II COLUMN (C). A TOTAL $359,429 WAS PAID OUT OF THE PLAN IN 2023, AS FOLLOWS: $219,402 PAID OUT TO STEPHEN HAMBLIN $ 40,212 PAID OUT TO JASON MILLER $ 53,521 PAID OUT TO JASON ETZEN $ 46,294 PAID OUT TO MARK OSKARSON
SCHEDULE J, PART I, LINE 7
STEPHEN HAMBLIN, EXECUTIVE DIRECTOR'S REPORTABLE COMPENSATION FOR 2023 INCLUDES AN ANNUAL PERFORMANCEBASED BONUS OF $125,000. JASON MILLER, CHIEF FINANCIAL OFFICER'S REPORTABLE COMPENSATION FOR 2023 INCLUDES AN ANNUAL PERFORMANCE BASED BONUS OF $70,000. JASON ETZEN, CHIEF BUSINESS OFFICER'S REPORTABLE COMPENSATION FOR 2023 INCLUDES AN ANNUAL PERFORMANCEBASED BONUS OF $72,000. MARK OSKARSON, CHIEF OPERATING OFFICER'S REPORTABLE COMPENSATION FOR 2023 INCLUDES AN ANNUAL PERFORMANCEBASED BONUS OF $65,000. JASON ROSS, CHIEF TOURNAMENT BUSINESS OFFICER'S REPORTABLE COMPENSATION FOR 2023 INCLUDES AN ANNUAL PERFORMANCEBASED BONUS OF $50,000. OTHER EMPLOYEES' REPORTABLE COMPENSATION INCLUDES CAR ALLOWANCE, ADDITIONAL GIFT CARD COMPENSATION, LIFE INSURANCE PREMIUMS PAID AND OTHER MISCELLANEOUS COMPENSATION. Schedule J (Form 990) 2023
Additional Data
Return to Form Software ID: Software Version:
SCHEDULE M (Form 990)
OMB No. 15450047
Noncash Contributions
2023
Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Open to Public Inspection
Name of the organization
Employer identification number
American Junior Golf Association Inc
581433914
Part I
Types of Property (a) (b) Check if Number of contributions applicable or items contributed
1
Art—Works of art
2
Art—Historical treasures
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3
Art—Fractional interests
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4
Books and publications
.
.
5
Clothing and household goods . . . . .
(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g
. .
.
X
977,206 F M V
X
.
Cars and other vehicles
7
Boats and planes .
8
Intellectual property
9
Securities—Publicly traded .
10 .
Securities—Closely held stock
11
Securities—Partnership, LLC, or trust interests . . . .
12
Securities—Miscellaneous .
13
Qualified conservation contribution—Historic structures . . . .
.
14
Qualified conservation contribution—Other .
.
15
Real estate—Residential
.
16
Real estate—Commercial
.
17
Real estate—Other
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18
Collectibles
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19
Food inventory
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20
Drugs and medical supplies
21
Taxidermy
22
Historical artifacts
23
Scientific specimens
24
Archeological artifacts
25
Other
(
)
26
Other
(
)
27
Other
(
)
28
Other
(
)
29
Number of Forms 8283 received by the organization during the tax year for contributions for which the organization completed Form 8283, Part IV, Donee Acknowledgement
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252,000 F M V
6
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(d) Method of determining noncash contribution amounts
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29 Yes
30a During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? . . . . . . . . . . . . . . . . . . . b If "Yes," describe the arrangement in Part II. 31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash contributions? . . . . . . . . . . . . . . . . . . . . . . . . . .
No
30a
No
31
No
32a
No
b If "Yes," describe in Part II. 33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked, describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2023)
Page 2
Schedule M (Form 990) (2023)
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference
Explanation Schedule M (Form 990) (2023)
Additional Data
Return to Form Software ID: Software Version:
SCHEDULE O (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990EZ Complete to provide information for responses to specific questions on Form 990 or 990EZ or to provide any additional information. Attach to Form 990 or 990EZ. Go to www.irs.gov/Form990 for the latest information.
Name of the organization
OMB No. 15450047
2023 Open to Public Inspection
Employer identification number
American Junior Golf Association Inc
581433914
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE AJGA HAS JUNIORS WHO ARE MEMBERS OF THE AJGA. THEY ELECT THE GOVERNING BOARD OF DIRECTORS AT THE THANKSGIVING TOURNAMENT AND LEAVE SIGNIFICANT DECISIONS TO THE BOARD. THEY DO NOT RECEIVE ANY SHARE OF PROFITS, EXCESS DUES, ETC. SINCE THE AJGA IS A 501(C)(3).
FORM 990, PART VI, SECTION A, LINE 7A
JUNIOR MEMBERS ELECT THE BOARD OF DIRECTORS AT THE THANKSGIVING TOURNAMENT.
FORM 990, PART VI, SECTION B, LINE 11B
THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND PROVIDED ELECTRONICALLY TO THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
COMPLIANCE FORMS ARE COMPLETED AND REVIEWED BY STAFF ANNUALLY.
FORM 990, PART VI, SECTION B, LINES 15A & 15B
COMPENSATION/EXECUTIVE COMMITTEE APPROVES COMPENSATION WITH INFORMATION PROVIDED BY COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19
TAX RETURNS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, TAX RETURNS FOR NONPROFIT ORGANIZATIONS ARE AVAILABLE ON GUIDESTAR.ORG.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023
Additional Data
Return to Form Software ID: Software Version:
SCHEDULE R (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 15450047
Related Organizations and Unrelated Partnerships
2023
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Open to Public Inspection
Employer identification number
American Junior Golf Association Inc
581433914
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33. (a) Name, address, and EIN (if applicable) of disregarded entity
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Total income
(e) Endofyear assets
(f) Direct controlling entity
Part II Identification of Related TaxExempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related taxexempt organizations during the tax year. (a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code section
(e) Public charity status (if section 501(c)(3))
501(C)(3)
7
(f) Direct controlling entity
(g) Section 512(b) (13) controlled entity? Yes
(1)AMERICAN JUNIOR GOLF FOUNDATION INC 1980 SPORTS CLUB DRIVE
SUPPORT AJGA
GA
NA
No No
BRASELTON, GA 30517 581447686
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2023
Page 2
Schedule R (Form 990) 2023
Part III Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year. (a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Direct controlling entity
(e) Predominant income(related, unrelated, excluded from tax under sections 512514)
(f) Share of total income
(g) Share of endof year assets
(h) Disproprtionate allocations?
Yes
(i) Code VUBI amount in box 20 of Schedule K 1 (Form 1065)
No
(j) General or managing partner?
Yes
(k) Percentage ownership
No
Part IV Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year. (a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Direct controlling entity
(e) Type of entity (C corp, S corp, or trust)
(f) Share of total income
(g) Share of end ofyear assets
(h) Percentage ownership
(i) Section 512(b)(13) controlled entity? Yes
No
Schedule R (Form 990) 2023
Page 3
Schedule R (Form 990) 2023
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. Yes
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts IIIV? a
Receipt of (i) interest, (ii)annuities, (iii) royalties, or (iv) rent from a controlled entity .
b
Gift, grant, or capital contribution to related organization(s) .
c
Gift, grant, or capital contribution from related organization(s) .
d
Loans or loan guarantees to or for related organization(s)
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Loans or loan guarantees by related organization(s)
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Dividends from related organization(s)
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Sale of assets to related organization(s) .
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Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . . m Performance of services or membership or fundraising solicitations by related organization(s) . n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . .
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Other transfer of cash or property to related organization(s) .
s
Other transfer of cash or property from related organization(s) .
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
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(d) Method of determining amount involved
Schedule R (Form 990) 2023
Page 4
Schedule R (Form 990) 2023
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (a) Name, address, and EIN of entity
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Predominant income (related, unrelated, excluded from tax under sections 512 514)
(e) Are all partners section 501(c)(3) organizations?
Yes
No
(f) Share of total income
(g) Share of endofyear assets
(h) Disproprtionate allocations?
Yes
No
(i) Code VUBI amount in box 20 of Schedule K1 (Form 1065)
(j) General or managing partner?
Yes
(k) Percentage ownership
No
Schedule R (Form 990) 2023
Page 5
Schedule R (Form 990) 2023
Part VII
Supplemental Information Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation Schedule R (Form 990) 2023
Additional Data
Return to Form Software ID: Software Version:
Request for Taxpayer Identification Number and Certification
Give form to the Form ~'9 requester. Do not (Rev. March 2024) oepanment of the treasury send to the IRS. Go to www.irs.gov/FormW9 for instructions and the latest information. Internal Revenue Service Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.) American Junior Golf Association 2 Business name/disregarded entity name, if different from above. ~ a o y G7 G ao ~ V o~ L ~
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes, ❑
Individual/sole proprietor
❑ C corporation
❑ S corporation
❑ Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
❑ TrusUestate
Exempt payee code (if any)
❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. ❑✓ Other (see instructions) 501(c)(3) Non-profit corporation
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
a w 3b If on line 3a you checked "Partnership" or "TrusUestate," or checked "LLC" and entered "P" as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check y ❑ ~? this box if you have any foreign partners, owners, or beneficiaries. See instructions 5 Address (number, street, and apt. or suite no.). See instructions. 1980 Sports Club Drive 6 City, state, and ZIP code Braselton, GA 30517 7 List account numbers) here (optional)
A lies to accounts maintained ( Poufside the United States.)
Requester's name and address (optional)
Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, fora resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
~ social security number
~
— ~ — m or Employer identification number 5
8
—
1
4
3
3
9
1
4
Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA codes) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, yo~,a~e nca~rrequired to sign the certification, but you must provide your correct~TlN. See the instructions for Part II, later.
Sign Here
Signature of ~ U.S. person
tl
~~
Date
General Instr ac ions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What's New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification. Cat. No. 10231X
~~~ ~~~
New line 3b has been added to this form. Aflow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a llow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program
AJGA Junior Championship
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
Staff Expenses
$3,960.00
$0.00
$3,960.00
Site Fees
$12,000.00
$0.00
$12,000.00
$0.00
Food & Beverage
$2,500.00
$0.00
$2,500.00
$0.00
Awards
$814.00
$0.00
$814.00
$0.00
Gifting
$4,491.00
$0.00
$4,491.00
$0.00
Equipment & Rentals
$3,800.00
$0.00
$3,800.00
$0.00
Operations
$3,150.00
$0.00
$3,150.00
$0.00
Expenses
Income TDC grant funding
2025-2026 projection
2024-2025 actuals
$4,275.00
$0.00
VAR $4,275.00
$0.00 Expenses Subtotal Other Expenses
$30,715.00
$0.00
$30,715.00
$0.00 $0.00
$0.00
$0.00
$0.00 $0.00
$0.00 Income Sponsors
$4,275.00
$0.00
$4,275.00
Cash in Bank to start Income Other
$0.00
$0.00
$0.00
$0.00 $0.00 $0.00 $0.00
$0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County Signage & Marketing
$2,000.00
$0.00
$2,000.00
Total Income
$4,275.00
$0.00
$4,275.00
Total Expenses Paid
$32,715.00
$0.00
$32,715.00
Profit/Loss
-$28,440.00
$0.00 -$28,440.00
$0.00 $0.00 $0.00 $0.00
NOTE: FY 2024-2025 event was canceled
$0.00 $0.00 $0.00 Marketing Subtotal
$2,000.00
$0.00
$2,000.00
Total Expenses 2025-2026
$32,715.00
$0.00
$32,715.00
.
Updated: 6/19/2025
Florida Futures Lacrosse
Return to Table of Contents
For TOO use: PROJECT#- S 19
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Backyard Sports Enterprises, LLC Applicant Event Name: Florida Futures
• •
Yes No
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• • •
Comment
• N/A N/A • N/A •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO
r� �
All documents have been submitted, reviewed and/or addressed in the comments.
1(:1 lt �r0
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:48 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Brian Saulsberry
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Brian Saulsberry Organization address 3513 Pavilion Palms Circle State FL City Riverview Zip 33578 Primary contact name Brian Saulsberry Primary contact phone number 9015748878
Primary contact email brian@bysathletics.com Secondary contact name Brian Saulsberry Secondary contact phone number 9015910807 Secondary contact email brian.saulsberry07@gmail.com Organization website address www.bysathletics.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 92-1599335
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Florida Futures Event website address (if different from organization website) www.bysathletics.com Event location Viera Regional Park
9. (untitled) 8. What is the first date of your event? 06/01/2025
10. (untitled) 9. In total, how many days will your event be held? 1
11. (untitled) 10. Do you have a second event? Yes
12. (untitled) 11. EVENT INFORMATION - #2 Name of event Florida Future Fall Event website address (if different from organization website) www.bysathletics.com Event location Viera Regional Park
13. (untitled) 12. What is the first date of your event? 10/18/2025
14. (untitled) 13. In total, how many days will your event be held? 2
15. (untitled) 14. Do you have a third event? No
16. (untitled) 1. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 15. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Direct mail Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 16. What are your social media handles? Facebook : Backyard Sports Instagram : BackyardSportss
22. (untitled) 17. What hashtags do you currently use? #TogetherWeGetBetter
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 18. Upload a copy of your organization's Articles of Incorporation. BACKYARD_SPORTS-_FF25.pdf
26. (untitled) 19. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization.
27. (untitled) 20. Upload your completed W-9 form. FedEx_Scan_2024-05-14_13-38-06.pdf
28. (untitled) 21. Upload your completed Event Income/Expense report. Screen_Shot_2025-06-04_at_1.04.02_PM.pdf
29. (untitled) 22. Upload your completed Checklist. Terry_Event_Income_Expense_Report_template_FY25-26.pdf
30. (untitled) 23.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Brian Saulsberry
31. Thank You! New Send Email Jun 04, 2025 13:11:42 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Henegar Performing Arts Center, Inc 2
Business name/disregarded entity name, if different from above.
Print or type. See Specific Instructions on page 3.
Brevard Regional Arts Groups, Inc 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor
✔
C corporation
S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions.
(Applies to accounts maintained outside the United States.)
Requester’s name and address (optional)
625 E New Haven Ave 6
City, state, and ZIP code
Melbourne, FL 32901 7
Part I
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
Social security number
–
–
or Employer identification number
5
9
–
2
3
0
6
6
1 2
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Date 6/24/25
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
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Form W-9 (Rev. 3-2024)
must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid). • Form 1099-DIV (dividends, including those from stocks or mutual funds). • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds). • Form 1099-NEC (nonemployee compensation). • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers). • Form 1099-S (proceeds from real estate transactions). • Form 1099-K (merchant card and third-party network transactions). • Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition). • Form 1099-C (canceled debt). • Form 1099-A (acquisition or abandonment of secured property). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued); 2. Certify that you are not subject to backup withholding; or 3. Claim exemption from backup withholding if you are a U.S. exempt payee; and 4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and 5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What Is FATCA Reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441–1474). Under those rules, if a Form W-9 or other certification of non-foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities. The following persons must provide Form W-9 to the payor for purposes of establishing its non-foreign status. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity. • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust. • In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust. See Pub. 515 for more information on providing a Form W-9 or a certification of non-foreign status to avoid withholding.
Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a qualified foreign pension fund under Regulations section 1.897(l)-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non-foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non-foreign status). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if their stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and is relying on this exception to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.
Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include, but are not limited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third-party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester; 2. You do not certify your TIN when required (see the instructions for Part II for details); 3. The IRS tells the requester that you furnished an incorrect TIN; 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or 5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under “By signing the filledout form” above (for reportable interest and dividend accounts opened after 1983 only).
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Form W-9 (Rev. 3-2024)
Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier.
What Is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.
Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you are no longer tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies.
Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. • Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note for ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040 you filed with your application. • Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business, trade, or “doing business as” (DBA) name on line 2. • Partnership, C corporation, S corporation, or LLC, other than a disregarded entity. Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name on line 2. • Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2. • Disregarded entity. In general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner’s name on line 1. The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For
example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner’s name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.
Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2.
Line 3a Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a. IF the entity/individual on line 1 is a(n) . . .
THEN check the box for . . .
• Corporation • Individual or • Sole proprietorship
Corporation. Individual/sole proprietor.
• LLC classified as a partnership for U.S. federal tax purposes or • LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation
Limited liability company and enter the appropriate tax classification: P = Partnership, C = C corporation, or S = S corporation.
• Partnership • Trust/estate
Partnership. Trust/estate.
Line 3b Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b. Note: A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply.
Line 4 Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third-party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4. 1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2).
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Form W-9 (Rev. 3-2024)
2—The United States or any of its agencies or instrumentalities. 3—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities. 5—A corporation. 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or territory. 7—A futures commission merchant registered with the Commodity Futures Trading Commission. 8—A real estate investment trust. 9—An entity registered at all times during the tax year under the Investment Company Act of 1940. 10—A common trust fund operated by a bank under section 584(a). 11—A financial institution as defined under section 581. 12—A middleman known in the investment community as a nominee or custodian. 13—A trust exempt from tax under section 664 or described in section 4947. The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for . . .
THEN the payment is exempt for . . .
• Interest and dividend payments
All exempt payees except for 7. Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Exempt payees 1 through 4.
• Broker transactions
• Barter exchange transactions and patronage dividends • Payments over $600 required to be reported and direct sales over $5,0001
Generally, exempt payees 1 through 5.2
• Payments made in settlement of Exempt payees 1 through 4. payment card or third-party network transactions 1 See Form 1099-MISC, Miscellaneous Information, and its instructions. 2 However, the following payments made to a corporation and
reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) entered on the line for a FATCA exemption code. A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37). B—The United States or any of its agencies or instrumentalities. C—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i). E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i).
F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state. G—A real estate investment trust. H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940. I—A common trust fund as defined in section 584(a). J—A bank as defined in section 581. K—A broker. L—A trust exempt from tax under section 664 or described in section 4947(a)(1). M—A tax-exempt trust under a section 403(b) plan or section 457(g) plan. Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.
Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, enter “NEW” at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.
Line 6 Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have, and are not eligible to get, an SSN, your TIN is your IRS ITIN. Enter it in the entry space for the Social security number. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). If the LLC is classified as a corporation or partnership, enter the entity’s EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/EIN. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or Form SS-4 mailed to you within 15 business days. If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and enter “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier, for when you may instead be subject to withholding under chapter 3 or 4 of the Code. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.
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Form W-9 (Rev. 3-2024)
Part II. Certification
For this type of account:
To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third-party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.
What Name and Number To Give the Requester For this type of account:
Give name and SSN of:
1. Individual
The individual
2. Two or more individuals (joint account) other than an account maintained by an FFI
The actual owner of the account or, if combined funds, the first individual on the account1
3. Two or more U.S. persons (joint account maintained by an FFI)
Each holder of the account
4. Custodial account of a minor (Uniform Gift to Minors Act)
The minor2
5. a. The usual revocable savings trust (grantor is also trustee)
The grantor-trustee1
b. So-called trust account that is not a legal or valid trust under state law
1
The actual owner
6. Sole proprietorship or disregarded entity owned by an individual
The owner3
7. Grantor trust filing under Optional Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))**
The grantor*
Give name and EIN of:
8. Disregarded entity not owned by an individual
The owner
9. A valid trust, estate, or pension trust
Legal entity4
10. Corporation or LLC electing corporate status on Form 8832 or Form 2553
The corporation
11. Association, club, religious, charitable, educational, or other tax-exempt organization
The organization
12. Partnership or multi-member LLC
The partnership
13. A broker or registered nominee
The broker or nominee
14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments
The public entity
15. Grantor trust filing Form 1041 or under the Optional Filing Method 2, requiring Form 1099 (see Regulations section 1.671-4(b)(2)(i)(B))**
The trust
1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished. 2
Circle the minor’s name and furnish the minor’s SSN. You must show your individual name on line 1, and enter your business or DBA name, if any, on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 3
4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) * Note: The grantor must also provide a Form W-9 to the trustee of the trust. ** For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.
Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information, such as your name, SSN, or other identifying information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax return preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Identity Theft Hotline at 800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers.
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Form W-9 (Rev. 3-2024)
Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 877-777-4778 or TTY/TDD 800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027. Go to www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.
Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and territories for use in administering their laws. The information may also be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payors must generally withhold a percentage of taxable interest, dividends, and certain other payments to a payee who does not give a TIN to the payor. Certain penalties may also apply for providing false or fraudulent information.
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FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
Coaches
$10,000.00
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$2,500.00
Attendees
$35,625.00
$22,837.00
$12,788.00
Media
$1,000.00
$500.00
$500.00
Merchandise
$1,000.00
$0.00
$1,000.00
Trainer
$500.00
$400.00
$100.00
Film
$2,000.00
$600.00
$1,400.00
Camera
$500.00
$299.00
$201.00
$0.00
Hotel
$500.00
$429.00
$71.00
$0.00
Field managers
$1,000.00
$718.00
$282.00
$0.00
Jerseys
$1,166.00
$1,166.00
$0.00
$0.00
Venue
$256.00
$256.00
$0.00
$0.00
$14,922.00
$11,268.00
$3,654.00
Expenses Subtotal Other Expenses
$0.00 $0.00
Balls
$345.00
$345.00
$0.00
Merchandise Design Cost
$500.00
$464.50
$35.50
$0.00 $0.00 Income Subtotal
$38,625.00
$23,437.00
$15,188.00
Cash in Bank to start Other Income
$0.00
$0.00
$0.00
$0.00 $0.00
TDC grant funding
$3,825.00
$0.00
$3,825.00
$0.00 $0.00 $0.00
$0.00
$0.00
$0.00 $0.00 $0.00
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$845.00
$809.50
Other Income Subtotal
$3,825.00
$0.00
$3,825.00
$35.50
Total Income
$42,450.00
$23,437.00
$19,013.00
$0.00
Total Expenses Paid
$15,767.00
$12,077.50
$3,689.50
Profit/Loss
$26,683.00
$11,359.50
$15,323.50
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal Total Expenses 2025-2026
$0.00
$0.00
$0.00 $0.00
$15,767.00
$12,077.50
$3,689.50
.
Updated: 6/25/2025
Brevard Soccer Club
Return to Table of Contents
For TOO use: PROJECT#- S 20
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization: Brevard Soccer Club Applicant Event Name: Brevard SC Tournament Winter Edition, Brevard SC Tournament Spring Edition
Yes No 1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X
X
Comment NIA
X X X X X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
fJc&. � 7{�(1.-t)
Peter Cranis, Executive Director
FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:84 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Wudson Fenelon
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Brevard Soccer Club Organization address 253 Wading Bird Circle Southwest State Florida City PALM BAY Zip 32908 Primary contact name WUDSON FENELON Primary contact phone number 3213945085
Primary contact email Wudson@brevardfiresoccer.com Secondary contact name Gerline Fenelon Secondary contact phone number 9172928453 Secondary contact email gerline@aol.com Organization website address Www.brevardsoccerclub.com
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 86-3641705
7. (untitled) 6. Are you completing this application for an event or year-round programming?
Event
8. (untitled) 1. EVENT INFORMATION - #1 Name of event - Brevard SC Tournament Winter Edition Event website address (if different from organization website) - BrevardSoccerClub.com Event location - Fred Poppe Regional Park
9. (untitled)
What is the first date of your event? - December 20, 2025
10. (untitled)
In total, how many days will your event be held? - 2
11. (untitled) 7. Do you have a second event? Yes
12. (untitled) 4. EVENT INFORMATION - #2 Name of event - Brevard SC Tournament Spring Edition Event website address (if different from organization website) - BrevardSoccerClub.com Event location - Fred Poppe Regional Park
13. (untitled)
What is the first date of your event? - May 30, 2026
14. (untitled)
In total, how many days will your event be held? - 2
15. (untitled)
Do you have a third event? - No
16. (untitled) 8. EVENT INFORMATION - #3 Name of event Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 8. What types of marketing do you plan to do for your year-round programming? Billboards Digital advertising (banner ads, etc.) Search advertising (pay-per-click, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 9. What are your social media handles? Facebook : Brevardsc Instagram : https://www.threads.net/@brevardsc YouTube : Brevardsc
22. (untitled) 10. What hashtags do you currently use? @brevardsc
23. (untitled) 11. Upload a copy of your organization's IRS Determination letter. 501-c3.pdf
24. (untitled) 12. Upload a copy of your organization's 990 form. 2024-form990n-brevard-fire-soccer-inc.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. article_of_corp.pdf
27. (untitled) 14. Upload your completed W-9 form. fw9_(4)(1).pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. 2024_Tournament_.pdf
29. (untitled) 16. Upload your completed Checklist. MSP_applicant_checklist_5.30.2025(1).pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Wudson Fenelon
2025 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT
FILED Feb 08, 2025 Secretary of State 0663434190CC
DOCUMENT# N21000004377 Entity Name: BREVARD SC INC Current Principal Place of Business: 253 WADING BIRD CIR SW PALM BAY, FL 32908
Current Mailing Address: 253 WADING BIRD CIR SW PALM BAY, FL 32908 US FEI Number: 86-3641705
Certificate of Status Desired: Yes
Name and Address of Current Registered Agent: WUDSON FENELON 253 WADING BIRD CIR SW PALM BAY, FL 32908 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE: Date
Electronic Signature of Registered Agent
Officer/Director Detail : Title
PD
Title
TD
Name
WUDSON FENELON
Name
GERLINE FENELON
Address
253 WADING BIRD CIR SW
Address
253 WADING BIRD CIR SW
City-State-Zip:
PALM BAY FL 32908
City-State-Zip:
PALM BAY FL 32908
Title
SD
Name
CEDRICK JIOVANI
Address
253 WADING BIRD CIR SW
City-State-Zip:
PALM BAY FL 32908
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: WUDSON FENELON Electronic Signature of Signing Officer/Director Detail
OFFICER
02/08/2025 Date
Copy of filing information. Form 990-N Department of the Treasury Internal Revenue Service
Electronic Notice (e-Postcard) for Tax-Exempt Organizations not Required to File Form 990 or 990-EZ
OMB No.1545-2085
2024 Open to Public Inspection
A For the 2024 Calendar year, or tax year beginning January 01, 2024 and ending December 31, 2024
B Check if applicable. ☐ Terminated for Business ☑ Gross receipts are normally $50,000 or less
E Website: Www.brevardsoccerclub.com
C Name of Organization: BREVARD FIRE SOCCER INC
D Employer Identification Number 86-3641705
253 Wading Bird Circle Sw Palm Bay, FL 32908 US F Name of Principal Officer: wudson fenelon 253 Wading Bird Circle Southwest Palm Bay, FL 32908 US
Privacy Act and Paperwork Reduction Act Notice: We ask for the information on this form to carry out the Internal Revenue laws of the United States. You are required to give us the information. We need it to ensure that you are complying with these laws. The organization is not required to provide information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. The rules governing the confidentiality of the Form 990-N is covered in code section 6104. The time needed to complete and file this form and related schedules will vary depending on the individual circumstances. The estimated average times is 15 minutes.
This document is provided for your records only. Your Form 990-N (e-Postcard) has been submitted electronically. No further action is needed.
W-9
Form (Rev. March 2024) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1
Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)
Brevard Soccer Club 2 Business name/disregarded entity name, if different from above.
Victorio Canales
Print or type. See Specific Instructions on page 3.
Canales Legacy Unlimited, LLC 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor ✔
C corporation
X S corporation
Partnership
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Trust/estate
Exempt payee code (if any)
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 5
Address (number, street, and apt. or suite no.). See instructions. City, state, and ZIP code
Decatur, IN 46733 7
Part I
Requester’s name and address (optional)
253 Wading Bird Cir
521 Eastbrook Drive 6
Palm bay fl 32908
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II
(Applies to accounts maintained outside the United States.)
Certification
Social security number
–
–
or Employer identification number
3 – 89 6. 0. 5
2 39 6. 4 40
1 27.9 1.
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Here
Signature of U.S. person
Wudson Fenelon
General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X
Date
June 6 25
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Form W-9 (Rev. 3-2024)
Marketing Support Program
Brevard Soccer Club
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
Facility Rental
$6,000.00
$6,250.00
-$250.00
Club Fee
$13,600.00
$12,600.00
$1,000.00
Staff & Coaching
$8,000.00
$7,310.00
$690.00
Sponsors
$6,000.00
$6,000.00
$0.00
Transportation
$4,000.00
$5,450.00
-$1,450.00
$0.00
League Participation Fee
$16,400.00
$12,400.00
$4,000.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Expenses Subtotal Other Expenses After School Program
$34,400.00
$31,410.00
$2,990.00
$0.00 $0.00
$25,000.00
$25,000.00
$0.00
$0.00 $0.00
$0.00 Income Subtotal
$19,600.00
$18,600.00
$1,000.00
$0.00 $0.00 $0.00
Cash in Bank to start Other Income
$0.00
TDC grant funding
$0.00 $3,750.00
$0.00
$3,750.00
$0.00
$0.00
$0.00 $0.00 $0.00
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County Livestreaming
$25,000.00
$0.00
$25,000.00
$1,350.00
$1,020.00
$330.00
Other Income Subtotal
$3,750.00
$0.00
$3,750.00
Total Income
$23,350.00
$18,600.00
$4,750.00
Total Expenses Paid
$60,750.00
$32,430.00
$28,320.00
Profit/Loss
-$37,400.00
-$13,830.00 -$23,570.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$1,350.00
$1,020.00
$0.00 $330.00
Total Expenses 2025-2026
$60,750.00
$32,430.00
$28,320.00
.
Updated: 6/18/2025
For TDO use: PROJECT #-
Tourism Development Office FY 2025-2026 Marketing Support Program Applicant checklist Brevard Soccer Applicant organization name: _________________________________________________ Club Pre Professional soccer Applicant event name: _______________________________________________________
Wudson Fenelon
Applicant name completing this form: ___________________________________________ Applicant- Use this checklist to confirm that you have completed all elements of the application prior to submitting. Initial next to each item. Items (2–9) must be uploaded within the application. Applicant initial
1.
TDO staff initial
TDO staff comments
Application –
Wf 2.
Copy of IRS Articles of Incorporation – Wf (submit if for-profit) 3. Copy of IRS Determination Letter – Wf (submit if 501(c)(3) 4. Copy of SunBiz.com - (if applicable, Wf see application for details) 5. Copy of 990 form (if applicable, see Wf application) 6. Copy of completed W-9 form (March Wf 2024) 7. Income/Expense worksheet (required Wf for all applicants) 8. Copy of this checklist – (completed, Wf initialed, and signed by applicant) I, consent that all above documents have been submitted completely by uploading within the application packet.
June 09, 2025 ________________________________________________ Applicant signature & date FY 2025-2026 Marketing Support Program
Bless the Babies
Return to Table of Contents
For TOO use: PROJECT#- S 21
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: C1 n Sports Applicant Event Name: Bless the Babies
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable} 3. Copy of IRS Determination letter - (if applicable} 4. Copy of SunBiz.org (if applicable} 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Yes No
• • •
Comment
• N/A N/A • N/A •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). NO All documents have been submitted, reviewed and/or addressed in the comments.
�(�
7(3h �s0
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:91 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Ray Willis
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming C1N Sports Organization address 4550 Commerce Cir SW State GA City Atlanta Zip 30336 Primary contact name Ray Willis Primary contact phone number 3108006556
Primary contact email rwillis@c1nsports.com Secondary contact name Ray Willis Secondary contact phone number n/a Secondary contact email na@gmail.com Organization website address c1nsports.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 27-4602289
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Bless The Babies Event website address (if different from organization website) c1nsports.com Event location viera florida
9. (untitled) 8. What is the first date of your event? 12/11/2025
10. (untitled) 9. In total, how many days will your event be held? 4
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social media (Facebook, Instagram, YouTube, etc.) TV/Video
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Instagram : c1n
22. (untitled) 13. What hashtags do you currently use? #c1n
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. Rockledge_LETTER_FOR_FUNDS_.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. Rockledge_LETTER_FOR_FUNDS_.pdf
27. (untitled) 16. Upload your completed W-9 form. Rockledge_LETTER_FOR_FUNDS_.pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. Rockledge_LETTER_FOR_FUNDS_.pdf
29. (untitled) 18. Upload your completed Checklist. Rockledge_LETTER_FOR_FUNDS_.pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Ray Willis
Marketing Support Program
C1N Bless the Babies Bowl
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase
Income
2025-2026 projection
2024-2025 actuals
VAR
BCPR field rentals
$3,500.00
$3,170.00
$330.00
$0.00
Strictly Preferred Security
$17,000.00
$16,360.00
$640.00
$0.00
$0.00
$3,000.00
-$3,000.00
$0.00
Referees
$9,000.00
$8,725.00
$275.00
$0.00
Scoreboards
$1,000.00
$918.00
$82.00
$0.00
$750.00
$632.00
$118.00
$0.00
Field Perfection, LLC
Ice City Administrative Fee Frank T. Forester Center Expenses Subtotal Other Expenses
$0.00
$1,566.00
-$1,566.00
$0.00
$1,500.00
$1,363.00
$137.00
$0.00
$32,750.00
$35,734.00
-$2,984.00
$0.00 $0.00
Rockledge Police Department
$5,000.00
$4,641.00
$359.00
Athletic trainers
$7,500.00
$7,500.00
$0.00
Golf Carts
$2,500.00
$2,500.00
$0.00
Barricades
$4,500.00
$4,186.00
$314.00
Portalets
$2,500.00
$2,500.00
$0.00
$0.00 $0.00 Income Subtotal
$0.00
$0.00
$0.00 $0.00
$0.00
Cash in Bank to start Other Income
$0.00
TDC grant
$25,000.00
$25,000.00
$0.00
Other Income Subtotal
$25,000.00
$25,000.00
$0.00
Total Income
$25,000.00
$25,000.00
$0.00
Total Expenses Paid
$54,750.00
$57,061.00
-$2,311.00
Profit/Loss
-$29,750.00
-$32,061.00
$2,311.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$22,000.00
$21,327.00
$673.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal Total Expenses 2025-2026
$0.00
$0.00
$0.00 $0.00
$54,750.00
$57,061.00
-$2,311.00
.
Updated: 6/25/2025
For TDO use: PROJECT #-
Tourism Development Office FY 2025-2026 Marketing Support Program Applicant checklist Applicant organization name: _________________________________________________ Applicant event name: _______________________________________________________ Applicant name completing this form: ___________________________________________ Applicant- Use this checklist to confirm that you have completed all elements of the application prior to submitting. Initial next to each item. Items (2–9) must be uploaded within the application. Applicant initial
1.
TDO staff initial
TDO staff comments
Application –
2.
Copy of IRS Articles of Incorporation – (submit if for-profit) 3. Copy of IRS Determination Letter – (submit if 501(c)(3) 4. Copy of SunBiz.com - (if applicable, see application for details) 5. Copy of 990 form (if applicable, see application) 6. Copy of completed W-9 form (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of this checklist – (completed, initialed, and signed by applicant) I, consent that all above documents have been submitted completely by uploading within the application packet. ________________________________________________ Applicant signature & date FY 2025-2026 Marketing Support Program
Boxlite Boxing
Return to Table of Contents
For TOO use: PROJECT#- S 22
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization: Boxlite Promotions Applicant Event Name: Night of Prospects 6, Night of Prospects 7, Night of Prospects 8
Yes No 1. Completed application
2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - {if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X X
X X
Comment
X
N/A
X
N/A
X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports). YES All do
ments have been submitted, reviewed and/or addressed in the comments.
� �
�(co-tf
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:61 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: GONZALO SAPIA
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming BOXLITE PROMOTIONS Organization address 8149 laso ct State FL City orlando Zip 32822 Primary contact name GONZALO SAPIA Primary contact phone number 7865160010
Primary contact email boxlitepro@gmail.com Secondary contact name GONZALO SAPIA Secondary contact phone number 7865160010 Secondary contact email boxlitepro@gmail.com Organization website address WWW.BOXLITEPRO.COM
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 87-2231444
7. (untitled) 6. Are you completing this application for an event or year-round programming?
Event
8. (untitled) 1. EVENT INFORMATION - #1
Name of the Event - Night of Prospects 6 Event website address (if different from organization website) - BoxLitePro.com Event location - Tony Rosa Community Center
9. (untitled)
What is the first date of your event? - March 2026
10. (untitled)
In total, how many days will your event be held? - 2
11. (untitled) 7. Do you have a second event? Yes
12. (untitled) 4. EVENT INFORMATION - #2 Name of event - Night of Prospects 7 Event website address (if different from organization website) - BoxLitePro.com Event location - Tony Rosa Community Center
13. (untitled)
What is the first date of your event? - June 2026
14. (untitled)
In total, how many days will your event be held? - 2
15. (untitled) 8. Do you have a third event? - 2
Yes
16. (untitled) 7. EVENT INFORMATION - #3 Name of event - Night of Prospects 8 Event website address (if different from organization website) - BoxLitePro.com Event location - Tony Rosa Community Center
17. (untitled)
What is the first date of your event? September 2026
18. (untitled)
In total, how many days will your event be held? - 2
19. (untitled)
What types of marketing do you plan to do for this event?
20. (untitled) 9. What types of marketing do you plan to do for your year-round programming? Billboards Digital advertising (banner ads, etc.) Direct mail Social media (Facebook, Instagram, YouTube, etc.)
21. (untitled) 10. What are your social media handles? Facebook : @BOXLITEPRO Instagram : @BOXLITEPRO
22. (untitled) 11. What hashtags do you currently use? NA
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled)
12. Upload a copy of your organization's Articles of Incorporation. ARTICLES_OF_COMPANY.pdf
26. (untitled) 13. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. SUNBIZ.pdf
27. (untitled) 14. Upload your completed W-9 form. fw9.pdf
28. (untitled) 15. Upload your completed Event Income/Expense report. Profit_&_Loss_2024_Boxlite_Promotions.pdf
29. (untitled) 16. Upload your completed Checklist. CKLIST.pdf
30. (untitled) 17.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: GONZALO SAPIA
Marketing Support Program
Boxlite Promotions Niqht of Prospects 5
FY 2025-2026 Event Income/Expense Report VAR+10% Increase
2024-2025 actuals
2025-2026 proJectlon
2025-2026 croiectlon
2024-2025 actuals
Professional Fees
$2,000.00
$2,131.83
-$131.83
Uniform Expense
$200.00
$121.97
$78.03
$0.00
Automobile Expense
$1,000.00
$349.59
$650.41
$0.00
Expenses
Income Income
$45,000.00
$53,950.11
VAR -$8,950.11
Meals and entertainment
$1,000.00
$1,023.86
-$23.86
$0.00
Contract labor
$15,000.00
$15,160.86
-$160.86
$0.00
Dues and subscriptions
$4.99
$4.99
$0.00
$0.00
Health and life Insurance
$100.00
$89.82
$10.18
$0.00
$6,000.00
$6,104.00
-$104.00
$0.00
$25,304.99
$24,986.92
$318.07
$0.00
Insurance Expenses Subtotal Other Expenses
$0.00 $3.000.00
$2,412.38
$587.62
Office expense
$600.00
$549.00
$51.00
Postage and delivery
$10.00
$2.43
$7.57 $2,576.29
Licenses and permits
$0.00 $0.00 Income Subtotal
$15,000.00
$12,423.71
Repairs
$75.00
$60.47
$14.53
Cash in Bank to start
Supplies
$10.000.00
$8,761.19
$1,238.81
Other Income
$75.00
$51.59
$23.41
$3,000.00
$2,742.65
$257.35
Rent
Telephone Travel
$45,000.00
$53,950.11
-$8,950.11 $0.00
TDC qrant fundinQ
$0.00
$0.00
$0.00
Other Income Subtotal
$0.00
$0.00
$0.00
$0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses Subtotal Marketing - please specify Brevard/Out-of-Countv AdvertisinQ
$31,760.00
$27,003.42
$4,756.58
$1,000.00
$355.00
$645.00
Total Income
$45,000.00
$53,950.11
-$8,450.11
Total Expenses Paid
$58,064.99
$52,345.34
$5,719.65
Profit/Loss
-$13,064.99
$1,604.77 -$14,669.76
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal
$1,000.00
$355.00
$0.00 $645.00
Total Expenses 2025-2026
$58,064.99
$52,345.34
$5,719.65
Updated: 7/7/2025
7v7
Return to Table of Contents
For TDO use: PROJECT#- S 23
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization Name: Elite Championship Series Applicant Event Name: 7v7 Elite
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
• •
Comment
Yes No
• N/A • • NIA • • •
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
YES All documents have been submitted, reviewed and/or addressed in the comments.
Qv\A. �
] {'3 {-co1,f
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:57 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Miles Henkel
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Elite Championship Series Organization address 325 Oahu Drive State FL City Merritt Island Zip 32953 Primary contact name Lee Latner Primary contact phone number 904-383-5058
Primary contact email Lee@7v7elite.com Secondary contact name Nicholas Donahue Secondary contact phone number 321-591-6282 Secondary contact email Nick@7v7elite.com Organization website address www.elitechampionshipseries.com
5. (untitled) 4. Which best describes your organization? For profit, LLC, Inc., etc.
6. (untitled) 5. What is your Federal Employee ID number? 99-3890292
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event 7v7 Elite Event website address (if different from organization website) www.7v7elite.com Event location Viera Regional Park
9. (untitled) 8. What is the first date of your event? 02/07/2026
10. (untitled) 9. In total, how many days will your event be held? 2
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Social hashtags Social media (Facebook, Instagram, YouTube, etc.)
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : Lee Latner Instagram : 7v7elite YouTube : 7v7elite
22. (untitled) 13. What hashtags do you currently use? #ElevateTheGame #7v7elite #FloridaDoesItBetter
23. (untitled)
Upload a copy of your organization's IRS Determination letter.
24. (untitled)
Upload a copy of your organization's 990 form.
25. (untitled) 14. Upload a copy of your organization's Articles of Incorporation. ECS_articles_of_incorp.pdf
26. (untitled) 15. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization. sunbiz.pdf
27. (untitled) 16. Upload your completed W-9 form. Form_W-9_(Rev._March_2024).pdf
28. (untitled) 17. Upload your completed Event Income/Expense report. ECS_Terry_Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 18. Upload your completed Checklist. MSP_applicant_checklist_5.30.2025_(signed).pdf
30. (untitled) 19.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Miles Henkel
31. Thank You! New Send Email Jun 05, 2025 15:54:27 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Division of Corporations
Florida Department of State
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name Florida Limited Liability Company ELITE CHAMPIONSHIP SERIES LLC Filing Information
Document Number
L24000297822
FEI/EIN Number
99-3890292
Date Filed
07/02/2024
State
FL
Status
ACTIVE
Last Event
LC AMENDMENT AND NAME CHANGE
Event Date Filed
08/23/2024
Event Effective Date
NONE
Principal Address
325 OAHU DRIVE MERRITT ISLAND, FL 32953 UN Mailing Address
325 OAHU DRIVE MERRITT ISLAND, FL 32953 UN Registered Agent Name & Address
DONAHUE, NICHOLAS 325 OAHU DRIVE MERRITT ISLAND, FL 32953 Authorized Person(s) Detail
Name & Address
Title Owner LATNER, LOMAS 1785 CURLEW CT ROCKLEDGE, FL 32955 Title Owner Donahue, Nicholas 325 Oahu Drive Merritt Island, FL 32953 Annual Reports
Report Year
Filed Date
2025
03/05/2025
Document Images 03/05/2025 -- ANNUAL REPORT
View image in PDF format
08/23/2024 -- LC Amendment and Name Change
View image in PDF format
07/02/2024 -- Florida Limited Liability
View image in PDF format
Florida Department of State, Division of Corporations
Marketing Support Program
7v7 Elite
FY 2025-2026 Event Income/Expense Report Expenses
2025-2026 projection
2024-2025 actuals
VAR+10% increase $59.00
Income
2025-2026 projection
2024-2025 actuals
VAR
Room & Board
$16,000.00
$15,941.00
General Admission
$55,000.00
$49,136.00
$5,864.00
Equipment/Merchandise Expense
$40,000.00
$59,660.00 -$19,660.00
Beverages/Merchandise
$40,000.00
$30,150.00
$9,850.00
Team Registration
$150,000.00
$147,883.00
$2,117.00
$3,500.00
$2,500.00
$1,000.00
Food
$3,500.00
$3,422.00
$78.00
Referees
$50,000.00
$48,441.00
$1,559.00
Trophies
$7,500.00
$7,299.00
$201.00
$0.00
Security
$15,000.00
$14,035.00
$965.00
$0.00
Trainers
$3,000.00
$2,479.00
$521.00
$0.00
Field Costs
$18,000.00
$16,550.00
$1,450.00
$0.00
$153,000.00
$167,827.00 -$14,827.00
Expenses Subtotal Other Expenses
Vendor Fee
$0.00 $0.00
Insurance
$4,500.00
$7,904.00
-$3,404.00
Labor
$58,000.00
$57,513.00
$487.00 $0.00
$0.00 $0.00 Income Subtotal
$248,500.00
$229,669.00
Cash in Bank to start Other Income
$10,000.00
$20,000.00 -$10,000.00
TDC grant funding
$3,750.00
$18,831.00
$0.00 $0.00 $0.00
$0.00
$3,750.00 $0.00
Other Income Subtotal Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County Social Media
$3,750.00
$0.00
$3,750.00 $22,581.00
$62,500.00
$65,417.00
-$2,917.00
Total Income
$252,250.00
$229,669.00
$15,000.00
$12,000.00
$3,000.00
Total Expenses Paid
$230,500.00
$245,244.00 -$14,744.00
Profit/Loss
$21,750.00
-$15,575.00
$0.00 $0.00
$37,325.00
$0.00 $0.00 $0.00 $0.00 $0.00 $3,000.00
Marketing Subtotal
$15,000.00
$12,000.00
Total Expenses 2025-2026
$230,500.00
$245,244.00 -$14,744.00
.
Updated: 6/18/2025
Columbia Classic Golf
Return to Table of Contents
For TOO use: PROJECT#- S 24
Tourism Development Office FY 2025-2026 Marketing Support Program Application Packet checklist Applicant Organization: Columbia University Women's Golf Applicant Event Name: Columbia Classic Yes
1. Completed application 2. Copy of IRS Articles of Incorporation - (if applicable) 3. Copy of IRS Determination letter - (if applicable) 4. Copy of SunBiz.org (if applicable) 5. Copy of 990 (if applicable) 6. Copy of completed W-9 (March 2024) 7. Income/Expense worksheet (required for all applicants) 8. Copy of the Applicant checklist
X
No
Comment
X
N/A
X
X X
X
X X
This application meets the minimum requirement of 5,001 out-of-county attendees (Cultural) or 250 room nights (Sports).
YES All documents have been submitted, reviewed and/or addressed in the comments.
�#-- �
7{�(1°1r
Peter Cranis, Executive Director FY 2025-2026 Marketing Support Program
FY 2025-2026 Marketing Support Program application Response ID:63 Data
2. (untitled) 1. I have read and understand the policies/procedures within the FY 2025-2026 Marketing
Support Program Criteria.
Signature of: Amy E Weeks
3. (untitled) 2. Which best describes your event/year-round programming? Sports
4. (untitled) 3. ORGANIZATION INFORMATION Name of organization hosting event/year-round programming Columbia University Women's Golf Organization address 3030 Broadway, MC 1908 State NY City New York Zip 10027 Primary contact name Amy Weeks Primary contact phone number 405-269-0897
Primary contact email aew2169@columbia.edu Secondary contact name Greg Lamb Secondary contact phone number 646-584-0201 Secondary contact email gcl2116@columbia.edu Organization website address https://gocolumbialions.com/sports/womens-golf
5. (untitled) 4. Which best describes your organization? 501(C)(3)
6. (untitled) 5. What is your Federal Employee ID number? 13-5598093
7. (untitled) 6. Are you completing this application for an event or year-round programming? Event - single or multi-day festival, surfing contest, running race, Main Street organizations, etc.
8. (untitled) 7. EVENT INFORMATION - #1 Name of event Columbia Classic Event website address (if different from organization website) https://gocolumbialions.com/sports/womens-golf Event location Duran Golf Club, 7032 Stadium Pkwy, Melbourne, FL 32940
9. (untitled) 8. What is the first date of your event? 02/20/2026
10. (untitled) 9. In total, how many days will your event be held? 3
11. (untitled) 10. Do you have a second event? No
12. (untitled) 1. EVENT INFORMATION - #2 Name of event Event website address (if different from organization website) Event location
13. (untitled)
What is the first date of your event?
14. (untitled)
In total, how many days will your event be held?
15. (untitled)
Do you have a third event?
16. (untitled) 5. EVENT INFORMATION - #3 Name of event
Event website address (if different from organization website) Event location
17. (untitled)
What is the first date of your event?
18. (untitled)
In total, how many days will your event be held?
19. (untitled) 11. What types of marketing do you plan to do for this event? Digital advertising (banner ads, etc.) Social hashtags Social media (Facebook, Instagram, YouTube, etc.) Other - Please be specific.....: https://scoreboard.clippd.com/home - Scoreboard Clipped Live Scoring D1 Golf Hub.
20. (untitled)
What types of marketing do you plan to do for your year-round programming?
21. (untitled) 12. What are your social media handles? Facebook : https://www.facebook.com/ColumbiaWGolf/ Instagram : @culionswgolf YouTube : https://www.youtube.com/user/ColumbiaAthletics
22. (untitled) 13. What hashtags do you currently use? #onlyhere
23. (untitled) 14. Upload a copy of your organization's IRS Determination letter. IRS_Determination_Letter_2018-03-06.pdf
24. (untitled) 15. Upload a copy of your organization's 990 form. CU_Certificate_of_Existence_NYS_Dept_of_Edu.pdf
25. (untitled)
Upload a copy of your organization's Articles of Incorporation.
26. (untitled) 16. If you are a Florida organization, please upload a copy of your SunBiz.com account
associated with your organization.
27. (untitled) 17. Upload your completed W-9 form. W9_Columbia_University__(Rev._March_2024).pdf
28. (untitled) 18. Upload your completed Event Income/Expense report. Columbia_Classic_Terry_Event_Income_Expense_Report_template_FY25-26.pdf
29. (untitled) 19. Upload your completed Checklist. Columbia_Classic_MSP_applicant_checklist_4.30.2025.pdf
30. (untitled) 20.
ATTESTATION
I attest that all information in this questionnaire is true and correct. I further attest that will comply with the requirements set forth, if awarded support.
Signature of: Amy E Weeks
31. Thank You! New Send Email Jun 06, 2025 10:52:45 Success: Email Sent to: Deborah.Webster@VisitSpaceCoast.com; Terrence.Parks@VisitSpaceCoast.com
Return of Organization Exempt From Income Tax
990
Form
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Open to Public
Do not enter Social Security numbers on this form as it may be made public.
Department of the Treasury Internal Revenue Service
Information about Form 990 and its instructions is at www.irs.gov/form990.
and ending 07/01/2023 C Name of organization THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Inspection
A For the 2023 calendar year, or tax year beginning B Check if applicable: Address change
Doing Business As
Name change
Number and street (or P.O. box if mail is not delivered to street address)
Initial return Terminated
OMB No. 1545-0047
06/30/2024 D Employer identification number
13-5598093 Room/suite
E Telephone number
615 WEST 131ST STREET, MC 8741
(212)854-4684
City or town, state or province, country, and ZIP or foreign postal code
G Gross receipts9,964,855,238. $ NEW YORK, NY 10027-7922 H(a) Is this a group return for Yes CLAIRE SHIPMAN X No subordinates? Yes No 615 WEST 131ST STREET, MC 8741, NEW YORK, NY 10027-7 H(b) Are all subordinates included? If "No," attach a list. (see instructions) Tax-exempt status: I 501(c) ( ) (insert no.) 4947(a)(1) or 527 X 501(c)(3) J Website: H(c) Group exemption number WWW.COLUMBIA.EDU K Form of organization: X Corporation L Year of formation: 1754 M State of legal domicile: Trust Association Other NY Summary Part I 1 Briefly describe the organization's mission or most significant activities: SEE ATTACHMENT 1 Amended return Application pending
F Name and address of principal officer:
if the organization discontinued its operations or disposed of more than 25% of its net assets. 2 Check this box 3 Number of voting members of the governing body (Part VI, line 1a) 3 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) 5 6 Total number of volunteers (estimate if necessary) 6 7 a Total unrelated business revenue from Part VIII, column (C), line 12 7a b Net unrelated business taxable income from Form 990-T, line 34 7b
21 19 41,277 15,928 23,037,016.
Prior Year
8 Contributions and grants (Part VIII, line 1h) COPY FOR 9 Program service revenue (Part VIII, line 2g) PUBLIC INSPECTION 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 14 Benefits paid to or for members (Part IX, column (A), line 4) 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 16 a Professional fundraising fees (Part IX, column (A), line 11e) 146,787,342. b Total fundraising expenses (Part IX, column (D), line 25) 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) 19 Revenue less expenses. Subtract line 18 from line 12
Current Year
1,956,885,576. 2,215,638,698. 4,134,317,613. 4,343,856,874. 423,880,468. 619,739,953. 139,759,020. 134,857,008. 6,654,842,677. 7,314,092,533. 877,363,455. 927,331,811. NONE NONE 3,898,804,676. 4,173,727,648. 1,341,873. 622,712. 1,658,841,937. 1,744,348,988. 6,436,351,941. 6,846,031,159. 218,490,736. 468,061,374. Beginning of Current Year
20 21 22
Part II
End of Year
23551142933. 24801091365. 4,868,338,682. 5,037,674,541. 18682804251. 19763416824.
Total assets (Part X, line 16) Total liabilities (Part X, line 26) Net assets or fund balances. Subtract line 21 from line 20
Signature Block
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
05/15/2025 Signature of officer
Date
MARK HAWKINS
VP,FIN & CONTROLLER
Type or print name and title Print/Type preparer's name
Preparer's signature
Paid ERIC M MCNEIL Preparer PWC Firm's name Use Only Firm's address
US TAX LLP 300 MADISON AVENUE NEW YORK, NY 10017
May the IRS discuss this return with the preparer shown above? (see instructions) For Paperwork Reduction Act Notice, see the separate instructions. JSA 3E1065 1.000
6416BJ K321
V23-7.16
Date
Check if self-employed Firm's EIN Phone no.
PTIN
P00460263 92-0460586 646-471-3000 X No Yes Form 990 (2023)
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 2
Form 990 (2023)
Part III 1
Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission:
X
SEE SCHEDULE O
2
3
4
Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? X No Yes If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? X No Yes If "Yes," describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:
) (Expenses $ 2,408,014,225. including grants of $
726,591,207.
) (Revenue $
2,109,308,030.
)
1,744,864,706.
)
240,206,430.
)
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK IS A PRIVATE, NONSECTARIAN, NONPROFIT INSTITUTION OF HIGHER EDUCATION WHOSE ACTIVITIES ARE CONCENTRATED AT THREE LOCATIONS IN NEW YORK CITY AND EXTEND AROUND THE GLOBE. THE UNIVERSITY PROVIDES INSTRUCTION THROUGH SEVENTEEN UNDERGRADUATE, GRADUATE, AND PROFESSIONAL SCHOOLS. IT OPERATES A VARIETY OF RESEARCH INSTITUTES AND A LIBRARY SYSTEM TO SUPPORT ITS TEACHING, LEARNING, AND RESEARCH ACTIVITIES. THE UNIVERSITY ENROLLS APPROXIMATELY 35,872 FULL-TIME AND PART-TIME STUDENTS.
4b (Code:
) (Expenses $ 1,516,027,003. including grants of $
12,809,000.
) (Revenue $
THE UNIVERSITY, THROUGH THE COLUMBIA UNIVERSITY IRVING MEDICAL CENTER AND ITS MEDICAL FACULTY PRACTICE PLAN, PROVIDES DIRECT PATIENT CARE AND OTHER CLINICAL AND EDUCATIONAL SERVICES TO HOSPITALS AND OTHER HEALTH CARE INSTITUTIONS THROUGH CONTRACTUAL AGREEMENTS FOR SERVICES.
4c (Code:
) (Expenses $
951,339,983. including grants of $
179,444,878.
) (Revenue $
THE UNIVERSITY PERFORMS RESEARCH, TRAINING, AND OTHER SERVICES UNDER GRANTS AND CONTRACTS WITH AGENCIES OF THE FEDERAL GOVERNMENT AND OTHER SPONSORING ORGANIZATIONS.
4d Other program services (Describe on Schedule O.) SEE SCHEDULE O 8,486,726. (Expenses $ 1,318,812,198. including grants of $ ) (Revenue $ 4e Total program service expenses 6,194,193,409. JSA 3E1020 2.000
6416BJ K321
V23-7.16
249,477,708.
) Form 990 (2023)
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 3
Form 990 (2023)
Part IV
Checklist of Required Schedules Yes
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A 2 Is the organization required to complete Schedule B, Schedule of Contributors? See instructions 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV 10 Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi endowments? If "Yes," complete Schedule D, Part V 11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI b Did the organization report an amount for investments-other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII c Did the organization report an amount for investments-program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
No
1
the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
1 2
X X X
3 4
X X
5
6
X X
7 8
X
X
9 10
X
11a
X
11b
X X
11c 11d 11e
X X
11f
X
12a
X
12 a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII
b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E 14 a Did the organization maintain an office, employees, or agents outside of the United States? b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III 20 a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II JSA 3E1021 2.000
6416BJ K321
12b 13 14a
X X X
14b
X
15
X
16
X
17
X
18
X X X
19 20a 20b 21
X
Form 990 (2023)
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 4
Form 990 (2023)
Part IV
Checklist of Required Schedules (continued) Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J 24 a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? 25 a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I 26 Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II 27 Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If "Yes," complete Schedule L, Part III 28 Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV b A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV 29 Did the organization receive more than $25,000 in noncash contributions? If "Yes," complete Schedule M 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M 31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I 34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1 35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)? b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note: All Form 990 filers are required to complete Schedule O
No
22
Part V
22
X
23
X
24a 24b
X
24c 24d
X
X
X
25a
X
25b
X
X
26
X
27
X
28a 28b
X
28c 29
X
X
X
30 31
X X
32 33
X
34 35a
X X
35b
X
36
X
37
X X
38
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V
X Yes
30910 1 a Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable 1a NONE b Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable 1b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?
X
Form 990 (2023)
JSA 3E1030 1.000
6416BJ K321
1c
No
V23-7.16
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Form 990 (2023)
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2 a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax 41277 2a Statements, filed for the calendar year ending with or within the year covered by this return b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 3 a Did the organization have unrelated business gross income of $1,000 or more during the year? b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation on Schedule O 4 a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If "Yes," enter the name of the foreign country See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 5 a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? 6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? b If "Yes," did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? 7d d If "Yes," indicate the number of Forms 8282 filed during the year e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? 10 Section 501(c)(7) organizations. Enter: 10a a Initiation fees and capital contributions included on Part VIII, line 12 10b b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities Section 501(c)(12) organizations. Enter: 11a a Gross income from members or shareholders b Gross income from other sources. (Do not net amounts due or paid to other sources 11b against amounts due or received from them.) 12 a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 12b b If "Yes," enter the amount of tax-exempt interest received or accrued during the year
Yes
2b 3a 3b
X X X
4a
X
No
5a 5b 5c
X X
6a
X
6b
7a 7b
X X
7c
X
7e 7f 7g 7h
X X
8
X
9a 9b
X X
11
13
Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? Note: See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which 13b the organization is licensed to issue qualified health plans 13c c Enter the amount of reserves on hand
14 a Did the organization receive any payments for indoor tanning services during the tax year? b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation on Schedule O 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? 16 17
12a
13a
15
If "Yes," see the instructions and file Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If "Yes," complete Form 4720, Schedule O.
16
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? If "Yes," complete Form 6069.
17
JSA 3E1040 2.000
6416BJ K321
X
14a 14b
X X
Form 990 (2023)
V23-7.16
Page 6 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No"
Form 990 (2023)
Part VI
response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI X
Section A. Governing Body and Management Yes
1a 21 1a Enter the number of voting members of the governing body at the end of the tax year If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O. 1b 19 b Enter the number of voting members included on line 1a, above, who are independent Did any officer, director, trustee, or key employee have a family relationship or a business relationship with 2 any other officer, director, trustee, or key employee? Did the organization delegate control over management duties customarily performed by or under the direct 3 supervision of officers, directors, trustees, or key employees to a management company or other person? 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 5 Did the organization become aware during the year of a significant diversion of the organization's assets? 6 Did the organization have members or stockholders? 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? b Each committee with authority to act on behalf of the governing body? 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses on Schedule O
No
2
X
3 4 5 6
X X X X
7a
X
7b
X
X X
8a 8b
X
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes
10 a Did the organization have local chapters, branches, or affiliates? b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12 a Did the organization have a written conflict of interest policy? If "No," go to line 13 b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done Did the organization have a written whistleblower policy? 13 Did the organization have a written document retention and destruction policy? 14 Did the process for determining compensation of the following persons include a review and approval by 15 independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official b Other officers or key employees of the organization If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16 a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements?
X
10a 10b 11a
X
12a
X
12b
X
12c 13 14
X X X
15a 15b
X X
16a
No
X
16b
Section C. Disclosure 17 18
AK,CA,CO,MD,MA,MI,NH,OH,OK,OR,SC,WA, List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply. X Upon request Own website Another's website Other (explain on Schedule O)
19
Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records.
20
JESSICA LEE YIM 615 WEST 131ST STREET, MC 8741 NEW YORK, NY 10027 212-853-4693
JSA 3E1042 2.000
6416BJ K321
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Form 990 (2023)
Page 7 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors X Check if Schedule O contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Form 990 (2023)
Part VII
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.
List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. List all of the organization's current key employees, if any. See the instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See the instructions for the order in which to list the persons above. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A) Name and title
Position
(B)
Former
Highest compensated employee
Key employee
60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 59.90 0.10 60.00 NONE 60.00 NONE 59.80 0.20 59.90 0.10
Officer
(1) LAWRENCE GERALD LENKE PROFESSOR OF SURGERY (2) RONALD ARTHUR LEHMAN JR. PROFESSOR OF SURGERY (3) KIM LEW CEO OF IMC (4) LEE C. BOLLINGER PRESIDENT (FORMER) (5) EMILE BACHA PROFESSOR OF SURGERY (6) DAVID N. SILVERS CLINICAL PROFESSOR (7) CRAIG SMITH PROFESSOR OF SURGERY (8) KATRINA ARMSTRONG EVP HEALTH SCIENCES (9) ANIL RUSTGI INT EVP SCI (FORMER) (10) NEMAT MINOUCHE T. SHAFIK PRESIDENT (AS OF 7/1/23) (11) LEE GOLDMAN EVP HEALTH SCIENCES (FORMER) (12) MARY BOYCE PROVOST (FORMER) (13) ANNE R. SULLIVAN EXECUTIVE VP FOR FINANCE (14) GERALD M. ROSBERG SENIOR EVP (THROUGH 6/21/24)
Institutional trustee
Individual trustee or director
(do not check more than one Average box, unless person is both an hours officer and a director/trustee) per week (list any hours for related organizations below dotted line)
(E)
(F)
Reportable compensation from related organizations (W-2/ 1099-MISC/ 1099-NEC)
Estimated amount of other compensation from the organization and related organizations
X
7,408,169.
NONE
64,875.
X
3,874,661.
NONE
113,168.
1,976,263.
NONE
1,896,849.
3,176,262.
NONE
328,385.
X
3,281,941.
NONE
85,915.
X
3,186,576.
NONE
70,705.
X
3,166,654.
NONE
71,188.
1,608,705.
NONE
51,932.
1,222,179.
NONE
37,159.
956,395.
NONE
201,771.
X
1,025,075.
NONE
81,667.
X
1,010,334.
NONE
63,931.
X
1,009,062.
NONE
59,031.
X
953,491.
NONE
X X
X X X
(D) Reportable compensation from the organization (W-2/ 1099-MISC/ 1099-NEC)
X
66,459. Form 990 (2023)
JSA 3E1041 2.000
6416BJ K321
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THE TRUSTEES OF COLUMBIA UNIVERSITY
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Page 8
Form 990 (2023)
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title
(B)
(C)
Average
Position (do not check more than one box, unless person is both an officer and a director/trustee)
hours per week (list any hours for
Former
Highest compensated employee
60.00 NONE 60.00 NONE 59.90 0.10 59.90 0.10 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 60.00 NONE 4.00 NONE
Key employee
( 15) FELICE ROSAN GENERAL COUNSEL ( 16) AMELIA ALVERSON EXEC VP - UNIV DVLP&ALUM RLTS ( 17) DENNIS MITCHELL INT PROVOST (7/1/23-3/31/24) ( 18) AMY HUNGERFORD EXEC VP-A&S ( 19) IRA KATZNELSON INT PROVOST (FORMER) ( 20) JOHN COATSWORTH PROVOST (FORMER) ( 21) SUSAN K. GLANCY SECRETARY (AS OF 1/1/24) ( 22) DAVID GREENBERG EXEC VP FACILITIES ( 23) JANE E. BOOTH CHF LEGAL OFF (FORMER) ( 24) JEROME DAVIS SECRETARY (THROUGH 12/31/23) ( 25) ROLANDO T. ACOSTA TRUSTEE (THROUGH 9/4/23)
Officer
line)
Institutional trustee
below dotted
Individual trustee or director
related organizations
X
NONE
109,877.
869,799.
NONE
46,936.
717,442.
NONE
151,999.
790,652.
NONE
76,351.
X
763,629.
NONE
71,227.
X
691,132.
NONE
77,467.
712,787.
NONE
35,623.
600,290.
NONE
114,328.
611,010.
NONE
56,313.
501,628.
NONE
67,707.
NONE
NONE
NONE 4,000,863. NONE 4,000,863.
X X
X X X
X
(F) Estimated amount of other compensation from the organization and related organizations
841,251. X
X
(D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W-2/1099-MISC)
40,955,387. NONE 1b Sub-total NONE NONE c Total from continuation sheets to Part VII, Section A d Total (add lines 1b and 1c) 40,955,387. NONE 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 8,510
Yes No 3 4
Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual
3
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual
4
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5
(A) Name and business address
2
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization Form 990 (2023)
JSA 3E1055 1.000
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Form 990 (2023)
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title
(B)
(C)
Average
Position (do not check more than one box, unless person is both an officer and a director/trustee)
hours per week (list any hours for
Former
Highest compensated employee
4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE
Key employee
( 26) ANDREW BARTH TRUSTEE ( 27) DEAN DAKOLIAS TRUSTEE ( 28) DUCHESNE DREW TRUSTEE ( 29) ABIGAIL ELBAUM TRUSTEE ( 30) MARK GALLOGLY TRUSTEE ( 31) KEITH GOGGIN TRUSTEE ( 32) JOSEPH A. GREENAWAY, JR TRUSTEE ( 33) DAVID GREENWALD TRUSTEE ( 34) KIKKA HANAZAWA TRUSTEE ( 35) WANDA HOLLAND GREENE TRUSTEE ( 36) JEH JOHNSON TRUSTEE
Officer
line)
Institutional trustee
below dotted
Individual trustee or director
related organizations
(D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W-2/1099-MISC)
(F) Estimated amount of other compensation from the organization and related organizations
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
1b Sub-total c Total from continuation sheets to Part VII, Section A d Total (add lines 1b and 1c) 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization Yes No 3 4
Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual
3
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual
4
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5
(A) Name and business address
2
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization Form 990 (2023)
JSA 3E1055 1.000
6416BJ K321
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 8
Form 990 (2023)
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title
(B)
(C)
Average
Position (do not check more than one box, unless person is both an officer and a director/trustee)
hours per week (list any hours for
Former
Highest compensated employee
4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 4.00 NONE 60.00 NONE
Key employee
( 37) JONATHAN LAVINE TRUSTEE (THROUGH 9/4/23) ( 38) LU LI TRUSTEE ( 39) VICTOR MENDELSON TRUSTEE ( 40) ADAM PRITZKER TRUSTEE ( 41) JONATHAN ROSAND TRUSTEE ( 42) SHOSHANA SHENDELMAN TRUSTEE ( 43) CLAIRE SHIPMAN TRUSTEE ( 44) KATHY SURACE-SMITH TRUSTEE ( 45) FERMI WANG TRUSTEE ( 46) SHIRLEY WANG TRUSTEE ( 47) CASWELL HOLLOWAY CHF OPR OFCR (AS OF 2/4/24)
Officer
line)
Institutional trustee
below dotted
Individual trustee or director
related organizations
(D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W-2/1099-MISC)
(F) Estimated amount of other compensation from the organization and related organizations
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
X
NONE
NONE
NONE
NONE
NONE
NONE
X
1b Sub-total c Total from continuation sheets to Part VII, Section A d Total (add lines 1b and 1c) 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization Yes No 3 4
Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual
3
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual
4
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5
(A) Name and business address
2
(B) Description of services
(C) Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization Form 990 (2023)
JSA 3E1055 1.000
6416BJ K321
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 8
Form 990 (2023)
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title
(B)
(C)
Average
Position (do not check more than one box, unless person is both an officer and a director/trustee)
hours per week (list any hours for
Former
X
Highest compensated employee
59.90 0.10
Key employee
( 48) ANGELA V. OLINTO PROVOST (AS OF 4/1/24)
Officer
line)
Institutional trustee
below dotted
Individual trustee or director
related organizations
(D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W-2/1099-MISC)
NONE
(F) Estimated amount of other compensation from the organization and related organizations
NONE
NONE
1b Sub-total c Total from continuation sheets to Part VII, Section A d Total (add lines 1b and 1c) 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization Yes No 3 4
Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual
3
X
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual
4
X
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5
SEE SCHEDULE O
2
(A) Name and business address
(B) Description of services
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 370
JSA 3E1055 1.000
6416BJ K321
V23-7.16
X
(C) Compensation
Form 990 (2023)
THE TRUSTEES OF COLUMBIA UNIVERSITY Statement of Revenue
13-5598093
Form 990 (2023)
Part VIII
Page 9
Check if Schedule O contains a response or note to any line in this Part VIII
Contributions, Gifts, Grants, and Other Similar Amounts
(A) Total revenue
1a
Federated campaigns
1a
b
Membership dues
1b
c
Fundraising events
1c
d
Related organizations
1d
e
Government grants (contributions)
1e
1,329,009,284.
f
All other contributions, gifts, grants,
1f
880,680,251.
g
Noncash contributions included in 1g
$ 213,970,830.
h
Total. Add lines 1a-1f
and similar amounts not included above
lines 1a-1f
(B) Related or exempt function revenue
(C) Unrelated business revenue
(D) Revenue excluded from tax under sections 512-514
5,949,163.
2,215,638,698.
Program Service Revenue
Business Code
2a TUITION & FEES
611600
2,109,308,030.
b OTHER EDUCATION & RESEARCH
541700
240,206,430.
240,206,430.
c PATIENT CARE REVENUE
621110
1,744,864,706.
1,744,864,706.
d AUXILIARY ENTERPRISES
900099
247,613,468.
240,044,005.
e OTHER SOURCES
900099
1,744,959.
1,744,959.
119,281.
119,281.
f g
900099
All other program service revenue Total. Add lines 2a-2f
4,343,856,874. 114,286,118.
other similar amounts) 4 5
Gross rents
6a
207,952,989.
b
Less: rental expenses 6b
178,147,180.
c
Rental income or (loss)
29,805,809.
d
Net rental income or (loss) Gross amount from
7a
sales
of
(i) Securities
Less: cost or other basis and sales expenses
7b
2,471,558,313.
c
Gain or (loss)
7c
505,453,835.
d
Net gain or (loss)
8a
Gross
income
from
events (not including $
505,453,835.
505,453,835.
contributions
-197,857.
-197,857.
fundraising
reported
on
line 8a
859,355.
8b
1,057,212.
b c
Less: direct expenses Net income or (loss) from fundraising events
9a
Gross income from activities. See Part IV, line 19
b c
29,805,809.
(ii) Other
5,949,163.
1c). See Part IV, line 18
10a
29,805,809.
NONE
2,977,012,148.
b
b c
19,214,340.
assets
other than inventory 7a
of
19,214,340.
(ii) Personal
6a
6c
114,286,118.
NONE
Income from investment of tax-exempt bond proceeds Royalties (i) Real
Other Revenue
7,569,463.
Investment income (including dividends, interest, and
3
Miscellaneous Revenue
2,109,308,030.
gaming 9a
NONE
9b
NONE
Less: direct expenses Net income or (loss) from gaming activities Gross sales of inventory, returns and allowances
NONE
less 10a
NONE
10b Less: cost of goods sold Net income or (loss) from sales of inventory
NONE NONE Business Code
11a
PARTNERSHIP INCOME
900099
86,034,716.
NONE
15,467,553.
70,567,163.
b c d e 12
JSA 3E1051 2.000
NONE
All other revenue 86,034,716.
Total. Add lines 11a-11d Total revenue. See instructions
6416BJ K321
7,314,092,533.
4,336,287,411.
23,037,016.
739,129,408. Form 990 (2023)
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY Part IX Statement of Functional Expenses
Form 990 (2023)
13-5598093
Page 10
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX (A) (B) Do not include amounts reported on lines 6b, 7b, Total expenses Program service 8b, 9b, and 10b of Part VIII. expenses
(C) Management and general expenses
(D) Fundraising expenses
1 Grants and other assistance to domestic organizations
177,009,505.
177,009,505.
726,270,020.
726,270,020.
24,052,286. NONE
24,052,286.
4 Benefits paid to or for members 5 Compensation of current officers, directors, trustees, and key employees
14,070,109.
850,832.
13,219,277.
9,059,259. 6,292,099. 3,339,499,446. 3,090,279,751. 238,405,742. 220,614,032.
2,767,160. 174,318,035. 12,444,506.
74,901,660. 5,347,204.
72,735,137. 9,382,089.
24,881,509. 4,031,333.
and domestic governments. See Part IV, line 21
2 Grants and other assistance individuals. See Part IV, line 22
to
domestic
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16
6 Compensation not included above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
7 Other salaries and wages 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
392,955,623. 179,737,469.
9 Other employee benefits 10
Payroll taxes
11
Fees for services (nonemployees):
a Management b Legal c Accounting d Lobbying e Professional fundraising services. See Part IV, line 17 f Investment management fees
295,338,977. 166,324,047.
NONE 64,336,517. 2,527,463. 563,000. 622,712. 3,341,267.
64,336,517. 2,527,463. 563,000. 622,712. 3,341,267.
g Other. (If line 11g amount exceeds 10% of line 25, column
361,723,945. 9,302,277. 301,065,613. 47,696,825. NONE 281,426,174. 83,568,550.
(A), amount, list line 11g expenses on Schedule O.)
12
Advertising and promotion
13
Office expenses
14
Information technology
15
Royalties
16
Occupancy
17
Travel
18
Payments of travel or entertainment expenses for any federal, state, or local public officials
19
Conferences, conventions, and meetings
20
Interest
21
Payments to affiliates
22
Depreciation, depletion, and amortization
23
Insurance
24
Other
expenses.
Itemize
expenses
not
301,960,029. 7,597,735. 283,457,996. 26,541,159.
51,479,179. 221,613. 12,681,726. 16,775,437.
8,284,737. 1,482,929. 4,925,891. 4,380,229.
264,862,072. 74,719,711.
14,205,420. 6,661,282.
2,358,682. 2,187,557.
73,351,408. 62,329,888.
8,060,599. 4,295,363.
7,558,474. 700,185.
302,628,390. 37,100,391.
20,855,143. 2,870,285.
3,399,584.
31,464,522. 31,464,522. 8,357,331. 6,958,641. 12,060,913. 9,610,855. 262,276. 13,502,605. 4,579,063. 6,846,031,159. 6,194,193,409.
1,380,640. 2,127,565. 262,276. 7,539,429. 505,050,408.
18,050. 322,493.
NONE 88,970,481. 67,325,436. NONE 326,883,117. 39,970,676.
covered
above. (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of line 25, column (A), amount, list line 24e expenses on Schedule O.)
LIBRARY AND CREDIT CARD FEES c DUES & SUBSCRIPTIONS d UNRELATED BUS INCOME TAX EXP a
b BANK
e All other expenses 25 Total functional expenses. Add lines 1 through 24e 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720)
Form 990 (2023)
JSA 3E1052 2.000
6416BJ K321
1,384,113. 146,787,342.
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Form 990 (2023)
Part X
(A) Beginning of year
NONE 1 Cash - non-interest-bearing 1,227,761,753. 2 Savings and temporary cash investments 703,796,525. 3 Pledges and grants receivable, net 527,572,164. 4 Accounts receivable, net Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% 9,278,134. 5 controlled entity or family member of any of these persons 6 Loans and other receivables from other disqualified persons (as defined 160,000. 6 under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) 79,790,801. 7 7 Notes and loans receivable, net 2,144,360. 8 8 Inventories for sale or use 70,097,752. 9 9 Prepaid expenses and deferred charges 10 a Land, buildings, and equipment: cost or other 10a 11541835869. basis. Complete Part VI of Schedule D 10b 5461794481. 6,040,728,263. 10c b Less: accumulated depreciation SEE SCHEDULE O 1,398,072,357. 11 11 Investments - publicly traded securities 12617614427. 12 12 Investments - other securities. See Part IV, line 11 NONE 13 13 Investments - program-related. See Part IV, line 11 NONE 14 14 Intangible assets 874,126,397. 15 15 Other assets. See Part IV, line 11 23551142933. 16 16 Total assets. Add lines 1 through 15 (must equal line 33) 440,458,379. 17 Accounts payable and accrued expenses 17 NONE 18 Grants payable 18 391,329,117. 19 Deferred revenue 19 1,773,909,121. 20 Tax-exempt bond liabilities 20 NONE 21 Escrow or custodial account liability. Complete Part IV of Schedule D 21 Loans and other payables to any current or former officer, director, 22 trustee, key employee, creator or founder, substantial contributor, or 35% NONE 22 controlled entity or family member of any of these persons NONE 23 Secured mortgages and notes payable to unrelated third parties 23 629,937,394. 24 Unsecured notes and loans payable to unrelated third parties 24 Other liabilities (including federal income tax, payables to related third 25 parties, and other liabilities not included on lines 17-24). Complete Part X 1,632,704,671. 25 of Schedule D Total liabilities. Add lines 17 through 25 4,868,338,682. 26 26 X Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
Liabilities
Assets
1 2 3 4 5
Net Assets or Fund Balances
Page 11
Balance Sheet Check if Schedule O contains a response or note to any line in this Part X
27 28
Net assets without donor restrictions Net assets with donor restrictions Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29 30 31 32 33
Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, building, or equipment fund Retained earnings, endowment, accumulated income, or other funds Total net assets or fund balances Total liabilities and net assets/fund balances
JSA 3E1053 2.000
6416BJ K321
V23-7.16
8,387,507,385. 27 10295296866. 28
29 30 31 18682804251. 32 23551142933. 33
X (B) End of year
NONE 1,229,552,082. 678,000,151. 575,889,281.
9,307,984. 160,000. 73,070,623. 6,007,099. 73,662,285.
6,080,041,388. 1,305,749,409. 14136407775. NONE NONE 633,243,288. 24801091365. 504,965,612. NONE 369,764,838. 1,719,813,420. NONE
NONE NONE 529,750,747.
1,913,379,924. 5,037,674,541.
8,512,625,083. 11250791741.
19763416824. 24801091365. Form 990 (2023)
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 12
Form 990 (2023)
Part XI
Reconciliation of Net Assets
X
Check if Schedule O contains a response or note to any line in this Part XI 1 2 3 4 5 6 7 8 9 10
Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part IX, column (A), line 25) Revenue less expenses. Subtract line 2 from line 1 Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adjustments Other changes in net assets or fund balances (explain on Schedule O) Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
Part XII
Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII
1 7,314,092,533. 2 6,846,031,159. 468,061,374. 3 418,682,804,251. 876,075,077. 5 6 7 8 -263,523,878. 9 1019,763,416,824.
X Yes
1
No
Accounting method used to prepare the Form 990: Cash Other X Accrual If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O.
2 a Were the organization's financial statements compiled or reviewed by an independent accountant? If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
Separate basis
Consolidated basis
Both consolidated and separate basis
b Were the organization's financial statements audited by an independent accountant? If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
Separate basis
X Consolidated basis
X
2a
2b
X
2c
X
3a
X
3b
X
Both consolidated and separate basis
c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O. 3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits
Form 990 (2023)
JSA 3E1054 2.000
6416BJ K321
V23-7.16
Public Charity Status and Public Support
SCHEDULE A (Form 990)
OMB No. 1545-0047
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Employer identification number THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 13-5598093 Reason for Public Charity Status. (All organizations must complete this part.) See instructions. Part I
Name of the organization
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 X A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 3 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the 4 hospital's name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in 5 section 170(b)(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 6 An organization that normally receives a substantial part of its support from a governmental unit or from the general public 7 described in section 170(b)(1)(A)(vi). (Complete Part II.) A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college 9 or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: An organization that normally receives (1) more than 331/3 % of its support from contributions, membership fees, and gross 10 receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 331/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of 12 one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations Provide the following information about the supported organization(s).
a
b
c d
e f g
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-10 above (see instructions))
(iv) Is the organization listed in your governing document?
Yes
(v) Amount of monetary support (see instructions)
(vi) Amount of other support (see instructions)
No
(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1210 1.000
6416BJ K321
V23-7.16
Schedule A (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 2
Schedule A (Form 990) 2023
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) 1
2
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.")
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
1,795,585,528. 1,820,200,959. 1,954,178,309. 1,956,885,576. 2,215,638,698. 9,742,489,070.
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf
3
The value of services or facilities furnished by a governmental unit to the organization without charge
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) Public support. Subtract line 5 from line 4
6
(a) 2019
NONE
NONE 1,795,585,528. 1,820,200,959. 1,954,178,309. 1,956,885,576. 2,215,638,698. 9,742,489,070.
NONE 9,742,489,070.
Section B. Total Support Calendar year (or fiscal year beginning in) 7 8
9
Amounts from line 4 Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
1,795,585,528. 1,820,200,959. 1,954,178,309. 1,956,885,576. 2,215,638,698. 9,742,489,070.
262,129,223.
206,771,230.
Net income from unrelated business activities, whether or not the business is regularly carried on
233,688,529.
310,536,196.
341,453,447. 1,354,578,625.
20,007,543.
14,798,632.
23,037,016.
59,849,310.
81,696,111.
70,567,163.
57,843,191.
10
Other income. Do not include gain or loss from the sale of capital assets SEE SUPP PAGE (Explain in Part VI.)
11 12
Total support. Add lines 7 through 10
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here
143,690,985.
102,136,227.
457,939,796. 11,612,850,682.
Gross receipts from related activities, etc. (see instructions)
12
19,110,679,192.
Section C. Computation of Public Support Percentage
83.89 % 14 14 Public support percentage for 2023 (line 6, column (f), divided by line 11, column (f)) 83.27 % 15 15 Public support percentage from 2022 Schedule A, Part II, line 14 16a 33 1/3 % support test - 2023. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this X box and stop here. The organization qualifies as a publicly supported organization b 33 1/3 % support test - 2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3 % or more, check this box and stop here. The organization qualifies as a publicly supported organization 17a 10%-facts-and-circumstances test - 2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization b 10%-facts-and-circumstances test - 2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions Schedule A (Form 990) 2023
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Page 3
Schedule A (Form 990) 2023
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Part III
Calendar year (or fiscal year beginning in) 1
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
(a) 2019
(b) 2020
(c) 2021
(d) 2022
(e) 2023
(f) Total
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.")
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3
Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf
5
The value of services or facilities furnished by a governmental unit to the organization without charge
6
Total. Add lines 1 through 5
7 a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year 8
c Add lines 7a and 7b Public support. (Subtract line 7c from
line 6.)
Section B. Total Support Calendar year (or fiscal year beginning in) 9 Amounts from line 6 10 a Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources b Unrelated business taxable income (less
section 511 taxes) from businesses acquired after June 30, 1975 c Add lines 10a and 10b 11
Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)
13
Total support. (Add lines 9, 10c, 11,
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
and 12.) organization, check this box and stop here
Section C. Computation of Public Support Percentage 15
Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f))
15
16
Public support percentage from 2022 Schedule A, Part III, line 15
16
% %
Section D. Computation of Investment Income Percentage 17
Investment income percentage for 2023 (line 10c, column (f), divided by line 13, column (f))
17
18
Investment income percentage from 2022 Schedule A, Part III, line 17
18
% %
19 a 33 1/3 % support tests - 2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3 %, and line
17 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization b 33 1/3 % support tests - 2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3 %, and
line 18 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization 20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
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Page 4 Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes No
Schedule A (Form 990) 2023
Part IV
1
Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
1
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
3c 4a
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's control?
5b 5c
c
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
6
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI.
6
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990).
7
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes," complete Part I of Schedule L (Form 990). Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI.
9a
b c 10 a
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
8
9a 9b 9c
10a 10b
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Part IV
Supporting Organizations (continued) Yes No
11 a b c
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization? A family member of a person described on line 11a above? A 35% controlled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c, provide detail in Part VI.
11a 11b 11c
Section B. Type I Supporting Organizations Yes No 1
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Supporting Organizations Yes No Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
1
Section D. All Type III Supporting Organizations Yes No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided?
1
2
Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
3
By reason of the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations 1 a b c 2 a
b
3 a b JSA
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). The organization satisfied the Activities Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions).
Yes No
Activities Test. Answer lines 2a and 2b below. Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement.
2b
Parent of Supported Organizations. Answer lines 3a and 3b below. Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If "Yes" or "No," provide details in Part VI. Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3E1230 1.000
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3a 3b
Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income 1 2 3 4 5
Page 6
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
Part V
Net short-term capital gain Recoveries of prior-year distributions Other gross income (see instructions) Add lines 1 through 3. Depreciation and depletion
(A) Prior Year
(B) Current Year (optional)
(A) Prior Year
(B) Current Year (optional)
1 2 3 4 5
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 7 Other expenses (see instructions) 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4)
6 7 8
Section B - Minimum Asset Amount 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities b Average monthly cash balances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt-use assets 3 Subtract line 2 from line 1d. 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by 0.035. 7 Recoveries of prior-year distributions 8 Minimum Asset Amount (add line 7 to line 6)
1a 1b 1c 1d
2 3 4 5 6 7 8
Current Year
Section C - Distributable Amount
Adjusted net income for prior year (from Section A, line 8, column A) 1 Enter 0.85 of line 1. 2 Minimum asset amount for prior year (from Section B, line 8, column A) 3 Enter greater of line 2 or line 3. 4 Income tax imposed in prior year 5 6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 7 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). 1 2 3 4 5
Schedule A (Form 990) 2023
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Schedule A (Form 990) 2023
Part V
Section D - Distributions 1 Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity 3 Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts paid to acquire exempt-use assets 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 6 Other distributions (describe in Part VI). See instructions. 7 Total annual distributions. Add lines 1 through 6. 8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. 9 Distributable amount for 2023 from Section C, line 6 10 Line 8 amount divided by line 9 amount (i) Excess Distributions
Section E - Distribution Allocations (see instructions) 1 2
3 a b c d e f g h i j 4 a b c 5
6
7 8 a b c d e
Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Current Year 1 2 3 4 5 6 7 8 9 10
(ii) Underdistributions Pre-2023
(iii) Distributable Amount for 2023
Distributable amount for 2023 from Section C, line 6 Underdistributions, if any, for years prior to 2023 (reasonable cause required - explain in Part VI). See instructions. Excess distributions carryover, if any, to 2023 From 2018 From 2019 From 2020 From 2021 From 2022 Total of lines 3a through 3e Applied to underdistributions of prior years Applied to 2023 distributable amount Carryover from 2018 not applied (see instructions) Remainder. Subtract lines 3g, 3h, and 3i from line 3f. Distributions for 2023 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2023 distributable amount Remainder. Subtract lines 4a and 4b from line 4. Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to 2024. Add lines 3j and 4c. Breakdown of line 7: Excess from 2019 Excess from 2020 Excess from 2021 Excess from 2022 Excess from 2023 Schedule A (Form 990) 2023
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Schedule A (Form 990 or 990-EZ) 2023
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
SCHEDULE A, PART II - OTHER INCOME DESCRIPTION
2019
2020
OTHER INCOME
143,690,985.
102,136,227.
2021 59,849,310.
2022 81,696,111.
2023 70,567,163.
TOTAL 457,939,796.
-------------- -------------- -------------- -------------- -------------- -------------TOTALS
143,690,985.
102,136,227.
59,849,310.
81,696,111.
70,567,163.
457,939,796.
============== ============== ============== ============== ============== ==============
Schedule A (Form 990 or 990-EZ) 2023
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Schedule of Contributors
Schedule B (Form 990)
OMB No. 1545-0047
Attach to Form 990, 990-EZ, or 990-PF. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Name of the organization
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
13-5598093
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
X
501(c)( 3
) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF
501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions. Special Rules
X
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "N/A" in column (b) instead of the contributor name and address), II, and III. For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions $ totaling $5,000 or more during the year
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990). For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF. JSA 3E1251 1.000
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Schedule B (Form 990) (2023)
Name of organization
Part I
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Employer identification number
13-5598093
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.
(b) Name, address, and ZIP + 4
1
(c) Total contributions
N/A
$
79,844,422.
(d) Type of contribution Person Payroll Noncash
X X
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
2
(c) Total contributions
N/A
$
55,620,616.
(d) Type of contribution Person Payroll Noncash
X X
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
3
(c) Total contributions
N/A
$
45,161,397.
(d) Type of contribution Person Payroll Noncash
X X
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II for noncash contributions.)
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
$
(d) Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) Schedule B (Form 990) (2023)
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Schedule B (Form 990) (2023)
Name of organization
Part II
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
13-5598093
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
SECURITIES 1
$ (a) No. from Part I
63,112,272. (c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
VAR
(d) Date received
SECURITIES 2
$ (a) No. from Part I
41,620,616. (c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
VAR
(d) Date received
SECURITIES 3
$ (a) No. from Part I
45,161,397. (c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
VAR
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ (a) No. from Part I
(c) FMV (or estimate)
(b) Description of noncash property given
(See instructions.)
(d) Date received
$ Schedule B (Form 990) (2023)
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Page 4 Employer identification number THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 13-5598093 Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.
Schedule B (Form 990) (2023)
Name of organization
Part III
(a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
(a) No. from Part I
(b) Purpose of gift
Relationship of transferor to transferee
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift Transferee's name, address, and ZIP + 4
Schedule B (Form 990) (2023)
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Relationship of transferor to transferee
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SCHEDULE C (Form 990)
Political Campaign and Lobbying Activities
OMB No. 1545-0047
For Organizations Exempt From Income Tax Under Section 501(c) and Section 527
Department of the Treasury Internal Revenue Service
Complete if the organization is described below. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
If the organization answered "Yes" on Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then: Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B. Section 527 organizations: Complete Part I-A only. If the organization answered "Yes" on Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then: Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B. Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A. If the organization answered "Yes" on Form 990, Part IV, line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then: Section 501(c)(4), (5), or (6) organizations: Complete Part III. Employer identification number Name of organization THE TRUSTEES OF COLUMBIA UNIVERSITY
IN THE CITY OF NEW YORK 13-5598093 Complete if the organization is exempt under section 501(c) or is a section 527 organization. Part I-A 1 2 3
Provide a description of the organization's direct and indirect political campaign activities in Part IV. See instructions for definition of "political campaign activities." Political campaign activity expenditures. See instructions $ Volunteer hours for political campaign activities. See instructions
Part I-B
Complete if the organization is exempt under section 501(c)(3).
1 Enter the amount of any excise tax incurred by the organization under section 4955 2 Enter the amount of any excise tax incurred by organization managers under section 4955 3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? 4 a Was a correction made? b If "Yes," describe in Part IV.
Part I-C
$ $ Yes
No
Yes
No
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities $
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities $
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b $ Yes No Did the filing organization file Form 1120-POL for this year? Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments. For each organization listed, enter the amount paid from the filing organization's funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
4 5
(a) Name
(b) Address
(c) EIN
(d) Amount paid from filing organization's funds. If none, enter -0-.
(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
(1) (2) (3) (4) (5) (6) For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
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Schedule C (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
Schedule C (Form 990) 2023
Part II-A A Check B Check
Page 2
if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures). if the filing organization checked box A and "limited control" provisions apply. Limits on Lobbying Expenditures (a) Filing organization's totals (The term "expenditures" means amounts paid or incurred.)
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grassroots lobbying) b Total lobbying expenditures to influence a legislative body (direct lobbying) c Total lobbying expenditures (add lines 1a and 1b) d Other exempt purpose expenditures e Total exempt purpose expenditures (add lines 1c and 1d) f Lobbying nontaxable amount. Enter the amount from the following table in both columns. If the amount on line 1e, column (a) or (b) is: The lobbying nontaxable amount is:
not over $500,000,
20% of the amount on line 1e.
over $500,000 but not over $1,000,000,
$100,000 plus 15% of the excess over $500,000.
over $1,000,000 but not over $1,500,000,
$175,000 plus 10% of the excess over $1,000,000.
over $1,500,000 but not over $17,000,000, $225,000 plus 5% of the excess over $1,500,000. over $17,000,000,
$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) h Subtract line 1g from line 1a. If zero or less, enter -0i Subtract line 1f from line 1c. If zero or less, enter -0j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? Yes 4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
No
Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal year beginning in)
(a) 2020
(b) 2021
(c) 2022
(d) 2023
(e) Total
2a Lobbying nontaxable amount b Lobbying ceiling amount (150% of line 2a, column (e))
c Total lobbying expenditures d Grassroots nontaxable amount e Grassroots ceiling amount (150% of line 2d, column (e))
f
Grassroots lobbying expenditures Schedule C (Form 990) 2023
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THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
Schedule C (Form 990) 2023
Part II-B
For each "Yes," response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity. 1
a b c d e f g h i j 2a b c d
During the year, did the filing organization attempt to influence foreign, national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of: Volunteers? Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? Media advertisements? Mailings to members, legislators, or the public? Publications, or published or broadcast statements? Grants to other organizations for lobbying purposes? Direct contact with legislators, their staffs, government officials, or a legislative body? Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? Other activities? Total. Add lines 1c through 1i Did the activities in line 1 cause the organization to not be described in section 501(c)(3)? If "Yes," enter the amount of any tax incurred under section 4912 If "Yes," enter the amount of any tax incurred by organization managers under section 4912 If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year?
Part III-A
(a) Yes
(b) No
Amount
X X X X X X X
17,010. 25,894. X
X
563,000. 605,904. X
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6). Yes
1 2 3
Were substantially all (90% or more) dues received nondeductible by members? Did the organization make only in-house lobbying expenditures of $2,000 or less? Did the organization agree to carry over lobbying and political campaign activity expenditures from the prior year?
Part III-B
1
Page 3
No
1 2 3
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered "Yes."
Dues, assessments and similar amounts from members
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for w hich the section 527(f) tax was paid). a Current year b Carryover from last year c Total Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues 3 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the 4 excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditures next year? Taxable amount of lobbying and political expenditures. See instructions 5
1
2
Part IV
2a 2b 2c 3
4 5
Supplemental Information
Provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions); and Part II-B, line 1. Also, complete this part for any additional information.
SEE PAGE 4
Schedule C (Form 990) 2023
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Schedule C (Form 990 or 990-EZ) 2023
Part IV
Page 4
SCHEDULE C, PART II-B
LINE 1A - VOLUNTEERS: N/A
LINE 1B - PAID STAFF OR MANAGEMENT: THE UNIVERSITY HAS OFFICES OF GOVERNMENT AND COMMUNITY AFFAIRS AT BOTH ITS MORNINGSIDE AND MEDICAL CENTER CAMPUSES WHOSE FUNCTION IS TO KEEP THE UNIVERSITY COMMUNITY INFORMED ABOUT NATIONAL, STATE, AND LOCAL LEGISLATION AND POLICY THAT HAS AN IMPACT ON THE UNIVERSITY AND, WHEN APPROPRIATE, TO ADVOCATE FOR THE UNIVERSITY'S INTERESTS WITH RESPECT TO THIS POLICY. EMPLOYEES REGULARLY INVOLVED IN THESE ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: VICE PRESIDENT FOR GOVERNMENT & COMMUNITY AFFAIRS; ASSOCIATE VICE PRESIDENT FOR GOVERNMENT AFFAIRS; VICE PRESIDENT AND ASSOCIATE DEAN FOR GOVERNMENT AND COMMUNITY AFFAIRS, COLUMBIA UNIVERSITY IRVING MEDICAL CENTER; ASSOCIATE VICE PRESIDENT FOR GOVERNMENT AND COMMUNITY AFFAIRS, COLUMBIA UNIVERSITY IRVING MEDICAL CENTER; DIRECTOR OF GOVERNMENT AFFAIRS, AND THE ASSISTANT DIRECTOR FOR GOVERNMENT AFFAIRS.
LINE 1C - MEDIA ADVERTISEMENTS: N/A
LINE 1D - MAILINGS TO MEMBERS, LEGISLATORS OR THE PUBLIC: N/A
LINE 1E - PUBLICATIONS, OR PUBLISHED OR BROADCAST STATEMENTS: N/A
LINE 1F - GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: THE UNIVERSITY BELONGS TO CERTAIN HIGHER EDUCATION TRADE ASSOCIATIONS. A
Schedule C (Form 990 or 990-EZ) 2023
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Part IV
Page 4
SMALL PORTION OF THE MEMBERSHIP FEES PAID TO CERTAIN OF THESE ORGANIZATIONS GOES TO SUPPORT LOBBYING-RELATED ACTIVITIES. THESE FEES ARE REGULARLY REPORTED ON THE UNIVERSITY'S LOBBYING DISCLOSURE FILINGS.
LINE 1G - DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY:
THE VICE PRESIDENT FOR GOVERNMENT &
COMMUNITY AFFAIRS, THE ASSOCIATE VICE PRESIDENT FOR GOVERNMENT AFFAIRS, THE DIRECTOR OF GOVERNMENT AFFAIRS, THE ASSISTANT DIRECTOR FOR GOVERNMENT AFFAIRS, AMONG OTHER COLUMBIA UNIVERSITY EMPLOYEES, CONTACTED FEDERAL, STATE, AND LOCAL LEGISLATORS AND THEIR STAFFS ON HIGHER EDUCATION ISSUES. THE EXECUTIVE VICE PRESIDENT FOR HEALTH SCIENCES; THE VICE PRESIDENT AND ASSOCIATE DEAN FOR GOVERNMENT AND COMMUNITY AFFAIRS, COLUMBIA UNIVERSITY IRVING MEDICAL CENTER; AND OTHER COLUMBIA UNIVERSITY IRVING MEDICAL CENTER EMPLOYEES CONTACTED FEDERAL, STATE AND LOCAL LEGISLATORS AND THEIR STAFFS ON HIGHER EDUCATION ISSUES, HEALTH SCIENCE ISSUES AND OTHER ISSUES AFFECTING ACADEMIC MEDICAL CENTERS. THE AMOUNTS SHOWN ON LINE 1G REFLECT PAID STAFF AND MANAGEMENT ACTIVITIES.
LINE 1H - RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES OR ANY OTHER MEANS: N/A
LINE 1I - OTHER ACTIVITIES: DURING THE REPORTING PERIOD, THE UNIVERSITY RETAINED OUTSIDE FIRMS FOR CONSULTING AND ADVOCACY AT THE FEDERAL, STATE AND LOCAL LEVELS OF GOVERNMENT. THE AMOUNTS SHOWN ON LINE 1I INCLUDE AMOUNTS PAID TO SUCH OUTSIDE FIRMS FOR ALL ACTIVITIES CONDUCTED BY SUCH FIRMS, INCLUDING CERTAIN OF THE ACTIVITIES DESCRIBED ABOVE AND GENERAL ADVISORY SERVICES TO THE UNIVERSITY IN CONNECTION WITH ITS LOBBYING AND
Schedule C (Form 990 or 990-EZ) 2023
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Schedule C (Form 990 or 990-EZ) 2023
Part IV
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GOVERNMENTAL RELATIONS ACTIVITIES.
Schedule C (Form 990 or 990-EZ) 2023
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SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Name of the organization
OMB No. 1545-0047
Supplemental Financial Statements Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
Open to Public Inspection
Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Employer identification number THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 13-5598093 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Part I Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds
(b) Funds and other accounts
17 Total number at end of year 1,157,672. Aggregate value of contributions to (during year) 13,870,954. Aggregate value of grants from (during year) 21,762,049. Aggregate value at end of year Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit?
1 2 3 4 5 6
Part II 1
2 a b c d 3 4 5
X Yes
No
X Yes
No
Conservation Easements Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation Held at the End of the Tax Year easement on the last day of the tax year. 2a Total number of conservation easements 2b Total acreage restricted by conservation easements 2c Number of conservation easements on a certified historic structure included on line 2a Number of conservation easements included on line 2c acquired after July 25, 2006, and 2d not on a historic structure listed in the National Register Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? Yes No
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2d above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? Yes In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.
9
Part III 1a b
2 a b
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: $ (i) Revenue included on Form 990, Part VIII, line 1 $ Assets included in Form 990, Part X (ii) If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: Revenue included on Form 990, Part VIII, line 1 $ Assets included in Form 990, Part X $
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1268 1.000
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THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2023
Part III
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply). a d X Public exhibition X Loan or exchange program Other b e X Scholarly research c X Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part 4 XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar 5 assets to be sold to raise funds rather than to be maintained as part of the organization's collection? Yes X No 3
Part IV
Escrow and Custodial Arrangements Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? b If "Yes," explain the arrangement in Part XIII and complete the following table. Amount c Beginning balance 1c d Additions during the year 1d e Distributions during the year 1e f Ending balance 1f 2 a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? b If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII
Part V
d e f g 2 a b c 3a
b 4
No
Yes
No
Endowment Funds Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year
1a b c
Yes
(c) Two years back
(d) Three years back
(e) Four years back
13,642,667,000. 13,279,846,000. 14,349,970,000. 11,257,021,000. Beginning of year balance 411,258,000. 470,230,000. 588,591,000. 366,226,000. Contributions Net investment earnings, gains, 1,481,534,000. 620,473,000. -997,276,000. 3,364,720,000. and losses 162,547,000. 159,593,000. 143,170,000. 138,726,000. Grants or scholarships Other expenditures for facilities 540,758,000. 530,298,000. 469,279,000. 454,306,000. and programs 49,662,000. 37,991,000. 48,990,000. 44,965,000. Administrative expenses 14,782,492,000. 13,642,667,000. 13,279,846,000. 14,349,970,000. End of year balance Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: 32.3200 % Board designated or quasi-endowment 32.1900 % Permanent endowment 35.4900 % Term endowment The percentages on lines 2a, 2b, and 2c should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations? (ii) Related organizations? If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? Describe in Part XIII the intended uses of the organization's endowment funds.
10,950,738,000.
Part VI
(b) Prior year
400,986,000. 562,702,000. 141,393,000. 472,489,000. 43,523,000. 11,257,021,000.
Yes 3a(i) 3a(ii) 3b
No
X X
Land, Buildings, and Equipment Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property
(a) Cost or other basis (investment)
(b) Cost or other basis (other)
(c) Accumulated depreciation
536,856,902. 1 a Land 8415662368. 4301387171. b Buildings NONE NONE c Leasehold improvements NONE 735,780,396. 520,084,008. d Equipment 1,853,536,203. 640,323,302. e Other Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, line 10c, column (B))
(d) Book value
536,856,902. 4,114,275,197. NONE 215,696,388. 1,213,212,901. 6,080,041,388. Schedule D (Form 990) 2023
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THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 3 Investments - Other Securities Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
Schedule D (Form 990) 2023
Part VII
(a) Description of security or category (including name of security)
(b) Book value
(1) Financial derivatives (2) Closely held equity interests (3) Other (A) GLOBAL EQUITIES (B) ABSOLUTE RETURN STRATEGIES (C) PRIVATE EQUITY (D) REAL ESTATE ASSETS (E) FIXED INCOME (F) CASH & CASH EQUIVALENTS (G) EXTERNAL TRUSTS (H)
3,728,080,460. 3,872,287,154. 3,716,911,958. 1,681,768,129. 202,366,187. 600,257,781. 334,736,106.
(c) Method of valuation: Cost or end-of-year market value
FMV FMV FMV FMV FMV FMV FMV
14136407775. Investments - Program Related Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
Total. (Column (b) must equal Form 990, Part X, line 12, col. (B))
Part VIII
(a) Description of investment
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 13, col. (B))
Part IX
Other Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, line 15, col. (B))
Part X
Other Liabilities Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability
1.
(1) Federal income taxes (2)CAPITAL LEASE OBLIGATIONS (3)COND'L ASSET RETIREMENT OBLIGA (4)ACCRUED EMPLOYEE BENEFIT LIAB. (5)FEDERAL STUDENT LOAN FUNDS (6)ACTUARIAL LIAB- SPLIT INT AGRM (7)OTHER LONG TERM LIABILITIES (8) (9)
(b) Book value
131,189,814. 138,572,369. 562,257,525. 23,592,902. 63,934,826. 993,832,488.
Total. (Column (b) must equal Form 990, Part X, line 25, col. (B))
1,913,379,924.
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII JSA 3E1270 1.000
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THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
Schedule D (Form 990) 2023
Part XI 1 2 a b c d e 3 4 a b c 5
Total revenue, gains, and other support per audited financial statements Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains (losses) on investments Donated services and use of facilities Recoveries of prior year grants Other (Describe in Part XIII.) Add lines 2a through 2d Subtract line 2e from line 1 Amounts included on Form 990, Part VIII, line 12, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b Other (Describe in Part XIII.) Add lines 4a and 4b Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
Part XII 1 2 a b c d e 3 4 a b c 5
1 2a 2b 2c 2d 2e 3 4a 4b 4c 5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
Total expenses and losses per audited financial statements Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities Prior year adjustments Other losses Other (Describe in Part XIII.) Add lines 2a through 2d Subtract line 2e from line 1 Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b Other (Describe in Part XIII.) Add lines 4a and 4b Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)
Part XIII
Page 4
1 2a 2b 2c 2d 2e 3 4a 4b 4c 5
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
SEE SUPPLEMENTAL PAGE
Schedule D (Form 990) 2023
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Part XIII
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Page 5
DETAIL OF UNIVERSITY COLLECTIONS/TEXT OF AUDIT FOOTNOTE
SCHEDULE D, PART III, LINES 1A, 2A & 4 THE UNIVERSITY'S COLLECTIONS INCLUDE WORKS OF ART, LITERARY WORKS, HISTORICAL TREASURES AND ARTIFACTS MAINTAINED IN THE UNIVERSITY'S LIBRARIES AND MUSEUMS. THESE COLLECTIONS ARE PROTECTED AND PRESERVED FOR PUBLIC EXHIBITION, EDUCATION, RESEARCH, AND THE FURTHERANCE OF PUBLIC SERVICE. PROCEEDS REALIZED FROM DEACCESSIONING COLLECTION ITEMS ARE TO BE USED FOR THE ACQUISITION OF NEW ITEMS FOR THE UNIVERSITY'S COLLECTION AND/OR ENHANCING THE LIFE, USEFULNESS OR QUALITY OF THE EXISTING COLLECTION THROUGH LONG-TERM DIRECT CARE AND PRESERVATION, WHICH INCLUDES CONSERVATION CARE, CATALOGING AND DOCUMENTING AND PROPER ACCESS AND USE OF THE COLLECTION. ACCORDINGLY, SUCH COLLECTIONS ARE NOT CAPITALIZED AND CONTRIBUTED ITEMS ARE NOT RECOGNIZED AS REVENUE FOR FINANCIAL STATEMENT PURPOSES.
INTENDED USE OF ENDOWMENT FUNDS
SCHEDULE D, PART V, LINE 4 COLUMBIA UNIVERSITY'S ENDOWMENT FUNDS SUPPORT A RANGE OF PURPOSES IN ACCORDANCE WITH THE UNIVERSITY'S MISSION, INCLUDING: FINANCIAL AID; FACULTY SALARIES AND SUPPORT; RESEARCH; CAPITAL PROJECTS; GENERAL SUPPORT OF THE UNIVERSITY, SCHOOLS, DEPARTMENTS, INSTITUTES AND CENTERS.
Schedule D (Form 990) 2023 JSA 3E1226 1.000
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Part XIII
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Page 5
FIN 48
SCHEDULE D, PART X, LINE 2 THE UNIVERSITY DOES NOT INCLUDE A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740) IN ITS FINANCIAL STATEMENTS AS IT IS IMMATERIAL AND DOES NOT HAVE AN IMPACT ON THE STATEMENTS. THE UNIVERSITY BELIEVES THAT ITS TAX POSITIONS OF FIN 48 ARE HIGHLY CERTAIN.
Schedule D (Form 990) 2023 JSA 3E1226 1.000
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Schools
SCHEDULE E (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 13, or Form 990-EZ, Part VI, line 48. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for the latest information.
Name of the organization
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK Part I
Open to Public Inspection
Employer identification number
13-5598093 YES
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of its governing body? Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? Has the organization publicized its racially nondiscriminatory policy on its primary publicly accessible Internet homepage at all times during its tax year in a manner reasonably expected to be noticed by visitors to the homepage, or through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No," please explain. If you need more space, use Part II
1 2
3
1
X
2
X
3
X
4a
X
4b
X
4c 4d
X X
NO
SEE SUPPLEMENTAL PAGE
4
Does the organization maintain the following? a Records indicating the racial composition of the student body, faculty, and administrative staff? b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? d Copies of all material used by the organization or on its behalf to solicit contributions? If you answered "No" to any of the above, please explain. If you need more space, use Part II.
5
Does the organization discriminate by race in any way with respect to: a Students' rights or privileges?
5a
X
b Admissions policies?
5b
X
c Employment of faculty or administrative staff?
5c
X
d Scholarships or other financial assistance?
5d
X
e Educational policies?
5e
X
Use of facilities?
5f
X
g Athletic programs?
5g
X
h Other extracurricular activities?
5h
X
f
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
6 a Does the organization receive any financial aid or assistance from a governmental agency? b Has the organization's right to such aid ever been revoked or suspended? If you answered "Yes" on either line 6a or line 6b, explain on Part II. Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 7 4.05 of Rev. Proc. 75-50, 1975-2 C.B. 587, as modified by Rev. Proc. 2019-22, 2019-22 I.R.B. 1260, covering racial nondiscrimination? If "No," explain on Part II For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1273 1.000
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V23-7.16
6a 6b
X
7
X
X
Schedule E (Form 990) 2023
13-5598093 Page 2
Schedule E (Form 990 or 990-EZ) (2023)
Supplemental Information. Provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also provide any other additional information (see instructions). SCHEDULE E, LINE 3
Part II
COLUMBIA UNIVERSITY CUSTOMARILY DRAWS A SUBSTANTIAL PERCENTAGE OF ITS STUDENTS FROM ACROSS THE NATION AND THE WORLD. ITS EDUCATIONAL PROGRAMS SEEK A BROAD CROSS-SECTION OF STUDENTS FROM THE METROPOLITAN AREA. IT FOLLOWS A RACIALLY NONDISCRIMINATORY POLICY OF ADMISSION AND INCLUDES A STATEMENT OF ITS RACIALLY NONDISCRIMINATORY POLICY TOWARDS STUDENTS IN ALL SCHOOL AND PROGRAM BULLETINS. IT ALSO REFERS TO THIS POLICY IN ALL WRITTEN ADVERTISING. IT THEREFORE MEETS THE CRITERIA UNDER REV. PROC. 75-50, SECTION 4.03-2(B)FOR EXEMPTION FROM THE PUBLICITY REQUIREMENTS OF SECTION 4.03-1.
SCHEDULE E, LINE 6A
COLUMBIA UNIVERSITY RECEIVES FEDERAL, STATE AND LOCAL GOVERNMENTAL FUNDING THAT SUPPORTS ITS CORE PROGRAMMATIC ACTIVITIES INCLUDING INSTRUCTIONAL AND RESEARCH PROGRAMS.
Schedule E (Form 990 or 990-EZ) (2023)
JSA 3E1501 1.000
6416BJ K321
V23-7.16
SCHEDULE F (Form 990)
Department of the Treasury Internal Revenue Service
Statement of Activities Outside the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 14b, 15, or 16. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
Name of the organization THE
Employer identification number TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 13-5598093 Part I General Information on Activities Outside the United States. Complete if the organization answered "Yes" on
Form 990, Part IV, line 14b. 1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance?
X
Yes
No
2
For grantmakers. Describe in Part V the organization's procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activities per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.) (a) Region
(1) CENTRAL AMERICA/CARIBBEAN
(b) Number of offices in the region
4
(c) Number of employees, agents, and independent contractors in the region
129
(d) Activities conducted in the region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)
(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region
(f) Total expenditures for and investments in the region
PROGRAM SERVICES
EDUC/RESEARCH/OUTREACH
3,810,454.
(2) CENTRAL AMERICA/CARIBBEAN
GRANTMAKING
79,456.
(3) CENTRAL AMERICA/CARIBBEAN
INVESTMENTS
6,898,697,268.
(4) EAST ASIA AND THE PACIFIC
10
649
PROGRAM SERVICES
EDUC/RESEARCH/OUTREACH
10,598,972.
(5) EAST ASIA AND THE PACIFIC
GRANTMAKING
679,952.
(6) EAST ASIA AND THE PACIFIC
FUNDRAISING
599,002.
(7) EAST ASIA AND THE PACIFIC
INVESTMENTS
33,749,717.
(8) EUROPE
6
2,115
PROGRAM SERVICES
EDUC/RESEARCH/OUTREACH
22,004,094.
(9) EUROPE
GRANTMAKING
5,244,891.
(10) EUROPE
FUNDRAISING
390,200.
(11) EUROPE
INVESTMENTS
708,755,273.
(12) MIDDLE EAST AND NORTH AFRICA
2
215
PROGRAM SERVICES
EDUC/RESEARCH/OUTREACH
2,775,795.
(13) MIDDLE EAST AND NORTH AFRICA
GRANTMAKING
650,495.
(14) MIDDLE EAST AND NORTH AFRICA
FUNDRAISING
56,232.
(15) NORTH AMERICA
NONE
579
PROGRAM SERVICES
EDUC/RESEARCH/OUTREACH
2,383,482.
(16) NORTH AMERICA
GRANTMAKING
1,636,375.
(17) NORTH AMERICA 3 a Subtotal from continuation b Total sheets to Part I c Totals (add lines 3a and 3b)
FUNDRAISING
9,402.
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1274 1.000
6416BJ K321
V23-7.16
Schedule F (Form 990) 2023
SCHEDULE F (Form 990)
Department of the Treasury Internal Revenue Service
Statement of Activities Outside the United States Complete if the organization answered "Yes" on Form 990, Part IV, line 14b, 15, or 16. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Part I
OMB No. 1545-0047
Open to Public Inspection
Employer identification number
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance?
1
Yes
No
2
For grantmakers. Describe in Part V the organization's procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activities per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.) (a) Region
(b) Number of offices in the region
(c) Number of employees, agents, and independent contractors in the region
(1) NORTH AMERICA
(d) Activities conducted in the region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)
(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region
INVESTMENTS
(2) RUSSIA/INDEPENDENT STATES
5
182
(3) RUSSIA/INDEPENDENT STATES
PROGRAM SERVICES
96,098,692. EDUC/RESEARCH/OUTREACH
GRANTMAKING
(4) SOUTH AMERICA
2
285
PROGRAM SERVICES
(f) Total expenditures for and investments in the region
8,477,439. 1,640,932.
EDUC/RESEARCH/OUTREACH
5,750,299.
(5) SOUTH AMERICA
GRANTMAKING
2,729,173.
(6) SOUTH AMERICA
FUNDRAISING
9,962.
(7) SOUTH ASIA
1
165
PROGRAM SERVICES
EDUC/RESEARCH/OUTREACH
1,724,092.
(8) SOUTH ASIA
GRANTMAKING
2,560,228.
(9) SOUTH ASIA
FUNDRAISING
56,927.
(10) SUB-SAHARAN AFRICA
44
3,422
PROGRAM SERVICES
EDUC/RESEARCH/OUTREACH
140,318,707.
(11) SUB-SAHARAN AFRICA
GRANTMAKING
8,877,548.
(12) SUB-SAHARAN AFRICA
FUNDRAISING
1,732.
(13) SUB-SAHARAN AFRICA
INVESTMENTS
6,319,405.
(14) (15) (16) (17) 3a b c
Subtotal Total from continuation sheets to Part I Totals (add lines 3a and 3b)
22
3,687.
52.
4,054.
274,565,136.
74.
7,741.
7,966,686,196.
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1274 1.000
6416BJ K321
V23-7.16
7,692,121,060.
Schedule F (Form 990) 2023
Page 2 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(g) Amount of noncash assistance
(1)
EUROPE
RESEARCH
53,858.
CHECK/WIRE
(2)
MIDDLE EAST/NORTH AFRICA
RESEARCH
221,857.
CHECK/WIRE
(3)
EUROPE
RESEARCH
20,000.
CHECK/WIRE
(4)
EAST ASIA/PACIFIC
RESEARCH
128,876.
CHECK/WIRE
(5)
SOUTH ASIA
RESEARCH
151,078.
CHECK/WIRE
(6)
MIDDLE EAST/NORTH AFRICA
RESEARCH
15,250.
CHECK/WIRE
(7)
SUB-SAHARAN AFRICA
RESEARCH
923,332.
CHECK/WIRE
(8)
NORTH AMERICA
RESEARCH
157,633.
CHECK/WIRE
(9)
NORTH AMERICA
RESEARCH
24,049.
CHECK/WIRE
(10)
NORTH AMERICA
RESEARCH
6,117.
CHECK/WIRE
(11)
SUB-SAHARAN AFRICA
RESEARCH
60,836.
CHECK/WIRE
(12)
EUROPE
RESEARCH
34,465.
CHECK/WIRE
(13)
NORTH AMERICA
RESEARCH
11,849.
CHECK/WIRE
(14)
EUROPE
RESEARCH
42,204.
CHECK/WIRE
(15)
EUROPE
RESEARCH
446,504.
CHECK/WIRE
(16)
MIDDLE EAST/NORTH AFRICA
RESEARCH
129,511.
CHECK/WIRE
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities
3
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
142 NONE Schedule F (Form 990) 2023
JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(1)
EUROPE
RESEARCH
14,147.
CHECK/WIRE
(2)
EUROPE
PROGRAM SERV
19,706.
CHECK/WIRE
(3)
EUROPE
PROGRAM SERV
10,000.
CHECK/WIRE
(4)
SUB-SAHARAN AFRICA
RESEARCH
119,620.
CHECK/WIRE
(5)
SOUTH ASIA
RESEARCH
635,589.
CHECK/WIRE
(6)
SOUTH AMERICA
RESEARCH
19,297.
CHECK/WIRE
(7)
EUROPE
RESEARCH
48,233.
CHECK/WIRE
(8)
SUB-SAHARAN AFRICA
RESEARCH
8,000.
CHECK/WIRE
(9)
SUB-SAHARAN AFRICA
RESEARCH
9,000.
CHECK/WIRE
(10)
EAST ASIA/PACIFIC
RESEARCH
24,750.
CHECK/WIRE
(11)
EUROPE
RESEARCH
8,358.
CHECK/WIRE
(12)
SUB-SAHARAN AFRICA
RESEARCH
37,087.
CHECK/WIRE
(13)
SOUTH ASIA
RESEARCH
1,482,828.
CHECK/WIRE
(14)
SOUTH ASIA
RESEARCH
53,566.
CHECK/WIRE
(15)
SUB-SAHARAN AFRICA
RESEARCH
1,120,287.
CHECK/WIRE
(16)
NORTH AMERICA
RESEARCH
598,062.
CHECK/WIRE
2 3
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities Schedule F (Form 990) 2023
JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(1)
NORTH AMERICA
RESEARCH
184,653.
CHECK/WIRE
(2)
EUROPE
RESEARCH
7,206.
CHECK/WIRE
(3)
SUB-SAHARAN AFRICA
RESEARCH
57,262.
CHECK/WIRE
(4)
CENT. AMERICA/CARIBBEAN
RESEARCH
27,761.
CHECK/WIRE
(5)
EUROPE
RESEARCH
62,217.
CHECK/WIRE
(6)
EUROPE
RESEARCH
461,386.
CHECK/WIRE
(7)
EAST ASIA/PACIFIC
RESEARCH
18,452.
CHECK/WIRE
(8)
SOUTH AMERICA
RESEARCH
5,386.
CHECK/WIRE
(9)
CENT. AMERICA/CARIBBEAN
RESEARCH
51,695.
CHECK/WIRE
(10)
SOUTH ASIA
RESEARCH
133,967.
CHECK/WIRE
(11)
EUROPE
RESEARCH
20,508.
CHECK/WIRE
(12)
SUB-SAHARAN AFRICA
RESEARCH
88,266.
CHECK/WIRE
(13)
EUROPE
RESEARCH
186,210.
CHECK/WIRE
(14)
NORTH AMERICA
RESEARCH
69,569.
CHECK/WIRE
(15)
NORTH AMERICA
RESEARCH
251,677.
CHECK/WIRE
(16)
EUROPE
RESEARCH
8,640.
CHECK/WIRE
2 3
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities Schedule F (Form 990) 2023
JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(1)
EUROPE
RESEARCH
68,756.
CHECK/WIRE
(2)
EUROPE
RESEARCH
78,912.
CHECK/WIRE
(3)
EUROPE
RESEARCH
42,462.
CHECK/WIRE
(4)
EUROPE
RESEARCH
99,712.
CHECK/WIRE
(5)
EUROPE
RESEARCH
65,977.
CHECK/WIRE
(6)
EUROPE
RESEARCH
128,658.
CHECK/WIRE
(7)
EUROPE
RESEARCH
110,584.
CHECK/WIRE
(8)
EUROPE
RESEARCH
9,077.
CHECK/WIRE
(9)
EUROPE
RESEARCH
23,334.
CHECK/WIRE
(10)
SUB-SAHARAN AFRICA
RESEARCH
119,183.
CHECK/WIRE
(11)
SUB-SAHARAN AFRICA
RESEARCH
55,707.
CHECK/WIRE
(12)
EUROPE
RESEARCH
29,019.
CHECK/WIRE
(13)
MIDDLE EAST/NORTH AFRICA
RESEARCH
180,395.
CHECK/WIRE
(14)
EUROPE
RESEARCH
339,438.
CHECK/WIRE
(15)
EUROPE
RESEARCH
78,357.
CHECK/WIRE
(16)
EUROPE
RESEARCH
40,011.
CHECK/WIRE
2 3
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities Schedule F (Form 990) 2023
JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(1)
EUROPE
RESEARCH
291,620.
CHECK/WIRE
(2)
EUROPE
RESEARCH
535,076.
CHECK/WIRE
(3)
NORTH AMERICA
RESEARCH
219,112.
CHECK/WIRE
(4)
SUB-SAHARAN AFRICA
RESEARCH
36,881.
CHECK/WIRE
(5)
SUB-SAHARAN AFRICA
RESEARCH
136,429.
CHECK/WIRE
(6)
EUROPE
RESEARCH
59,406.
CHECK/WIRE
(7)
EUROPE
RESEARCH
171,052.
CHECK/WIRE
(8)
SOUTH ASIA
RESEARCH
103,200.
CHECK/WIRE
(9)
SUB-SAHARAN AFRICA
RESEARCH
69,525.
CHECK/WIRE
(10)
SUB-SAHARAN AFRICA
RESEARCH
95,688.
CHECK/WIRE
(11)
EUROPE
RESEARCH
49,289.
CHECK/WIRE
(12)
EUROPE
RESEARCH
60,973.
CHECK/WIRE
(13)
EAST ASIA/PACIFIC
RESEARCH
54,000.
CHECK/WIRE
(14)
SUB-SAHARAN AFRICA
RESEARCH
279,587.
CHECK/WIRE
(15)
EUROPE
RESEARCH
36,149.
CHECK/WIRE
(16)
NORTH AMERICA
RESEARCH
28,269.
CHECK/WIRE
2 3
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities Schedule F (Form 990) 2023
JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(1)
MIDDLE EAST/NORTH AFRICA
RESEARCH
53,697.
CHECK/WIRE
(2)
EUROPE
RESEARCH
25,330.
CHECK/WIRE
(3)
SUB-SAHARAN AFRICA
RESEARCH
63,260.
CHECK/WIRE
(4)
EUROPE
RESEARCH
19,332.
CHECK/WIRE
(5)
SOUTH AMERICA
RESEARCH
55,000.
CHECK/WIRE
(6)
EUROPE
RESEARCH
237,367.
CHECK/WIRE
(7)
EUROPE
RESEARCH
38,016.
CHECK/WIRE
(8)
EUROPE
RESEARCH
253,867.
CHECK/WIRE
(9)
EUROPE
RESEARCH
70,385.
CHECK/WIRE
(10)
NORTH AMERICA
RESEARCH
15,153.
CHECK/WIRE
(11)
EUROPE
RESEARCH
174,821.
CHECK/WIRE
(12)
EUROPE
RESEARCH
359,211.
CHECK/WIRE
(13)
EAST ASIA/PACIFIC
RESEARCH
85,583.
CHECK/WIRE
(14)
SUB-SAHARAN AFRICA
RESEARCH
139,000.
CHECK/WIRE
(15)
MIDDLE EAST/NORTH AFRICA
RESEARCH
49,785.
CHECK/WIRE
(16)
EUROPE
RESEARCH
82,057.
CHECK/WIRE
2 3
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities Schedule F (Form 990) 2023
JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
(1)
EAST ASIA/PACIFIC
RESEARCH
41,745.
CHECK/WIRE
(2)
SUB-SAHARAN AFRICA
RESEARCH
159,487.
CHECK/WIRE
(3)
EUROPE
RESEARCH
32,738.
CHECK/WIRE
(4)
SUB-SAHARAN AFRICA
RESEARCH
99,977.
CHECK/WIRE
(5)
EUROPE
RESEARCH
27,267.
CHECK/WIRE
(6)
EUROPE
RESEARCH
66,711.
CHECK/WIRE
(7)
SUB-SAHARAN AFRICA
RESEARCH
118,716.
CHECK/WIRE
(8)
SUB-SAHARAN AFRICA
RESEARCH
373,966.
CHECK/WIRE
(9)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
106,785.
EQUIPMENT
BOOK VALUE
(10)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
106,785.
EQUIPMENT
BOOK VALUE
(11)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
106,785.
EQUIPMENT
BOOK VALUE
(12)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
470,292.
EQUIPMENT
BOOK VALUE
(13)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
363,507.
EQUIPMENT
BOOK VALUE
(14)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
47,994.
EQUIPMENT
BOOK VALUE
(15)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
106,785.
EQUIPMENT
BOOK VALUE
(16)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
27,986.
EQUIPMENT
BOOK VALUE
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities
3
Schedule F (Form 990) 2023 JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
(1)
SUB-SAHARAN AFRICA
EDU/RESEARCH
9,816.
EQUIPMENT
BOOK VALUE
(2)
SUB-SAHARAN AFRICA
EDU/RESEARCH
8,200.
EQUIPMENT
BOOK VALUE
(3)
SUB-SAHARAN AFRICA
EDU/RESEARCH
7,802.
EQUIPMENT
BOOK VALUE
(4)
SUB-SAHARAN AFRICA
EDU/RESEARCH
30,593.
EQUIPMENT
BOOK VALUE
(5)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
61,536.
EQUIPMENT
BOOK VALUE
(6)
SUB-SAHARAN AFRICA
EDU/RESEARCH
18,150.
EQUIPMENT
BOOK VALUE
(7)
SUB-SAHARAN AFRICA
EDU/RESEARCH
189,401.
EQUIPMENT
BOOK VALUE
(8)
SUB-SAHARAN AFRICA
EDU/RESEARCH
10,962.
EQUIPMENT
BOOK VALUE
(9)
RUSSIA AND THE NEIGHBORI
EDU/RESEARCH
14,500.
EQUIPMENT
BOOK VALUE
(10)
SUB-SAHARAN AFRICA
EDU/RESEARCH
157,287.
EQUIPMENT
BOOK VALUE
(11)
SUB-SAHARAN AFRICA
EDU/RESEARCH
69,327.
EQUIPMENT
BOOK VALUE
(12)
SUB-SAHARAN AFRICA
EDU/RESEARCH
169,657.
EQUIPMENT
BOOK VALUE
(13)
SUB-SAHARAN AFRICA
EDU/RESEARCH
169,657.
EQUIPMENT
BOOK VALUE
(14)
SUB-SAHARAN AFRICA
EDU/RESEARCH
24,060.
EQUIPMENT
BOOK VALUE
(15)
SUB-SAHARAN AFRICA
EDU/RESEARCH
9,816.
EQUIPMENT
BOOK VALUE
(16)
SUB-SAHARAN AFRICA
EDU/RESEARCH
2 3
290,127.
CHECK/WIRE
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities Schedule F (Form 990) 2023
JSA 3E1275 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part II 1
(a) Name of organization
(b) IRS code section and EIN (if applicable)
(c) Region
(d) Purpose of grant
(e) Amount of cash grant
(f) Manner of cash disbursement
(1)
SUB-SAHARAN AFRICA
EDU/RESEARCH
10,567.
CHECK/WIRE
(2)
SOUTH AMERICA
EDU/RESEARCH
1,622,245.
CHECK/WIRE
(3)
SUB-SAHARAN AFRICA
EDU/RESEARCH
28,297.
CHECK/WIRE
(4)
SUB-SAHARAN AFRICA
EDU/RESEARCH
94,655.
CHECK/WIRE
(5)
RUSSIA AND NEIGHBORING S
EDU/RESEARCH
227,975.
CHECK/WIRE
(6)
SUB-SAHARAN AFRICA
EDU/RESEARCH
40,472.
CHECK/WIRE
(7)
SUB-SAHARAN AFRICA
EDU/RESEARCH
248,905.
CHECK/WIRE
(8)
SUB-SAHARAN AFRICA
EDU/RESEARCH
87,515.
CHECK/WIRE
(9)
EAST ASIA/PACIFIC
EDU/RESEARCH
326,547.
CHECK/WIRE
(10)
SOUTH AMERICA
EDU/RESEARCH
1,022,245.
CHECK/WIRE
(11)
SUB-SAHARAN AFRICA
EDU/RESEARCH
1,641,763.
CHECK/WIRE
(12)
SUB-SAHARAN AFRICA
EDU/RESEARCH
1,143,740.
CHECK/WIRE
(13)
SUB-SAHARAN AFRICA
EDU/RESEARCH
181,585.
CHECK/WIRE
(14)
SUB-SAHARAN AFRICA
EDU/RESEARCH
32,053.
CHECK/WIRE
(g) Amount of noncash assistance
(h) Description of noncash assistance
(i) Method of valuation (book, FMV, appraisal, other)
(15) (16) 2 3
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as a tax exempt 501(c)(3) organization by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter Enter total number of other organizations or entities Schedule F (Form 990) 2023
JSA 3E1275 1.000
Page 3 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16. Part III can be duplicated if additional space is needed.
Schedule F (Form 990) 2023
Part III
(a) Type of grant or assistance
(b) Region
(c) Number of recipients
(d) Amount of cash grant
(e) Manner of cash disbursement
(1)
LIPMAN GRANT
NORTH AMERICA
1
40,000. CHECK/WIRE
(2)
JOURNALISM SCHOOL PRIZES & AWARDS
NORTH AMERICA
2
14,000. CHECK/WIRE
(3)
BROWN MAGIC GRANT
EUROPE/ICELAND/GREENLAND
1
37,500. CHECK/WIRE
(f) Amount of noncash assistance
(g) Description of noncash assistance
(h) Method of valuation (book, FMV, appraisal, other)
(4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) Schedule F (Form 990) 2023 JSA 3E1276 1.000
Schedule F (Form 990) 2023
1
2
3
4
5
6
THE TRUSTEES OF COLUMBIA UNIVERSITY
Page 4
13-5598093
Foreign Forms
Part IV
Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see the Instructions for Form 926)
X
Yes
No
Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see the Instructions for Forms 3520 and 3520-A; don't file with Form 990)
X
Yes
No
Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations (see the Instructions for Form 5471)
X
Yes
No
Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund (see the Instructions for Form 8621)
X
Yes
No
Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships (see the Instructions for Form 8865)
X
Yes
No
Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see the Instructions for Form 5713; don't file with Form 990)
X
Yes
No Schedule F (Form 990) 2023
JSA 3E1277 1.000
6416BJ K321
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Schedule F (Form 990) 2023
Part V
THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information
13-5598093
Page 5
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
SUPPLEMENTAL INFORMATION
SCHEDULE F, PART I, LINE 2 ORGANIZATION'S PROCEDURES FOR MONITORING GRANT FUNDS THE UNIVERSITY MAINTAINS A WRITTEN POLICY THAT GOVERNS THE MONITORING OF ALL SPONSORED PROJECT GRANT FUNDING. THIS POLICY IS CONTAINED IN THE SPONSORED PROJECTS HANDBOOK. THE POLICY STATES THAT THE PRIMARY OBLIGATION FOR THE DAY-TO-DAY MANAGEMENT OF SPONSORED PROJECTS AND INSURING COMPLIANCE WITH FEDERAL AND OTHER SPONSOR REGULATIONS IS THE RESPONSIBILITY OF THE PRINCIPAL INVESTIGATOR SUPPORTED, AS NECESSARY, BY HIS OR HER ADMINISTRATIVE STAFF. ADDITIONALLY, THE POLICY SPECIFIES THE FOLLOWING MONITORING PROCEDURES:
- MONTHLY ACCOUNT RECONCILIATION - REVIEW OF SALARY AND BENEFIT CHARGES - REVIEW OF VENDOR INVOICES - REVIEW OF CHARGES INITIATED BY SERVICE OR RECHARGE CENTERS - REVIEW OF FACILITIES AND ADMINISTRATIVE CHARGES
Schedule F (Form 990) 2023
JSA 3E1502 1.000
6416BJ K321
V23-7.16
Schedule F (Form 990) 2023
Part V
THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information
13-5598093
Page 5
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
- MONITORING OF SUB-AWARDS THROUGH REVIEW OF CHARGES AND TECHNICAL PERFORMANCE REPORTS, CONDUCTING PERIODIC ONSITE VISITS, AND INITIATING AUDITS/REVIEWS WHEN NECESSARY.
EXPENDITURES RELATED TO FOREIGN ACTIVITY ARE GENERATED FROM A NUMBER OF SCHOOLS AND CENTERS AS WELL AS THROUGH CERTAIN CENTRAL ADMINISTRATIVE ACTIVITY. MOST OF THE ACTIVITY RELATES TO U.S. GOVERNMENT FUNDED PROGRAM SERVICES. OTHER ACTIVITY INCLUDES FACULTY AND STAFF TRAVEL FOR EDUCATIONAL, RESEARCH, FUNDRAISING AND OTHER PROGRAM SERVICES. NOT ALL OF THE OVERSEAS EXPENDITURES ARE SEPARATELY TRACKED AS FOREIGN ACTIVITY. THE AMOUNTS REPRESENTED ON SCHEDULE F REPRESENT THE UNIVERSITY'S GOOD FAITH EFFORTS TO CAPTURE AND CATEGORIZE FOREIGN ACTIVITY. ----------------------------------------------------------------FORM 990, SCHEDULE F, PART I, COLUMN (F) & PART II, LINE 1
COLUMBIA UNIVERSITY ACCOUNTS FOR ALL FOREIGN EXPENDITURES, INCLUDING CASH GRANTS AND NONCASH ASSISTANCE, ON THE ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THE UNITED
Schedule F (Form 990) 2023
JSA 3E1502 1.000
6416BJ K321
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Schedule F (Form 990) 2023
Part V
THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information
13-5598093
Page 5
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
STATES. ---------------------------------------------------------------FORM 990, SCHEDULE F, PART I, LINE 3 ACTIVITIES PER REGION
SCHEDULE F REPORTS $10.1 MILLION EXPENDED FOR PROGRAM SERVICES AND GRANTMAKING IN "RUSSIA AND THE NEWLY INDEPENDENT STATES", A GEOGRAPHIC DESIGNATION DEFINED IN THE FORM 990 INSTRUCTIONS TO INCLUDE ARMENIA, AZERBAIJAN, BELARUS, GEORGIA, KAZAKHSTAN, KYRGYZSTAN, MOLDOVA, RUSSIA, TAJIKISTAN, TURKMENISTAN, UKRAINE, AND UZBEKISTAN. VIRTUALLY ALL OF THIS AMOUNT REFLECTS US GOVERNMENT-FUNDED ACTIVITIES IN KAZAKHSTAN AND UKRAINE.
Schedule F (Form 990) 2023
JSA 3E1502 1.000
6416BJ K321
V23-7.16
SCHEDULE G (Form 990)
Supplemental Information Regarding Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
Department of the Treasury Internal Revenue Service
Attach to Form 990 or Form 990-EZ.
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Employer identification number THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 13-5598093 Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Part I Form 990-EZ filers are not required to complete this part.
1 a b c d
Indicate whether the organization raised funds through any of the following activities. Check all that apply. X Mail solicitations e X Solicitation of non-government grants X Internet and email solicitations f X Solicitation of government grants X Phone solicitations g X Special fundraising events X In-person solicitations
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, X Yes or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? No b If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization.
(i) Name and address of individual or entity (fundraiser)
SEE SUPPLEMENT INFORMATION
(ii) Activity
(iii) Did fundraiser have custody or control of contributions?
Yes
(iv) Gross receipts from activity
(v) Amount paid to (or retained by) fundraiser listed in col. (i)
(vi) Amount paid to (or retained by) organization
No
1 2 3 4 5 6 7 8 9 10
Total 683,244. 622,712. 60,532. 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
AL,AK,AR,CA,CO,CT,DC,FL,GA,HI,IL, KS,KY,ME,MD,MA,MI,MN,MS,MO,NH,NJ,NM,NY,NC,ND,OH, OK,OR,PA,RI,SC,TN,UT,VA,WA,WV,WI,
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1281 1.000
6416BJ K321
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Schedule G (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more
Schedule G (Form 990) 2023
Part II
than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1
(b) Event #2
Revenue
CROWN AWARDS
(c) Other events
NEARNESS OF YOU
(d) Total events (add col. (a) through col. (c))
20
(event type)
(event type)
(total number)
1 Gross receipts
1,736,741.
1,040,034.
4,031,743.
6,808,518.
2 Less: Contributions 3 Gross income (line 1 minus line 2)
1,639,221.
977,034.
3,332,908.
5,949,163.
97,520.
63,000.
698,835.
859,355.
4 Cash prizes
Direct Expenses
5 Noncash prizes 6 Rent/facility costs
123,693.
7 Food and beverages
123,005.
97,981.
220,986.
8 Entertainment
50,900.
133,818.
184,718.
9 Other direct expenses
327,590.
200,225.
527,815.
123,693.
Direct Expenses
Revenue
10 Direct expense summary. Add lines 4 through 9 in column (d) 1,057,212. 11 Net income summary. Subtract line 10 from line 3, column (d) -197,857. Part III Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (b) Pull tabs/instant bingo/progressive bingo
(a) Bingo
(d) Total gaming (add col. (a) through col. (c))
(c) Other gaming
1 Gross revenue 2 Cash prizes 3 Noncash prizes 4 Rent/facility costs 5 Other direct expenses 6 Volunteer labor
Yes No
%
Yes No
%
Yes No
%
7 Direct expense summary. Add lines 2 through 5 in column (d) 8 Net gaming income summary. Subtract line 7 from line 1, column (d) 9 a b
10 a b
Enter the state(s) in which the organization conducts gaming activities: Is the organization licensed to conduct gaming activities in each of these states? If "No," explain:
Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? If "Yes," explain:
Yes
No
Yes
No
Schedule G (Form 990) 2023 JSA 3E1282 1.000
6416BJ K321
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Schedule G (Form 990 or 990-EZ) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Does the organization conduct gaming activities with nonmembers? Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gaming? 13 Indicate the percentage of gaming activity conducted in: a The organization's facility 13a b An outside facility 13b Enter the name and address of the person who prepares the organization's gaming/special events books and 14 records:
11 12
Page 3
Yes
No
Yes
No
% %
Name Address Does the organization have a contract with a third party from whom the organization receives gaming revenue? $ and the b If "Yes," enter the amount of gaming revenue received by the organization amount of gaming revenue retained by the third party $ . c If "Yes," enter name and address of the third party:
15 a
Yes
No
Yes
No
Name Address Gaming manager information:
16
Name Gaming manager compensation
$
Description of services provided Director/officer 17
Employee
Independent contractor
Mandatory distributions: Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year $ a
Part IV
Supplemental Information. Provide the explanation required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).
Schedule G (Form 990 or 990-EZ) 2023
JSA 3E1503 1.000
6416BJ K321
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THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
FORM 990, SCHEDULE G, LINE 2B - HIGHEST PAID INDIVIDUALS/ENTITIES ================================================================= NAME: EVENTAGE ADDRESS: 18 SOUTH ORANGE AVE SOUTH ORANGE, NJ 07079 ACTIVITY : CONSULTING CUSTODY OR CONTROL OF CONTRIBUTION? NO GROSS RECEIPTS FROM ACTIVITY :
350,000.
AMOUNT PAID TO (OR RETAINED BY) FUNDRAISER :
600,361.
AMOUNT PAID TO (OR RETAINED BY) ORGANIZATION :
-250,361.
NAME: DONORDRIVE ADDRESS: 30 WEST THIRD STREET CINCINNATI, OH 45202 ACTIVITY : CONSULTING CUSTODY OR CONTROL OF CONTRIBUTION? NO GROSS RECEIPTS FROM ACTIVITY :
333,244.
AMOUNT PAID TO (OR RETAINED BY) FUNDRAISER :
22,351.
AMOUNT PAID TO (OR RETAINED BY) ORGANIZATION :
310,893.
STATEMENT 6416BJ K321
V23-7.16
1
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Name of the organization THE
2
Open to Public Inspection Employer identification number
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK General Information on Grants and Assistance Part I 1
OMB No. 1545-0047
13-5598093
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
X Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) ADELPHI UNIVERSITY 1 SOUTH AVENUE GARDEN CITY, NY 11530
111630741
501 (C)(3)
24,146.
RESEARCH
111839362
501 (C)(3)
107,173.
RESEARCH
112013303
501 (C)(3)
422,220.
RESEARCH
112104059
501 (C)(3)
18,747.
RESEARCH
112673595
501 (C)(3)
303,257.
RESEARCH
113112635
501 (C)(3)
20,738.
RESEARCH
113135751
501 (C)(3)
45,670.
RESEARCH
113451703
501 (C)(3)
10,062.
PROGRAM SERVICES
130831470
501 (C)(3)
6,000.
PROGRAM SERVICES
131099420
501 (C)(3)
47,250.
RESEARCH
131623934
501 (C)(3)
16,000.
PROGRAM SERVICES
131623978
501 (C)(3)
5,222,127.
(2) NEWYORK-PRESBYTERIAN/QUEENS 56-45 MAIN STREET, S215 FLUSHING, NY 11358
(3) COLD SPRING HARBOR LABORATORY 1 BUNGTOWN RD COLD SPRING HARBOR, NY 11724
(4) NEW YORK HALL OF SCIENCE 47-01 111TH STREET CORONA, NY 11368
(5) FEINSTEIN INSTITUTES FOR MEDICAL RE, THE PO BOX 95000-7530 PHILADELPHIA, PA 19195
(6) SPORTS AND ARTS IN SCHOOLS FOUNDATION 58-12 QUEENS BLVD #1 WOODSIDE, NY 11377
(7) INSTITUTE FOR APPLIED GERONTOLOGY, INC. 55 WATER ST FL 46 NEW YORK, NY 10041
(8) FRACTURED ATLAS INC PO BOX 55 HARTSDALE, NY 10530
(9) HEBREW TABERNACLE OF WASHINGTON HEIGHTS INC 551 FORT WASHINGTON AVENUE, NY, NY 10033
(10) NEW YORK MEDICAL COLLEGE RESTRICTED FUNDS DEPT. VALHALLA, NY 10595
(11) CATHEDRAL CHURCH OF ST. JOHN THE DI, THE 1047 AMSTERDAM AVE NEW YORK, NY 10025
(12) WEILL MEDICAL COLLEGE GRANTS AND CONTRACTS ACCT., NY, NY 10087
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
RESEARCH
440 NONE Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) MOUNT SINAI MEDICAL CTR ONE GUSTAVE L LEVY PLACE NY, NY 10029
131624096
501 (C)(3)
65,698.
RESEARCH
131624158
501 (C)(3)
2,045,072.
RESEARCH
131624202
501 (C)(3)
818,013.
RESEARCH
131628149
501 (C)(3)
41,427.
RESEARCH
131628191
501 (C)(3)
10,000.
PROGRAM SERVICES
131635308
501 (C)(3)
10,000.
PROGRAM SERVICES
131656674
501 (C)(3)
39,841.
RESEARCH
131739971
501 (C)(3)
12,917.
RESEARCH
131740114
501 (C)(3)
5,584.
RESEARCH
131740451
501 (C)(3)
20,000.
PROGRAM SERVICES
131740483
501 (C)(3)
335,000.
PROGRAM SERVICES
131818723
501 (C)(3)
7,200.
PROGRAM SERVICES
(2) ROCKEFELLLER UNIVERSITY, THE 1230 YORK AVE NEW YORK, NY 10065
(3) TEACHERS COLLEGE 525 WEST 120TH STREET NEW YORK, NY 10027
(4) BARNARD COLLEGE 3009 BROADWAY NEW YORK, NY 10027
(5) RC CHURCH OF THE ASCENSION 221 WEST 107 STREET NEW YORK, NY 10025
(6) YM&YWHA OF WASHINGTON HEIGHTS AND INWOOD 54 NAGLE AVENUE NEW YORK, NY 10040
(7) NEW YORK ACADEMY OF MEDICINE 1216 FIFTH AVENUE NEW YORK, NY 10029
(8) HEBREW HOME FOR THE AGED AT RIVERDALE HEBREW HOME, RIVERDALE, NY 10471
(9) MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX, NY 10467
(10) FORDHAM UNIVERSITY 441 EAST FORDHAM ROAD BRONX, NY 10458
(11) RIVERDALE COUNTRY SCHOOL 5250 FIELDSTON RD BRONX, NY 10471
(12) ANTI-DEFAMATION LEAGUE 605 3RD AVENUE NEW YORK, NY 10158
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) HOLYROOD CHURCH IGLESIA SANTA CRUZ 715 W 179TH STREET NEW YORK, NY 10033
131844844
501 (C)(3)
7,500.
PROGRAM SERVICES
131924236
501 (C)(3)
1,598,831.
RESEARCH
131949477
501 (C)(3)
1,026,885.
RESEARCH
131988190
501 (C)(3)
2,032,887.
RESEARCH
132509155
501 (C)(3)
21,600.
PROGRAM SERVICES
132552500
501 (C)(3)
7,000.
PROGRAM SERVICES
132564241
501 (C)(3)
17,500.
PROGRAM SERVICES
132584273
501 (C)(3)
6,000.
PROGRAM SERVICES
132655001
501 (C)(3)
220,147.
RESEARCH
132662222
501 (C)(3)
10,452.
RESEARCH
132676570
501 (C)(3)
26,023.
RESEARCH
132738818
501 (C)(3)
25,000.
PROGRAM SERVICES
(2) MEMORIAL SLOAN-KETTERING CANCER CENTER P O BOX 27084 NEW YORK, NY 10087
(3) NEW YORK BLOOD CENTER INC 310 E 67TH ST NEW YORK, NY 10065
(4) RESEARCH FOUNDATION OF THE CITY 230 W 41ST STREET NEW YORK, NY 10036
(5) LINCOLN SQUARE SYNAGOGUE 180 AMSTERDAM AVE NEW YORK, NY 10023
(6) HARLEM SCHOOL OF THE ARTS INC 645 SAINT NICHOLAS AVE NEW YORK, NY 10030
(7) COMMUNITY LEAGUE OF THE HEIGHTS INC 500 W 159TH STREET NY, NY 10032
(8) ALVIN AILEY DANCE FOUNDATION 405 WEST 55TH STREET NEW YORK, NY 10019
(9) NEW YORK CITY HEALTH AND HOSPITALS 50 WATER ST 3RD FL COMPT OFF., NY, NY 10004
(10) HASTINGS CTR 21 MALCOLM GORDON ROAD GARRISON, NY 10524
(11) TOURO UNIVERSITY 50 W 47TH ST FL 12 NEW YORK, NY 10036
(12) METROPOLITAN NEW YORK COORDINATING COUNC 1 STATE ST FL 24 NEW YORK, NY 10004
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) CHARLES B WANG COMMUNITY HEALTH CENTER 268 CANAL STREET NEW YORK, NY 10013
132739694
501 (C)(3)
40,987.
RESEARCH
132745426
501 (C)(3)
9,000.
PROGRAM SERVICES
132792876
501 (C)(3)
5,500.
PROGRAM SERVICES
132800646
501 (C)(3)
8,500.
PROGRAM SERVICES
132867881
501 (C)(3)
103,645.
RESEARCH
132950346
501 (C)(3)
10,000.
PROGRAM SERVICES
132972415
501 (C)(3)
20,000.
PROGRAM SERVICES
133059518
501 (C)(3)
6,500.
PROGRAM SERVICES
133111915
501 (C)(3)
5,500.
PROGRAM SERVICES
133127972
501 (C)(3)
10,000.
PROGRAM SERVICES
133160356
501 (C)(3)
235,000.
PROGRAM SERVICES
133179151
501 (C)(3)
7,500.
PROGRAM SERVICES
(2) ARC XVI FORT WASHINGTON CENTER AND ADULT DA 108 WEST 146TH STREET NEW YORK, NY 10039
(3) WASHINGTON HEIGHTS COMMUNTIY SERVICES IN 650 WEST 187 STREET NEW YORK, NY 10033
(4) MORRIS-JUMEL MANSION, INC. 65 JUMEL TERRACE NEW YORK, NY 10032
(5) LITTLE SISTERS OF THE ASSUMPTION 333 EAST 115TH STREET NEW YORK, NY 10029
(6) WASHINGTON HEIGHTS AND INWOOD DEVELOPMENT C 611 WEST 177TH STREET NEW YORK, NY 10033
(7) NORTHERN MANHATTAN IMPROVEMENT CORPORATION 45 WADSWORTH AVENUE NEW YORK, NY 10033
(8) LA ASOCIACION AMERICANA DE ESRUDIOS CULT AD 775 RIVERSIDE DRIVE NEW YORK, NY 10032
(9) SENIORS HELPING SENIORS 600 WEST 168TH STREET NEW YORK, NY 10032
(10) NEW YORK COMMON PANTRY INC 8 EAST 109TH STREET NEW YORK, NY 10029
(11) NEW YORK PRESBYTERIAN FUND IN 850 THIRD AVENUE NEW YORK, NY 10022
(12) ONE TO WORLD INC 307 SEVENTH AVENUE NEW YORK, NY 10001
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) VISITING NURSE SERVICE OF NEW YORK 220 EAST 42ND ST 7TH FL, NY, NY 10017
133189926
501 (C)(3)
557,468.
RESEARCH
133214627
501 (C)(3)
6,000.
PROGRAM SERVICES
133249666
501 (C)(3)
6,500.
PROGRAM SERVICES
133280364
501 (C)(3)
10,000.
PROGRAM SERVICES
133303089
501 (C)(3)
20,625.
RESEARCH
133323168
501 (C)(3)
26,647.
RESEARCH
133355074
501 (C)(3)
8,000.
PROGRAM SERVICES
133409680
501 (C)(3)
129,830.
RESEARCH
133419786
501 (C)(3)
18,500.
PROGRAM SERVICES
133530299
501 (C)(3)
11,000.
PROGRAM SERVICES
133585408
501 (C)(3)
25,000.
PROGRAM SERVICES
133593885
501 (C)(3)
20,000.
PROGRAM SERVICES
(2) LEGAL OUTREACH INC 36-14 35TH STREET QUEENS, NY 11106
(3) WASHINGTON HEIGHTS & INWOOD COUNCIL ON A ON 309 AUDUBON AVE BSMT LEVEL NY, NY 10033
(4) RIVERSIDE LANGUAGE PROGRAM 270 WEST 89TH STREET NEW YORK, NY 10024
(5) ASSOCIATION TO BENEFIT CHILDREN 1841 PARK AVENUE NEW YORK, NY 10035
(6) CARIBBEAN WOMEN'S HEALTH ASSOCIATION, IN 3512 CHURCH AVE BROOKLYN, NY 11203
(7) RIVERSTONE SENIOR LIFE SERV FOR THE ELDERLY INC NY, NY 10032
(8) CALLEN-LORDE COMMUNITY HEALTH CENTER COMMUNITY HEALTH PROJECT INC NY, NY 10087
(9) BROADWAY MALL ASSN 2095 BROADWAY NEW YORK, NY 10023
(10) COMUNILIFE, INC. 462 7TH AVE FL 3 NEW YORK, NY 10018
(11) MUSEUM OF ARTS AND DESIGN 2 COLUMBUS CIR NEW YORK, NY 10019
(12) DOMINICAN WOMENS DEVELOPMENT CENTER 519 WEST 189TH STREET NY, NY 10040
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) BROADWAY COMMUNITY INC 601 W 114TH ST NEW YORK, NY 10025
133652817
501 (C)(3)
10,000.
PROGRAM SERVICES
133662434
501 (C)(3)
25,000.
PROGRAM SERVICES
133680286
501 (C)(3)
10,000.
PROGRAM SERVICES
133682471
501 (C)(3)
100,000.
RESEARCH
133699250
501 (C)(3)
436,117.
RESEARCH
133723207
501 (C)(3)
8,000.
PROGRAM SERVICES
133740434
501 (C)(3)
5,900.
PROGRAM SERVICES
133782555
501 (C)(3)
25,009.
RESEARCH
133800068
501 (C)(3)
65,174.
RESEARCH
133841701
501 (C)(3)
101,800.
RESEARCH
133861293
501 (C)(3)
6,000.
PROGRAM SERVICES
133911331
501 (C)(3)
5,500.
PROGRAM SERVICES
(2) THE GREATER HARLEM CHAMBER OF COMMERCE 200A WEST 136TH STREET NEW YORK, NY 10030
(3) THE ARMORY FOUNDATION C/O DIR OF OPERATIONS NEW YORK, NY 10032
(4) ASIAN AMERICAN COALITION FOR CHILDREN AN 50 BROAD ST FL 10 NEW YORK, NY 10004
(5) THE BRONX VETERANS MEDICAL RESEARCH 130 WEST KINGSBRIDGE ROAD BRONX, NY 10468
(6) FRESH YOUTH INITIATIVES INC 505 WEST 171 STREET NEW YORK, NY 10032
(7) 125TH STREET DISTRICT MANAGEMENT ASSOCIATIO 360 WEST 125TH STREET STE 11, NY, NY 10027
(8) NORTHERN MANHATTAN PERINATAL PARTNERSHIP 127 W 127TH ST STE 305 NEW YORK, NY 10027
(9) WEST HARLEM ENVIRONMENTAL ACTION INC 1854 AMSTERDAM AVENUE NY, NY 10031
(10) UPPER ROOM AIDS MINISTRY INC 306 LENOX AVENUE NEW YORK, NY 10027
(11) THE REV LINNETTE C WILLIAMSON MEMORIAL PARK 141 WEST 139TH STREET NEW YORK, NY 10030
(12) LITERACY, INC. 5030 BROADWAY STE 641 NEW YORK, NY 10034
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) NEW YORK RESTORATION PROJECT 254 WEST 31ST STREET NEW YORK, NY 10001
133959056
501 (C)(3)
6,000.
PROGRAM SERVICES
134019464
501 (C)(3)
42,500.
PROGRAM SERVICES
134047356
501 (C)(3)
21,000.
PROGRAM SERVICES
134061809
501 (C)(3)
6,000.
PROGRAM SERVICES
134125884
501 (C)(3)
6,000.
PROGRAM SERVICES
134167218
501 (C)(3)
10,000.
PROGRAM SERVICES
134188781
501 (C)(3)
13,700.
PROGRAM SERVICES
135562185
501 (C)(3)
10,000.
PROGRAM SERVICES
135562308
501 (C)(3)
3,219,665.
135613797
501 (C)(3)
25,000.
PROGRAM SERVICES
135633307
501 (C)(3)
87,856.
RESEARCH
136001027
501 (C)(3)
326,654.
RESEARCH
(2) PROJECT A.L.S., INC 2585 BROADWAY PMB 202 NEW YORK, NY 10025
(3) FOUNDATION OF ORTHOPEDICS AND COMPLEX SP 377 OAK ST STE 407 GARDEN CITY, NY 11530
(4) STREETSQUASH INC 40 WEST 116TH STREET NEW YORK, NY 10026
(5) READNG TEAM, INC., THE 2090 POWELL BLVD STE 100, NY, NY 10027
(6) NORTHERN MANHATTAN IMPROVEMENT CORP 76 WADSWORTH AVENUE NEW YORK, NY 10033
(7) DOMINICAN COMMUNITY CENTER NYC INC 175 WEST 107TH STREET NEW YORK, NY 10025
(8) CATHOLIC CHARITIES COMMITY SERVICES 1011 FIRST AVENUE NEW YORK, NY 10022
(9) NEW YORK UNIVERSITY 105 EAST 17TH STREET NEW YORK, NY 10003
RESEARCH
(10) AMERICAN HEART ASSOCIATION PO BOX 843384 DALLAS, TX 75284
(11) HIAS INC 1300 SPRING ST SILVER SPRING, MD 20910
(12) HUNTER COLLEGE RESEARCH FOUNDATION OF CUNY, NY, NY 10036
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) AMERICAN MUSEUM OF NATURAL HISTORY ATTN: FINANCE DEPARTMENT NEW YORK, NY 10024
136162659
501 (C)(3)
112,286.
RESEARCH
136171197
501 (C)(3)
3,443,807.
136400434
GOVT
90,036.
RESEARCH
141338310
501 (C)(3)
389,929.
RESEARCH
141338580
501 (C)(3)
12,050.
RESEARCH
141340095
501 (C)(3)
337,775.
RESEARCH
141368361
501 (C)(3)
2,754,353.
RESEARCH
141401413
501 (C)(3)
70,749.
RESEARCH
141402155
501 (C)(3)
1,320,224.
RESEARCH
141410842
501 (C)(3)
1,550,143.
RESEARCH
141717344
501 (C)(3)
630,429.
RESEARCH
141747742
501 (C)(3)
48,544.
RESEARCH
(2) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK, NY 10029
107,287. BOOK VALUE
EQUIPMENT
EDU/RESEARCH
(3) CITY OF NEW YORK DEPARTMENTS NYC DEPT OF HEALTH LIC, NY 11101
(4) ALBANY MEDICAL CENTER/COLLEGE SPONSORED PROGRAMS MC-107 ALBANY, NY 12208
(5) TRUSTEES OF UNION COLLEGE IN THE TO, THE 807 UNION ST SCHENECTADY, NY 12308
(6) RENSSELAER POLYTECHNIC INSTITUTE 110 8TH STREET TROY, NY 12180
(7) RESEARCH FOUNDATION FOR THE STATE U, THE PO BOX 9 ALBANY, NY 12201
(8) TRUDEAU INSTITUTE, INC. 154 ALGONQUIN AVENUE SARANAC LAKE, NY 12983
(9) HEALTH RESEARCH, INC. 150 BROADWAY MENANDS, NY 12204
(10) RESEARCH FOUNDATION FOR MENTAL HYGIENE, ACCOUNTS RECEIVABLE DEPT MENANDS, NY 12204
(11) CLINICAL DIRECTORS NETWORK, INC. 5 WEST 37TH STREET NEW YORK, NY 10018
(12) NEW YORK STATE ASSOCIATION OF COUNTY 8 AIRPORT PARK BLVD LATHAM, NY 12110
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) COOPERATIVE EXTENSION ASSOCIATION IN THE CCEPC BREWSTER, NY 10509
146036878
501 (C)(3)
105,155.
RESEARCH
150532082
501 (C)(3)
1,217,842.
RESEARCH
150543659
501 (C)(3)
42,525.
RESEARCH
160743140
501 (C)(3)
6,948.
RESEARCH
160743209
501 (C)(3)
460,144.
RESEARCH
200508800
501 (C)(3)
8,407.
RESEARCH
201649466
501 (C)(3)
31,875.
RESEARCH
205198657
501 (C)(3)
6,000.
PROGRAM SERVICES
205934666
501 (C)(3)
10,000.
PROGRAM SERVICES
208568061
501 (C)(3)
177,000.
PROGRAM SERVICES
210634462
501 (C)(3)
246,367.
RESEARCH
210634501
501 (C)(3)
1,353,240.
RESEARCH
(2) CORNELL UNIVERSITY SPONSORED FUNDS ACCT ITHACA, NY 14851
(3) CLARKSON UNIVERSITY 8 CLARKSON AVE POTSDAM, NY 13699
(4) ROCHESTER INSTITUTE OF TECHNOLOGY 25 LOMB MEMORIAL DRIVE ROCHESTER, NY 14623
(5) UNIVERSITY OF ROCHESTER OFF. OF RES ACCT & COST ROCHESTER, NY 14611
(6) ST BARNABAS MED CTR ST BARNABAS MED CTR, LIVINGSTON, NJ 07039
(7) BARBARA ANN KARMANOS CANCER HOSPITAL 4100 JOHN R DETROIT, MI 48201
(8) STATEMENT ARTS 2 RIVER TERRACE NEW YORK, NY 10282
(9) SNACK & FRIENDS INC 316 EAST 53RD STREET NEW YORK, NY 10022
(10) PLAYING FOR CHANGE FOUNDATION, THE 3206 47TH ST APT 5I ASTORIA, NY 11103
(11) COOPER HEALTH SYSTEM/COOPER UNIVERSITY 1 FEDERAL ST, STE NW-400A, CAMDEN, NJ 08103
(12) PRINCETON UNIVERSITY SPONSORED RES. ACCT., PRINCETON, NJ 08540
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) SAINT PETERS UNIVERSITY HOSPITAL ACCOUNTS PAYABLE NEW BRUNSWICK, NJ 08901
221487330
501 (C)(3)
80,434.
RESEARCH
221487354
501 (C)(3)
148,165.
RESEARCH
221487576
501 (C)(3)
120,969.
RESEARCH
221493168
501 (C)(3)
35,000.
PROGRAM SERVICES
222573042
501 (C)(3)
12,660.
RESEARCH
222764819
GOVT
28,459.
RESEARCH
223052098
501 (C)(3)
41,000.
PROGRAM SERVICES
223781807
501 (C)(3)
6,589.
RESEARCH
223849199
501 (C)(3)
114,958.
RESEARCH
226000910
GOVT
128,092.
RESEARCH
226001086
501 (C)(3)
2,042,514.
RESEARCH
226017209
501 (C)(3)
129,775.
RESEARCH
(2) STEVENS INSTITUTE OF TECHNOLOGY OFFICE OF FINANCE - 11 FL HOBOKEN, NJ 07030
(3) HMH HOSPITALS CORPORATION 343 THORNALL STREET EDISON, NJ 08837
(4) THE PINGRY CORPORATION THE PINGRY SCHOOL 131 MARTINSVILLE RD BASKING RIDGE, NJ 07920
(5) COORDINATED CARE SERVICES INC 1099 JAY STREET ROCHESTER, NY 14611
(6) ROWAN UNIVERSITY 201 MULLICA HILL RD GLASSBORO, NJ 08028
(7) ARNOLD P. GOLD FOUNDATION, THE 619 E PALISADE AV ENGLEWOOD CLIFFS NJ 07632
(8) NJEDGE NET INC PO BOX 484 KEARNY, NJ 07032
(9) WAKE FOREST UNIVERSITY HEALTH SCIENCES PO BOX 604096 CHARLOTTE, NC 28260
(10) NEW JERSEY INSTITUTE OF TECHNOLOGY 323 MLK BLVD, NEWARK, NJ 07102
(11) RUTGERS, THE STATE UNIVERSITY 33 KNIGHTSBRIDGE RD PISCATAWAY, NJ 08854
(12) MONTCLAIR STATE UNIVERSITY 1 NORMAL AVENUE MONTCLAIR, NJ 07043
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) THE CHILDRENS HOSPITAL OF PHILADELPHIA P.O. BOX 781352, PHILADELPHIA, PA 19178
231352166
501 (C)(3)
923,755.
RESEARCH
231352630
501 (C)(3)
85,226.
RESEARCH
231352651
501 (C)(3)
203,033.
RESEARCH
231352685
501 (C)(3)
2,805,248.
RESEARCH
231365971
501 (C)(3)
53,450.
RESEARCH
232003072
501 (C)(3)
165,737.
RESEARCH
232888152
501 (C)(3)
5,615,131.
236002304
501 (C)(3)
41,363.
RESEARCH
236291113
501 (C)(3)
20,779.
RESEARCH
237077182
501 (C)(3)
657,500.
PROGRAM SERVICES
237156071
501 (C)(3)
274,520.
RESEARCH
237203666
501 (C)(3)
26,777.
RESEARCH
(2) DREXEL UNIVERSITY TD BANK PHILADELPHIA, PA 19195
(3) THOMAS JEFFERSON UNIVERSITY 833 CHESTNUT ST STE 900, PHILA, PA 19107
(4) UNIVERSITY OF PENNSYLVANIA 3541 WALNUT ST RM 305 PHILADELPHIA PA 19104
(5) TEMPLE UNIVERSITY PO BOX 22432 NEW YORK, NY 10087
(6) FOX CHASE CANCER CENTER INST. FOR CANCER RESEARCH, PHILA, PA 19111
(7) VANGUARD CHARITABLE ENDOWMENT PROGRAM PO BOX 9509 WARWICK, RI 02889
PROGRAM SERVICES
(8) THE CORPORATION OF HAVERFORD COLLEGE 370 LANCASTER AVENUE HAVERFORD, PA 19041
(9) GEISINGER HEALTH SYSTEM 100 NORTH ACADEMY AVE. DANVILLE, PA 17822
(10) COLUMBIA BARNARD HILLEL INC 606 WEST 115TH STREET NEW YORK, NY 10025
(11) FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE, WA 98109
(12) J DAVID GLADSTONE INSTITUTES 1650 OWENS STREET SAN FRANCISCO, CA 94158
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) AATS FOUNDATION 800 CUMMINGS CTR STE 350V, BEVERLY MA 01915
237288866
501 (C)(3)
10,000.
PROGRAM SERVICES
237360305
501 (C)(3)
36,595.
RESEARCH
246000376
501 (C)(3)
137,315.
RESEARCH
250965591
501 (C)(3)
2,531,193.
RESEARCH
250969449
501 (C)(3)
120,656.
RESEARCH
261146491
501 (C)(3)
600,000.
PROGRAM SERVICES
261997496
501 (C)(3)
10,000.
PROGRAM SERVICES
262599786
501 (C)(3)
25,000.
PROGRAM SERVICES
264489946
501 (C)(3)
11,093.
RESEARCH
271308862
501 (C)(3)
35,863.
RESEARCH
271491564
501 (C)(3)
100,000.
RESEARCH
273733512
501 (C)(3)
6,000.
(2) URBAN HEALTH PLAN INC 1065 SOUTHERN BOULEVARD BRONX, NY 10459
(3) PENN STATE UNIVERSITY 227 W BEAVER AVE STATE COLLEGE, PA 16801
(4) UNIVERSITY OF PITTSBURGH OF THE COMMONWE PO BOX 640458 PITTSBURGH, PA 15264
(5) CARNEGIE MELLON UNIVERSITY PO BOX 371032M PITTSBURGH, PA 15250
(6) FRIENDS OF COLUMBIA SECONDARY SCHOOL FOR MA 603 WEST 115TH ST. NEW YORK, NY 10025
(7) NORTHERN MANHATTAN ARTS ALLIANCE 4140 BROADWAY NEW YORK, NY 10033
(8) MOISHE HOUSE 441 SAXONY RD ENCINITAS, CA 92024
(9) SAGE BIONETWORKS 2901 THIRD AVENUE SEATTLE, WA 98121
(10) BLACK WOMEN'S BLUEPRINT, INC PO BOX 24713 BROOKLYN, NY 11202
(11) GO PUBLIC SCHOOLS 5960 S LAND PARK DR 513 SACRAMENTO CA 95822
(12) ARTS AND MINDS INC 404 WEST 116TH STREET NEW YORK, NY 10027
2 3
PROGRAM SERVICES
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) ISRAEL ON CAMPUS COALITION 1100 17TH ST NW STE 700 WASHINGTON DC 20036
300664947
501 (C)(3)
100,000.
PROGRAM SERVICES
310833936
501 (C)(3)
517,755.
RESEARCH
314379427
501 (C)(3)
725,492.
RESEARCH
316000989
501 (C)(3)
2,278,877.
RESEARCH
316025986
501 (C)(3)
494,648.
RESEARCH
316056230
501 (C)(3)
188,733.
RESEARCH
316402113
GOVT
17,767.
RESEARCH
320035632
501 (C)(3)
17,000.
PROGRAM SERVICES
330175263
501 (C)(3)
96,696.
RESEARCH
330328688
501 (C)(3)
546,917.
RESEARCH
330435954
501 (C)(3)
395,596.
RESEARCH
340714357
501 (C)(3)
7,550.
RESEARCH
(2) CHILDRENS HOSPITAL MEDICAL CENTER CHILDRENS MED. CTR., CINCINNATI, OH 45229
(3) BATTELLE MEMORIAL INSTITUTE, PACIFIC NOR PO BOX 999 RICHLAND, WA 99352
(4) UNIVERSITY OF CINCINNATI SRS ACCOUNTING CLEVELAND, OH 44193
(5) OHIO STATE UNIVERSITY, THE PO BOX 772398 DETROIT, MI 48277
(6) RESEARCH INSTITUTE AT NATIONWIDE CHILDRE PO BOX 781653 DETROIT, MI 48278
(7) OHIO UNIVERSITY PO BOX 960 ATHENS, OH 45701
(8) DYCKMAN FARMHOUSE MUSEUM ALLIANCE 4881 BROADWAY NEW YORK, NY 10034
(9) PLANETARY SCIENCE INSTITUTE 1700 EAST FORT LOWELL ROAD TUCSON, AZ 85719
(10) LA JOLLA INSTITUTE FOR ALLERGY 9420 ATHENA CIRCLE LA JOLLA, CA 92037
(11) SCRIPPS RESEARCH INSTITUTE, THE THE SCRIPPS RESEARCH INST., LA, CA 90074
(12) CHILDREN'S HOSPITAL MEDICAL CENTER ONE PERKINS SQUARE AKRON, OH 44308
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) CLEVELAND CLINIC FOUNDATION P.O. BOX 931652 CLEVELAND, OH 44193
340714585
501 (C)(3)
213,476.
RESEARCH
340966056
GOVT
47,775.
RESEARCH
341018992
501 (C)(3)
821,305.
RESEARCH
341772429
501 (C)(3)
20,000.
RESEARCH
352528741
501 (C)(3)
480,580.
RESEARCH
356000221
GOVT
10,418.
RESEARCH
356001673
501 (C)(3)
1,151,917.
RESEARCH
356002041
501 (C)(3)
35,451.
RESEARCH
362167817
501 (C)(3)
1,841,396.
RESEARCH
362170833
501 (C)(3)
690,664.
RESEARCH
362174823
501 (C)(3)
1,284,459.
RESEARCH
362177139
501 (C)(3)
2,480,919.
RESEARCH
(2) CLEVELAND STATE UNIVERSITY 2121 EUCLID AVENUE CLEVELAND, OH 44115
(3) CASE WESTERN RESERVE UNIVERSITY OFF. OF SPONSORED PROJ. ACCT. CLE, OH 44106
(4) PARTNERS IN EDUCATION 709 MADISON AVE TOLEDO, OH 43604
(5) VANDERBILT UNIVERSITY MEDICAL CENTER DEPARTMENT OF FINANCE DALLAS, TX 75312
(6) BALL STATE UNIVERSITY 2000 W UNIVERSITY AVE MUNCIE, IN 47306
(7) INDIANA UNIVERSITY PO BOX 78000 DETROIT, MI 48278
(8) PURDUE UNIVERSITY SPONSORED PROGRAM SVCS, CHICAGO, IL 60673
(9) NORTHWESTERN UNIVERISTY 633 CLARK ST EVANSTON, IL 60208
(10) ANN & ROBERT H LURIE CHILDRENS HOSPITAL 225 E CHICAGO AVE, CHICAGO, IL 60611
(11) RUSH UNIVERSITY MEDICAL CENTER FUND ACCOUNTING CHICAGO, IL 60612
(12) UNIVERSITY OF CHICAGO, THE UNIV. RESEARCH ADMIN., CHICAGO, IL 60637
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) ROSALIND FRANKLIN UNIV OF MED & SCIENCE BOXER UNIV. LIBRARY, N. CHICAGO, IL 60064
362181973
501 (C)(3)
79,237.
RESEARCH
366008480
501 (C)(3)
304,806.
RESEARCH
366066325
501 (C)(3)
20,000.
PROGRAM SERVICES
370964629
501 (C)(3)
14,841.
RESEARCH
376000511
501 (C)(3)
735,084.
RESEARCH
383289521
501 (C)(3)
66,920.
RESEARCH
383713884
501 (C)(3)
7,500.
PROGRAM SERVICES
386005984
501 (C)(3)
1,127,834.
RESEARCH
386006309
501 (C)(3)
3,609,609.
RESEARCH
386028429
GOVT
159,010.
RESEARCH
390806251
501 (C)(3)
26,814.
RESEARCH
390806261
501 (C)(3)
457,810.
RESEARCH
(2) NORTHERN ILLINOIS UNIVERSITY LOWDEN HALL 201 DEKALB, IL 60115
(3) AMERICAN GASTROENTEROLOGICAL ASSOCIATION IN 4930 DEL RAY AVENUE BETHESDA, MD 20814
(4) CHESTNUT HEALTH SYSTEMS 1003 MLK DR., BLOOMINGTON, IL 61701
(5) BOARD OF TRUSTEES OF THE UNIVERSITY, THE UNIVERSITY OF ILLINOIS CHICAGO, IL 60673
(6) ARBOR RESEARCH COLLABORATIVE FOR HEALTH 3989 RESEARCH PARK DR. ANN ARBOR, MI 48108
(7) SEVEN STORIES INSTITUTE 2113 AMSTERDAM AVENUE NEW YORK, NY 10032
(8) MICHIGAN STATE UNIVERSITY CONTRACT & GRANT ADMIN., E LANSING MI 48854
(9) REGENTS OF THE UNIVERSITY OF MICHIGAN PO BOX 223131 PITTSBURGH, PA 15251
(10) WAYNE STATE UNIVERSITY 4809 WOODWARD AVE DETROIT, MI 48201
(11) MARQUETTE UNIVERSITY PO BOX 1881 MILWAUKEE, WI 53201
(12) MEDICAL COLLEGE OF WISCONSIN, INC., THE PO BOX 26509 MILWAUKEE, WI 53226
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) UNIVERSITY OF WISCONSIN SYSTEM 1200 LINDEN DR MADISON, WI 53706
391805963
GOVT
91,770.
RESEARCH
396006492
501 (C)(3)
735,676.
410694747
501 (C)(3)
31,320.
RESEARCH
412073220
501 (C)(3)
10,000.
PROGRAM SERVICES
416007513
501 (C)(3)
840,989.
RESEARCH
416011702
501 (C)(3)
251,326.
RESEARCH
416022987
501 (C)(3)
8,175.
PROGRAM SERVICES
426004224
GOVT
42,889.
RESEARCH
426004813
501 (C)(3)
990,802.
RESEARCH
430652675
501 (C)(3)
87,482.
RESEARCH
430653611
501 (C)(3)
1,162,201.
RESEARCH
436003859
501 (C)(3)
127,487.
RESEARCH
(2) UNIVERSITY OF WISCONSIN MADISON UW-MADISON GAR ACCOUNT MILWAUKEE, WI 53278
377,757. BOOK VALUE
EQUIPMENT
EDU/RESEARCH
(3) CARLETON COLLEGE BUSINESS OFFICE NORTHFIELD, MN 55057
(4) ASSOCIATION FOR FRONTOTEMPORAL DEGE, THE DE 2700 HORIZON, KING OF PRUSSIA, PA 19406
(5) REGENTS OF THE UNIVERSITY OF MINNESOTA NW 5957 MINNEAPOLIS, MN 55485
(6) MAYO CLINIC IN ROCHESTER P.O. BOX 860334 MINNEAPOLIS, MN 55486
(7) SIGMA THETA TAU INTERNATIONAL INC 550 WEST NORTH ST, INDIANAPOLIS, IN 46202
(8) IOWA STATE UNIVERSITY OF SCIENCE AND TEC SPONSORED PROGRAMS ACCT., AMES, IA 50011
(9) STATE UNIVERSITY OF IOWA GRANT ACCOUNTING OFFICE IOWA CITY, IA 52242
(10) UNIVERSITY OF HEALTH AND PHARMACY 1 PHARMACY PLACE ST LOUIS, MO 63110
(11) WASHINGTON UNIVERSITY 7425 FORSYTH BLVD SAINT LOUIS, MO 63105
(12) UNIVERSITY OF MISSOURI PO BOX 807012 KANSAS CITY, MO 64180
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) HARLEM CHAMBER PLAYERS INC 279 WEST 117TH STREET NEW YORK, NY 10026
452160781
501 (C)(3)
7,000.
PROGRAM SERVICES
453856721
501 (C)(3)
7,000.
PROGRAM SERVICES
454323888
501 (C)(3)
315,357.
RESEARCH
454597425
501 (C)(3)
14,304.
RESEARCH
456002491
GOVT
92,246.
RESEARCH
460224743
501 (C)(3)
181,979.
RESEARCH
460420063
501 (C)(3)
40,984.
RESEARCH
460711295
501 (C)(3)
7,000.
PROGRAM SERVICES
461323531
501 (C)(3)
8,000.
PROGRAM SERVICES
461714042
501 (C)(3)
6,000.
PROGRAM SERVICES
463758797
501 (C)(3)
6,500.
PROGRAM SERVICES
463820173
501 (C)(3)
15,000.
PROGRAM SERVICES
(2) UPTOWN SOCCER 3635 JOHNSON AVE APT 1A BRONX, NY 10463
(3) SCINTILLON INSTITUTE, THE 6868 NANCY RIDE DR SAN DIEGO, CA 92121
(4) THE FAMILIAL HYPERCHOLESTEROLEMIA 680 EAST COLORADO BLVD PASADENA, CA 91101
(5) UNIVERSITY OF NORTH DAKOTA 264 CENTENNIAL DR, GRAND FORKS, ND 58202
(6) AVERA MCKENNAN 1325 S CLIFF AVE SIOUX FALLS, SD 57105
(7) GREAT PLAINS TRIBAL LEADERS HEALTH BOARD 2611 ELDERBERRY BLVD RAPID CITY, SD 57703
(8) FCBC COMMUNITY DEVELOPMENT CORPORATION 228 WEST 116TH STREET NEW YORK, NY 10026
(9) SOCIAL GOOD FUND INC 12651 SAN PABLO AVE RICHMOND, CA 94805
(10) HARLEM ONE STOP INC 502 W 142ND ST NEW YORK, NY 10031
(11) ORCHESTRATING DREAMS INC 178 BENNETT AVE NEW YORK, NY 10040
(12) HOUSE OF SPEAKEASY FOUNDATION 117 E 19TH ST NEW YORK, NY 10003
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) NEW YORKERS TO CURE PARALYSIS INC 1280 FIFTH AVE, NY, NY 10029
464135776
501 (C)(3)
15,000.
PROGRAM SERVICES
464727800
501 (C)(3)
150,587.
RESEARCH
465178306
501 (C)(3)
20,000.
PROGRAM SERVICES
465251831
501 (C)(3)
25,000.
PROGRAM SERVICES
465277811
501 (C)(3)
8,000.
PROGRAM SERVICES
465401925
501 (C)(3)
17,000.
PROGRAM SERVICES
465652622
501 (C)(3)
25,000.
PROGRAM SERVICES
466000364
GOVT
52,744.
RESEARCH
470049123
501 (C)(3)
50,969.
RESEARCH
471042118
501 (C)(3)
75,681.
RESEARCH
471583227
501 (C)(3)
10,000.
PROGRAM SERVICES
471825735
501 (C)(3)
8,000.
PROGRAM SERVICES
(2) UNIVERSITY OF OREGON OFF. OF RES. SVCS & ADMIN, EUGENE, OR 97403
(3) CEGAANA 142 N.MILPITAS BLVD #392 MILPITAS, CA 95035
(4) MOVING FOR LIFE 954 LEXINGTON AVENUE NEW YORK, NY 10021
(5) UPTOWN STORIES 178 BENNETT AVE NEW YORK, NY 10040
(6) UPLIFT NYC 4500 BROADWAY APT 1J NEW YORK, NY 10040
(7) QUAD PREPARATORY SCHOOL, THE 25 PINE ST FL 4 NEW YORK, NY 10005
(8) STATE OF SOUTH DAKOTA 501 E SAINT JOSEPH ST, RAPID CITY, SD 57701
(9) UNIVERSITY OF NEBRASKA MEDICAL CENTER OFF. OF SPONSORED PROGRAMS LINCOLN NE 68583
(10) NEW JERSEY INNOVATION INSTITUTE INC-NJII 323 MLK JR. BLVD, NEWARK, NJ 07102
(11) DANCE PROJECT OF WASHINGTON HEIGHTS, INC 350 FORT WASHINGTON AVE NEW YORK, NY 10033
(12) FRIENDS OF SCHOOL IN THE SQUARE INC 120 WADSWORTH AVE NEW YORK, NY 10033
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) FAITHACTS FOR EDUCATION INC 1019 MAIN ST BRIDGEPORT, CT 06604
472150020
501 (C)(3)
100,000.
RESEARCH
472209056
501 (C)(3)
576,940.
RESEARCH
473511012
501 (C)(3)
40,947.
RESEARCH
473566342
501 (C)(3)
100,000.
RESEARCH
480680117
501 (C)(3)
158,747.
RESEARCH
480771751
501 (C)(3)
17,562.
RESEARCH
481108830
501 (C)(3)
45,705.
RESEARCH
510103684
501 (C)(3)
522,613.
RESEARCH
510172429
501 (C)(3)
450,000.
PROGRAM SERVICES
510197108
501 (C)(3)
49,350.
RESEARCH
510418243
501 (C)(3)
229,462.
RESEARCH
516000297
501 (C)(3)
75,563.
RESEARCH
(2) COM AFFILIATION INC 1300 MORRIS PARK AVE BRONX, NY 10461
(3) SDSN ASSOCIATION 475 RIVERSIDE DRIVE NEW YORK, NY 10115
(4) RISE COLORADO 1595 ELMIRA ST AURORA, CO 80010
(5) UNIVERSITY OF KANSAS CENTER FOR RESEARCH 2385 IRVING HILL RD LAWRENCE, KS 66045
(6) KANSAS STATE UNIVERSITY SPONSORED PROGRAMS MANHATTAN, KS 66502
(7) UNIVERSITY OF KANSAS MEDICAL CENTER DBA KUMC RES INST INC KANSAS CITY, KS 66160
(8) CHRISTIANA CARE HEALTH SYSTEM 200 HYGEIA DR. NEWARK, DE 19713
(9) UNITED JEWISH APPEAL-FEDERATION OF JEWISH P ATTN: ANAT BARBER NEW YORK, NY 10261
(10) SANFORD BURNHAM 10901 N. TORREY PINES RD LA JOLLA, CA 92037
(11) HEALTH PEOPLE INC 552 SOUTHERN BOULEVARD BRONX, NY 10455
(12) UNIVERSITY OF DELAWARE CASHIERS OFFICE NEWARK, DE 19716
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) JOHNS HOPKINS UNIVERSITY CENTRAL LOCKBOX C/O CHICAGO, IL 60693
520595110
501 (C)(3)
3,984,686.
RESEARCH
521317896
501 (C)(3)
151,764.
RESEARCH
521615853
501 (C)(3)
11,000.
PROGRAM SERVICES
521640403
501 (C)(3)
36,962.
RESEARCH
521752653
501 (C)(3)
15,000.
PROGRAM SERVICES
521832014
501 (C)(3)
24,000.
PROGRAM SERVICES
522213870
501 (C)(3)
27,800.
PROGRAM SERVICES
526002033
501 (C)(3)
821,101.
RESEARCH
526056274
501 (C)(3)
67,975.
RESEARCH
530196523
501 (C)(3)
42,641.
RESEARCH
530196577
501 (C)(3)
10,164.
RESEARCH
530196584
501 (C)(3)
9,541,201.
RESEARCH
(2) HENRY JACKSON FOUNDATION 6720-A ROCKLEDGE DRIVE BETHESDA, MD 20817
(3) AMERICAN MEDICAL INFORMATICS ASSOCIATION P.O. BOX 412989 BOSTON, MA 02241
(4) CHILDREN'S NATIONAL MEDICAL CENTER CASH MANAGER SILVER SPRING, MD 20910
(5) CARDIOVASCULAR RESEARCH FOUNDATION PO BOX 30730 NEW YORK, NY 10087
(6) FRIENDS OF THE NATL INST PO BOX 855 LEXINGTON, KY 40588
(7) AMERICAN ACADEMY OF NURSING 1000 VERMONT AVE NW WASHINGTON, DC 20005
(8) STATE OF MARYLAND UNIVERSITY BILLING TOWSON, MD 21252
(9) MEDSTAR HEALTH RESEARCH INSTITUTE 10980 GRANTCHESTER WY 7FL COLUMBIA MD 21044
(10) CARNEGIE INST OF WA 5241 BROAD BRANCH RD NW WASHINGTON DC 20015
(11) THE BROOKINGS INSTITUTION 1775 MASS. AVE NW, WASHINGTON, DC 20036
(12) GEORGE WASHINGTON UNIVERSITY 44983 KNOLL SQ, 2 FL ASHBURN, VA 20147
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) GEORGETOWN UNIVERSITY OFF. OF SPONSORED ACCT. WASHINGTON DC 20057
530196603
501 (C)(3)
1,172,883.
RESEARCH
530204707
501 (C)(3)
11,518.
RESEARCH
530206027
501 (C)(3)
18,410.
RESEARCH
540836354
501 (C)(3)
290,974.
RESEARCH
546000884
501 (C)(3)
16,816.
RESEARCH
546001805
501 (C)(3)
130,560.
RESEARCH
546046419
501 (C)(3)
492,551.
RESEARCH
550665758
501 (C)(3)
5,685.
RESEARCH
560529999
501 (C)(3)
166,010.
RESEARCH
560532129
501 (C)(3)
2,468,208.
RESEARCH
560532138
501 (C)(3)
536,357.
RESEARCH
560686338
501 (C)(3)
198,701.
RESEARCH
(2) HOWARD UNIVERSITY 2244 10TH STREET NW WASHINGTON, DC 20059
(3) SMITHSONIAN INSTITUTION OSP CLEARING ACCOUNT CHICAGO, IL 60673
(4) GEORGE MASON UNIVERSITY OFF. OF SPONSORED PROGRAMS FAIRFAX VA 22030
(5) OLD DOMINION UNIVERSITY PERRY LIBRARY NORFOLK, VA 23529
(6) VIRGINIA POLYTECHNICAL INSTITUTE AND NORTH END CTR (MC 0170) BLACKSBURG VA 24061
(7) UNIVERSITY OF VIRGINIA P.O. BOX 400195, CHARLOTTESVILLE, VA 22904
(8) WEST VIRGINIA UNIVERSITY RESEARCH CORPOR PO BOX 6002 MORGANTOWN, WV 26506
(9) HIGH POINT UNIVERSITY ONE UNIVERSITY PARKWAY HIGH POINT, NC 27268
(10) DUKE UNIVERSITY PO BOX 602651 CHARLOTTE, NC 28260
(11) WAKE FOREST UNIVERSITY MEDICAL CENTER BLVD WINSTON-SALEM, NC 27157
(12) RESEARCH TRIANGLE INSTITUTE 3040 CORNWALLIS RD DURHAM, NC 27675
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) APPALACHIAN STATE UNIVERSITY PO BOX 32043 BOONE, NC 28608
561176030
GOVT
53,941.
RESEARCH
566000007
501 (C)(3)
51,493.
RESEARCH
566000756
501 (C)(3)
25,448.
RESEARCH
566001393
501 (C)(3)
860,329.
RESEARCH
576000254
GOVT
40,816.
RESEARCH
576000722
501 (C)(3)
842,841.
RESEARCH
580566256
501 (C)(3)
727,361.
RESEARCH
580603146
501 (C)(3)
254,265.
RESEARCH
582354256
501 (C)(3)
27,863.
RESEARCH
590624458
501 (C)(3)
1,814,615.
RESEARCH
591711400
501 (C)(3)
15,000.
PROGRAM SERVICES
591961248
501 (C)(3)
324,740.
RESEARCH
(2) NORTH CAROLINA A&T STATE UNIVERSITY OFF. OF CONTRACTS, GREENSBORO, NC 27411
(3) NORTH CAROLINA STATE UNIVERSITY NCSU ACCOUNTS RECEIVABLE, RALEIGH, NC 27695
(4) UNIVERSITY OF NORTH CAROLINA AT CHAPEL H PO BOX 402420 ATLANTA, GA 30384
(5) CLEMSON
UNIVERSITY
ACCOUNTING SERVICES CLEMSON, SC 29634
(6) MEDICAL UNIVERSITY OF SOUTH CAROLINA BURSARS OFFICE CHARLESTON, SC 29407
(7) EMORY UNIVERSITY PO BOX 935084 ATLANTA, GA 31193
(8) GEORGIA INSTITUTE OF TECHNOLOGY PO BOX 100117 ATLANTA, GA 30384
(9) GEORGIA SOUTHERN UNIVERSITY RESEARCH P.O. BOX 8005 STATESBORO, GA 30458
(10) UNIVERSITY OF MIAMI SPONSORED PROGRAMS ATLANTA, GA 30384
(11) MOUNT SINAI MEDICAL CENTER FOUNDATION 4300 ALTON RD MIAMI BEACH, FL 33140
(12) FLORIDA STATE UNIVERSITY 874 TRADITIONS WAY, TALLAHASSEE, FL 32306
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990)
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) THE UNIVERSITY OF CENTRAL FLORIDA PO BOX 160118 ORLANDO, FL 32816
592924021
501 (C)(3)
333,930.
RESEARCH
593102112
501 (C)(3)
91,833.
RESEARCH
593337028
501 (C)(3)
178,460.
RESEARCH
596002052
501 (C)(3)
569,586.
RESEARCH
596151162
501 (C)(3)
30,000.
PROGRAM SERVICES
611029626
501 (C)(3)
15,244.
RESEARCH
611730890
GOVT
749,977.
RESEARCH
611846104
GOVT
357,375.
RESEARCH
616033693
501 (C)(3)
63,876.
RESEARCH
620476822
501 (C)(3)
156,791.
RESEARCH
626001636
501 (C)(3)
30,014.
RESEARCH
630520830
501 (C)(3)
108,847.
RESEARCH
(2) UNIVERSITY OF SOUTH FLORIDA PO BOX 737443 DALLAS, TX 75373
(3) MAYO CLINIC IN JACKSONVILLE MAYO CLINIC MINNEAPOLIS, MN 55486
(4) UNIVERSITY OF FLORIDA PO BOX 931297 ATLANTA, GA 31193
(5) FLORIDA HOSPITAL ASSOCIATION 306 E COLLEGE AVE TALLAHASSEE, FL 32301
(6) UNIVERSITY OF LOUISVILLE 300 EAST MARKET STREET LOUISVILLE, KY 40202
(7) OREGON STATE UNIVERSITY A312 KERR ADMIN., CORVALLIS, OR
97331
(8) PROTON ENERGY SYSTEMS INC 10 TECHNOLOGY DRIVE WALLINGFORD, CT 06492
(9) UNIVERSITY OF KENTUCKY RESEARCH C/O NATIONAL CITY BANK CLEVELAND, OH 44193
(10) VANDERBILT UNIVERSITY, THE VUMC FINANCE, DEPT 1236 DALLAS, TX 75312
(11) UNIVERSITY OF TENNESSEE OFFICE OF THE TREASURER KNOXVILLE, TN 37996
(12) THE UNIVERSITY OF ALABAMA IN HUNTSVILLE 301 SPARKMAN DRIVE HUNTSVILLE, AL 35899
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) BIRMINGHAM AIDS OUTREACH INC 205 32ND STREET SOUTH BIRMINGHAM, AL 35233
630948495
501 (C)(3)
141,181.
RESEARCH
636001138
501 (C)(3)
7,681.
RESEARCH
636005396
501 (C)(3)
3,374,490.
RESEARCH
640952338
501 (C)(3)
5,250.
PROGRAM SERVICES
640954919
501 (C)(3)
10,500.
PROGRAM SERVICES
646000818
GOVT
649,456.
RESEARCH
646000819
GOVT
31,217.
RESEARCH
646001159
GOVT
67,090.
RESEARCH
646008520
GOVT
335,155.
RESEARCH
650385507
GOVT
286,576.
RESEARCH
660427801
501 (C)(3)
100,000.
RESEARCH
660433762
501 (C)(3)
626,309.
RESEARCH
(2) THE UNIVERSITY OF ALABAMA CONTRACT & GRANT ACCT, TUSCALOOSA, AL 35487
(3) UNIVERSITY OF ALABAMA AT BIRMINGHAM GRANTS & CONTRACTS ACCT BIRMINGHAM AL 35294
(4) MANHATTAN CHILDRENS CENTER, THE 124 W 95TH ST NEW YORK, NY 10025
(5) INTERNATIONAL SOCIETY FOR DEVELOPMENT PSYCH 297 KINDERKAMACK ROAD ORADELL, NJ 07649
(6) THE UNIVERSITY OF SOUTHERN MISSISSIPPI OFFICE OF RES. ADMIN, HATTIESBURG, MN 39406
(7) MISSISSIPPI STATE UNIVERSITY PO BOX 5227 MISSISSIPPI STATE, MS 39762
(8) UNIVERSITY OF MISSISSIPPI PO BOX 1848 UNIVERSITY, MS 38677
(9) UNIVERSITY OF MISSISSIPPI MEDICAL CENTER 2500 N. STATE ST. JACKSON, MS 39216
(10) FLORIDA ATLANTIC UNIVERSITY PO BOX 198660 (LOCKBOX) ATLANTA, GA 30384
(11) MIGRANT HEALTH CENTER WESTERN REGION INC PO BOX 190 MAYAGUEZ, PR 00681
(12) UNIVERSITY OF PUERTO RICO PO BOX 365067 SAN JUAN, PR 00936
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990)
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) CIUDADANOS DEL KARSO INC. 267 SIERRA MORENA PMB 230 SAN JUAN,
00926
660514059
501 (C)(3)
31,455.
RESEARCH
710694931
501 (C)(3)
40,000.
RESEARCH
710908184
501 (C)(3)
10,000.
PROGRAM SERVICES
716046242
501 (C)(3)
109,837.
RESEARCH
720423889
501 (C)(3)
202,720.
RESEARCH
721505359
501 (C)(3)
10,000.
RESEARCH
726000820
GOVT
26,439.
RESEARCH
726000848
501 (C)(3)
12,052.
RESEARCH
730580274
501 (C)(3)
14,389.
RESEARCH
731377584
GOVT
91,400.
RESEARCH
731383996
GOVT
50,248.
RESEARCH
731563627
GOVT
139,746.
RESEARCH
(2) ARKANSAS CHILDRENS RESEARCH INSTITUTE 1 CHILDREN'S WAY LITTLE ROCK, AR 72202
(3) WEST SIDE CENTER FOR COMMUNITY LIFE 263 W 86TH ST NEW YORK, NY 10024
(4) UNIVERSITY OF ARKANSAS FOR MEDICAL 4301 W. MARKHAM ST. LITTLE ROCK, AR 72205
(5) ADMINISTRATORS OF THE TULANE EDUCATIONAL 1555 POYDRAS STREET NEW ORLEANS, LA 70112
(6) NATIONAL NETWORK OF PUBLICH HEALTH 1100 POYDRAS ST STE950 NEW ORLEANS LA 70163
(7) UNIVERSITY OF LOUISIANA AT LAFAYETTE PO BOX 42570 LAFAYETTE, LA 70504
(8) LOUISIANA STATE UNIVERSITY OFF. OF ACCT. SVCS, BATON ROUGE, LA 70803
(9) OKLAHOMA MEDICAL RESEARCH FOUNDATION 825 NORTHEAST 13TH ST, OKLAHOMA, OK 73104
(10) THE BOARD OF REGENTS OF THE 201 STEPHENSON PKWY STE3100 NORMAN OK 73019
(11) OKLAHOMA STATE UNIVERSITY OSU GRANTS OKLAHOMA CITY, OK 73124
(12) BOARD OF REGENTS OF THE UNIVERSITY OF OK PO BOX 26901 OKLAHOMA CITY, OK 73126
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) TEXAS BIOMEDICAL RESEARCH INSTITUTE PO BOX 760549 SAN ANTONIO, TX 78245
741109630
501 (C)(3)
125,757.
RESEARCH
741159753
501 (C)(3)
11,301.
RESEARCH
741586031
GOVT
265,995.
741613878
501 (C)(3)
631,655.
RESEARCH
741761309
501 (C)(3)
39,890.
RESEARCH
742044647
501 (C)(3)
91,677.
RESEARCH
742125225
GOVT
46,143.
RESEARCH
742579628
501 (C)(3)
12,514.
RESEARCH
742652689
501 (C)(3)
841,531.
RESEARCH
746000203
501 (C)(3)
503,266.
RESEARCH
746000531
501 (C)(3)
198,575.
RESEARCH
746000949
501 (C)(3)
185,919.
RESEARCH
(2) BAYLOR UNIVERSITY 1 BEAR PL UNIT 97360 WACO, TX 76798
(3) UNIVERSITY OF TEXAS HEALTH SCIENCE CENTE PO BOX 1898 SAN ANTONIO, TX 78297
42,306. BOOK VALUE
EQUIPMENT
EDU/RESEARCH
(4) BAYLOR COLLEGE OF MEDICINE PO BOX 301207 DALLAS, TX 75303
(5) UNIVERSITY OF TEXAS HSC HOUSTON 7000 FANNIN HOUSTON, TX 77030
(6) NATIONAL JEWISH HEALTH 1400 JACKSON ST ROOM M213 DENVER, CO 80206
(7) TEXAS A&M UNIVERSITY AT GALVESTON SPONSORED RES. SVCS, COLLEGE STN, TX 77845
(8) NORTHERN ARIZONA UNIVERSITY SPONSORED RECEIVABLES FLAGSTAFF, AZ 88011
(9) UNIVERSITY OF ARIZONA PO BOX 41867, TUCSON, AZ 85717
(10) UNIVERSITY OF TEXAS AT AUSTIN OFF. OF SPONSORED PROJECTS, AUSTIN TX 78713
(11) TEXAS A&M UNIVERSITY 400 MITCHELL PKWY S., COLLEGE STN, TX 77845
(12) UNIVERSITY OF TEXAS AMEGY BANK OF TEXAS HOUSTON, TX 77210
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) UNIVERSITY OF HOUSTON SYS 4401 WHEELER HOUSTON, TX 77004
746001399
501 (C)(3)
162,171.
RESEARCH
750800689
501 (C)(3)
1,088,400.
RESEARCH
751305566
501 (C)(3)
80,656.
RESEARCH
751921898
501 (C)(3)
79,832.
RESEARCH
753062601
501 (C)(3)
6,000.
PROGRAM SERVICES
753065445
501 (C)(3)
105,271.
RESEARCH
756000121
501 (C)(3)
490,096.
RESEARCH
756002622
501 (C)(3)
155,246.
RESEARCH
756002868
501 (C)(3)
544,147.
RESEARCH
760620808
501 (C)(3)
10,000.
PROGRAM SERVICES
800240628
501 (C)(3)
160,550.
RESEARCH
800401075
501 (C)(3)
7,000.
(2) SOUTHERN METHODIST UNIVERSITY OFF. OF CONTRACT/GRANT ACCT DALLAS TX 75275
(3) UNIVERSITY OF TEXAS AT DALLAS 800 W CAMPBELL RD RICHARDSON, TX 75080
(4) BAYLOR SCOTT & WHITE RESEARCH INSTITUTE 3434 LIVE OAK ST DALLAS, TX 75204
(5) TOP HONORS INC PO BOX 2009 NEW YORK, NY 10163
(6) TRANSLATIONAL GENOMICS RESEARCH INSTITUT 445 N 5TH ST STE 600 PHOENIX, AZ 85004
(7) UNIV OF TEXAS AT ARLINGTON OFF. OF ACCT. & BUS SER ARLINGTON, TX 76019
(8) TEXAS TECH UNIVERSITY PO BOX 41105 LUBBOCK, TX 79409
(9) UNIVERSITY OF TEXAS SOUTHWESTERN CTR AT DALLAS DALLAS, TX 75284
(10) PRATHAM USA 9703 RICHMOND AVE HOUSTON, TX 77042
(11) NORTHWEST TRIBAL EMERGENCY MANAGEMENT CO 1615 181ST AVE NE SNOHOMISH, WA 98290
(12) LIFEFORCE IN LATER YEARS INC PO BOX 250402 NEW YORK, NY 10025
2 3
PROGRAM SERVICES
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) CHILD MIND INSTITUTE 445 PARK AVENUE NEW YORK, NY 10022
800478843
501 (C)(3)
74,076.
RESEARCH
800550282
501 (C)(3)
219,211.
RESEARCH
800631734
501 (C)(3)
1,377,676.
RESEARCH
800722635
501 (C)(3)
30,000.
PROGRAM SERVICES
810459235
501 (C)(3)
114,748.
RESEARCH
811115506
501 (C)(3)
8,000.
813704165
501 (C)(3)
594,120.
RESEARCH
814379932
501 (C)(3)
11,500.
PROGRAM SERVICES
814882779
501 (C)(3)
20,000.
PROGRAM SERVICES
816010045
GOVT
45,659.
RESEARCH
821564296
501 (C)(3)
10,000.
PROGRAM SERVICES
825510616
501 (C)(3)
10,000.
PROGRAM SERVICES
(2) KENNEDY HEALTHCARE FOUNDATION INC THOMAS JEFFERSON UNIV., PHILA, PA 19107
(3) NEW YORK GENOME CTR INC 101 AVENUE OF THE AMERICAS, NY, NY 10013
(4) HIP HOP PUBLIC HEALTH, INC. 222 BROADWAY NEW YORK, NY 10038
(5) MCLAUGHLIN RESEARCH INSTITUTE 1520 23RD ST S GREAT FALLS, MT 59405
(6) THE HEIGHTS URBAN EMPOWERMENT INC 80 BENNETT AVENUE NEW YORK, NY 10033
PROGRAM SERVICES
(7) COMMUNITY OPPORTUNITY FUND 144 MAIN STREET COLD SPRING, NY 10516
(8) INWOOD ART WORKS INC 97 PARK TER W NEW YORK, NY 10034
(9) PURE PURPOSE MEDIA GROUP, INC. 1 DOCK 72 WAY # 7 BROOKLYN, NY 11205
(10) MONTANA STATE UNIVERSITY OFF. OF SPONSORED PROG, BOZEMAN, MT 59717
(11) USA-WORLD CONGRESS OF PEDIATRIC CARDIOLO 1140 3RD ST NE WASHINGTON, DC 20002
(12) NIDO DE ESPERANZA 4111 BROADWAY NEW YORK, NY 10033
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) REGENTS OF THE UNIVERSITY OF IDAHO 875 PERIMETER DR., MS 3020 MOSCOW, ID 83844
826000945
GOVT
66,421.
RESEARCH
830399727
501 (C)(3)
100,000.
RESEARCH
830621846
501 (C)(3)
826,215.
RESEARCH
832249413
501 (C)(3)
48,000.
PROGRAM SERVICES
832419655
501 (C)(3)
7,000.
PROGRAM SERVICES
834668682
501 (C)(3)
72,987.
RESEARCH
836000331
GOVT
74,298.
RESEARCH
840412668
501 (C)(3)
61,620.
RESEARCH
840509064
501 (C)(3)
30,000.
PROGRAM SERVICES
841179794
501 (C)(3)
281,350.
RESEARCH
843288113
501 (C)(3)
308,641.
RESEARCH
846000545
501 (C)(3)
352,792.
RESEARCH
(2) KIDS FIRST CHICAGO FOR EDUCATION 21 S CLARK ST STE 4301 CHICAGO, IL 60603
(3) ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVE BRONX, NY 10461
(4) LADIES OF HOPE MINISTRIES, INC., THE 8 W 126TH ST NEW YORK, NY 10027
(5) THE PIED PIPER CHILDREN'S THEATRE OF NYC 4768 BROADWAY, SUITE 925 NEW YORK, NY 10034
(6) QUINTESSENT INC 120 CREMONA DR GOLETA, CA 93117
(7) UNIVERSITY OF WYOMING 1000 E UNIV AVE RM 534, LARAMIE, WY 82071
(8) UNIVERSITY CORPORATION FOR ATMOSPHERIC UCAR/NCAR BOULDER, CO 80307
(9) COLORADO SCHOOL OF MINES FOUNDATION 1812 ILLINOIS ST, PO BOX 4005
(10) UNIVERSITY OF COLORADO UNIV OF COLORADO DENVER, DENVER, CO 80291
(11) N-LOREM FOUNDATION 2888 LOKER AVE E STE 110 CARLSBAD, CA 92010
(12) COLORADO STATE UNIVERSITY - THE HISTONE 2002 CAMPUS DELIVERY FORT COLLINS, CO 80523
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) STATE OF CO SCH OF MINES CSM GRANTS LOCKBOX DALLAS, TX 75373
846000551
GOVT
19,472.
RESEARCH
846000555
501 (C)(3)
1,633,730.
RESEARCH
856000642
501 (C)(3)
314,160.
RESEARCH
860138043
501 (C)(3)
20,759.
RESEARCH
860196696
501 (C)(3)
93,073.
RESEARCH
861256055
501 (C)(3)
25,000.
PROGRAM SERVICES
863865405
501 (C)(3)
10,000.
PROGRAM SERVICES
870217280
501 (C)(3)
68,532.
RESEARCH
873063544
501 (C)(3)
55,658.
RESEARCH
876000525
501 (C)(3)
1,409,776.
RESEARCH
876000528
501 (C)(3)
143,441.
RESEARCH
883758640
501 (C)(3)
141,550.
RESEARCH
(2) REGENTS OF THE UNIVERSITY OF COLORADO SPONSORED PROJECTS ACCT, DENVER, CO 80291
(3) UNIVERSITY OF NEW MEXICO CONTRACT & GRANTING ACCT, ABQ, NM 87131
(4) ASSOCIATION OF UNIVERSITIES FOR RESEARCH 3700 SAN MARTIN DRIVE BALTIMORE, MD 21218
(5) ARIZONA STATE UNIVERSITY OFF. OF RES & SPONSOR PROJ, TEMPE, AZ 85287
(6) WHAMNOW INC. 19 E ELM ST STE 3 GREENWICH, CT 06830
(7) OMOWALE PROJECT, INC, THE 65 BURNSIDE DR HASTINGS ON HUDSON, NY 10706
(8) BRIGHAM YOUNG UNIVERSITY GRANTS & CONTRACTS ACCT, PROVO, UT 84602
(9) BRIDGE DIRECTORY, THE 460 E FORDHAM RD
8060 BRONX, NY 10458
(10) UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE, SLC, UT 84112
(11) UTAH STATE UNIVERSITY CONTROLLER'S OFF-LB 410027 SEATTLE WA 98124
(12) CALYX SYSTEMS 51 HAMILTON PL. NEW YORK, NY 10031
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) BOARD OF REGENTS OF THE NSHE OBO THE 2215 RAGGIO PARKWAY RENO, NV 89512
886000024
501 (C)(3)
55,348.
RESEARCH
910564748
501 (C)(3)
172,461.
RESEARCH
910567740
501 (C)(3)
100,000.
PROGRAM SERVICES
911019655
501 (C)(3)
170,653.
RESEARCH
911452438
501 (C)(3)
142,808.
RESEARCH
911663391
501 (C)(3)
39,393.
RESEARCH
916000562
GOVT
28,064.
RESEARCH
916001108
501 (C)(3)
20,855.
RESEARCH
916001537
501 (C)(3)
2,910,427.
RESEARCH
926000147
501 (C)(3)
202,277.
RESEARCH
931137247
501 (C)(3)
23,611.
RESEARCH
931150363
GOVT
5,369.
RESEARCH
(2) SEATTLE CHILDRENS HOSPITAL SEATTLE CHILDRENS RES., SEATTLE, WA 98124
(3) THE BOARD OF TRUSTEES OF WHITMAN COLLEGE WH 345 BOYER AVENUE WALLA WALLA, WA 99362
(4) BLOODWORKS 921 TERRY AVENUE SEATTLE, WA 98104
(5) SEATTLE INST FOR BIOMEDICAL & CLINICAL RESE 1325 FOURTH AV, STE 1310 SEATTLE, WA 98108
(6) EARTH AND SPACE RESEARCH 1107 NE 45TH ST SEATTLE, WA 98105
(7) WESTERN WASHINGTON UNIVERSITY CASHIER'S OFF.-MS 9004 BELLINGHAM, WA 98225
(8) WASHINGTON STATE UNIVERSITY PO BOX 641025, PULLMAN, WA 99164
(9) UNIVERSITY OF WASHINGTON 1410 NE CAMPUS PARKWAY SEATTLE, WA 98195
(10) UNIVERSITY OF ALASKA UAF - PO BOX 757880, FAIRBANKS, AK 99775
(11) SAN FRANCISCO STATE UNIVERSITY 1600 HOLLOWAY AVE, SAN FRANCISCO, CA 94132
(12) CALIFORNIA STATE UNIVERSITY LONG BEACH 6300 STATE UNIV DR., LONG BEACH, CA 90815
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) OREGON HEALTH AND SCIENCE UNIVERSITY PO BOX 3003 PORTLAND, OR 97208
931176109
501 (C)(3)
199,659.
RESEARCH
941105628
501 (C)(3)
1,313,995.
RESEARCH
941156365
501 (C)(3)
1,889,854.
RESEARCH
941156617
501 (C)(3)
23,899.
RESEARCH
941539563
501 (C)(3)
313,627.
RESEARCH
941646278
501 (C)(3)
7,967.
RESEARCH
942984524
501 (C)(3)
369,289.
RESEARCH
943079263
501 (C)(3)
8,175.
PROGRAM SERVICES
943084159
501 (C)(3)
75,181.
RESEARCH
943447082
501 (C)(3)
10,000.
PROGRAM SERVICES
946002123
501 (C)(3)
1,821,326.
RESEARCH
946017638
501 (C)(3)
47,483.
RESEARCH
(2) KAISER FOUNDATION HOSPITALS 1 KAISER PLZ FL 22 OAKLAND, CA 94612
(3) BOARD OF TRUSTEES OF THE LELAND STA, THE PO BOX 884253 LOS ANGELES, CA 90088
(4) BOARD OF TRUSTEES OF SANTA CLARA COLLEGE 500 EL CAMINO REAL SANTA CLARA, CA 95050
(5) REGENTS OF THE UNIVERSITY OF CALIFORNIA UCSC CASHIER OFFICE SANTA CRUZ, CA 95064
(6) PUBLIC HEALTH INSTITUTE 555 12TH ST STE 600 OAKLAND, CA 94607
(7) UNIV OF NORTH CAROLINA AT CHAPEL HILL 104 AIRPORT DR STE2200 CHAPEL HILL NC 27599
(8) SOCIETY FOR OBSTETRIC ANESTHESIA AND PER 201 E MAIN ST STE 810 LEXINGTON, KY 40507
(9) NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH 4150 CLEMENT ST, SAN FRANCISCO, CA 94121
(10) TRINITY COMMUNITY CONNECTION 164 WEST 100TH STREET NEW YORK, NY 10025
(11) REGENTS OF THE UNIVERSITY OF CALIFO, THE 1608 4TH ST, STE 220, BERKELEY, CA 94710
(12) SAN JOSE STATE UNIVERSITY RESEARCH FOUND 210 N. FOURTH ST SAN JOSE, CA 95112
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990)
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Department of the Treasury Internal Revenue Service
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) THE REGENTS OF UNIVERSITY OF CALIFORNIA UCSF MAIN DEPOSITORY LOS ANGELES, CA 90074
946036493
501 (C)(3)
1,260,272.
RESEARCH
946036494
501 (C)(3)
345,252.
RESEARCH
951642394
501 (C)(3)
821,763.
RESEARCH
951643307
501 (C)(3)
453,251.
RESEARCH
951644600
501 (C)(3)
96,109.
RESEARCH
951690977
501 (C)(3)
123,524.
RESEARCH
951757119
501 (C)(3)
28,260.
RESEARCH
951958142
501 (C)(3)
717,559.
RESEARCH
952138184
501 (C)(3)
104,738.
RESEARCH
952160097
501 (C)(3)
8,840.
RESEARCH
952226406
501 (C)(3)
1,245,910.
RESEARCH
954019743
501 (C)(3)
25,000.
(2) UNIVERSITY OF CALIFORNIA DAVIS UC DAVIS AR LOCKBOX LOS ANGELES, CA 90074
(3) UNIVERSITY OF SOUTHERN CALIFORNIA USC - SPONSORED PROJECTS ACCT, LA, CA 90089
(4) CALIFORNIA INSTITUTE OF TECHNOLOGY POST AWARD ADMIN, PASADENA, CA 91125
(5) CEDARS SINAI MEDICAL CENTER 6500 WILSHIRE BLVD. LOS ANGELES, CA 90048
(6) CHILDRENS HOSPITAL OF LOS ANGELES 4650 SUNSET BLVD, LOS ANGELES, CA 90027
(7) HUNTINGTON MEDICAL RESEARCH INSTITUTES 686 S FAIR OAKS AVE PASADENA, CA 91105
(8) THE RAND CORPORATION PO BOX 2138 SANTA MONICA, CA 90407
(9) HARBOR-UCLA RESEARCH & ED INST LA BIOMEDICAL RESEARCH, TORRANCE, CA 90502
(10) SALK INSTITUTE FOR
BIOLOGICAL STUDIES
10010 N TORREY PINES RD LA JOLLA, CA 92037
(11) THE REGENTS OF THE UNIVERSITY CENTRAL CASHIERS IRVINE, CA 92697
(12) TRIBE MEDIA CORP THE JEWISH JOURNAL 1880 CENTURY PARK EAST, LA, CA 90067
2 3
PROGRAM SERVICES
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) REGENTS OF THE UNIVERSITY OF CALIFORNIA, 900 UNIVERSITY AVE RIVERSIDE, CA 92521
956006142
501 (C)(3)
79,542.
RESEARCH
956006143
501 (C)(3)
1,728,042.
RESEARCH
956006144
501 (C)(3)
1,731,134.
RESEARCH
956006145
501 (C)(3)
1,604,888.
RESEARCH
956042721
501 (C)(3)
115,547.
RESEARCH
996000354
501 (C)(3)
299,003.
RESEARCH
521623781
501 (C)(3)
75,000.
PROGRAM SERVICES
951992732
501 (C)(3)
50,799.
RESEARCH
010211513
501 (C)(3)
393,331.
RESEARCH
016006001
501 (C)(3)
77,101.
RESEARCH
020222111
501 (C)(3)
467,878.
RESEARCH
026000937
501 (C)(3)
25,646.
RESEARCH
(2) UNIVERSITY OF CALIFORNIA LOS ANGELES UCLA PAYMENT SOL. & CPL (PSC), LA, CA 90095
(3) UNIVERSITY OF CALIFORNIA SAN DIEGO UCSD CAMPUS MAIN DEPOSITORY, LA, CA 90074
(4) UNIVERSITY OF CALIFORNIA SANTA BARBARA CASHIER'S OFFICE SANTA BARBARA, CA 93106
(5) SAN DIEGO STATE UNIVERSITY FOUNDATION 5250 CAMPANILE DR SAN DIEGO, CA 92182
(6) UNIVERSITY OF HAWAII OFF. OF RESEARCH SVCS, HONOLULU, HI 96822
(7) AMERICAN ISRAEL EDUCATION FOUNDATION 251 H STREET NW WASHINGTON, DC 20001
(8) THE UNIVERSITY CORPORATION 18111 NORDHOFF STREET NORTHRIDGE, CA 91330
(9) THE JACKSON LABORATORY 600 MAIN ST. BAR HARBOR, ME 04609
(10) BIGELOW LABORATORY FOR OCEAN SCIENCES, I 60 BIGELOW DR EAST BOOTHBAY, ME 04544
(11) TRUSTEES OF DARTMOUTH COLLEGE 11 ROPE FERRY ROAD, #6210 HANOVER, NH 03755
(12) UNIVERSITY SYSTEM OF NEW HAMPSHIRE SPONSORED PROGRAMS ADMIN, DURHAM, NH 03824
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) UNIVERSITY OF VERMONT AND STATE PO BOX 1389 WILLISTON, VT 05495
030179440
501 (C)(3)
283,182.
RESEARCH
041679980
501 (C)(3)
453,157.
RESEARCH
041843040
501 (C)(3)
400,000.
PROGRAM SERVICES
042103545
501 (C)(3)
7,805.
RESEARCH
042103547
501 (C)(3)
1,049,963.
RESEARCH
042103580
501 (C)(3)
1,238,044.
RESEARCH
042103591
501 (C)(3)
12,978.
RESEARCH
042103594
501 (C)(3)
1,232,776.
RESEARCH
042103634
501 (C)(3)
300,442.
RESEARCH
042103881
501 (C)(3)
544,204.
RESEARCH
042104690
501 (C)(3)
358,480.
RESEARCH
042105850
501 (C)(3)
550,848.
RESEARCH
(2) NORTHEASTERN UNIV 360 HUNTINGTON AVE, BOSTON, MA 02115
(3) SMITH COLLEGE SMITH COLL GIFT ACCT, NORTHAMPTON, MA 01063
(4) TRUSTEES OF BOSTON COLLEGE 270 HAMMOND ST, CHESTNUT HILL, MA 02467
(5) TRUSTEES OF BOSTON UNIVERSITY BOSTON UNIV GRANTS RECEIVABLE, NY, NY 10087
(6) PRESIDENT AND FELLOWS OF HARVARD COLLEGE PRES. & FELLOWS OF HARVARD, BOSTON MA 02241
(7) MASSACHUSETTS EYE & EAR INFIRMARY 243 CHARLES STREET BOSTON, MA 02114
(8) MASSACHUSETTS INSTITUTE OF TECHNOLOGY CASHIERS OFF. NE49-3077, CAMBRIDGE MA 02139
(9) TRUSTEES OF TUFTS COLLEGE TUFTS MEDICAL CENTER BOSTON, MA 02111
(10) BETH ISRAEL DEACONESS MEDICAL CENTER RESEARCH FIN. OFF. OV-540, BOSTON MA 02215
(11) MARINE BIOLOGICAL LAB ACCTS RECEIVABLE BOSTON, MA 02241
(12) WOODS HOLE OCEANOGRAPHIC INSTITUTION A/R MS 14, WOODS HOLE, MA 02543
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON, MA 02215
042263040
501 (C)(3)
67,795.
RESEARCH
042312909
501 (C)(3)
2,093,074.
RESEARCH
042697983
501 (C)(3)
594,448.
RESEARCH
042698497
501 (C)(3)
60,333.
RESEARCH
042774441
501 (C)(3)
661,626.
043167352
501 (C)(3)
542,756.
RESEARCH
043314093
501 (C)(3)
742,018.
RESEARCH
043400617
501 (C)(3)
63,696.
RESEARCH
050258809
501 (C)(3)
97,973.
RESEARCH
050258954
501 (C)(3)
70,294.
RESEARCH
056000522
501 (C)(3)
125,413.
RESEARCH
060646959
501 (C)(3)
119,060.
RESEARCH
(2) THE BRIGHAM AND WOMENS HOSPITAL INC 75 FRANCIS ST BOSTON, MA 02241
(3) MASSACHUSETTS GENERAL HOSPITAL BANK OF AMERICA BOSTON, MA 02241
(4) PLANNED PARENTHOOD LEAGUE OF 1055 COMMONWEALTH AVENUE BOSTON, MA 02215
(5) CHILDREN'S HOSPITAL CORPORATION 300 LONGWOOD AVENUE BOSTON, MA 02241
21,629. BOOK VALUE
EQUIPMENT
EDU/RESEARCH
(6) UNIVERSITY OF MASSACHUSETTS LOWELL MASS VENTURE CENTER HADLEY, MA 01035
(7) BOSTON MEDICAL CENTER RES. A/R AT BOSTON MED CTR, BOSTON MA 02118
(8) TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON, MA 02111
(9) BROWN UNIVERSITY FINANCIAL SERVICES PROVIDENCE, RI 02912
(10) RHODE ISLAND HOSPITAL LIFESPAN OFF. OF RES., PROVIDENCE RI 02903
(11) UNIVERSITY OF RHODE ISLAND URI SPONSOR ACCT OFF., KINGSTON, RI 02881
(12) WESLEYAN UNIVERSITY 55 HIGH ST MIDDLETOWN, CT 06457
2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
Grants and Other Assistance to Organizations, Governments, and Individuals in the United States
SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22. Attach to Form 990. Go to www.irs.gov/Form990 for the latest information.
Open to Public Inspection
Name of the organization THE TRUSTEES OF COLUMBIA UNIVERSITY
Employer identification number
IN THE CITY OF NEW YORK
13-5598093
Part I 1 2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Yes
No
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name and address of organization or government
(b) EIN
(c) IRC section (if applicable)
(d) Amount of cash grant
(e) Amount of noncash assistance
(f) Method of valuation (book, FMV, appraisal, other)
(g) Description of noncash assistance
(h) Purpose of grant or assistance
(1) YALE UNIVERSITY P.O. BOX 1873, NEW HAVEN, CT 06508
060646973
501 (C)(3)
1,775,311.
RESEARCH
060726487
501 (C)(3)
20,000.
RESEARCH
060772160
GOVT
61,791.
RESEARCH
061722131
501 (C)(3)
7,000.
PROGRAM SERVICES
131611126
501 (C)(3)
2,826,439.
CAPITAL CONTRIBUTION
133948652
501 (C)(3)
12,809,000.
CAPITAL CONTRIBUTION
131611126
501 (C)(3)
321,187.
CAPITAL CONTRIBUTION
132612524
501 (C)(3)
6,000.
(2) SAVE THE CHILDREN 501 KINGS HWY EAST FAIRFIELD, CT 06825
(3) UNIVERSITY OF CONNECTICUT OFF. OF THE V.P. FOR RES., STORRS, CT 06269
(4) JAZZ DRAMA PROGRAM 5030 BROADWAY STE 651 NEW YORK, NY 10034
(5) KNIGHT FIRST AMENDMENT INSTITUTE AT COLUMBI 615 W. 131ST ST NEW YORK, NY 10027
(6) COLUMBIA UNIVERSITY HEALTH CARE INC. 615 W. 131ST ST NEW YORK, NY 10027
(7) REID HALL INC. 615 W. 131ST ST. NEW YORK, NY 10027
(8) FUND FOR THE CITY OF NY INC. 121 AVE OF THE AMERICAS NEW YORK, NY 10013
PROGRAM SERVICES
(9) (10) (11) (12) 2 3
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1288 1.000
Schedule I (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed.
Schedule I (Form 990) (2023)
Part III
(a) Type of grant or assistance
1 STUDENT TUITION AND SCHOLARSHIPS
(b) Number of recipients
15,844
(c) Amount of cash grant
(d) Amount of non-cash assistance
(e) Method of valuation (book,
726,270,020.
Page 2
(f) Description of non-cash assistance
FMV, appraisal, other)
N/A
N/A
2 3 4 5 6 7
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b); and any other additional information. DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS Part IV
FORM 990, SCHEDULE I, PART I, LINE 2 THE UNIVERSITY MAINTAINS A WRITTEN POLICY THAT GOVERNS THE MONITORING OF THE USE OF SPONSORED PROJECT GRANT FUNDING BY SUBRECIPIENTS. THE POLICY MANDATES MONITORING IN TWO AREAS: (A) SUBRECIPIENT INSTITUTION COMPLIANCE WITH THE AUDITING REQUIREMENTS OF OMB CIRCULAR A-133, AND (B)SUBRECIPIENT INSTITUTION'S APPROPRIATE MANAGEMENT OF SUBAWARD. THE UNIVERSITY'S SPONSORED PROJECTS FINANCE GROUP COLLECTS A-133 REPORTS FROM SUBRECIPIENT INSTITUTIONS, AND THE PRINCIPAL INVESTIGATORS CARRY OUT THE SECOND TYPE
Schedule I (Form 990) (2023)
JSA 3E1504 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22. Part III can be duplicated if additional space is needed.
Schedule I (Form 990) (2023)
Part III
(a) Type of grant or assistance
(b) Number of recipients
(c) Amount of cash grant
(d) Amount of non-cash assistance
(e) Method of valuation (book,
Page 2
(f) Description of non-cash assistance
FMV, appraisal, other)
1 2 3 4 5 6 7
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b); and any other additional information. OF MONITORING, PRINCIPALLY BY: Part IV
- ROUTINELY GATHERING AND REVIEWING TECHNICAL PERFORMANCE REPORTS; - ROUTINELY REVIEWING INVOICES AND EXPENSES RELATIVE TO BUDGET; - CONDUCTING PERIODIC ON-SITE VISITS, WHEN NECESSARY; AND - INITIATING AUDITS, WHEN NECESSARY.
Schedule I (Form 990) (2023)
JSA 3E1504 1.000
Compensation Information
SCHEDULE J (Form 990)
Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered "Yes" on Form 990, Part IV, line 23. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK Questions Regarding Compensation Part I
Open to Public Inspection
Employer identification number
13-5598093 Yes
No
1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
X First-class or charter travel X Travel for companions
X
Tax indemnification and gross-up payments Discretionary spending account
Housing allowance or residence for personal use Payments for business use of personal residence Health or social club dues or initiation fees Personal services (such as maid, chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all 2 directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a?
X
2
X
Indicate which, if any, of the following the organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
3
X Compensation committee X Independent compensation consultant X Form 990 of other organizations 4
1b
X X
W ritten employment contract Compensation survey or study Approval by the board or compensation committee
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization: a Receive a severance payment or change-of-control payment? b Participate in or receive payment from a supplemental nonqualified retirement plan? c Participate in or receive payment from an equity-based compensation arrangement? If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
5 a b 6 a b 7 8
9
Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9. For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: The organization? Any related organization? If "Yes" on line 5a or 5b, describe in Part III. For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of: The organization? Any related organization? If "Yes" on line 6a or 6b, describe in Part III.
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments not described on lines 5 and 6? If "Yes," describe in Part III Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
JSA 3E1290 1.000
6416BJ K321
V23-7.16
X X X
4a 4b 4c
5a 5b
X X
X X
6a 6b
7
8
X
X
9
Schedule J (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
Schedule J (Form 990) 2023
Part II
Page 2
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that aren't listed on Form 990, Part VII. Note: The sum of columns (B)(i)–(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual. (B) Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC compensation
(A) Name and Title
(i) Base compensation
LAWRENCE GERALD LENKE
(i)
1 PROFESSOR OF SURGERY
(ii)
RONALD ARTHUR LEHMAN J
(i)
2 PROFESSOR OF SURGERY
(ii)
KIM LEW
(i)
3 CEO OF IMC
(ii)
LEE C. BOLLINGER
(i)
4 PRESIDENT (FORMER)
(ii)
EMILE BACHA
(i)
5 PROFESSOR OF SURGERY
(ii)
DAVID N. SILVERS
(i)
6 CLINICAL PROFESSOR
(ii)
CRAIG SMITH
(i)
7 PROFESSOR OF SURGERY
(ii)
KATRINA ARMSTRONG
(i)
8 EVP HEALTH SCIENCES
(ii)
ANIL RUSTGI
(i)
9 INT EVP SCI (FORMER)
(ii)
NEMAT MINOUCHE T. SHAF 10 PRESIDENT (AS OF 7/1/23)
LEE GOLDMAN 11 EVP HEALTH SCIENCES (FORMER)
(i) (ii) (i) (ii)
MARY BOYCE
(i)
12 PROVOST (FORMER)
(ii)
ANNE R. SULLIVAN
(i)
13 EXECUTIVE VP FOR FINANCE
(ii)
GERALD M. ROSBERG
(i)
14 SENIOR EVP (THROUGH 6/21/24)
(ii)
FELICE ROSAN 15 GENERAL COUNSEL
AMELIA ALVERSON 16 EXEC VP - UNIV DVLP&ALUM RLTS
(i) (ii) (i) (ii)
6,062,464. NONE 3,572,247. NONE 1,059,596. NONE 1,907,922. NONE 3,181,941. NONE 821,885. NONE 3,046,213. NONE 1,338,705. NONE 1,178,955. NONE 725,000. NONE 909,481. NONE 880,596. NONE 1,008,018. NONE 953,491. NONE 816,251. NONE 869,799. NONE
(ii) Bonus & incentive compensation
1,345,705. NONE 302,414. NONE 916,667. NONE 1,050,000. NONE 100,000. NONE 2,364,691. NONE 120,441. NONE 220,000. NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE 25,000. NONE NONE NONE
(iii) Other reportable compensation
NONE NONE NONE NONE NONE NONE 218,340. NONE NONE NONE NONE NONE NONE NONE 50,000. NONE 43,224. NONE 231,395. NONE 115,594. NONE 129,738. NONE 1,044. NONE NONE NONE NONE NONE NONE NONE
(C) Retirement and other deferred compensation
37,436. NONE 38,431. NONE 1,866,525. NONE 49,740. NONE 38,642. NONE 43,500. NONE 43,500. NONE 33,192. NONE 33,192. NONE 27,754. NONE 49,740. NONE 36,492. NONE 33,240. NONE 36,492. NONE 49,740. NONE 33,240. NONE
(D) Nontaxable benefits
27,439. NONE 74,737. NONE 30,324. NONE 278,645. NONE 47,273. NONE 27,205. NONE 27,688. NONE 18,740. NONE 3,967. NONE 174,017. NONE 31,927. NONE 27,439. NONE 25,791. NONE 29,967. NONE 60,137. NONE 13,696. NONE
(E) Total of columns (B)(i)-(D)
7,473,044. NONE 3,987,829. NONE 3,873,112. NONE 3,504,647. NONE 3,367,856. NONE 3,257,281. NONE 3,237,842. NONE 1,660,637. NONE 1,259,338. NONE 1,158,166. NONE 1,106,742. NONE 1,074,265. NONE 1,068,093. NONE 1,019,950. NONE 951,128. NONE 916,735. NONE
(F) Compensation in column (B) reported as deferred on prior Form 990
NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
Schedule J (Form 990) 2023
JSA 3E1291 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
Schedule J (Form 990) 2023
Part II
Page 2
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that aren't listed on Form 990, Part VII. Note: The sum of columns (B)(i)–(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual. (B) Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC compensation
(A) Name and Title
(i) Base compensation
DENNIS MITCHELL
(i)
1 INT PROVOST (7/1/23-3/31/24)
(ii)
AMY HUNGERFORD
(i)
2 EXEC VP-A&S
(ii)
IRA KATZNELSON
(i)
3 INT PROVOST (FORMER)
(ii)
JOHN COATSWORTH
(i)
4 PROVOST (FORMER)
(ii)
DAVID GREENBERG
(i)
5 EXEC VP FACILITIES
(ii)
JANE E. BOOTH
(i)
6 CHF LEGAL OFF (FORMER)
(ii)
JEROME DAVIS
(i)
7 SECRETARY (THROUGH 12/31/23)
(ii)
SUSAN K. GLANCY
(i)
8 SECRETARY (AS OF 1/1/24)
(ii)
9
(ii)
10
(ii)
11
(ii)
12
(ii)
13
(ii)
14
(ii)
15
(ii)
16
(ii)
712,271. NONE 571,971. NONE 473,186. NONE 641,652. NONE 598,040. NONE 435,764. NONE 501,628. NONE 675,920. NONE
(ii) Bonus & incentive compensation
NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE 35,000. NONE
(iii) Other reportable compensation
5,171. NONE 218,681. NONE 290,443. NONE 49,480. NONE 2,250. NONE 175,246. NONE NONE NONE 1,867. NONE
(C) Retirement and other deferred compensation
49,740. NONE 33,192. NONE 43,500. NONE 49,740. NONE 49,500. NONE 49,500. NONE 49,740. NONE 33,240. NONE
(D) Nontaxable benefits
102,259. NONE 43,159. NONE 27,727. NONE 27,727. NONE 64,828. NONE 6,813. NONE 17,967. NONE 2,383. NONE
(E) Total of columns (B)(i)-(D)
869,441. NONE 867,003. NONE 834,856. NONE 768,599. NONE 714,618. NONE 667,323. NONE 569,335. NONE 748,410. NONE
(F) Compensation in column (B) reported as deferred on prior Form 990
NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
(i) (i) (i) (i) (i) (i) (i) (i) Schedule J (Form 990) 2023
JSA 3E1291 1.000
Page 3 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Part III Supplemental Information Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Schedule J (Form 990) 2023
SUPPLEMENTAL COMPENSATION INFORMATION
NOTES TO PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL
IN LIMITED CIRCUMSTANCES, CERTAIN INDIVIDUALS MAY TRAVEL FIRST CLASS WHEN THE TRAVEL IS SUBSTANTIATED AS A REASONABLE EXPENSE TO SUPPORT THE MISSION OF THE UNIVERSITY. THIS IS NOT CONSIDERED TAXABLE INCOME TO ANY INDIVIDUAL. ANY EXCEPTIONS TO THE UNIVERSITY'S POLICY ARE SUBJECT TO REVIEW AND APPROVAL.
TRAVEL FOR COMPANIONS
IN CERTAIN CIRCUMSTANCES, THE SPOUSE OF THE PRESIDENT OR OF ANOTHER OFFICER OR KEY EMPLOYEE MAY TRAVEL FOR UNIVERSITY PURPOSES. EXAMPLES OF SUCH TRAVEL INCLUDE ATTENDANCE AT FUNDRAISING OR ALUMNI EVENTS, AS WELL AS REPRESENTING THE UNIVERSITY AT AWARDS PRESENTATIONS OR OTHER CEREMONIES OR EVENTS. IN ACCORDANCE WITH APPLICABLE LEGAL STANDARDS, THE
Schedule J (Form 990) 2023 JSA 3E1505 1.000
Page 3 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Part III Supplemental Information Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Schedule J (Form 990) 2023
UNIVERSITY WILL PAY FOR SPOUSAL TRAVEL AS A REGULAR BUSINESS EXPENSE IF THE SPOUSAL TRAVEL SERVES A "BONA FIDE BUSINESS PURPOSE" OF THE UNIVERSITY.
HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE/PERSONAL SERVICES
AS A CONDITION OF EMPLOYMENT, THE PRESIDENT IS GENERALLY REQUIRED TO LIVE IN A HOME ON THE UNIVERSITY'S CAMPUS WHICH IS FURNISHED AND MAINTAINED AT THE UNIVERSITY'S EXPENSE. THE PRESIDENT'S HOUSING HAS BEEN VALUED AT $244,008 FOR LEE BOLLINGER AND $173,867 FOR MINOUCHE SHAFIK AND IS REPORTED AS A NON-TAXABLE BENEFIT. THE UNIVERSITY ALSO PROVIDES A CAR AND DRIVER TO BE USED BY THE PRESIDENT IN CONNECTION WITH OFFICIAL DUTIES. THE PRESIDENT IS RESPONSIBLE FOR ANY PERSONAL USE OF THE HOUSEHOLD STAFF OR CAR AND DRIVER AND OTHER PERSONAL EXPENSES.
BECAUSE THE FORM 990 REQUIRES COMPENSATION BE REPORTED ON A CALENDAR YEAR BASIS ALONGSIDE FISCAL YEAR POSITIONS, WE ARE REPORTING NONTAXABLE BENEFITS FOR BOTH LEE BOLLINGER AS PRESIDENT FOR JANUARY 1, 2023, TO JUNE
Schedule J (Form 990) 2023 JSA 3E1505 1.000
Page 3 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Part III Supplemental Information Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Schedule J (Form 990) 2023
30, 2023, AND MINOUCHE SHAFIK WHO ASSUMED THE ROLE ON JULY 1, 2023.
NOTE TO PART I, LINE 5A
DR. DAVID SILVERS' COMPENSATION IS COMPRISED OF BASE COMPENSATION AND INCENTIVE COMPENSATION DETERMINED FROM HIS PERFORMANCE OF, AND REVENUES FROM, CLINICAL DUTIES IN THE UNIVERSITY'S DERMATOPATHOLOGY PRACTICE WHERE HE IS THE DIRECTOR AND IS SUBJECT TO A CAP FOR EACH ACADEMIC YEAR.
DR. LEHMAN JR.'S, DR. LENKE'S, DR. BACHA'S, AND DR. SMITH'S COMPENSATIONS ARE COMPRISED OF BASE COMPENSATION AND INCENTIVE COMPENSATION DETERMINED FROM THEIR PERFORMANCE OF, AND REVENUES FROM, CLINICAL DUTIES IN THE UNIVERSITY'S ORTHOPEDIC SURGERY PRACTICE, SUBJECT TO A CAP FOR EACH ACADEMIC YEAR.
NOTE TO PART I, LINE 7
ALL AMOUNTS FOR OFFICERS AND KEY EMPLOYEES ARE REVIEWED AS DESCRIBED IN
Schedule J (Form 990) 2023 JSA 3E1505 1.000
Page 3 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Part III Supplemental Information Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Schedule J (Form 990) 2023
PART I, LINE 3, AND SCHEDULE O. NOTE TO KIM LEW'S COMPENSATION
PART OF MS. LEW'S PERFORMANCE-BASED BONUS IS, IN EACH CASE, DEFERRED SUBJECT TO VESTING UPON CONTINUING SERVICE TO THE UNIVERSITY. COLUMNS (C) AND (E) INCLUDE DEFERRED COMPENSATION AWARDED DURING THE REPORTING PERIOD BUT SUBJECT TO FUTURE VESTING.
NOTE TO LEE BOLLINGER'S COMPENSATION
AMOUNTS FOR PRESIDENT BOLLINGER IN COLUMN (B)(II) INCLUDE PAYMENTS UNDER A PERFORMANCE-BASED BONUS AWARD AND OTHER TRANSITION PAYMENTS AS HE CONCLUDED HIS 21-YEAR PRESIDENTIAL TENURE. THE AMOUNT SHOWN IN COLUMN (B)(III) AS "OTHER REPORTABLE COMPENSATION" REFLECTS PAYMENT OF ACCRUED BENEFITS AND LEAVE.
NOTE TO DR. LENKE'S, DR. LEHMAN'S, DR. SMITH'S, AND DR. BACHA'S COMPENSATION
Schedule J (Form 990) 2023 JSA 3E1505 1.000
Page 3 THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Part III Supplemental Information Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Schedule J (Form 990) 2023
THE COMPENSATION OF DR. LENKE, DR. LEHMAN, DR. SMITH, AND DR. BACHA IS SUPPORTED BY THEIR CLINICAL ACTIVITIES, GRANTS, AND SUPPORT FROM THE UNIVERSITY'S HOSPITAL AFFILIATES.
Schedule J (Form 990) 2023 JSA 3E1505 1.000
SCHEDULE K (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 24a. Provide descriptions, explanations, and any additional information in Part VI. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK Part I Bond Issues
Name of the organization
(a) Issuer name
(b) Issuer EIN
Employer identification number
13-5598093
(c) CUSIP #
(d) Date issued
(e) Issue price
(f) Description of purpose
(g) Defeased
Yes
No
(h) On behalf of issuer
(i) Pooled financing
Yes
Yes No
No
A DORMITORY AUTHORITY OF STATE OF NEW YORK 2003A&B
14-6000293
649901R49
03/05/2003
122,696,491. FUND NEW QUALIFIED PROJECTS
X
X
X
B DORMITORY AUTHORITY OF STATE OF NEW YORK 2009A
14-6000293
649905DF0
05/14/2009
117,000,000. FUND NEW QUALIFIED PROJECTS
X
X
X
C DORMITORY AUTHORITY OF STATE OF NEW YORK 2015A
14-6000293
6499077D8
04/23/2015
125,006,199. FUND NEW QUALIFIED PROJECTS
X
X
X
D DORMITORY AUTHORITY OF STATE OF NEW YORK 2015B
14-6000293
64990BGH0
04/23/2015
56,240,112. REFUND DASNY 2004B BONDS
X
X
X
Part II
Proceeds A
1 2 3 4 5 6 7 8 9 10 11 12 13
Amount of bonds retired Amount of bonds legally defeased Total proceeds of issue Gross proceeds in reserve funds Capitalized interest from proceeds Proceeds in refunding escrows Issuance costs from proceeds Credit enhancement from proceeds Working capital expenditures from proceeds Capital expenditures from proceeds Other spent proceeds Other unspent proceeds Year of substantial completion
15 16 17
Were the bonds issued as part of a refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? Were the bonds issued as part of a refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? Has the final allocation of proceeds been made? Does the organization maintain adequate books and records to support the final allocation of proceeds?
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
JSA 3E1295 1.000
C
D
45,200,000.
123,718,793.
117,067,254.
125,006,199.
56,240,112.
802,880.
823,388.
482,921.
239,228.
122,097,219. 818,694.
115,269,253. 974,613.
124,474,161. 49,116.
56,000,884.
2004 Yes
14
B
88,860,000.
2009
No
Yes
X
2015
No
Yes
X
X
X
2015
No
Yes
X
X
X
X
X
X
X
X
X
No
X X X Schedule K (Form 990) 2023
Page 2
Schedule K (Form 990) 2023
Part III
Private Business Use
DORMITORY AUTHORITY OF NEW YORK 2003A&B A
1
Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds?
Are there any lease arrangements that may result in private business use of bond-financed property? 3 a Are there any management or service contracts that may result in private business use of bond-financed property?
Yes
B No
Yes
C No
X
Yes
D No
X
Yes
No
X
X
2
X
X
X
X
X
X
X
X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside
X
X
X
X
c Are there any research agreements that may result in private business use of bond-financed property?
X
X
X
X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
X
X
X
X
counsel to review any management or service contracts relating to the financed property?
4
Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government
NONE %
NONE %
NONE %
NONE %
5
Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government Total of lines 4 and 5 Does the bond issue meet the private security or payment test?
NONE % NONE % X
NONE % NONE % X
NONE % NONE % X
NONE % NONE % X
X
X
X
X
6 7
8 a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued? b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? 9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?
Part IV
Arbitrage
%
X
%
X A
1 2
3
Has the issuer filed Form 8038-T, Penalty in Lieu of Arbitrage Rebate?
Arbitrage
Rebate,
Yield
Reduction and
If "No" to line 1, did the following apply? a Rebate not due yet? b Exception to rebate? c No rebate due? If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed Is the bond issue a variable rate issue?
Yes
%
X B
No
Yes
%
X C
No
Yes
D No
Yes
No
X
X
X
X
X X
X X
X X
X X
X
X
X
X
X
X
X
X Schedule K (Form 990) 2023
JSA 3E1296 1.000
Page 3
Schedule K (Form 990) 2023
Part IV
Arbitrage (continued)
DORMITORY AUTHORITY OF NEW YORK 2003A&B A
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? b Name of provider c Term of hedge d Was the hedge superintegrated? e Was the hedge terminated? 5 a Were gross proceeds invested in a guaranteed investment contract (GIC)? b Name of provider c Term of GIC d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? 6 Were any gross proceeds invested beyond an available temporary period? organization established written procedures to monitor the 7 Has the requirements of section 148?
Part V
Yes
B No
Yes
D No
Yes
No
X
X
X
X
X
X
X
X
X
X
X
X
X
X A
JSA 3E1328 1.000
Yes
X
X
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation isn't available under applicable regulations?
Part VI
C No
Yes
B No
Yes
C No
Yes
X X X Supplemental Information. Provide additional information for responses to questions on Schedule K. See instructions.
D No
Yes
No
X
Schedule K (Form 990) 2023
Schedule K (Form 990) 2023
Part VI
Page 4
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions) (Continued)
SCHEDULE K, PART II, LINE 3 DIFFERENCES IN AMOUNTS ENTERED IN PART I, COLUMN (E) AND PART II, LINE 3 REPRESENT INVESTMENT EARNINGS. -------------------------------------------------------------SCHEDULE K, PART II, LINE 11 OTHER SPENT PROCEEDS AMOUNTS REPORTED REPRESENT THE NEW YORK STATE BOND TAX ASSOCIATED WITH EACH ISSUE. ------------------------------------------------------------SCHEDULE K, PART III, LINES 4-5 FOR ALL ISSUES, THE UNIVERSITY HAS ALLOCATED EQUITY INVESTED IN THE FINANCED PROPERTIES TO SOURCES OF PRIVATE BUSINESS USE, WITH THE EXCEPTION OF ISSUANCE COSTS, WITHIN THE REQUIRED TIME FRAME AND HAS CAREFULLY MANAGED THE TYPES OF ACTIVITIES CONDUCTED IN BOND-FINANCED FACILITIES. AS SUCH, THE UNIVERSITY HAS REPORTED 0% PRIVATE BUSINESS USE FOR THE SERIES 2003A&B, SERIES 2009A, SERIES 2015A, SERIES 2015B, SERIES 2016A&B, SERIES 2017A&B, SERIES 2018A&B, 2020A AND 2023A ISSUES ON SCHEDULE K. ------------------------------------------------------------SCHEDULE K, PART IV, LINE 2 FOR ALL SERIES EXCEPT THE 2015A AND 2015B THE BOND PROCEEDS ARE SLIGHTLY EXCEEDED BY THE TOTAL USES DUE TO EARNINGS IN THE CONSTRUCTION FUND HELD AT THE TRUSTEE. THE LATEST ARBITRAGE COMPUTATION FOR DASNY 2003A&B, 2009A, 2015A, 2015B, 2016A&B, 2017A&B, 2018A&B, 2020A, AND 2023A WAS DECEMBER 31, 2023. -------------------------------------------------------------
JSA 3E1511 1.000
Schedule K (Form 990) 2023
SCHEDULE K (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 24a. Provide descriptions, explanations, and any additional information in Part VI. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK Part I Bond Issues
Name of the organization
(a) Issuer name
(b) Issuer EIN
Employer identification number
13-5598093
(c) CUSIP #
(d) Date issued
(e) Issue price
(f) Description of purpose
(g) Defeased
Yes
No
(h) On behalf of issuer
(i) Pooled financing
Yes
Yes No
No
A DORMITORY AUTHORITY OF STATE OF NEW YORK 2016A&B
14-6000293
64990BZK2
04/27/2016
491,547,535. REFUND 2006AB AND FUND NEW PROJECT
X
X
X
B DORMITORY AUTHORITY OF STATE OF NEW YORK 2017A&B
14-6000293
64990CQE4
03/01/2017
240,921,142. REFUND 2004C AND FUND NEW PROJECTS
X
X
X
C DORMITORY AUTHORITY OF STATE OF NEW YORK 2018A&B
14-6000293
64990C6P1
05/16/2018
396,803,509. REFUND 2008A AND FUND NEW PROJECTS
X
X
X
D DORMITORY AUTHORITY OF STATE OF NEW YORK 2020A
14-6000293
64990GA85
03/19/2020
247,210,500. FUND NEW PROJECTS
X
X
X
Part II
Proceeds A
1 2 3 4 5 6 7 8 9 10 11 12 13
Amount of bonds retired Amount of bonds legally defeased Total proceeds of issue Gross proceeds in reserve funds Capitalized interest from proceeds Proceeds in refunding escrows Issuance costs from proceeds Credit enhancement from proceeds Working capital expenditures from proceeds Capital expenditures from proceeds Other spent proceeds Other unspent proceeds Year of substantial completion
15 16 17
Were the bonds issued as part of a refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? Were the bonds issued as part of a refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? Has the final allocation of proceeds been made? Does the organization maintain adequate books and records to support the final allocation of proceeds?
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
JSA 3E1295 1.000
C
D
491,760,973.
241,400,663.
399,034,697.
247,210,500.
1,304,805.
879,101.
1,296,723.
747,279.
239,038,664. 251,417,504.
191,140,597. 49,380,966.
193,167,811. 204,570,163.
246,338,221. 125,000.
2017 Yes
14
B
133,735,000.
2018
No
X
Yes
2019
No
X X
Yes
2020
No
Yes
X X
X X
X
X
X
X
X
X
No
X X X Schedule K (Form 990) 2023
Page 2
Schedule K (Form 990) 2023
Part III
Private Business Use
DORM AUTH OF THE STATE OF NY 2016A&B A
1
Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds?
Are there any lease arrangements that may result in private business use of bond-financed property? 3 a Are there any management or service contracts that may result in private business use of bond-financed property?
Yes
B No
Yes
C No
X
Yes
D No
X
Yes
No
X
X
2
X
X
X
X
X
X
X
X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside
X
X
X
X
c Are there any research agreements that may result in private business use of bond-financed property?
X
X
X
X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
X
X
X
X
counsel to review any management or service contracts relating to the financed property?
4
Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government
NONE %
NONE %
NONE %
NONE %
5
Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government Total of lines 4 and 5 Does the bond issue meet the private security or payment test?
NONE % NONE % X
NONE % NONE % X
NONE % NONE % X
NONE % NONE % X
X
X
X
X
6 7
8 a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued? b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? 9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?
Part IV
Arbitrage
%
X
%
X A
1 2
3
Has the issuer filed Form 8038-T, Penalty in Lieu of Arbitrage Rebate?
Arbitrage
Rebate,
Yield
Reduction and
If "No" to line 1, did the following apply? a Rebate not due yet? b Exception to rebate? c No rebate due? If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed Is the bond issue a variable rate issue?
Yes
%
X B
No
Yes
X C
No
Yes
D No
X
X
X
X X
X X
X X
X
X
X
%
X
X
X
Yes
No
X X X X
X Schedule K (Form 990) 2023
JSA 3E1296 1.000
Page 3
Schedule K (Form 990) 2023
Part IV
Arbitrage (continued)
DORM AUTH OF THE STATE OF NY 2016A&B A
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? b Name of provider c Term of hedge d Was the hedge superintegrated? e Was the hedge terminated? 5 a Were gross proceeds invested in a guaranteed investment contract (GIC)? b Name of provider c Term of GIC d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? 6 Were any gross proceeds invested beyond an available temporary period? organization established written procedures to monitor the 7 Has the requirements of section 148?
Part V
Yes
B No
Yes
D No
Yes
No
X
X
X
X
X
X
X
X
X
X
X
X
X
X A
JSA 3E1328 1.000
Yes
X
X
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation isn't available under applicable regulations?
Part VI
C No
Yes
B No
Yes
C No
Yes
X X X Supplemental Information. Provide additional information for responses to questions on Schedule K. See instructions.
D No
Yes
No
X
Schedule K (Form 990) 2023
Schedule K (Form 990) 2023
Part VI
JSA 3E1511 1.000
Page 4
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions) (Continued)
Schedule K (Form 990) 2023
SCHEDULE K (Form 990) Department of the Treasury Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 24a. Provide descriptions, explanations, and any additional information in Part VI. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public Inspection
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK Part I Bond Issues
Name of the organization
(a) Issuer name
(b) Issuer EIN
Employer identification number
13-5598093
(c) CUSIP #
(d) Date issued
(e) Issue price
(f) Description of purpose
(g) Defeased
65000BE20
06/07/2023
331,835,000. REFUND 2021CP AND FUND NEW PROJECT
Yes
A DORMITORY AUTHORITY OF STATE OF NEW YORK 2023A
14-6000293
No
(h) On behalf of issuer
(i) Pooled financing
Yes
Yes No
X
No X
X
B C D
Part II
Proceeds A
1 2 3 4 5 6 7 8 9 10 11 12 13
Amount of bonds retired Amount of bonds legally defeased Total proceeds of issue Gross proceeds in reserve funds Capitalized interest from proceeds Proceeds in refunding escrows Issuance costs from proceeds Credit enhancement from proceeds Working capital expenditures from proceeds Capital expenditures from proceeds Other spent proceeds Other unspent proceeds Year of substantial completion
15 16 17
Were the bonds issued as part of a refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? Were the bonds issued as part of a refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? Has the final allocation of proceeds been made? Does the organization maintain adequate books and records to support the final allocation of proceeds?
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
JSA 3E1295 1.000
C
D
332,056,895.
1,048,039.
205,883,856. 125,125,000. 2023 Yes
14
B
No
Yes
No
Yes
No
Yes
No
X X X X Schedule K (Form 990) 2023
Page 2
Schedule K (Form 990) 2023
Part III
Private Business Use
DORMITORY AUTHORITY OF NEW YORK 2023A A
1
Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds?
Are there any lease arrangements that may result in private business use of bond-financed property? 3 a Are there any management or service contracts that may result in private business use of bond-financed property?
Yes
B No
Yes
C No
Yes
D No
Yes
No
X
2
X X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
X
c Are there any research agreements that may result in private business use of bond-financed property?
X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
X
4
Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government
NONE %
%
%
%
5
Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government Total of lines 4 and 5 Does the bond issue meet the private security or payment test?
NONE % NONE % X
% %
% %
% %
%
%
%
6 7
8 a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?
X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? 9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?
Part IV
Arbitrage
%
X A
1 2
3
Has the issuer filed Form 8038-T, Penalty in Lieu of Arbitrage Rebate?
Arbitrage
Rebate,
Yield
Reduction and
If "No" to line 1, did the following apply? a Rebate not due yet? b Exception to rebate? c No rebate due? If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed Is the bond issue a variable rate issue?
Yes
B No
Yes
C No
Yes
D No
Yes
No
X X X X
X Schedule K (Form 990) 2023
JSA 3E1296 1.000
Page 3
Schedule K (Form 990) 2023
Part IV
Arbitrage (continued)
DORMITORY AUTHORITY OF NEW YORK 2023A A
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? b Name of provider c Term of hedge d Was the hedge superintegrated? e Was the hedge terminated? 5 a Were gross proceeds invested in a guaranteed investment contract (GIC)? b Name of provider c Term of GIC d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? 6 Were any gross proceeds invested beyond an available temporary period? organization established written procedures to monitor the 7 Has the requirements of section 148?
Part V
Yes
B No
Yes
No
Yes
D No
Yes
No
Yes
No
X
X
X X A
JSA 3E1328 1.000
Yes
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation isn't available under applicable regulations?
Part VI
C No
Yes
B No
Yes
C
D No
X Supplemental Information. Provide additional information for responses to questions on Schedule K. See instructions.
Schedule K (Form 990) 2023
Schedule K (Form 990) 2023
Part VI
JSA 3E1511 1.000
Page 4
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions) (Continued)
Schedule K (Form 990) 2023
Transactions With Interested Persons
SCHEDULE L (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a, 28b, or 28c; or Form 990-EZ, Part V, line 38a or 40b. Attach to Form 990 or Form 990-EZ. Go to www.irs.gov/Form990 for instructions and the latest information.
Open To Public Inspection
Employer identification number THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 13-5598093 Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only) Part I
Name of the organization
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b; or Form 990-EZ, Part V, line 40b. 1
(a) Name of disqualified person
(b) Relationship between disqualified person and organization
(c) Description of transaction
(d) Corrected?
Yes No
(1) (2) (3) (4) (5) (6) 2 3
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization
Part II
$ $
Loans to and/or From Interested Persons Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22.
(a) Name of interested person
(b) Relationship with organization
(c) Purpose of loan
(d) Loan to or from the organization?
To
SEE SUPPLEMENTAL PAGE
(e) Original principal amount
(f) Balance due
From
(g) In default? (h) Approved (i) Written by board or agreement? committee? Yes
No
Yes
No
Yes
No
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
$
Total
Part III
9,307,984.
Grants or Assistance Benefiting Interested Persons Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person
(b) Relationship between interested person and the organization
(c) Amount of assistance
(d) Type of assistance
(e) Purpose of assistance
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
JSA 3E1297 1.000
6416BJ K321
V23-7.16
Schedule L (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 2
Schedule L (Form 990 or 990-EZ) 2023
Part IV
Business Transactions Involving Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c. (a) Name of interested person
(b) Relationship between interested person and the organization
(c) Amount of transaction
(d) Description of transaction
(e) Sharing of organization's revenues?
Yes
(1) JILL S. GOLDMAN (2) VALERIE J. PURDIE-GREENAWAY (3) TROY EGGERS (4) (5) (6) (7) (8) (9) (10)
Part V
No
SPOUSE OF KEY EMPLOYEE
98,250. EMPLOYMENT
X
SPOUSE OF TRUSTEE
327,879. EMPLOYMENT
X
SPOUSE OF OFFICER
713,537. EMPLOYMENT
X
Supplemental Information Provide additional information for responses to questions on Schedule L (see instructions).
NOTES TO SCHEDULE L
AMOUNTS SHOWN ON SCHEDULE L PART IV REPRESENT PAYMENTS BY THE UNIVERSITY TO THE LISTED INTERESTED PERSONS. SPOUSES OF A FORMER KEY EMPLOYEE, A TRUSTEE, AND AN OFFICER WERE EMPLOYEES OF THE UNIVERSITY DURING THE REPORTING PERIOD. AMOUNTS REPORTED ON SCHEDULE L REPRESENT WAGES AND BENEFITS AND WERE DETERMINED IN ACCORDANCE WITH THE UNIVERSITY'S REGULAR COMPENSATION PRACTICES APPLICABLE TO SIMILARLY SITUATED EMPLOYEES. THE UNIVERSITY OFFICIALS TO WHOM THESE INDIVIDUALS ARE RELATED DID NOT PARTICIPATE IN OR INFLUENCE THE UNIVERSITY'S DECISION ABOUT THESE TRANSACTIONS. SCHEDULE L, PART II THE LOANS REPORTED FOR JOHN COATSWORTH AND LEE BOLLINGER IN PART II ARE INTEREST BEARING AND SECURED BY AN INTEREST IN A PRIMARY RESIDENCE. THE LOANS REPORTED FOR AMY HUNGERFORD, LEE GOLDMAN, AND TROY EGGERS IN PART II ARE INTEREST BEARING AND WERE MADE IN CONNECTION WITH A PRIMARY RESIDENCE.
JSA 3E1507 1.000
6416BJ K321
Schedule L (Form 990 or 990-EZ) 2023
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
Page 2
Schedule L (Form 990 or 990-EZ) 2023
Part IV
Business Transactions Involving Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c. (a) Name of interested person
(b) Relationship between interested person and the organization
(c) Amount of transaction
(d) Description of transaction
(e) Sharing of organization's revenues?
Yes
No
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Part V
Supplemental Information Provide additional information for responses to questions on Schedule L (see instructions).
SCHEDULE L, PART II =================== (A/B) NAME AND RELATIONSHIP
(C) PURPOSE OF LOAN
(D) LOAN TO
(E) ORIGINAL
(F) BALANCE DUE
(G) IN DEFAULT? (H) APPROVED
FROM
YES NO
YES NO
(I) WRITTEN YES NO
------------------------------------------------------------------------------------------------------------------------------------JOHN COATSWORTH FRMR OFFICER
X
1,475,000.
2,241,820.
X
X
X
X
525,000.
641,822.
X
X
X
X
171,710.
34,342.
X
X
X
X
500,000.
300,000.
X
X
X
X
6,000,000.
6,000,000.
X
X
X
X
150,000.
90,000.
X
X
X
HOUSING
JOHN COATSWORTH FRMR OFFICER
HOUSING
AMY HUNGERFORD KEY EMP
HOUSING
LEE GOLDMAN FRMR KEY EMP
HOUSING
LEE BOLLINGER FRMR OFFICER
HOUSING
TROY EGGERS SPOUSE OF OFFICER
HOUSING --------------TOTAL
9,307,984. ===============
JSA 3E1507 1.000
6416BJ K321
Schedule L (Form 990 or 990-EZ) 2023
V23-7.16
SCHEDULE M (Form 990) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Noncash Contributions Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Attach to Form 990. Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK Types of Property Part I (a) Check if applicable
(b) Number of contributions or items contributed
Open to Public Inspection
Employer identification number
13-5598093 (c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g
(d) Method of determining noncash contribution amounts
X 4 NONE Art - Works of art Art - Historical treasures Art - Fractional interests X NONE Books and publications Clothing and household goods 6 Cars and other vehicles 7 Boats and planes 8 Intellectual property X 425 190,437,131. COST/SALES PRICE 9 Securities - Publicly traded X 3 2,750,166. COST/SALES PRICE 10 Securities - Closely held stock 11 Securities - Partnership, LLC, X 14 20,783,533. COST/SALES PRICE or trust interests 12 Securities - Miscellaneous 13 Qualified conservation contribution - Historic structures 14 Qualified conservation contribution - Other 15 Real estate - Residential 16 Real estate - Commercial 17 Real estate - Other X 1 NONE 18 Collectibles 19 Food inventory 20 Drugs and medical supplies 21 Taxidermy 22 Historical artifacts 23 Scientific specimens 24 Archeological artifacts X 3 NONE ) 25 Other ( EQUIPMENT ) 26 Other ( ) 27 Other ( ) 28 Other ( 29 Number of Forms 8283 received by the organization during the tax year for contributions for 8 29 which the organization completed Form 8283, Part V, Donee Acknowledgement Yes No 30 a During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least 3 years from the date of the initial contribution, and which isn't required to be X 30a used for exempt purposes for the entire holding period? b If "Yes," describe the arrangement in Part II. 31 Does the organization have a gift acceptance policy that requires the review of any nonstandard X 31 contributions? 32 a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash X 32a contributions? b If "Yes," describe in Part II. 33 If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked, describe in Part II. 1 2 3 4 5
For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1298 1.000
6416BJ K321
V23-7.16
Schedule M (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Schedule M (Form 990) (2023)
Part II
USE OF THIRD PARTIES TO SOLICIT, PROCESS, OR SELL NONCASH CONTRIBUTIONS
SCHEDULE M, PART I, LINE 32B THE UNIVERSITY USES THIRD PARTY INVESTMENT BROKERS TO SELL NONCASH CONTRIBUTED SECURITIES. THIRD PARTIES ARE NOT USED TO SOLICIT OR PROCESS NONCASH CONTRIBUTIONS.
DESCRIPTION OF CONTRIBUTED PROPERTY FOR WHICH REVENUES ARE NOT REPORTED
SCHEDULE M, PART I, LINE 33 UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, CONTRIBUTIONS OF WORKS OF ART, HISTORICAL TREASURES, AND SIMILAR ASSETS NEED NOT BE RECOGNIZED AS REVENUES AND CAPITALIZED IF THE DONATED ITEMS ARE ADDED TO COLLECTIONS HELD FOR PUBLIC EXHIBITION, EDUCATION, OR RESEARCH IN FURTHERANCE OF PUBLIC SERVICE RATHER THAN FINANCIAL GAIN. BECAUSE THE UNIVERSITY UTILIZES CONTRIBUTIONS OF ART AND HISTORICAL TREASURES IN FURTHERANCE OF PUBLIC SERVICE, THESE CONTRIBUTIONS ARE NOT RECOGNIZED AS REVENUE FOR FINANCIAL STATEMENT PURPOSES. IN ADDITION, MINOR GIFTS, SUCH AS FOOD OR SUPPLIES, ARE CONSIDERED DE MINIMIS.
Schedule M (Form 990) (2023)
JSA 3E1508 1.000
6416BJ K321
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Page 2 Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Schedule M (Form 990) (2023)
Part II
NUMBER OF CONTRIBUTIONS
SCHEDULE M, PART I, COLUMN (B) THE FIGURES IN COLUMN (B) REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.
Schedule M (Form 990) (2023)
JSA 3E1508 1.000
6416BJ K321
V23-7.16
Supplemental Information to Form 990 or 990-EZ
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
SUPPLEMENTAL INFORMATION FORM 990, PART I, LINE 4 AND PART VI, LINE 1B DETAIL REGARDING THE NUMBER OF INDEPENDENT VOTING MEMBERS UNDER THE INSTRUCTIONS FOR THIS FILING, TWO TRUSTEES ARE NOT CLASSIFIED AS INDEPENDENT. ONE BY VIRTUE OF THEIR EMPLOYMENT AS PRESIDENT, AND ONE BY VIRTUE OF THE EMPLOYMENT OF THEIR SPOUSE. ------------------------------------------------------------FORM 990, PART I, LINE 6 DETAIL REGARDING THE NUMBER OF VOLUNTEERS THE NUMBER SHOWN IS AN ESTIMATE OF ALUMNI VOLUNTEERS WHO WORK WITH THE UNIVERSITY'S CENTRAL ALUMNI OFFICE. ADDITIONAL VOLUNTEERS WORK IN MANY OF THE UNIVERSITY'S SCHOOLS, CENTERS AND OTHER PROGRAMS. --------------------------------------------------------------------FORM 990, PART V, LINE 4B FOREIGN COUNTRY LIST ANGOLA BANGLADESH BRAZIL BURUNDI CAMEROON CHILE CHINA DEMOCRATIC REPUBLIC OF THE CONGO ETHIOPIA FRANCE
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
6416BJ K321
V23-7.16
Schedule O (Form 990 or 990-EZ) (2023)
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
GEORGIA GERMANY GREECE GUATEMALA HONDURAS INDIA ISRAEL ITALY COTE D'IVOIRE (IVORY COAST) JAPAN JORDAN KAZAKHSTAN KENYA KYRGYZSTAN LESOTHO MALAWI MOZAMBIQUE MYANMAR NIGERIA PANAMA PHILIPPINES RWANDA SIERRA LEONE SOUTH AFRICA SOUTH SUDAN
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
6416BJ K321
V23-7.16
Schedule O (Form 990 or 990-EZ) (2023)
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
SWAZILAND TAJIKISTAN TANZANIA TUNISIA TURKEY UGANDA UKRAINE UNITED KINGDOM (ENGLAND, NORTHERN IRELAND, SCOTLAND, AND WALES) ZAMBIA ZIMBABWE ----------------------------------------------------------FORM 990, PART V, LINES 7G AND 7H CONTRIBUTIONS OF CERTAIN TYPES OF PROPERTY DURING THE YEAR ENDED JUNE 30, 2024, THE UNIVERSITY DID NOT RECEIVE ANY CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY, CARS, BOATS, AIRPLANES, OR OTHER VEHICLES. AS A RESULT, THE UNIVERSITY WAS NOT REQUIRED TO FILE FORMS 8899 OR 1098-C TO REPORT SUCH CONTRIBUTIONS. ----------------------------------------------------------FORM 990, PART V, LINES 15 & 16 EXCISE TAXES PER SECTION 4960 OF THE IRC AND IRS FINAL REGULATIONS (TD 9938), EXCESS REMUNERATION IS CALCULATED BASED ON THE AMOUNTS PAID DURING THE CALENDAR YEAR ENDING WITH OR WITHIN THE TAXABLE YEAR OF THE EMPLOYER. DURING THE 2023 CALENDAR YEAR, SIX EMPLOYEES RECEIVED COMPENSATION OVER $1 MILLION THAT IS SUBJECT TO THE EXCISE TAX ON EXCESS REMUNERATION. THE UNIVERSITY
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
6416BJ K321
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Schedule O (Form 990 or 990-EZ) (2023)
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
HAS ANSWERED THIS QUESTION "YES" AND HAS COMPLETED AND FILED FORM 4720 IN ACCORDANCE WITH IRS INSTRUCTIONS.
THE UNIVERSITY HAS REVIEWED SECTION 4968 OF THE IRC AND IRS FINAL REGULATIONS (TD 9917) TO DETERMINE IF IT IS SUBJECT TO THE EXCISE TAX ON NET INVESTMENT INCOME. BASED ON THIS GUIDANCE, THE UNIVERSITY DETERMINED IT DOES NOT HAVE APPLICABLE ASSETS IN EXCESS OF $500,000 PER STUDENT (ON A FULL-TIME EQUIVALENT BASIS) AT JUNE 30, 2024. THEREFORE, THE UNIVERSITY HAS ANSWERED "NO" AS IT IS NOT SUBJECT TO THIS TAX. ----------------------------------------------------------FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 MEMBERS OF THE TRUSTEES' AUDIT COMMITTEE REVIEWED THE FORM 990. FOLLOWING THAT REVIEW, THE FORM 990 WAS MADE AVAILABLE TO ALL TRUSTEES VIA A SECURE WEBSITE AND THEN PRESENTED TO THE FULL BOARD OF TRUSTEES AT A MEETING ON MAY 7,2025. THE FINAL FORM WAS POSTED ON THE SECURE WEBSITE PRIOR TO FILING. ----------------------------------------------------------FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST ALL TRUSTEES ARE SUBJECT TO THE "STATEMENT OF CONFLICT OF INTEREST POLICY FOR THE TRUSTEES OF COLUMBIA UNIVERSITY." WHEN A TRUSTEE BECOMES AWARE OF AN EXISTING OR POTENTIAL CONFLICT OF INTEREST, HE OR SHE HAS A DUTY TO: (A) DISCLOSE THE CIRCUMSTANCES TO THE BOARD CHAIR OR OTHERS, AS APPROPRIATE, (B) REFRAIN FROM ACTING TO INFLUENCE ANY DECISION WHICH
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
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Schedule O (Form 990 or 990-EZ) (2023)
SCHEDULE O
Supplemental Information to Form 990 or 990-EZ
(Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
MIGHT IMPROPERLY BENEFIT THE TRUSTEE OR A FAMILY MEMBER; AND (C) RECUSE HIMSELF OR HERSELF FROM PARTICIPATION IN ANY DISCUSSIONS OR DECISIONS ABOUT THE POTENTIAL TRANSACTION OR ACTIVITY. IN ADDITION, ALL TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE DISCLOSURES ARE REVIEWED FOR APPROPRIATE ACTION.
ALL OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO THE "STATEMENT OF UNIVERSITY POLICY ON CONFLICTS OF INTEREST." WHEN AN OFFICER OR KEY EMPLOYEE BECOMES AWARE OF AN EXISTING OR POTENTIAL CONFLICT OF INTEREST, HE OR SHE HAS A DUTY TO: (A) DISCLOSE THE CIRCUMSTANCE TO HIS OR HER SUPERVISOR, THE TRUSTEES OR OTHERS, AS APPROPRIATE; (B) REFRAIN FROM ACTING TO INFLUENCE ANY DECISION WHICH MIGHT IMPROPERLY BENEFIT THE OFFICER OR EMPLOYEE OR A FAMILY MEMBER; AND (C) RECUSE HIMSELF OR HERSELF FROM PARTICIPATION IN ANY DISCUSSION OR DECISIONS ABOUT THE POTENTIAL TRANSACTION OR ACTIVITY. IN ADDITION, ALL OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THESE DISCLOSURES ARE REVIEWED AND ANY DISCLOSURES THAT COULD GIVE RISE TO CONFLICTS AS IDENTIFIED THROUGH SUCH REVIEW ARE REPORTED TO AN APPROPRIATE SENIOR OFFICER. ANY SUBSTANTIVE CONCERNS ARE ALSO REPORTED TO THE CHAIR OF THE BOARD OF TRUSTEES. ----------------------------------------------------------FORM 990, PART VI, LINES 15A AND 15B COMPENSATION PROCESS THE UNIVERSITY FOLLOWS THE REVIEW PROCESS DESCRIBED BELOW FOR ALL OFFICERS AND KEY EMPLOYEES. THIS PROCESS HAS BEEN IN PLACE SINCE AT LEAST
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
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Schedule O (Form 990 or 990-EZ) (2023)
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
2000. THE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT IS REVIEWED BY A COMPENSATION COMMITTEE OF INDEPENDENT TRUSTEES AND APPROVED BY THE INDEPENDENT TRUSTEES ON THE FULL BOARD. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF INDEPENDENT TRUSTEES. IN CONNECTION WITH THE PRESIDENT'S COMPENSATION, THE COMPENSATION COMMITTEE AND THE BOARD REVIEW COMPARABILITY DATA AND MINUTES OF DELIBERATIONS ARE RECORDED CONTEMPORANEOUSLY WITH ANY ACTION. WITH RESPECT TO OTHER OFFICERS AND KEY EMPLOYEES, THE COMMITTEE FOLLOWS THE SAME PROCESS FOR REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF ITS ACTIONS. IN THE CASE OF THE ORGANIZATION'S PRESIDENT AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES, THE COMPENSATION COMMITTEE HAS ALSO CONSULTED WITH INDEPENDENT COMPENSATION CONSULTANTS IN DETERMINING COMPENSATION. THE COMPENSATION OF THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE INVESTMENT MANAGEMENT COMPANY IS REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE INVESTMENT MANAGEMENT COMPANY'S BOARD OF MANAGERS. SUCH COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD MANAGERS. "INDEPENDENT TRUSTEE" OR "INDEPENDENT MEMBER" AS USED IN THIS FOOTNOTE MEANS WITHOUT A CONFLICT OF INTEREST WITHIN THE MEANING OF PARAGRAPH (C)(1)(III) OF REGULATION § 53.4958-6 OF THE INTERNAL REVENUE CODE. IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, PART VI, LINE 1B ABOVE USES A DIFFERENT DEFINITION. ---------------------------------------------------------------FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABILITY TO PUBLIC
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
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Schedule O (Form 990 or 990-EZ) (2023)
Supplemental Information to Form 990 or 990-EZ
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
THE ORGANIZATION'S CHARTER AND STATUTES, FINANCIAL STATEMENTS AND THE "STATEMENT OF UNIVERSITY POLICY ON CONFLICTS OF INTEREST" ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AT WWW.COLUMBIA.EDU. ---------------------------------------------------------------FORM 990, PART VII, SECTION A NOTE ON TRUSTEES TRUSTEES' TIME DEVOTED TO POSITION (4 HOURS PER WEEK) REPRESENTS AN AVERAGE FOR ALL TRUSTEES BASED ON ATTENDANCE AT QUARTERLY MEETINGS AND REGULARLY SCHEDULED TELEPHONIC CONFERENCES THROUGHOUT THE YEAR. BOARD OFFICERS, COMMITTEE CHAIRS AND OTHER TRUSTEES OFTEN DEVOTE SIGNIFICANTLY MORE TIME TO THE POSITION. ---------------------------------------------------------------FORM 990, PART VII, SECTION A NOTE ON RELATED HOURS INDIVIDUALS WITH LISTED HOURS FOR A RELATED ORGANIZATION SIT ON THE BOARD OF COLUMBIA CONTROLLED AFFILIATES AS PART OF THEIR OVERALL COLUMBIA DUTIES, WHEN AND AS NEEDED BY THE AFFILIATES AND THAT MAY NOT BE ON A REGULAR OR WEEKLY BASIS. ---------------------------------------------------------------FORM 990, PART VIII DETAIL REGARDING ROYALTY INCOME/EXPENSE THE UNIVERSITY PERIODICALLY FUNDS AND DEVELOPS PATENTS FOR CERTAIN TECHNOLOGIES, THEN LICENSES THE USAGE OF THESE PATENTS TO COMPANIES. THE REVENUE, NET OF PAYMENTS DUE TO THIRD PARTIES, IS RECORDED IN REVENUE FROM OTHER EDUCATIONAL AND RESEARCH ACTIVITIES IN THE CONSOLIDATED
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
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Schedule O (Form 990 or 990-EZ) (2023)
SCHEDULE O
Supplemental Information to Form 990 or 990-EZ
(Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
STATEMENT OF ACTIVITIES. COSTS INCURRED WITH DEVELOPING AND MAINTAINING THESE PATENTS ARE EXPENSED AS INCURRED SO THAT WHILE ROYALTIES ARE PAID TO FACULTY AND OTHERS IN CERTAIN CIRCUMSTANCES THESE AMOUNTS ARE NOT REFLECTED IN THE STATEMENT OF FUNCTIONAL EXPENSES. ---------------------------------------------------------------FORM 990, PART VIII, LINE 8 AND SCHEDULE G, PART II DESCRIPTION OF ACCOUNTING FOR FUNDRAISING EVENTS AMOUNTS REPORTED FOR FUNDRAISING EVENTS REPRESENT REVENUE AND EXPENSES THAT ARE SEPARATELY TRACKED. THE REVENUE AND EXPENSES FROM ADDITIONAL FUNDRAISING ACTIVITIES ARE NOT SEPARATELY TRACKED AND ARE INCLUDED WITHIN CONTRIBUTION REVENUE AND FUNDRAISING EXPENSES. ---------------------------------------------------------------FORM 990, PART IX, LINE 5 COMPENSATION PAID TO CURRENT OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES COMPENSATION AMOUNTS PRESENTED AS MANAGEMENT AND GENERAL EXPENSES ARE FOR CURRENT OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES WHO ARE PART OF CENTRAL ADMINISTRATION. WHILE THESE OFFICERS AND KEY EMPLOYEES MAY SPEND A NOTABLE PORTION OF THEIR TIME ON PROGRAM SERVICES AND/OR FUNDRAISING ACTIVITIES IN ADDITION TO THEIR MANAGEMENT RESPONSIBILITIES, THE UNIVERSITY HAS CHOSEN NOT TO ALLOCATE THE EXPENSES BETWEEN CATEGORIES. ---------------------------------------------------------------FORM 990, PART IX, LINE 11F INVESTMENT MANAGEMENT FEES THE INVESTMENT MANAGEMENT FEES REPORTED ON THE STATEMENT OF FUNCTIONAL
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
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Schedule O (Form 990 or 990-EZ) (2023)
Supplemental Information to Form 990 or 990-EZ
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
EXPENSES REPRESENT FEES TO THIRD PARTY INVESTMENT MANAGERS AND INCLUDE MANAGEMENT FEE AND PERFORMANCE FEE EXPENSES ASSOCIATED WITH SEPARATELY MANAGED ACCOUNTS. INVESTMENT MANAGEMENT FEES ASSOCIATED WITH FUND INVESTMENTS ARE REPORTED NET AGAINST INVESTMENT INCOME AND THEREFORE ARE NOT INCLUDED IN THE STATEMENT OF FUNCTIONAL EXPENSES. ---------------------------------------------------------------FORM 990, PART X, LINE 7 LOAN INFORMATION LOANS RECEIVABLE FROM STUDENTS TOTAL $40,173,000 LOANS RECEIVABLE FROM NON-KEY EMPLOYEES TOTAL $35,289,289. THE LOANS FROM NON-KEY EMPLOYEES HAVE VARIOUS INTEREST RATES RANGING FROM 0.380% TO 4.89%, WITH MATURITY DATES RANGING FROM 2024 THROUGH 2053. THE OUTSTANDING BALANCES RANGE FROM $16,000 TO $6,000,000, AND A PORTION OF WHICH ARE SECURED BY A PRINCIPAL RESIDENCE. --------------------------------------------------------------------FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE CHANGE IN FUNDS HELD BY OTHER IN PERPETUITY
19,725,361
PRESENT VALUE ADJUSTMENT TO SPLIT INTEREST AGREEMENTS
25,841,131
NET PERIOD BENEFIT COST
10,078,365
CHANGES IN PENSION AND POST-RETIREMENT OBLIGATIONS
-10,007,483
OTHER NON-OPERATING ADJUSTMENTS
-309,161,252
TOTAL OTHER CHANGES IN NET ASSETS
-263,523,878
--------------------------------------------------------------------FORM 990, PART XII, LINE 2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
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Schedule O (Form 990 or 990-EZ) (2023)
SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
OMB No. 1545-0047
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Open to Public Inspection
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
AUDIT OF THE UNIVERSITY'S FINANCIAL STATEMENTS THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK ARE AUDITED BY PRICEWATERHOUSECOOPERS, AN INDEPENDENT AUDITOR. THE UNCONSOLIDATED FINANCIAL STATEMENTS REFLECTED IN THIS RETURN REPRESENT APPROXIMATELY 99% OF THE NET ASSETS OF THE CONSOLIDATED GROUP. THE UNIVERSITY'S BOARD OF TRUSTEES HAS AN AUDIT COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, WHICH IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT, REVIEW, AND COMPILATION OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 3E1227 1.000
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Page 2
Schedule O (Form 990 or 990-EZ) 2023 Name of the organization
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION ===================================================
COLUMBIA UNIVERSITY IS ONE OF THE WORLD'S MOST IMPORTANT CENTERS OF RESEARCH AND AT THE SAME TIME A DISTINCTIVE AND DISTINGUISHED LEARNING ENVIRONMENT FOR UNDERGRADUATES AND GRADUATE STUDENTS IN MANY SCHOLARLY AND PROFESSIONAL FIELDS. THE UNIVERSITY RECOGNIZES THE IMPORTANCE OF ITS LOCATION IN NEW YORK CITY AND SEEKS TO LINK ITS RESEARCH AND TEACHING TO THE VAST RESOURCES OF A GREAT METROPOLIS. IT SEEKS TO ATTRACT A DIVERSE AND INTERNATIONAL FACULTY AND STUDENT BODY, TO SUPPORT RESEARCH AND TEACHING ON GLOBAL ISSUES, AND TO CREATE ACADEMIC RELATIONSHIPS WITH MANY COUNTRIES AND REGIONS. IT EXPECTS ALL AREAS OF THE UNIVERSITY TO ADVANCE KNOWLEDGE AND LEARNING AT THE HIGHEST LEVEL AND TO CONVEY THE PRODUCTS OF ITS EFFORTS TO THE WORLD.
Schedule O (Form 990 or 990-EZ) 2023
JSA 3E1228 1.000
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Schedule O (Form 990 or 990-EZ) 2023 Name of the organization
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES ==================================================== DESCRIPTION GRANTS ---------------CAMPUS OPERATIONS INSTITUTIONAL SUPPORT AUXILIARY ENTERPRISES OTHER SOURCES TOTALS
EXPENSES --------
367,001,016. 386,279,716. 228,338,414. 8,486,726. 337,193,052. -------------- -------------8,486,726. 1,318,812,198. ============== ==============
REVENUE -------
247,613,468. 1,864,240. -------------249,477,708. ==============
Schedule O (Form 990 or 990-EZ) 2023
JSA 3E1228 1.000
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Schedule O (Form 990 or 990-EZ) 2023 Name of the organization
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
FORM 990,PART VII-COMPENSATION OF THE 5 HIGHEST PAID IND. CONTRACTORS ===================================================================== NAME AND ADDRESS DESCRIPTION OF SERVICES --------------------------------------
COMPENSATION ------------
PAVARINI MCGOVERN LLC 330 WEST 34TH STREET NEW YORK, NY 10001
CONSTRUCTION SRVCS
39,831,020.
UNIVERSAL PROTECTION SERVICE LP EIGHT TOWER BRIDGE, 161 WASHINGTON ST CONSHOHOCKEN, PA 19428
SECURITY SERVICES
15,103,828.
SPK LEWIS CONSTRUCTION LLC 35 WEST 36TH STREET, 5E NEW YORK, NY 10018
CONSTRUCTION SRVCS
9,149,832.
HUDSON HEART MANAGEMENT LLC 26 INDIAN ROCK SUFFERN, NY 10901
MEDICAL SERVICES
7,323,267.
DEBEVOISE & PLIMPTON LLP 66 HUDSON BLVD E NEW YORK, NY 10001
LEGAL SERVICES
6,462,596.
Schedule O (Form 990 or 990-EZ) 2023
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Schedule O (Form 990 or 990-EZ) 2023 Name of the organization
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
FORM 990, PART X - INVESTMENTS - PUBLICLY TRADED SECURITIES =========================================================== BEGINNING DESCRIPTION BOOK VALUE --------------------
ENDING BOOK VALUE ----------
COST OR FMV -----FMV
PUBLICLY TRADED SECURITIES
1,398,072,357.
1,305,749,409.
TOTALS
-------------1,398,072,357. ==============
-------------1,305,749,409. ==============
Schedule O (Form 990 or 990-EZ) 2023
JSA 3E1228 1.000
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Related Organizations and Unrelated Partnerships
SCHEDULE R (Form 990)
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37. Attach to Form 990.
Department of the Treasury Internal Revenue Service
Open to Public Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization
Employer identification number
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK Part I
13-5598093
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33. (a) Name, address, and EIN (if applicable) of disregarded entity
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Total income
(e) End-of-year assets
(f) Direct controlling entity
(1)
SEE SUPPLEMENTAL PAGE (2) (3) (4) (5) (6)
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related tax-exempt organizations during the tax year. (a) Name, address, and EIN of related organization
SEE SUPPLEMENTAL PAGE
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code section
(e) Public charity status (if section 501(c)(3))
(f) Direct controlling entity
(g) Section 512(b)(13) controlled entity?
Yes
No
(1) (2) (3) (4) (5) (6) (7) For Paperwork Reduction Act Notice, see the Instructions for Form 990. JSA 3E1307 1.000
Schedule R (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
PART I - IDENTIFICATION OF DISREGARDED ENTITIES (A) NAME/ADDRESS/EIN
(B) PRIMARY ACTIVITY
(C) LEGAL DOMICILE
(D) TOTAL INCOME
(E)EOY ASSETS
(F) DIRECT CONTROL
---------------------------------------------------------------------------------------------------------------------------------COLUMBIA INVESTMENT MGT COMPANY LLC
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901851
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901854
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901855
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901856
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901861
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901857
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901858
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901859
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901864
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901865
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-3901866
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
14-1977498
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
14-1977500
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
1209 ORANGE STREET
26-2162648
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
06-1576880
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
27-0201222
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
INVEST MGMT CIM I LLC
NY
INVEST HOLDNG CIM II LLC
DE
INVEST HOLDNG CIM III LLC
DE
INVEST HOLDNG CIM IV LLC
DE
INVEST HOLDNG CIM V LLC
DE
INVEST HOLDNG CIM VI LLC
DE
INVEST HOLDNG CIM VII LLC
DE
INVEST HOLDNG CIM VIII LLC
DE
INVEST HOLDNG CIM XII LLC
DE
INVEST HOLDNG CIM XIII LLC
DE
INVEST HOLDNG CIM XIV LLC
DE
INVEST HOLDNG CIM XVII LLC
DE
INVEST HOLDNG CIM XVIII LLC
DE
INVEST HOLDNG DYNAMO BRASIL VI LLC
DE
INVESTMENTS COLUMBIA AFFILIATED PHYSICIANS IPA LLC
DE
PHYSICNS PRAC COLUMBIA DIGITAL KNOWLEDGE VENTURES LLC
NY
NEW MEDIA HITHER PROPERTY LLC
NY
REAL ESTATE CU GSAPP LLC
DE
EDUCATION ACCESS PROJECT LLC
NY
HEALTH RESCH MSPH LESOTHO LLC
NY
HEALTHCARE MSPH MOZAMBIQUE LLC
NY
HEALTHCARE MSPH NIGERIA LLC
NY
HEALTHCARE
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NY
NONE NONE NONE 367,111. 1,261,897. NONE 2,385. NONE NONE 36,535,734. NONE NONE NONE NONE
NONE NONE NONE 54,443,424. 8,688,525. 1,000,007. 31,361,239. NONE 2,848,531. 47,310,711. NONE NONE 1,697,642. NONE
COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA
WILMINGTON, DE 19801 37,750,437. 2,866,327. NONE NONE NONE NONE NONE NONE NONE
113808437. 1,144,873. NONE NONE NONE NONE 259,477. 1,035,587. NONE
COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
PART I - IDENTIFICATION OF DISREGARDED ENTITIES (A) NAME/ADDRESS/EIN
(B) PRIMARY ACTIVITY
(C) LEGAL DOMICILE
(D) TOTAL INCOME
(E)EOY ASSETS
(F) DIRECT CONTROL
---------------------------------------------------------------------------------------------------------------------------------MSPH RWANDA LLC
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
412 LOW MEMORIAL LIBRARY 535 W NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
13-5598093
615 WEST 131ST STREET, MC:8741 NEW YORK, NY 10027
82-1575764
51 AUDUBON AVENUE
HEALTHCARE MSPH SOUTH AFRICA LLC
NY
HEALTHCARE MSPH TANZANIA LLC
NY
HEALTHCARE MSPH TAJIKISTAN LLC
NY
HEALTHCARE MSPH KG LLC
NY
HEALTHCARE COLUMBIA INT'L
PROJECTS LLC (KENYA)
NY
EDUCATION COLUMBIA GLOBAL CENTERS LLC
NY
EDUCATION COLUMBIA GLOBAL RESEARCH INITIATIVES LLC
NY
EDUCATION CU STUDIO LLC
NY
EDUCATION AFFILIATED PHYSICIANS ORGANIZATION, LLC
NY
PHY PRCTC GRP
NY
CU GLOBAL NORTH LLC
NONE NONE NONE NONE NONE NONE NONE NONE
NONE NONE 1,691,844. NONE NONE NONE NONE NONE NONE
COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA COLUMBIA
NEW YORK, NY 10032 NONE
NONE
COLUMBIA
535 WEST 116TH STREET, MC 4308 NEW YORK, NY 10027 SH VEHICLE
NY
COLUMBIA WORLDWIDE LLC
NONE
NONE
COLUMBIA
535 WEST 116TH STREET, MC 4308 NEW YORK, NY 10027 SH VEHICLE
NY
CU GLOBAL WEST LLC
NONE
NONE
COLUMBIA
535 WEST 116TH STREET, MC 4308 NEW YORK, NY 10027 SH VEHICLE
NY
CU GLOBAL SOUTH LLC
NONE
NONE
COLUMBIA
535 WEST 116TH STREET, MC 4308 NEW YORK, NY 10027 SH VEHICLE
NY
ISRAEL GLOBAL CENTER LLC
NONE
NONE
COLUMBIA
535 WEST 116TH STREET, MC 4308 NEW YORK, NY 10027 SH VEHICLE
NY
CU GLOBAL EAST LLC
535 WEST 116TH ST, MC 4308 SH VEHICLE
NY
TEL AVIV GLOBAL CENTER LLC
535 WEST 116TH ST, MC 4308 SH VEHICLE
NY
COLUMBIA GLOBAL CENTER CIVIL NFP COMPANY
10 SOLONOS STREET
EDUCATION CLM LLC
GR 13-5598093
INSURANCE
6416BJ K321
NONE
V23-7.16
1209 ORANGE STREET DE
NONE
NONE
COLUMBIA
NEW YORK, NY 10027 NONE
NONE
COLUMBIA
NEW YORK, NY 10027 NONE ATHENS, NONE
NONE
COLUMBIA
GR 106 73 NONE
COLUMBIA
WILMINGTON, DE 19801 NONE
NONE
COLUMBIA
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
PART II - IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS
(A) NAME\ADDRESS\EIN
(B) ACTIVITY
(C) LEGAL DOMICILE
(D) EXEMPT CODE
(E) CHARITY STATUS
(F) DIRECT CONTROLLING
(G) SEC 512 YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------COLUMBIA UNIVERSITY HEALTH CARE INC 615 WEST 131ST STREET, MC:8741
13-3948652
NEW YORK, NY 10027 HEALTHCARE
COL PRESBYTERIAN MEDICAL CENTER FUND INC 630 WEST 168TH STREET
COL UNIV RETIREE MED LIFE INS BNFITS TR
X
NY
501(C)(3)
12A
N/A
NY
501(C)(3)
12A
COLUMBIA
X
NY
501(C)(3)
12A
COLUMBIA
X
NY
501(C)(3)
12A
COLUMBIA
X
NY
501(C)(3)
12A
COLUMBIA
X
FR
N/A
N/A
REID HALL
X
FR
N/A
N/A
REID HALL
X
NJ
501(C)(3)
12A
N/A
DR
N/A
N/A
CIP
X
13-3800106
13-1623968 NEW YORK, NY 10027 ACADEMIC PUB
MORNINGSIDE HEIGHTS LEGAL SERVICES INC
51-0192355
NEW YORK, NY 10027 CLINICAL EDUC
REID HALL INC 615 WEST 131ST STREET, MC:8741
COLUMBIA
NEW YORK, NY 10027
COLUMBIA UNIVERSITY PRESS
615 WEST 131ST STREET, MC:8741
10
13-6162924
BENEFITS SUPP
615 WEST 131ST STREET, MC:8741
501(C)(3)
NEW YORK, NY 10032 FUNDRAISING
615 WEST 131ST STREET, MC:8741
NY
13-1611126 NEW YORK, NY 10027 EDU/CUL EXCH
ASSOCIATION REID HALL 4, RUE DE CHEVREUSE
PARIS,
FR 75006
EDUCATION COLUMBIA GLOBAL CENTERS I EUROPE (PARIS) 4, RUE DE CHEVREUSE
PARIS,
FR 75006
EDUCATION RESEARCH COLLECTIONS AND PRES CONSORTIUM 400 FORRESTAL ROAD
22-3751732
PRINCETON, NJ 08540 LIBRARY COLL
X
CENTER FOR ENVIRONMENT ECONOMY & SOCIETY 2852 BROADWAY
NEW YORK, NY 10025 RESEARCH
6416BJ K321
V23-7.16
X
THE TRUSTEES OF COLUMBIA UNIVERSITY
(A) NAME\ADDRESS\EIN
(B) ACTIVITY
(C) LEGAL DOMICILE
13-5598093
(D) EXEMPT CODE
(E) CHARITY STATUS
(F) DIRECT CONTROLLING
(G) SEC 512 YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------CENTER FOR NATL HLTH DEVELP IN ETHIOPIA KEBELE 06, H#447 PO BX 664
ADDIS ABABA,
ET 1250
HEALTHCARE
ET
N/A
N/A
COLUMBIA
X
IN
N/A
N/A
CGC LLC
X
UK
N/A
N/A
COLUMBIA
X
HK
N/A
N/A
COLUMBIA
X
WZ
N/A
N/A
CIP
X
CI
N/A
N/A
COLUMBIA
X
FR
N/A
N/A
COLUMBIA
X
KE
N/A
N/A
COLUMBIA
X
JO
N/A
N/A
COLUMBIA
X
ZI
N/A
N/A
COLUMBIA
X
COLUMBIA GLOBAL CENTER IN INDIA MAKER CHMBR VI, JAMNALAL RD, 1
MUMBAI,
IN 400021
RESEARCH COLUMBIA UK FUND LTD 19 NORCOTT RD
LONDON,
UK N16 7EG
FUNDRAISING COLUMBIA UNIVERSITY HONG KONG FUND G.P.O. BOX 5314
CONNAUGHT PLACE, FUNDRAISING
HK
MSPH SWAZILAND 615 WEST 131ST STREET, MC:8741
NEW YORK, NY 10027 HEALTHCARE
FUNDACION COLUMBIA U. GLOBAL CTR - CHILE AV.DAG HAMMASKJOLD 3269,1ST FL
SANTIAGO,
CI
RESEARCH COLUMBIA GLOBAL CENTERS INITIATIVE 4, RUE DE CHEVREUSE
PARIS,
FR 75006
RESEARCH COL GLOBAL CENTER EASTERN & SOUTH AFRICA PO BOX 51412
NAIROBI,
KE 00100
RESEARCH CU MIDDLE EAST RESEARCH CENTER 5 MOH'D AL SA'D AL-BATAYNEH ST
AMMAN,
JO 11814
EDUC SUPPORT CENTER FOR INTL PROGRAMS ZIMBABWE TRUST 39 LAWSON AV & 42 BATES ST
HARARE,
ZI
HLTH/RESEARCH
6416BJ K321
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY
(A) NAME\ADDRESS\EIN
(B) ACTIVITY
(C) LEGAL DOMICILE
13-5598093
(D) EXEMPT CODE
(E) CHARITY STATUS
(F) DIRECT CONTROLLING
(G) SEC 512 YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------ASSOC CENTRO PARA PROGRAMAS INTER BRASIL RUA MARIA EUGENIA 90301
RIO DE JANEIRO,
BR 22261
EDUCATION KNIGHT FIRST AMDMT INST AT COLUMBIA 615 WEST 131ST STREET, MC:8741
BR
N/A
N/A
GLOBAL S/WW
X
NY
501(C)(3)
12A
COLUMBIA
X
NI
N/A
N/A
CIP
X
RP
N/A
N/A
COLUMBIA
X
81-4759386
NEW YORK, NY 10027 EDU/PMT EXPR
CIP, NIGERIA LTD/GTE PLOT 817, CADASTRAL ZONE B04
JABI DISTRICT, ABUJA NI RESEARCH
INT'L CENTER FOR AIDS CARE AND TREATMENT 10/F8 ROCKWELL BLDG
ROCKWELL CTR, CITY OF MAKA HEALTHCARE
6416BJ K321
V23-7.16
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
Schedule R (Form 990) 2023
Part III
(a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Direct controlling entity
(e) Predominant income (related, unrelated, excluded from tax under sections 512 - 514)
(f) Share of total income
(g) Share of end-ofyear assets
(h) Disproportionate allocations?
Yes No
(i) Code V - UBI amount in box 20 of Schedule K-1 (Form 1065)
(j) General or managing partner?
Page 2
(k) Percentage ownership
Yes No
(1)
SEE SUPPLEMENTAL PAGE (2) (3) (4) (5) (6) (7)
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a corporation or trust during the tax year. (a) Name, address, and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Direct controlling entity
(e) Type of entity (C corp, S corp, or trust)
(f) Share of total income
(g) (h) (i) Share of Percentage Section 512(b)(13) end-of-year assets ownership controlled entity?
Yes No
(1)
SEE SUPPLEMENTAL PAGE (2) (3) (4) (5) (6) (7) Schedule R (Form 990) 2023 JSA 3E1308 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART III-IDENTIFICATION OF REL. ORG. TAXABLE AS PARTNERSHIP (A) NAME/ADDRESS/EIN
B) PRIMARY
(C)LEGAL
(D) DIRECT
(E) PREDOMINANT
ACTIVITY
DOMICILE
CONTROLLING
INCOME
(F) SHARE OF
(G) SHARE EOY
TOT INCOME
(H)DISPROPORTIONATE YES
(I) CODE V-UBI
NO
(J) PARTNER YES
NO
(K) % OWNERSHIP
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------GCM GRSVNR BLUE, LP 30-0773582 767 FIFTH AVE NEW YORK, NY 100
INVESTMENTS
DE
COLUMBIA
EXCLUDED
4,583,629.
6,052,923.
X
NONE
99.0420
INVESTMENTS
OK
COLUMBIA
EXCLUDED
20,004,178.
105,041,449.
X
-72,258.
95.7417
INVESTMENTS
HK
COLUMBIA
EXCLUDED
-298,415.
91,943,062.
X
NONE
98.7653
INVESTMENTS
GK
COLUMBIA
EXCLUDED
2,614.
7,238,968.
X
NONE
75.8884
INVESTMENTS
GK
COLUMBIA
EXCLUDED
1,955.
8,577,927.
X
NONE
60.1994
INVESTMENTS
GK
COLUMBIA
EXCLUDED
11,656.
25,661,054.
X
NONE
64.0879
INVESTMENTS
CT
COLUMBIA
EXCLUDED
17,395,691.
30,261,686.
X
NONE
99.9816
INVESTMENTS
CA
COLUMBIA
EXCLUDED
-653,938.
16,171,751.
X
NONE
100.0000
INVESTMENTS
DE
COLUMBIA
EXCLUDED
10,258,681.
229,749,302.
X
NONE
99.9992
INVESTMENTS
DE
COLUMBIA
EXCLUDED
NONE
1,619,044.
X
NONE
100.0000
CANAAN RSC PTRS DRL 36-4777388 6301 WATERFORD BOULEVARD OKC, STAR ASIA OP FD III 98-1291896 PO BOX 309 UGLAND HOUSE GRAND CALUNIUS LIT RISK 98-0684876 PO #656, TRAFALGAR CT LES BANQ CALUNIUS LIT RISK 2 98-1162651 PO #656, TRAFALGAR CT LES BANQ CALUNIUS LIT RISK 3 98-1336667 PO #656, TRAFALGAR CT LES BANQ C/D INVESTORS FUND L.P. 84-363 ONE FAWCETT PLACE GREENWICH, C ALTOS HYBRID CU LLC 85-4387742 2882 SAND HILL RD, STE 100 MEN D.E. SHAW ALL CNTRY GBL VAL AC 1166 AVENUE OF THE AMERICAS, 9 LION FUND III-B LP 93-3752071 260 N JOSEPHINE ST, SUITE 220
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART III-IDENTIFICATION OF REL. ORG. TAXABLE AS PARTNERSHIP (A) NAME/ADDRESS/EIN
B) PRIMARY
(C)LEGAL
(D) DIRECT
(E) PREDOMINANT
ACTIVITY
DOMICILE
CONTROLLING
INCOME
(F) SHARE OF
(G) SHARE EOY
TOT INCOME
(H)DISPROPORTIONATE YES
(I) CODE V-UBI
NO
(J) PARTNER YES
NO
(K) % OWNERSHIP
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------BLC ENERGY MASTER FUND LP 98-1 P.O. BOX 309 GRAND CAYMAN,
ET
INVESTMETS
CJ
BLC ENRG FUND B
EXCLUDED
-457,287.
8,485,998.
X
NONE
67.8000
INVESTMENTS
TX
COLUMBIA
EXCLUDED
5,849,479.
NONE
X
NONE
NONE
MERIT ENGY PTR V LP 75-2411038 13727 NOEL RD DALLAS, TX 75240
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART IV-IDENTIFICATION OF REL. ORG. TAXABLE AS CORP/TRUST (A) NAME/ADDRESS/EIN
(B) PRIMARY ACTIVITY
(C)LEGAL (D) DIRECT DOMICILE
(E) ENTITY
CONTROLLING
TYPE
(F) SHARE OF
(G) SHARE OF EOY
TOT INCOME
(H)%
(I) SEC 512(B)(13)
OWNERSHIP
YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------16 EAST 60TH STREET CORPORATION
13-3675222
615 WEST 131ST STREET, MC: 8741 NEW YORK, NY 10027 2301 12TH AVENUE OWNERS CORP
NONE
100.0000
X
REAL ESTATE
NY
COLUMBIA
C-CORP
NONE
NONE
100.0000
X
PHYS PRACTICE
NY
COLUMBIA
C-CORP
NONE
NONE
100.0000
X
NEW MEDIA
DE
COLUMBIA
C-CORP
NONE
NONE
100.0000
X
REAL ESTATE
NY
COLUMBIA
C-CORP
NONE
NONE
100.0000
X
REAL ESTATE
NY
COLUMBIA
C-CORP
NONE
NONE
100.0000
X
HEALTHCARE
NJ
COLUMBIA
C-CORP
6,765,008.
1,735,594.
100.0000
X
EDUCATION
CH
COLUMBIA
FOREIGN CORP
NONE
426,121.
100.0000
X
INVESTMENTS
UK
COLUMBIA
FOREIGN CORP
NONE
23,940.
100.0000
X
N/A
NY
COLUMBIA
TRUST
06-1430120
311 LOW MEMORIAL LIBRARY NEW YORK, NY 10027 COLUMBIA DOCTORS OF NEW JERSEY
NONE
99-1596696
615 WEST 131ST STREET, MC: 8741 NEW YORK, NY 10027 MORNINGSIDE INC
C-CORP
13-4054997
615 WEST 131ST STREET, MC: 8741 NEW YORK, NY 10027 FREEZER BOX INC
COLUMBIA
13-3396165
161 FORT WASHINGTON AVE., SUITE 1320 NEW YORK, NY 10032 FATHOM KNOWLEDGE NETWORK INC
NY
99-1786950
615 WEST 131ST STREET, MC: 8741 NEW YORK, NY 10027 COLUMBIA PRESBYTERIAN IPA
REAL ESTATE
26-4364931
615 WEST 131ST STREET, MC: 8741 NEW YORK, NY 10027 BEIJING DE GA INTRNTL CONSULTING CTR LTD TOWERA, TSINGHUA SCIENCEPARK CHENGFURD, HAIDIAN CH 100084 COLUMBIA/PATRON SCOTLAND LP 50 LOTHIAN RD, FESTIVAL SQ EDINBURGH, SCOTLAND UK EH3 9BY CHARITABLE REMAINDER TRUSTS (61)
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART IV-IDENTIFICATION OF REL. ORG. TAXABLE AS CORP/TRUST (A) NAME/ADDRESS/EIN
(B) PRIMARY ACTIVITY
(C)LEGAL (D) DIRECT DOMICILE
(E) ENTITY
CONTROLLING
TYPE
(F) SHARE OF
(G) SHARE OF EOY
TOT INCOME
(H)%
(I) SEC 512(B)(13)
OWNERSHIP
YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------POOLED INCOME FUNDS (2)
CENTERS FOR INTERNATIONAL PROGRAMS
N/A
NY
COLUMBIA
TRUST
PROGRAM SRVCS
DE
COLUMBIA
C-CORP
NONE
475,247.
100.0000
X
PROGRAM SRVCS
DE
COLUMBIA
C-CORP
NONE
31,988.
100.0000
X
PROGRAM SRVCS
BR
CGC LLC
N/A
NONE
99,576.
100.0000
X
REAL ESTATE
NY
COLUMBIA
C-CORP
NONE
NONE
100.0000
X
HEALTHCARE
NJ
COLUMBIA
C-CORP
531,920.
681,671.
100.0000
X
PROGRAM SRVCS
TU
COLUMBIA
FOREIGN CORP
1,512.
NONE
100.0000
X
PROGRAM SRVCS
IN
CU INT'L PRJCTS
FOREIGN CORP
NONE
NONE
100.0000
X
HEALTHCARE
NY
COLUMBIA
C-CORP
NONE
NONE
100.0000
X
HEALTHCARE
CT
COLUMBIA
C-CORP
2,161,821.
427,220.
100.0000
X
13-5598093
535 WEST 116TH STREET NEW YORK, NY 10027 GLOBAL HEALTH RESEARCH CNTR-CE 1255 AMSTERDAM AVENUE NEW YORK, NY 10027 ASSOCIACAO COLUMBIA GLOBAL CENTER/BRASIL RUA DA CANDELARIA, 9, 3O ANDAR CNT RIO DE JANEIRO, UNIVERSITY WOMEN'S REALTY CORPORATION
BR
13-2524803
408 LOW MEMORIAL LIBRARY, MC: 4336 NEW YORK, NY 10025 COLUMBIA DOCTORS OF BERGEN COUNTY
47-3568473
615 WEST 131ST STREET, MC: 8741 NEW YORK, NY 10027 COLUMBIA GLOBAL DANISMANLIK VE ARASTIRMA MECIDITE MAH MAVI SARAY, 37/7 SARIYER,
TU
COLUMBIA RESEARCH AND CONSULTANCY SRVCS EXPRESS TOWERS, 11TH FL, NARIMAN PT MUMBAI,
IN 400021
COLUMBIA RADIOLOGY, INC.
47-5288953
630 W 168TH ST NEW YORK, NY 10032 COLUMBIA DOCTORS OF CONNECTICUT PC 630 W 168TH ST NUM 2-460 NEW YORK, NY 10032
82-4894259
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART IV-IDENTIFICATION OF REL. ORG. TAXABLE AS CORP/TRUST (A) NAME/ADDRESS/EIN
(B) PRIMARY ACTIVITY
(C)LEGAL (D) DIRECT DOMICILE
CONTROLLING
(E) ENTITY TYPE
(F) SHARE OF
(G) SHARE OF EOY
TOT INCOME
(H)%
(I) SEC 512(B)(13)
OWNERSHIP
YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------BLC ENERGY FUND B LP P.O. BOX 309 GRAND CAYMAN,
98-1458232 CJ KY1-1104 CJ
STAR ASIA CAPITAL CORP, LTD.
INVESTMENTS
CJ
COLUMBIA
FOREIGN CORP
2,942,937.
8,059,016.
83.3330
X
INVESTMENTS
CJ
STAR ASIA III
FOREIGN CORP
4,704,957.
58,260,856.
78.0100
X
INVESTMENTS
CJ
COLUMBIA
FOREIGN CORP
-3,028,134.
69,472,150.
100.0000
X
INVESTMENTS
CJ
COLUMBIA
FOREIGN CORP
45,892,149.
155,436,646.
59.3800
X
REAL ESTATE
JA
COLUMBIA
FOREIGN CORP
GK GY1
INVESTMENTS
GK
CALUNIUS 3
FOREIGN CORP
NONE
NONE
64.0879
X
GK GY1
INVESTMENTS
GK
CALUNIUS 2
FOREIGN CORP
NONE
NONE
60.1994
X
GK GY1
INVESTMENTS
GK
CALUNIUS 3
FOREIGN CORP
NONE
NONE
64.0879
X
GK GY1
INVESTMENTS
GK
CALUNIUS
FOREIGN CORP
NONE
NONE
74.9213
X
GK GY1
INVESTMENTS
GK
CALUNIUS 3
FOREIGN CORP
NONE
NONE
64.0879
X
98-0525454
89 NEXUS WAY CAYMAN BAY, GRAND CAYMAN CJ CIM (CAYMAN) LLC PO BOX 309, UGLAND HOUSE GRAND CAYMAN, JAPAN-UP LIMITED PARTNERSHIP II
CJ KY1-1104 98-1434666
6/F MO BLDG HIGASHI. 3-14-15, SHIBUYA-KU, TOKYO JA 1 ASARIGAWA ONSEN KAIHATSU KK 1-12-3 IWAMOTO-CHO, CHIYODA-KU TOKYO,
JA 101-0032
X
ASHWATER LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT, ELMBRIDGE LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT, FOXLEY LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT, FRENTORN LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT, INGLEFIELD LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT,
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART IV-IDENTIFICATION OF REL. ORG. TAXABLE AS CORP/TRUST (A) NAME/ADDRESS/EIN
(B) PRIMARY ACTIVITY
(C)LEGAL (D) DIRECT DOMICILE
(E) ENTITY
CONTROLLING
TYPE
(F) SHARE OF
(G) SHARE OF EOY
TOT INCOME
(H)%
(I) SEC 512(B)(13)
OWNERSHIP
YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------INGLETREE LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT,
GK GY1
INVESTMENTS
GK
CALUNIUS 3
FOREIGN CORP
NONE
NONE
64.0879
X
GK GY1
INVESTMENTS
GK
CALUNIUS 3
FOREIGN CORP
NONE
NONE
64.0879
X
GK GY1
INVESTMENTS
GK
CALUNIUS 3
FOREIGN CORP
NONE
NONE
64.0879
X
HOTEL OPERATION
JA
STAR ASIA III
FOREIGN CORP
3,635,607.
9,185,017.
71.7900
X
INVESTMENTS
GK
CALUNIUS 3
FOREIGN CORP
NONE
NONE
64.0879
X
PRGRM SRVCS
IS
CGC LLC
LLC
NONE
NONE
100.0000
X
INVESTMENTS
CJ
COLUMBIA
FOREIGN CORP
158,478.
4,267,393.
100.0000
X
TRADEMARK
JA
POLARIS HOLDING
FOREIGN CORP
X
HOTEL OPERATION
JA
FINO HOTELS CO.
FOREIGN CORP
X
HOTEL OPERATION
JA
POLARIS HOLDING
FOREIGN CORP
KENDELWELL LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT, THROWBRIDGE LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT, VALUE THE HOTEL CO., LTD. 555-1 SENGARITA, KAMIYOUDEN, NATORI MIYAGI,
JA 981-1222
VINEHALL LIMITED PO #656, TRAFALGAR CT LES BANQUES ST. PETER PORT,
GK GY1
COLUMBIA GLOBAL CENTER - TEL AVIV 33 STREET TEL AVIV,
IS
HARBOUR LITIGATION INVEST OFSHORE FUND
98-0660716
UGLAND HOUSE, P.O. BOX 309 P.O. BOX 309, GRAND CAYMAN CJ KK BEST WESTERN HOTELS JAPAN 1-12-3 IWAMOTO-CHO, CHIYODA-KU CHIYODA-KU, TOKYO JA 101-0 KK KINUURA GRAND HOTEL 1-1-9 TAJIRIMACHI, HEKINAN-SHI HEKINAN-SHI, AICHI JA 447KK KOKO HOTELS 1-12-3 IWAMOTO-CHO, CHIYODA-KU CHIYODA-KU, TOKYO JA 101-0
21,875,915.
7,801,220.
71.7900
X
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART IV-IDENTIFICATION OF REL. ORG. TAXABLE AS CORP/TRUST (A) NAME/ADDRESS/EIN
(B) PRIMARY
(C)LEGAL (D) DIRECT
ACTIVITY
DOMICILE
CONTROLLING
(E) ENTITY TYPE
(F) SHARE OF
(G) SHARE OF EOY
TOT INCOME
(H)%
(I) SEC 512(B)(13)
OWNERSHIP
YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------POLARIS ASIA CO., LTD. 1-12-3 IWAMOTO-CHO, CHIYODA-KU CHIYODA-KU, TOKYO JA 101-0
HOTEL OPS AND DEV
JA
POLARIS HOLDING
FOREIGN CORP
207,705.
19,451,630.
71.7900
X
HOTEL OPERATION
JA
VALUE THE HOTEL
FOREIGN CORP
OPERATIONS AND MA
RP
POLARIS HOLDING
FOREIGN CORP
-33,515.
3,384,036.
71.7900
X
REAL ESTATE
RP
POLARIS HOLDING
FOREIGN CORP
55,750.
637,938.
71.7900
X
INVESTMENTS
CJ
COLUMBIA
FOREIGN CORP
2,377,863.
87,491,489.
49.4900
X
HOTEL OPERATION
JA
POLARIS HOLDING
FOREIGN CORP
30,066,416.
14,556,995.
71.7900
X
REAL ESTATE
JA
ISH TENJIN HOTE
FOREIGN CORP
X
REAL ESTATE
JA
ISH TENJIN HOTE
FOREIGN CORP
X
REAL ESTATE
JA
ISH TENJIN HOTE
FOREIGN CORP
X
REAL ESTATE
JA
POLARIS HOLDING
FOREIGN CORP
KK VALUE THE HOTEL MIYAGI 555-1 SENGARITA, KAMIYOUDEN, NATORI NATORI-SHI, MIYAGI JA
X
RED PLANET PHILIPPINES SERVICE CORP 99 URBAN AVENUE, BRGY. PIO DEL PILA BRGY. PIO DEL PILAR, RPH PHILIPPINES LAND CORPORATION DON JUICO AVENUE, CLARKVIEW CLARKVIEW, MALABA ANGELES CIT JINGE CHINA A ENHANCEMENT FEEDER FUND C/O MAPLES CORPORATE SERVICES LIMIT PO BOX 309, UGLAND HO FINO HOTELS CO. LTD 1-12-3 IWAMOTO-CHO, CHIYODA-KU CHIYODA-KU, TOKYO JA 101-0 GK TENJIN HOTEL KANRI 5-1-4 TORANOMON, MINATO-KU MINATO-KU, TOKYO JA 105-0001 GK TENJIN HOTEL UNEI 5-1-4 TORANOMON, MINATO-KU MINATO-KU, TOKYO JA 105-0001 GK TENJIN OODORI UNEI 5-1-4 TORANOMON, MINATO-KU MINATO-KU, TOKYO JA 105-0001 GK TOHOKU SOKI FUKKO SHIEN FUND 2 5-1-4 TORANOMON, MINATO-KU MINATO-KU, TOKYO JA 105-0001
679,239.
759,639.
71.7900
X
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART IV-IDENTIFICATION OF REL. ORG. TAXABLE AS CORP/TRUST (A) NAME/ADDRESS/EIN
(B) PRIMARY
(C)LEGAL (D) DIRECT
ACTIVITY
DOMICILE
CONTROLLING
(E) ENTITY TYPE
(F) SHARE OF
(G) SHARE OF EOY
TOT INCOME
(H)%
(I) SEC 512(B)(13)
OWNERSHIP
YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------GK VALUE THE HOTEL FUND 1-12-3 IWAMOTO-CHO, CHIYODA-KU CHIYODA-KU, TOKYO JA 101-0
REAL ESTATE
JA
POLARIS HOLDING
FOREIGN CORP
4,165,496.
18,109,583.
71.7900
X
REAL ESTATE
JA
POLARIS HOLDING
FOREIGN CORP
NONE
6,001.
71.7900
X
HOTEL OPS AND DEV
JA
STAR ASIA OPP I
FOREIGN CORP
22,484,158.
41,366,883.
71.7900
X
HOTEL OPERATION
JA
POLARIS HOLDING
FOREIGN CORP
FRANCHISING
RP
RED PLANET HOLD
FOREIGN CORP
1.
88,730.
71.7900
X
HOLDING COMPANY
RP
POLARIS ASIA CO
FOREIGN CORP
213,930.
32,959,379.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
48,827.
7,877,352.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
220,339.
3,225,747.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
394,076.
2,978,278.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
264,303.
4,077,303.
71.7900
X
ISH TENJIN HOTEL KANRI 5-1-4 TORANOMON, MINATO-KU MINATO-KU, TOKYO JA 105-0001 POLARIS HOLDINGS CO., LTD. 1-12-3 IWAMOTO-CHO, CHIYODA-KU CHIYODA-KU, TOKYO JA 101-0 PREMIER RESORT OPERATIONS CO., LTD. 1-12-3 IWAMOTO-CHO, CHIYODA-KU CHIYODA-KU, TOKYO JA 101-0
X
RED PLANET GLOBAL CORPORATION SUITE 2802 DISCOVERY CENTER, 25 ADB 25 ADB AVENUE ORTI, P RED PLANET HOLDINGS (PHILLIPINES) LIMITE BRUMBY CENTRE LOT 42, JALAN MUHIBBA JALAN MUHIBBAH, LABUA RED PLANET HOTELS BINONDO CORPORATION 251-61 JUAN LUNA ST. BRGY., 287, ZO 287, ZONE 27 BINONDO, RED PLANET HOTELS CAGAYAN DE ORO CORPORA C.M. RECTO AVENUE, POBLACION POBLACION, CAGAYAN DE ORO RP RED PLANET HOTELS CEBU CORPORATION NO.36 ARCHBISHOP REYES AVENUE, COR. COR. MOLAVE SQUARE, C RED PLANET HOTELS DAVAO CORPORATION J.P. LAUREL AVENUE, BAJADA BAJADA, DAVAO CITY RP 8000
THE TRUSTEES OF COLUMBIA UNIVERSITY
13-5598093
990 SCH R,PART IV-IDENTIFICATION OF REL. ORG. TAXABLE AS CORP/TRUST (A) NAME/ADDRESS/EIN
(B) PRIMARY
(C)LEGAL (D) DIRECT
ACTIVITY
DOMICILE
CONTROLLING
(E) ENTITY TYPE
(F) SHARE OF
(G) SHARE OF EOY
TOT INCOME
(H)%
(I) SEC 512(B)(13)
OWNERSHIP
YES
NO
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------RED PLANET HOTELS MANILA BAY CORPORATION BLK 341 LOT 1-B-3 ARQUIZA ST. CORNE ALHAMBRA S, MANILA CI
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
960,131.
16,061,712.
71.7900
X
HOTEL DEVELOPMENT
RP
POLARIS ASIA CO
FOREIGN CORP
247,215.
18,141,172.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
73,213.
6,217,825.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
585,329.
8,458,226.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
265,463.
6,194,889.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
915,747.
13,151,043.
71.7900
X
HOTEL DEVELOPMENT
RP
RED PLANET HOLD
FOREIGN CORP
52,725.
3,104,620.
71.7900
X
RED PLANET HOTELS MANILA CORPORATION LOT 12 BLOCK 32 CORNER, 10TH AVE. A 10TH AVE. AND 40TH ST RED PLANET HOTELS ORTIGAS CORPORATION SHAW BOULEVARD, ORTIGAS CENTRE ORTIGAS CENTRE, PASIG CITY RED PLANET HOTELS PARANAQUE CORPORATION BLK 2 LOT 38 BRADCO AVENUE, BACLARA BACLARAN, PARANQUE CI RED PLANET HOTELS PASONG TAMO CORPORATIO 99 EXPORT DRIVE FORMERLY URBAN AVEN , MAKATI CITY RP 1230 RED PLANET HOTELS PHILIPPINES CORPORATIO 1740 A. MABINI ST. MALATE , MANILA RP 1004 RED PLANET HOTELS QUEZON CORPORATION 100 TIMOG AVENUE, BARANGAY SACRED H BARANGAY SACRED HEART
Schedule R (Form 990) 2023
Part V
THE TRUSTEES OF COLUMBIA UNIVERSITY
Page 3
13-5598093
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. Yes No
Note: Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. a b c d e
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity Gift, grant, or capital contribution to related organization(s) Gift, grant, or capital contribution from related organization(s) Loans or loan guarantees to or for related organization(s) Loans or loan guarantees by related organization(s)
1a 1b 1c 1d 1e
f g h i j
Dividends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) Exchange of assets with related organization(s) Lease of facilities, equipment, or other assets to related organization(s)
1f 1g 1h 1i 1j
1
X X X X X X X X X X
k Lease of facilities, equipment, or other assets from related organization(s) l Performance of services or membership or fundraising solicitations for related organization(s) m Performance of services or membership or fundraising solicitations by related organization(s) n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) o Sharing of paid employees with related organization(s)
1k 1l 1m 1n 1o
X X X X X
p Reimbursement paid to related organization(s) for expenses q Reimbursement paid by related organization(s) for expenses
1p 1q
X X
1r r Other transfer of cash or property to related organization(s) s Other transfer of cash or property from related organization(s) 1s X 2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (a) Name of related organization
(b) Transaction type (a - s)
(c) Amount involved
(d) Method of determining amount involved
(1)
ALTOS HYBRID CU LLC
B
4,348,103. FMV
(2)
ALTOS HYBRID CU LLC
S
499,930. FMV
(3)
BLC ENERGY FUND B LP
S
528,814. FMV
(4)
CALUNIUS LITIGATION RISK FUND 3 LP
B
587,200. FMV
(5)
CALUNIUS LITIGATION RISK FUND 2 LP
S
13,589,302. FMV
(6)
CALUNIUS LITIGATION RISK FUND LP
B
238,316. FMV
JSA 3E1309 1.000
X
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Part V
THE TRUSTEES OF COLUMBIA UNIVERSITY
Page 3
13-5598093
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. Yes No
Note: Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. a b c d e
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity Gift, grant, or capital contribution to related organization(s) Gift, grant, or capital contribution from related organization(s) Loans or loan guarantees to or for related organization(s) Loans or loan guarantees by related organization(s)
1a 1b 1c 1d 1e
f g h i j
Dividends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) Exchange of assets with related organization(s) Lease of facilities, equipment, or other assets to related organization(s)
1f 1g 1h 1i 1j
1
k Lease of facilities, equipment, or other assets from related organization(s) l Performance of services or membership or fundraising solicitations for related organization(s) m Performance of services or membership or fundraising solicitations by related organization(s) n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) o Sharing of paid employees with related organization(s)
1k 1l 1m 1n 1o
p Reimbursement paid to related organization(s) for expenses q Reimbursement paid by related organization(s) for expenses
1p 1q
1r r Other transfer of cash or property to related organization(s) s Other transfer of cash or property from related organization(s) 1s 2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (a) Name of related organization
(b) Transaction type (a - s)
(c) Amount involved
(d) Method of determining amount involved
(1)
CANAAN RESOURCE PARTNERS DRILLING FUND LP
S
9,956,901. FMV
(2)
C/D INVESTORS FUND LP
S
6,777,929. FMV
(3)
GCM GROSVENOR BLUE LP
B
53,506. FMV
(4)
GCM GROSVENOR BLUE LP
S
391,653. FMV
(5)
DE SHAW ALL COUNTRY GLOBAL VALUE ACTIVE FUND
B
219,219,414. FMV
(6)
JAPAN-UP LIMITED PARTNERSHIP II
B
2,183,578. FMV
JSA 3E1309 1.000
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Part V
THE TRUSTEES OF COLUMBIA UNIVERSITY
Page 3
13-5598093
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. Yes No
Note: Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. a b c d e
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity Gift, grant, or capital contribution to related organization(s) Gift, grant, or capital contribution from related organization(s) Loans or loan guarantees to or for related organization(s) Loans or loan guarantees by related organization(s)
1a 1b 1c 1d 1e
f g h i j
Dividends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) Exchange of assets with related organization(s) Lease of facilities, equipment, or other assets to related organization(s)
1f 1g 1h 1i 1j
1
k Lease of facilities, equipment, or other assets from related organization(s) l Performance of services or membership or fundraising solicitations for related organization(s) m Performance of services or membership or fundraising solicitations by related organization(s) n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) o Sharing of paid employees with related organization(s)
1k 1l 1m 1n 1o
p Reimbursement paid to related organization(s) for expenses q Reimbursement paid by related organization(s) for expenses
1p 1q
1r r Other transfer of cash or property to related organization(s) s Other transfer of cash or property from related organization(s) 1s 2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (a) Name of related organization
(b) Transaction type (a - s)
(c) Amount involved
(d) Method of determining amount involved
(1)
LION FUND III-B LP
B
2,697,334. FMV
(2)
LION FUND III-B LP
S
151,510. FMV
(3)
STAR ASIA OPPORTUNITY FUND III LP
S
10,890,598. FMV
(4)
KNIGHT FIRST AMDMT INST AT COLUMBIA
B
2,826,439. FMV
(5)
COLUMBIA UNIVERSITY HEALTHCARE INC
B
12,809,000. FMV
(6)
REID HALL
S
321,187. FMV
JSA 3E1309 1.000
Schedule R (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY
Schedule R (Form 990) 2023
Part V
Page 3
13-5598093
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. Yes No
Note: Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. a b c d e
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity Gift, grant, or capital contribution to related organization(s) Gift, grant, or capital contribution from related organization(s) Loans or loan guarantees to or for related organization(s) Loans or loan guarantees by related organization(s)
1a 1b 1c 1d 1e
f g h i j
Dividends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) Exchange of assets with related organization(s) Lease of facilities, equipment, or other assets to related organization(s)
1f 1g 1h 1i 1j
1
k Lease of facilities, equipment, or other assets from related organization(s) l Performance of services or membership or fundraising solicitations for related organization(s) m Performance of services or membership or fundraising solicitations by related organization(s) n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) o Sharing of paid employees with related organization(s)
1k 1l 1m 1n 1o
p Reimbursement paid to related organization(s) for expenses q Reimbursement paid by related organization(s) for expenses
1p 1q
1r r Other transfer of cash or property to related organization(s) s Other transfer of cash or property from related organization(s) 1s 2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (a) Name of related organization
(1)
MERIT ENERGY PARTNERS V LP
(b) Transaction type (a - s)
S
(c) Amount involved
(d) Method of determining amount involved
6,409,460. FMV
(2) (3) (4) (5) (6) JSA 3E1309 1.000
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
THE TRUSTEES OF COLUMBIA UNIVERSITY
Page 4
13-5598093
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Part VI
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (a)
Name, address, and EIN of entity
(b) Primary activity
(c)
Legal domicile (state or foreign country)
(d)
(e)
Are all partners Predominant section income (related, 501(c)(3) unrelated, excluded organizations? from tax under sections 512 - 514) Yes No
(f)
Share of total income
(g)
Share of end-of-year assets
(h) Disproportionate allocations?
Yes No
(i)
Code V - UBI amount in box 20 of Schedule K-1 (Form 1065)
(j)
(k)
General or Percentage managing ownership partner?
Yes
No
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) Schedule R (Form 990) 2023
JSA 3E1310 1.000
THE TRUSTEES OF COLUMBIA UNIVERSITY 13-5598093 Supplemental Information Provide additional information for responses to questions on Schedule R. See instructions.
Schedule R (Form 990) 2023
Part VII
Page 5
SUPPLEMENTAL INFORMATION
SCHEDULE R
COLUMBIA UNIVERSITY OWNS AN 81.57% INTEREST IN 2700 BROADWAY CONDOMINIUM, WHICH IS TREATED AS A CONDOMINIUM ASSOCIATION UNDER NEW YORK STATE LAW. -------------------------------------------------------------------SCHEDULE R, PART I END-OF-YEAR ASSET REPORTING
CERTAIN DISREGARDED ENTITIES LISTED IN SCHEDULE R, PART I MAY HOLD VEHICLES, OFFICE EQUIPMENT AND RELATED ITEMS, THE VALUE OF WHICH IS INCLUDED IN THE UNIVERSITY'S BALANCE SHEET IN PART X OF THIS FORM 990 BUT IS NOT REFLECTED IN COLUMN (E) END-OF-YEAR ASSETS. -------------------------------------------------------------------SCHEDULE R, PART IV
AS OF JUNE 30, 2024, THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK HELD MORE THAN A 50% BENEFICIAL INTEREST IN 61 CHARITABLE REMAINDER TRUSTS DOMICILED IN NEW YORK AND 2 POOLED INCOME FUNDS DOMICILED IN NEW YORK.
Schedule R (Form 990) 2023 3E1510 1.000
6416BJ K321
V23-7.16
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Marketing Support Program
Columbia Classic
FY 2025-2026 Event Income/Expense Report 2025-2026 projection
2024-2025 actuals
VAR+10% increase
$15,000.00
$10,650.00
$4,350.00
$150.00
$120.00
$30.00
$15,000.00
$14,650.00
$350.00
$0.00
$250.00
$250.00
$0.00
$0.00
Athletic Trainer
$1,800.00
$1,800.00
$0.00
$0.00
Officials
$3,225.00
$3,225.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$4,730.00
$0.00
Expenses Greens Fees Awards Food and Beverage Water
Expenses Subtotal Other Expenses
$35,425.00
$30,695.00
Income
2025-2026 projection
2024-2025 actuals
VAR
Entry Fees
$25,000.00
$24,750.00
$250.00
Columbia Parent Fund
$10,000.00
$10,000.00
$0.00
$0.00 $0.00
$0.00
$0.00 $0.00
$0.00 Income Subtotal
$35,000.00
$34,750.00
$250.00
$0.00 $0.00 $0.00
$0.00
Cash in Bank to start Other Income TDC grant funding
$3,450.00
$15,000.00 -$11,550.00 $0.00
Other Expenses Subtotal Marketing - please specify Brevard/Out-of-County
$0.00
$0.00
Other Income Subtotal
$3,450.00
$15,000.00 -$11,550.00
$0.00
Total Income
$38,450.00
$49,750.00 -$11,300.00
$0.00
Total Expenses Paid
$35,425.00
$30,695.00
Profit/Loss
$3,025.00
$19,055.00 -$16,030.00
$4,730.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Marketing Subtotal Total Expenses 2025-2026
$0.00
$0.00
$0.00 $0.00
$35,425.00
$30,695.00
$4,730.00
.
Updated: 6/18/2025