Skip to main content

issuu PACKET

Page 1

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

NATIONAL AIR SEA SPACE

27-3459716

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 . . . . . . . . . . . . . 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

DAA


NASSFI

Schedule A (Form 990) 2023

NATIONAL AIR SEA SPACE

27-3459716

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) 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


NASSFI

Schedule A (Form 990) 2023

NATIONAL AIR SEA SPACE

27-3459716

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

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

DAA


NASSFI

Schedule A (Form 990) 2023

Part IV 11 a b c

NATIONAL AIR SEA SPACE

27-3459716

Page 5

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


NASSFI

Schedule A (Form 990) 2023

Part V 1

NATIONAL AIR SEA SPACE

27-3459716

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

DAA


NASSFI

Schedule A (Form 990) 2023

Part V

NATIONAL AIR SEA SPACE

27-3459716

Page 7

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.)

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

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

. .....................................................................................................................................................................

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

. .....................................................................................................................................................................

AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2020.

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

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)

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

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.

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

. .....................................................................................................................................................................

.

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

DAA


21508

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

DAA


21508

Schedule A (Form 990) 2023

Part IV 11

MERRITT ISLAND WILDLIFE

59-3289841

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

59-3289841

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

DAA


21508

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

DAA


21508

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.)

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. .......................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

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

. ............................. ............................. ...................


21508

MERRITT ISLAND WILDLIFE

59-3289841 Page 2

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


21508

MERRITT ISLAND WILDLIFE

59-3289841

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


21508

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. . ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .................................................................................... ............................................................... ...................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

Schedule D (Form 990) 2023 DAA


21508

MERRITT ISLAND WILDLIFE

Schedule D (Form 990) 2023

Part XIII

59-3289841 Page 5

Supplemental Information (continued)

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. ...................................................................................................................................................... ................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

. .............................................................................................................................. ........................................

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…

1/3


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

View image in PDF format

08/16/2024 -- Name Change

View image in PDF format

02/10/2024 -- ANNUAL REPORT

View image in PDF format

01/21/2023 -- ANNUAL REPORT

View image in PDF format

01/23/2022 -- ANNUAL REPORT

View image in PDF format

07/30/2021 -- ANNUAL REPORT

View image in PDF format

03/18/2020 -- ANNUAL REPORT

View image in PDF format

06/25/2019 -- AMENDED ANNUAL REPORT

View image in PDF format

02/04/2019 -- ANNUAL REPORT

View image in PDF format

02/08/2018 -- ANNUAL REPORT

View image in PDF format

01/11/2017 -- ANNUAL REPORT

View image in PDF format

12/12/2016 -- Amendment

View image in PDF format

12/08/2016 -- AMENDED ANNUAL REPORT

View image in PDF format

04/27/2016 -- ANNUAL REPORT

View image in PDF format

04/27/2015 -- ANNUAL REPORT

View image in PDF format

01/28/2014 -- ANNUAL REPORT

View image in PDF format

04/12/2013 -- ANNUAL REPORT

View image in PDF format

03/16/2012 -- ANNUAL REPORT

View image in PDF format

05/05/2011 -- ANNUAL REPORT

View image in PDF format

https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=HENEGA…

2/3


5/16/25, 2:07 PM

Detail by Entity Name

04/22/2011 -- ANNUAL REPORT

View image in PDF format

07/13/2010 -- ANNUAL REPORT

View image in PDF format

08/04/2009 -- ANNUAL REPORT

View image in PDF format

07/02/2008 -- ANNUAL REPORT

View image in PDF format

05/05/2007 -- ANNUAL REPORT

View image in PDF format

04/18/2006 -- ANNUAL REPORT

View image in PDF format

04/29/2005 -- ANNUAL REPORT

View image in PDF format

04/17/2004 -- ANNUAL REPORT

View image in PDF format

08/01/2003 -- ANNUAL REPORT

View image in PDF format

06/25/2002 -- ANNUAL REPORT

View image in PDF format

07/24/2001 -- ANNUAL REPORT

View image in PDF format

08/28/2000 -- ANNUAL REPORT

View image in PDF format

05/05/1999 -- ANNUAL REPORT

View image in PDF format

02/03/1998 -- ANNUAL REPORT

View image in PDF format

05/30/1997 -- ANNUAL REPORT

View image in PDF format

05/15/1996 -- ANNUAL REPORT

View image in PDF format

04/25/1995 -- 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=HENEGA…

3/3


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

CO PY

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.

CO PY

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

CO PY

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

CO PY

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

CO PY

Schedule A (Form 990) 2024

Schedule A (Form 990) 2024 REV 03/12/25 PRO


01234563ÿ4ÿ 89 ÿ

ÿ ÿ ! "!ÿ#$ÿ!% ÿ& '( )ÿÿ *"! " +ÿ "( ÿ, - ÿ sD >ÿAÿ?B>ÿ CDE@FD?@E

./0012324561ÿ89464:961ÿ.56523245;

jklÿm# ÿno op q

1 <=>?>ÿ@Aÿ?B>ÿ CDE@FD?@EÿDEGH>>IÿJK>GLÿEÿ9 ÿ Mÿÿ ND?ÿOPMÿ=@E>ÿQMÿRMÿSMÿMÿT MÿTTDMÿTTUMÿTTVMÿTTIMÿTT>MÿTTAMÿTWDMÿ ÿTWUXÿÿ Y??DVBÿ?ÿ9 ÿ Xÿÿ Z ÿ?ÿ[[[\]^_\`abcda^effgÿA ÿ@EG?iV?@EGÿDEIÿ?B>ÿ=D?>G?ÿ@EA D?@EX

r<>Eÿ?ÿNiU=@Vÿ OEG<>V?@E

3 <=t>ÿ@I>E?@A@VD?@EÿEi U>

ND?ÿO r CDE@FD?@EGÿuD@E?D@E@ECÿ4 E ÿYIv@G>Iÿ9iEIGÿ ÿr?B>ÿ0@ @=Dÿ9iEIGÿ ÿYVV iE?Gÿ w# + ! ÿ-$ÿ!% ÿ# x "-y!-#"ÿ"'z {ÿ|} '~ÿ#"ÿ # ÿ ÿ !ÿ* ÿ+-" ÿ

Museum of Dinosaurs and Ancient Cultures

27-3564062

8D ÿ #"# ÿ{ -' {ÿ$("{'

8U ÿ ("{'ÿ"{ÿ#!% ÿ #("!'

T &#!+ÿ"( ÿ!ÿ "{ÿ#$ÿ) ÿ W xx x ! ÿ +( ÿ#$ÿ #"! - (!-#"'ÿ!#ÿ {( -"xÿ) xx x ! ÿ +( ÿ#$ÿx "!'ÿ$ # ÿ {( -"xÿ) ÿ xx x ! ÿ +( ÿ!ÿ "{ÿ#$ÿ) ÿ ÿ -{ÿ!% ÿ# x "-y!-#"ÿ-"$# ÿ++ÿ{#"# 'ÿ"{ÿ{#"# ÿ{ -'# 'ÿ-"ÿz -!-"xÿ!% !ÿ!% ÿ'' !'ÿ% +{ÿ-"ÿ{#"# ÿ{ -' {ÿ ÿ $("{'ÿ ÿ!% ÿ# x "-y!-#" 'ÿ # !) ÿ'( !ÿ!#ÿ!% ÿ# x "-y!-#" 'ÿ +('- ÿ+ x +ÿ #"! #+ ÿ K>G s Qÿ -{ÿ!% ÿ# x "-y!-#"ÿ-"$# ÿ++ÿx "! ' ÿ{#"# ' ÿ"{ÿ{#"# ÿ{ -'# 'ÿ-"ÿz -!-"xÿ!% !ÿx "!ÿ$("{'ÿ "ÿ ÿ(' {ÿ ÿ #"+)ÿ$# ÿ % -! + ÿ ( #' 'ÿ"{ÿ"#!ÿ$# ÿ!% ÿ " $-!ÿ#$ÿ!% ÿ{#"# ÿ# ÿ{#"# ÿ{ -'# ÿ# ÿ$# ÿ")ÿ#!% ÿ ( #' ÿ #"$ -"xÿ- -''- + ÿ - ! ÿ " $-! ÿ K>G s

ND?ÿOO 1 EG>vD?@Eÿ3DG> >E?Gÿ w# + ! ÿ-$ÿ!% ÿ# x "-y!-#"ÿ"'z {ÿ|} '~ÿ#"ÿ # ÿ ÿ !ÿ* ÿ+-" ÿq

CO PY

T ( #' ' ÿ#$ÿ #"' !-#"ÿ ' "!'ÿ% +{ÿ )ÿ!% ÿ# x "-y!-#"ÿ % ÿ++ÿ!% !ÿ +) ' !-#"ÿ#$ÿ+"{ÿ$# ÿ ( +- ÿ(' ÿ $# ÿ + ÿ !-#"ÿ# ÿ {( !-#" ' !-#"ÿ#$ÿÿ%-'!# - ++)ÿ- # !"!ÿ+"{ÿ #! !-#"ÿ#$ÿ" !( +ÿ% -!! ' !-#"ÿ#$ÿÿ !-$- {ÿ%-'!# - ÿ'! ( !( ' !-#"ÿ#$ÿ# "ÿ' Wÿ w# + ! ÿ+-" 'ÿ ÿ!% #(x%ÿ {ÿ-$ÿ!% ÿ# x "-y!-#"ÿ% +{ÿÿ ( +-$- {ÿ #"' !-#"ÿ #"! - (!-#"ÿ-"ÿ!% ÿ$# ÿ#$ÿÿ #"' !-#"ÿ ÿ ' "!ÿ#"ÿ!% ÿ+'!ÿ{ )ÿ#$ÿ!% ÿ! ÿ) 2>=IÿD?ÿ?B>ÿ3EIÿAÿ?B>ÿ D ÿK>D D &#!+ÿ"( ÿ#$ÿ #"' !-#"ÿ ' "!'ÿ WD U &#!+ÿ x ÿ '! - ! {ÿ )ÿ #"' !-#"ÿ ' "!' WU V m( ÿ#$ÿ #"' !-#"ÿ ' "!'ÿ#"ÿÿ !-$- {ÿ%-'!# - ÿ'! ( !( ÿ-" +({ {ÿ#"ÿ+-" ÿ WV Iÿm( ÿ#$ÿ #"' !-#"ÿ ' "!'ÿ-" +({ {ÿ#"ÿ+-" ÿ ÿ (- {ÿ$! ÿ (+)ÿ o ÿ ÿ"{ÿ"#!ÿ #"ÿÿ%-'!# - ÿ'! ( !( ÿ+-'! {ÿ-"ÿ!% ÿm !-#" +ÿ x-'! ÿÿ WI ÿ m( ÿ#$ÿ #"' !-#"ÿ ' "!'ÿ #{-$- { ÿ! "'$ { ÿ + ' { ÿ !-"x(-'% { ÿ# ÿ! -" ! {ÿ ) ÿ !% ÿ# x "-y!-#"ÿ{( -"xÿ!% ÿ! ÿ) ÿ m( ÿ#$ÿ'!! 'ÿz% ÿ # !)ÿ'( !ÿ!#ÿ #"' !-#"ÿ ' "!ÿ-'ÿ+# ! {ÿ ÿ # 'ÿ!% ÿ# x "-y!-#"ÿ% ÿÿz -!! "ÿ #+- )ÿ x {-"xÿ!% ÿ -#{- ÿ #"-!# -"x ÿ-"' !-#" ÿ% "{+-"xÿ#$ ÿ -#+!-#"' ÿ"{ÿ "$# "!ÿ#$ÿ!% ÿ #"' !-#"ÿ ' "!'ÿ-!ÿ%#+{' ÿ K>G s Q ,!$$ÿ"{ÿ #+("! ÿ%#( 'ÿ{ #! {ÿ!#ÿ #"-!# -"x ÿ-"' !-"x ÿ% "{+-"xÿ#$ÿ -#+!-#"' ÿ"{ÿ "$# -"xÿ #"' !-#"ÿ ' "!'ÿ{( -"xÿ!% ÿ) ÿ R #("!ÿ#$ÿ "' 'ÿ-" ( {ÿ-"ÿ #"-!# -"x ÿ-"' !-"x ÿ% "{+-"xÿ#$ÿ -#+!-#"' ÿ "{ÿ "$# -"xÿ #"' !-#"ÿ ' "!'ÿ{( -"xÿ!% ÿ) ÿ Sÿ # 'ÿ %ÿ #"' !-#"ÿ ' "!ÿ # ! {ÿ#"ÿ+-" ÿ {ÿ # ÿ'!-'$)ÿ!% ÿ (- "!'ÿ#$ÿ' !-#"ÿnq % l ÿ - ÿ"{ÿ' !-#"ÿnq % l -- ÿ K>G s ÿ *"ÿ !ÿ *** ÿ{ ' - ÿ%#zÿ!% ÿ# x "-y!-#"ÿ # !'ÿ #"' !-#"ÿ ' "!'ÿ-"ÿ-!'ÿ "( ÿ"{ÿ "' ÿ'!! "!ÿ"{ÿ +" ÿ ÿ '% ! ÿ"{ÿ-" +({ ÿ-$ÿ +- + ÿ!% ÿ! !ÿ#$ÿ!% ÿ$##!"#! ÿ!#ÿ!% ÿ# x "-y!-#" 'ÿ$-" " -+ÿ'!! "!'ÿ!% !ÿ{ ' - 'ÿ!% ÿ ÿ # x "-y!-#" 'ÿ #("!-"xÿ$# ÿ #"' !-#"ÿ ' "!'

ND?ÿOOO r CDE@FD?@EGÿuD@E?D@E@ECÿ1 ==>V?@EGÿAÿY ?Mÿ2@G? @VD=ÿ >DGi>GMÿ ÿr?B>ÿ0@ @=DÿYGG>?Gÿÿ w# + ! ÿ-$ÿ!% ÿ# x "-y!-#"ÿ"'z {ÿ|} '~ÿ#"ÿ # ÿ ÿ !ÿ* ÿ+-" ÿ

TD ÿÿ*$ÿ!% ÿ# x "-y!-#"ÿ + ! { ÿ'ÿ -!! {ÿ("{ ÿ ,lÿ,wÿ o ÿ"#!ÿ!#ÿ # !ÿ-"ÿ-!'ÿ "( ÿ'!! "!ÿ"{ÿ +" ÿ'% !ÿz# 'ÿ ÿÿ #$ÿ ! ÿ%-'!# - +ÿ! '( ' ÿ# ÿ#!% ÿ'- -+ ÿ'' !'ÿ% +{ÿ$# ÿ ( +- ÿ %- -!-#" ÿ {( !-#" ÿ# ÿ ' %ÿ-"ÿ$( !% " ÿ#$ÿ ( +- ÿ ' - ÿ # -{ ÿ-"ÿ !ÿ ***ÿ!% ÿ! !ÿ#$ÿ!% ÿ$##!"#! ÿ!#ÿ-!'ÿ$-" " -+ÿ'!! "!'ÿ!% !ÿ{ ' - 'ÿ!% ' ÿ-! ' Uÿ*$ÿ!% ÿ# x "-y!-#"ÿ + ! { ÿ'ÿ -!! {ÿ("{ ÿ ,lÿ,wÿ o ÿ!#ÿ # !ÿ-"ÿ-!'ÿ "( ÿ'!! "!ÿ"{ÿ +" ÿ'% !ÿz# 'ÿ#$ ÿÿ ! ÿ%-'!# - +ÿ! '( ' ÿ# ÿ#!% ÿ'- -+ ÿ'' !'ÿ% +{ÿ$# ÿ ( +- ÿ %- -!-#" ÿ {( !-#" ÿ# ÿ ' %ÿ-"ÿ$( !% " ÿ#$ÿ ( +- ÿ' - ÿ ÿ # -{ ÿ!% ÿ$#++#z-"xÿ #("!'ÿ +!-"xÿ!#ÿ!% ' ÿ-! ' 8@ ÿÿ "( ÿ-" +({ {ÿ#"ÿ # ÿ ÿ !ÿ *** ÿ+-" ÿnÿ 8@@ ÿ'' !'ÿ-" +({ {ÿ-"ÿ # ÿ ÿ !ÿ ÿÿÿ Wÿ *$ÿ!% ÿ# x "-y!-#"ÿ - {ÿ# ÿ% +{ÿz# 'ÿ#$ÿ ! ÿ%-'!# - +ÿ! '( ' ÿ# ÿ#!% ÿ'- -+ ÿ'' !'ÿ$# ÿ$-" " -+ÿx -" ÿ # -{ ÿ!% ÿ $#++#z-"xÿ #("!'ÿ (- {ÿ!#ÿ ÿ # ! {ÿ("{ ÿ ,lÿ,wÿ o ÿ +!-"xÿ!#ÿ!% ' ÿ-! ' D "( ÿ-" +({ {ÿ#"ÿ # ÿ ÿ !ÿ *** ÿ+-" ÿnÿ U '' !'ÿ-" +({ {ÿ-"ÿ # ÿ ÿ !ÿ ÿ

9 ÿND<>H ÿ >IiV?@EÿYV?ÿs ?@V>MÿG>>ÿ?B>ÿOEG?iV?@EGÿA ÿ9 ÿ X BAA

REV 03/12/25 PRO

0VB>Ii=>ÿ4ÿ89 ÿ ÿ8 >vXÿTW W W ÿ


3ÿ ÿ ÿ!!! " # $%& %'$(ÿ) %$ %$%$#ÿ*'++,-%'$(ÿ'.ÿ/ 0ÿ1%(' %- +ÿ2 , (3 ,(0ÿ' ÿ" 4, ÿ5%6%+ ÿ/((,(ÿ789:;<:=>?@

01234563ÿ8ÿ9 ÿ ÿ9 3 ÿ

Aÿ BCDE ÿF23ÿ EDG FDEHCÿ 1I5DCDFDEJÿ 113CCDEJÿ E4ÿF23ÿ31 4CJÿ1231Kÿ ELÿMÿF23ÿM66NDE ÿF2 Fÿ K3ÿCD EDMD1 EFÿ5C3ÿMÿDFCÿ ÿ 1 6631FDEÿDF3 Cÿ91231Kÿ 66ÿF2 Fÿ OO6L 5P6D1ÿ3Q2DPDFDE S T Eÿ ÿ3Q12 E 3ÿO R 012 6 6Lÿ3C3 12 , UF23 - 3C3 FDEÿM ÿM5F53ÿ 3E3 FDEC Vÿ D43ÿ ÿ43C1DOFDEÿMÿF23ÿ EDG FDEHCÿ1 6631FDECÿ E4ÿ3QO6 DEÿ2 NÿF23LÿM5F23ÿF23ÿ EDG FDEHCÿ3Q3 OFÿO5O C3ÿDEÿ Fÿ ÿ WXXX Yÿ 85DE ÿF23ÿL3 Jÿ4D4ÿF23ÿ EDG FDEÿC 6D1DFÿ ÿ313D 3ÿ4 E FDECÿMÿ FJÿ2DCF D1 6ÿF3 C53CJÿ ÿF23ÿCD D6 ÿ ÿ CC3FCÿFÿP3ÿC 64ÿFÿ DC3ÿM5E4Cÿ F23ÿF2 EÿFÿP3ÿ DEF DE34ÿ CÿO FÿMÿF23ÿ EDG FDEHCÿ1 6631FDEZÿ [,( \'

ÿ!] ^(- '_ÿ $Sÿ*3('S% +ÿ/ $#,6,$(ÿÿ ` O63F3ÿDMÿF23ÿ EDG FDEÿ ECN334ÿab3CcÿEÿ ÿ Jÿ FÿXdJÿ6DE3ÿ Jÿ ÿ3O F34ÿ Eÿ 5EFÿEÿ ÿ Jÿ FÿWJÿ6DE3ÿ

e ÿÿXCÿF23ÿ EDG FDEÿ Eÿ 3EFJÿF5CF33Jÿ15CF4D EJÿ ÿF23ÿDEF3 34D LÿM ÿ1 EFDP5FDECÿ ÿF23ÿ CC3FCÿE Fÿ ÿ DE165434ÿEÿ ÿ Jÿ FÿWZÿ [,( \' R XMÿab3CJcÿ3QO6 DEÿF23ÿ E 3 3EFÿDEÿ FÿWXXXÿ E4ÿ1 O63F3ÿF23ÿM66NDE ÿF P63 f 5EF - g3 DEEDE ÿP 6 E13ÿ eS f44DFDECÿ45DE ÿF23ÿL3 ÿ eS , 8DCFDP5FDECÿ45DE ÿF23ÿL3 ÿ e, . hE4DE ÿP 6 E13ÿ e. 8D4ÿF23ÿ EDG FDEÿDE16543ÿ Eÿ 5EFÿEÿ ÿ Jÿ FÿWJÿ6DE3ÿ JÿM ÿ3C1 Nÿ ÿ15CF4D 6ÿ 11 5EFÿ6D PD6DFLZ [,( \' R XMÿab3CJcÿ3QO6 DEÿF23ÿ E 3 3EFÿDEÿ FÿWXXX ÿ̀231Kÿ233ÿDMÿF23ÿ3QO6 E FDEÿ2 CÿP33EÿO D434ÿDEÿ FÿWXXXÿ

CO PY

ÿ] ^$S'_6,$ÿi3$S(ÿ ` O63F3ÿDMÿF23ÿ EDG FDEÿ ECN334ÿab3CcÿEÿ ÿ Jÿ FÿXdJÿ6DE3ÿ j kÿ̀5 3EFÿL3

jRkÿ D ÿL3

j-kÿlN ÿL3 CÿP 1K jSkÿl233ÿL3 CÿP 1K j,kÿ 5ÿL3 CÿP 1K

e g3 DEEDE ÿMÿL3 ÿP 6 E13ÿ R ` EFDP5FDECÿ -ÿm3FÿDE 3CF 3EFÿ3 EDE CJÿ DECJÿ ÿ E4ÿ6CC3Cÿ S n EFCÿ ÿC12 6 C2DOCÿ ,ÿUF23ÿ3QO3E4DF53CÿM ÿM 1D6DFD3Cÿ E4ÿ ÿ O Cÿ . f4 DEDCF FD 3ÿ3QO3EC3Cÿ # hE4ÿMÿL3 ÿP 6 E13ÿ D43ÿF23ÿ3CFD F34ÿO313EF 3ÿMÿF23ÿ15 3EFÿL3 ÿ3E4ÿP 6 E13ÿ96DE3ÿ Jÿ1 65 Eÿ9 ÿ2364ÿ Co g 4ÿ43CD E F34ÿ ÿI5 CD 3E4 N 3EFÿ p p R 3 E3EFÿ3E4 N 3EFÿ - l3 ÿ3E4 N 3EFÿÿ p l23ÿO313EF 3CÿEÿ6DE3Cÿ Jÿ PJÿ E4ÿ 1ÿC2 564ÿ3I5 6ÿ p A ÿÿf3ÿF233ÿ3E4 N 3EFÿM5E4CÿE FÿDEÿF23ÿO CC3CCDEÿMÿF23ÿ EDG FDEÿF2 Fÿ 3ÿ2364ÿ E4ÿ 4 DEDCF334ÿM ÿF23 ÿ EDG FDEÿPLo [,( \' j%kÿÿÿBE36 F34ÿ EDG FDECZÿ A j%k j%%kÿÿ 36 F34ÿ EDG FDECZÿ A j%%k R XMÿab3CcÿEÿ6DE3ÿq 9DD Jÿ 3ÿF23ÿ36 F34ÿ EDG FDECÿ6DCF34ÿ Cÿ3I5D34ÿEÿ01234563ÿ Zÿ AR V 83C1DP3ÿDEÿ FÿWXXXÿF23ÿDEF3E434ÿ5C3CÿMÿF23ÿ EDG FDEHCÿ3E4 N 3EFÿM5E4C

ÿ]! r $S0ÿs3%+S%$#(0ÿ $Sÿ^t3%u6,$ÿ ` O63F3ÿDMÿF23ÿ EDG FDEÿ ECN334ÿab3CcÿEÿ ÿ Jÿ FÿXdJÿ6DE3ÿ ÿ033ÿ ÿ Jÿ FÿWJÿ6DE3ÿ 83C1DOFDEÿMÿO O3FL

j kÿÿ̀ CFÿ ÿF23ÿP CDCÿ jRkÿÿ̀ CFÿ ÿF23ÿP CDCÿ j-kÿÿf115 56 F34ÿ 9DE 3CF 3EF 9F23 43O31D FDE

e T E4ÿ R g5D64DE Cÿ - T3 C32 64ÿD O 3 3EFCÿ 0. 23,009. 21,993. S hI5DO 3EF 0. 13,540. 12,936. , UF23ÿ 2' +vÿf44ÿ6DE3Cÿ ÿF2 5 2ÿ 3 ÿ7w9x=y:ÿ7?@ÿy={;ÿ>|=}xÿ~9 yÿ ÿ } ;ÿ ÿx<:>ÿ 8 ÿ89x=y:ÿ7 @@ÿ BAA

REV 03/12/25 PRO

jSkÿÿg Kÿ 653

1,016. 604. 1,620.

5-4,S3+,ÿ ÿji' 6ÿ kÿj , vÿe Vk


3ÿ ÿ ÿ!"" "#$%&'%#&() *% ÿ+%,- ..%&ÿ / 06313ÿ23ÿ123ÿ 425 124ÿ 467334ÿ8936:ÿ4ÿ ÿ ;ÿ 1ÿ<=;ÿ6243ÿ > ÿ033ÿ ÿ ;ÿ 1ÿ?;ÿ6243ÿ

01234563ÿ8ÿ9 ÿ ÿ9 3 ÿ

@ Aÿ836120124ÿ3ÿ631521Bÿ ÿ1 13 Bÿ ÿ924165424 ÿ4 3ÿ3ÿ631521B

@CAÿD Eÿ 653

@HAÿ24 412 6ÿ432 12 36ÿ @IAÿ/6636Bÿ2364ÿ3J521Bÿ24133616 @ AÿK123

@,AÿF312 4ÿ3ÿ 65 124Gÿÿ / 61ÿ ÿ344 3 B3 ÿ E31ÿ 653

9L 9D 9/ 98 9M 9 9N 9O

PQ RSÿTUVWXYZÿT\]ÿYX^_ÿ̀aXbWÿcVdYÿeefgÿhbd_ÿigÿWjZ`ÿklgÿmVWnÿTo]]ÿÿÿ

ÿ!""" "#$%&'%#&( Qp 'ÿq%R %rÿÿ / 06313ÿ23ÿ123ÿ 425 124ÿ 467334ÿ8936:ÿ4ÿ ÿ ;ÿ 1ÿ<=;ÿ6243ÿ 1 ÿ033ÿ ÿ ;ÿ 1ÿ?;ÿ6243ÿ s @ Aÿ836120124ÿ3ÿ24 361 341

@,AÿF312 4ÿ3ÿ 65 124Gÿÿ / 61ÿ ÿ344 3 B3 ÿ E31ÿ 653

556,304. Cost

CO PY

@HA Exhibit Components @IA @ A @tA @uA @vA @wA @xA @yA

@CAÿD Eÿ 653

PQ RSÿTUVWXYZÿT\]ÿYX^_ÿ̀aXbWÿcVdYÿeefgÿhbd_ÿigÿWjZ`ÿkzgÿmVWnÿTo]]ÿ

ÿ"{ ) *% ÿ|&&%&ÿ / 06313ÿ23ÿ123ÿ 425 124ÿ 467334ÿ8936:ÿ4ÿ ÿ ;ÿ 1ÿ<=;ÿ6243ÿ 4 ÿ033ÿ ÿ ;ÿ 1ÿ?;ÿ6243ÿ }

@HA @IA @ A @tA @uA @vA @wA @xA @yA

556,304.

@ Aÿ836120124

@CAÿD Eÿ 653

PQ RSÿTUVWXYZÿT\]ÿYX^_ÿ̀aXbWÿcVdYÿeefgÿhbd_ÿigÿWjZ`ÿk~gÿmVWnÿTo]]ÿn n n n n n n n n n n n n n ÿ

ÿ{ ) *% ÿ . C.R..%&ÿ / 06313ÿ23ÿ123ÿ 425 124ÿ 467334ÿ8936:ÿ4ÿ ÿ ;ÿ 1ÿ<=;ÿ6243ÿ 3ÿ ÿ 3 ÿ033ÿ ÿ ;ÿ 1ÿ?;ÿÿ 6243ÿ }

HSÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ@ Aÿ836120124ÿ3ÿ62 >2621B @HAÿ343 6ÿ241 3ÿ1 36 @IA @ A @tA @uA @vA @wA @xA @yA

@CAÿD Eÿ 653

PQ RSÿTUVWXYZÿT\]ÿYX^_ÿ̀aXbWÿcVdYÿeefgÿhbd_ÿigÿWjZ`ÿl~gÿmVWnÿTo]]ÿÿn n n n n n n n n n n n n n ÿ ISÿ 2 >2621Bÿ3 ÿ54131 24ÿ1 ÿ0 621246 ÿ<4ÿ 1ÿ?<<<;ÿ0 243ÿ123ÿ13 1ÿ3ÿ123ÿ3 14 13ÿ1ÿ123ÿ 425 124 6ÿ324 412 6ÿ61 13 3416ÿ12 1ÿ30 16ÿ123ÿ 425 124 6ÿ62 >2621Bÿ3 ÿ54131 24ÿ1 ÿ0 621246ÿ5443ÿL0DÿL0/ÿ ÿ/231Eÿ233ÿ23ÿ123ÿ13 1ÿ3ÿ123ÿ3 14 13ÿ2 6ÿ>334ÿ0 2434ÿ24ÿ 1ÿ?<<<ÿ

+,*%r-R%ÿ ÿ@Q 'ÿyy Aÿ@q%$SÿHI I ItA


01234563ÿ8ÿ9 ÿ ÿ9 3 ÿ

ÿ!" #$%&'%()( (&'ÿ&*ÿ#$+$',$ÿ-$ ÿ.,/($/ÿ0(' '%( )ÿ1 $2$'3ÿ4(5ÿ#$+$',$ÿ-$ ÿ#$, 'ÿ 6 76383ÿ9:ÿ823ÿ ;9< 89;ÿ ;=>334ÿ?@3=Aÿ;ÿ ÿ Bÿ 8ÿCDBÿ69;3ÿ

3ÿ ÿ

E F 8 6ÿ3 3;53Bÿ 9;=Bÿ ;4ÿ823ÿ=577 8ÿ73ÿ 549834ÿ:9; ;19 6ÿ=8 83 3;8=ÿ E G H 5;8=ÿ9;165434ÿ;ÿ69;3ÿ ÿI58ÿ; 8ÿ;ÿ ÿ Bÿ 8ÿDCCCBÿ69;3ÿ J K38ÿ5;3 69<34ÿ 9;=ÿ96==3= ÿ;ÿ9; 3=8 3;8=ÿ G L 8 ; 834ÿ=3 913=ÿ ;4ÿ5=3ÿ:ÿ: 1969893=ÿ GL % 31 393=ÿ:ÿ79 ÿM3 ÿ ;8=ÿ G% / N823ÿ983=19I3ÿ9;ÿ 8ÿOCCC ÿ G/ $ H44ÿ69;3=ÿ ÿ82 5 2ÿ 4ÿ G$ P 05I8 18ÿ69;3ÿ 3ÿ: ÿ69;3ÿ P H 5;8=ÿ9;165434ÿ;ÿ ÿ Bÿ 8ÿDCCCBÿ69;3ÿ BÿI58ÿ; 8ÿ;ÿ69;3ÿ J C; 3=8 3;8ÿ3Q73;=3=ÿ; 8ÿ9;165434ÿ;ÿ ÿ Bÿ 8ÿDCCCBÿ69;3ÿRIÿ L N823ÿ983=19I3ÿ9;ÿ 8ÿOCCC ÿ L % H44ÿ69;3=ÿ ÿ ;4ÿ Iÿ % S F 8 6ÿ3 3;53 ÿH44ÿ69;3=ÿTÿ ;4ÿ 1 ÿUVWXYÿ[\Y]ÿ^_\`aÿbcd[ÿeefgÿh`d]ÿigÿaXj^ÿklmnÿ m m m m m m m S

ÿ!"" #$%&'%()( (&'ÿ&*ÿop-$'3$3ÿ-$ ÿ.,/($/ÿ0(' '%( )ÿ1 $2$'3ÿ4(5ÿop-$'3$3ÿ-$ ÿ#$, 'ÿ 6 76383ÿ9:ÿ823ÿ ;9< 89;ÿ ;=>334ÿ?@3=Aÿ;ÿ ÿ Bÿ 8ÿCDBÿ69;3ÿ

CO PY

E F 8 6ÿ3Q73;=3=ÿ ;4ÿ6==3=ÿ73ÿ 549834ÿ:9; ;19 6ÿ=8 83 3;8=ÿ E G H 5;8=ÿ9;165434ÿ;ÿ69;3ÿ ÿI58ÿ; 8ÿ;ÿ ÿ Bÿ 8ÿCOBÿ69;3ÿ qJ 8 ; 834ÿ=3 913=ÿ ;4ÿ5=3ÿ:ÿ: 1969893=ÿ G L 9 ÿM3 ÿ 4r5=8 3;8=ÿ GL % N823ÿ6==3=ÿ G% / N823ÿ983=19I3ÿ9;ÿ 8ÿOCCC ÿ G/ $ H44ÿ69;3=ÿ ÿ82 5 2ÿ 4ÿ G$ P 05I8 18ÿ69;3ÿ 3ÿ: ÿ69;3ÿ ÿ P H 5;8=ÿ9;165434ÿ;ÿ ÿ Bÿ 8ÿCOBÿ69;3ÿ qBÿI58ÿ; 8ÿ;ÿ69;3ÿ J C; 3=8 3;8ÿ3Q73;=3=ÿ; 8ÿ9;165434ÿ;ÿ ÿ Bÿ 8ÿDCCCBÿ69;3ÿRIÿ L N823ÿ983=19I3ÿ9;ÿ 8ÿOCCC ÿ L % H44ÿ69;3=ÿ ÿ ;4ÿ Iÿ % S F 8 6ÿ3Q73;=3= ÿH44ÿ69;3=ÿTÿ ;4ÿ 1 ÿUVWXYÿ[\Y]ÿ^_\`aÿbcd[ÿeefgÿh`d]ÿigÿaXj^ÿksmnÿm m m m m m m S ÿ!""" 1,--)$2$' )ÿ"'*& 2 (&' 943ÿ823ÿ43=19789;=ÿ3t5934ÿ: ÿ 8ÿCCBÿ69;3=ÿTBÿqBÿ ;4ÿ uÿ 8ÿCCCBÿ69;3=ÿ ÿ ;4ÿ uÿ 8ÿCDBÿ69;3=ÿ Iÿ ;4ÿ Iuÿ 8ÿDBÿ69;3ÿ uÿ 8ÿOBÿ69;3ÿ uÿ 8ÿOCBÿ69;3=ÿ 4ÿ ;4ÿ Iuÿ ;4ÿ 8ÿOCCBÿ69;3=ÿ 4ÿ ;4ÿ I ÿH6= ÿ1 76383ÿ829=ÿ7 8ÿ8ÿ7 943ÿ ;Mÿ 44989; 6ÿ9;: 89;

BAA

REV 03/12/25 PRO

1%5$/,)$ÿvÿw0& 2ÿxxyzÿw#$+{ÿEG|GyG z


01234563ÿ8ÿ9 ÿ ÿ9 3 ÿ

3ÿ ÿ

CO PY

ÿ!""" #$%%&'(') &ÿ")*+ ( ,+)ÿ-./01203456

#78'9$&'ÿ:ÿ;<+ (ÿ==>?ÿ;@'ABÿCDED>DF?


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

27-3564062

CO PY

Name of the organization

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. REV 03/12/25 PRO

BAA

Schedule O (Form 990) (Rev. 12-2024)


556789

0123ÿ

2 3 ÿ1 ÿ ÿ 2 2 ÿÿ 2 ÿ ÿ 2 ÿ k 3 ÿ1 ÿ 2

ÿ"$#0$%-&ÿ'*ÿÿ2%*(3)ÿ*"+3,'-45 'ÿ., +ÿ"+/)0+-%+%16*+%0)ÿ

012ÿ 7 2ÿ 2ÿ898:;ÿ12ÿ ÿ 2ÿ< = =ÿ ;ÿ898:;ÿ 7ÿ 7 = >?ÿA?BÿCDAEÿB?ÿBFDÿGHIJÿKDDLÿM?NÿO?PNÿNDQ?NECJÿÿ R?ÿB?ÿSSSTUVWTXYZ[\YV]^^_`abÿM?NÿBFDÿdeBDCBÿfAM?NgeBf?AJÿ

hijÿk1lÿmn:no99:p

qrst

;ÿ89

uGvÿ?NÿIIv

Museum of Dinosaurs and Ancient Cultures

27-3564062

k 3 ÿ 7ÿ ÿ1 ÿ1 2ÿ12ÿ 2 1 ÿ <w ÿ 1ÿ x

yeNBÿG zOLDÿ?MÿHDBPNAÿeAEÿHDBPNAÿGAM?NgeBf?Aÿ

Donna Cayer, Treasurer

CO PY

{ |ÿ ÿ<1xÿ 12ÿ ÿ2 2 ÿ 12ÿ} ÿ 1 ÿ 2ÿ =ÿ ÿ0123ÿ~~p o ÿ 7ÿ 2ÿ ÿ < ÿ 31 ;ÿ ÿ ;ÿ 213ÿ ÿ2 2 lÿ0123ÿ ~9 ~o{ ÿ 7ÿ0123ÿn 9ÿ 2 ÿ3 ÿ 2ÿ71 2 ÿ 7ÿ lÿ012ÿ ÿ1 2ÿ 123 ;ÿ 2ÿ} 1 ÿ71 2 ÿ1 lÿ ÿ 1 ÿ |ÿ ÿ<1xÿ1 ÿ ÿ e;ÿ e;ÿ e;ÿ e;ÿ e;ÿ e;ÿ e;ÿ e;ÿ e;ÿ12ÿ eÿ< 1};ÿ 7ÿ ÿ 31 ÿ1 ÿ ÿ ÿ 12ÿ ÿ2 2 ÿ< =ÿ 7ÿ} ÿ ÿ 123ÿ} ÿ< |;ÿ ÿ ÿ ÿ ;ÿ ;ÿ ;ÿ ;ÿ ;ÿ ;ÿ ;ÿ ;ÿ ;ÿ12ÿ ;ÿ} 2ÿ ÿ < ;ÿ< |ÿ 71ÿ 1 ÿ 2ÿo9o lÿj ;ÿ ÿ 1 ÿ 27ÿo9oÿ1 ÿ ÿ2 2 ;ÿ ÿ 2ÿo9oÿ1 ÿ ÿ < ÿ ÿ< 1}lÿ>?ÿA?Bÿ 13 ÿ312ÿ ÿ1 ÿ ÿ ÿ 2 ÿ l e ?Ngÿ ÿ |ÿ 2ÿl l l z?BedÿND DAPD;ÿ ÿ ÿ 0123ÿ 9;ÿ 2 ÿ ;ÿ 1 3 ÿ ;ÿ ÿm8 ÿl l 517,452. e ?Ngÿ u ÿ |ÿ 2ÿl l z?BedÿND DAPD;ÿ ÿ ÿ 0123ÿ 9o ;ÿ ÿ ÿl l l l l l l l e ?Ngÿ y ÿ |ÿ 2ÿl l z?BedÿBe ÿ 0123ÿmm89o h ;ÿ ÿ88 ÿ l l l l l l l l l l e ?Ngÿ y ÿ |ÿ 2ÿl l ze ÿ eCDEÿ?AÿfA DCBgDABÿfAQ?gDÿ 0123ÿ 9o 0;ÿ 2 ÿ ;ÿ ÿn ÿl e ?Ngÿ ÿ |ÿ 2ÿl l l edeAQDÿEPDÿ 0123ÿ~~ ~;ÿ ÿ ÿl l l l l l l l l l l e ?Ngÿ zÿ |ÿ 2ÿl l z?BedÿBe ÿ 0123ÿ 9o ;ÿ 2 ÿ ;ÿ ÿ: ÿl l l l l l l l l l e ?Ngÿ ÿ |ÿ 2ÿl l l z?BedÿBe ÿ 0123ÿ:p89;ÿ 2 ÿ ;ÿ ÿm ÿl l l l l l l l l l e ?Ngÿ ÿ |ÿ 2ÿl l l ÿ?MÿeCCDBCÿeBÿDAEÿ?MÿBe ÿODeNÿ 0123ÿn88p;ÿ 3ÿ ÿl l l l e ?Ngÿ ÿ |ÿ 2ÿl l l ze ÿEPDÿ 0123ÿn 9;ÿ 2 ÿ ;ÿ ÿm ÿl l l l l l l l l l e ?Ngÿ yÿ |ÿ 2 l l g?PABÿ?MÿQNDEfBÿLeOgDABÿND¡PDCBDEÿ 0123ÿ~9 ~o{ ;ÿ 2 ÿ ;ÿ ÿ88 ÿÿ yeNBÿGG >DQdeNeBf?AÿeAEÿIf¢AeBPNDÿPBF?Nf£eBf?Aÿ?Mÿ MMfQDNÿ?NÿyDNC?AÿIP ¤DQBÿB?ÿze ¥ 7 2ÿ ÿ1 ÿ 2w 2 ;ÿ ÿ7 2ÿ ÿ ÿ 3ÿ ÿ1 2ÿ1 ÿ ÿ <1 ÿ ÿ12 ÿ 3ÿ ÿ 2 1 ÿ <w ÿ 1ÿ xÿ} ÿ2 ÿ 1ÿ 3 ÿ 1 ÿ ;ÿ k 7ÿ ÿ ÿ ÿx 3 7ÿ ÿ 1 ÿ1 ÿ 898:ÿ 21 ÿ2 2 ÿ 7ÿ 13 =ÿ 7 ÿ 7ÿ 3 ;ÿ 7;ÿ 1ÿ ÿ< ÿ1 ÿ3 ÿ| 1} 7= ÿ 7ÿ< ;ÿ ÿ 2ÿ 2 ;ÿ 122 ;ÿ 7ÿ 13 lÿ ÿ 2 2ÿ7 2ÿ ÿ ÿ 31 ÿ ÿ 2 ÿ ÿ <1 ÿ ÿ ÿ 31 ÿ 1} ÿ1 ÿ ÿ 1 ÿ1 ÿ ÿ 21 ÿ2 2 lÿ ÿ 1 ÿ 1ÿ 1}ÿ3 ÿ 23 7 ÿ 2 ÿ21 7 2;ÿ 2 3 2;ÿ12ÿ 21 ÿ2 2 ÿ12 = 12ÿ h ÿ 1ÿ 7ÿ ÿ2 2 ÿ 1ÿ ÿ ÿ 7ÿ 1ÿ2 ÿ 213ÿ ÿ ÿ e ÿ ÿ | 1} 7= 3 ÿ1 ÿ2 ÿ12ÿ2 1 ÿ 12ÿ2w 1 ÿ1 ÿ ÿ 2 3 1 ;ÿ ÿ ÿ2 1 ÿ 12ÿ ÿ7 ÿ ÿ21 =ÿ ÿ2 2 ÿ12ÿ2 7;ÿ 7ÿ Q ÿ ÿ7 ÿ1 ÿ ÿ2 7lÿ ÿ < ;ÿ ÿ 12 ¦ÿ ÿ¥l lÿ 2 2 ÿ 7ÿ ÿ7 = 7ÿ0 ÿ = ÿ 1ÿ ÿ ÿ 21 ÿ 7 ÿ} 72 } ÿ 7 2 ÿ7 < ÿ 2 ÿ 1ÿ ÿ ÿ 1 ÿ 1 ÿ 7 7ÿ ÿ ÿ xÿ2 2 1 ÿ 1 } 2ÿ 12ÿ 3 ÿ1 ÿ ÿ 7 2 ÿ x ÿ1} 7ÿ1 ÿ ÿ 2 2 ;ÿ 7ÿ ÿ ÿ 1 ÿ 1ÿ7 < ÿ ÿ 2 ÿ 1ÿ ÿ 1 lÿ 1ÿ2 1|ÿ ÿ 3 ;ÿ ÿ3 ÿ 1 ÿ ÿ¥l lÿ 2 2 ÿ0 ÿ = ÿ ÿ mo~~~o n o:n pÿ 1ÿ 2ÿ ÿ8ÿ< ÿ7 ÿ2 12ÿ 1ÿ ÿ 3 ÿ 3 ÿ7 lÿ ÿ 1ÿ 12 ¦ÿ ÿ ÿ 1 ÿ 1 7ÿ ÿ ÿ 21 =ÿ1 ÿ ÿ 21 ÿ 3 ÿ1 ÿ x ÿ 1ÿ2 ÿ 1 7 ÿ 123 1 ÿ 2 ÿ 1ÿ } 2ÿ § 2 ÿ 7ÿ2 1 ÿ ÿ2 7ÿ 1ÿ ÿ 3 lÿ ÿ ÿ 7ÿ ÿ 2 1 ÿ 7 1 ÿ 3< 2ÿ k ÿ ÿ3 ÿ = 2ÿ 12ÿ ÿ 21 ÿ2 2 ÿ 7;ÿ ÿ < ;ÿ ÿ 1 ÿ 1ÿ 21 ÿ 7 ÿ} 72 } l yGvÿ̈QFDQ©ÿ?ADÿ ? ÿ?AdO ÿ 12 ¦ÿ Rhonda L Hinds & Associates CPA PA 1ÿ 2ÿ3 ÿ kÿ 3 2 9 5 3 ÿ3 ÿ = 2 uH ÿMfNgÿAegD

uABDNÿMf DÿAPg DNCªÿ PBÿ E?ÿA?BÿDABDNÿeddÿ£DN?C

1 ÿ ÿ xÿ 2ÿ898:ÿ 21 ÿ 7ÿ2 2 lÿ ÿ ÿ ÿ 7 7ÿ} ÿ ÿ2 2 ÿ ÿ ÿ 1 ÿ1 ÿ ÿ2 2 ÿ ÿ< =ÿ 7ÿ} ÿ ÿ ÿ = ÿ2= =ÿ 2 ÿ ÿ 2 ÿ1 ÿ ÿ ÿ0 7« ÿ21=2 3;ÿ ÿ 1ÿ 12 ¦ÿ ÿ 123 1 7ÿ hÿ 1ÿ 2ÿ3 ÿ kÿ1 ÿ ÿ 2 2 ¬ ÿ7 1 2ÿ 1 ÿ 2 l ÿ ÿ1 2ÿ12ÿ 2 1 ÿ <w ÿ 1ÿ xÿ} ÿ2 ÿ 1ÿ ÿ ;ÿ ÿ} ÿ 2ÿ3 ÿ kÿ ÿ3 ÿ = 2ÿ1 ÿ ÿ xÿ 2ÿ898:ÿ 21 ÿ 7ÿ2 2 lÿ ÿ ÿ ÿ 7 7ÿ} ÿ ÿ2 2 ÿ ÿ ÿ 1 ÿ1 ÿ ÿ2 2 ÿ ÿ< =ÿ 7ÿ} ÿ ÿ ÿ = ÿ2= =ÿ 2 ÿ ÿ 2 ÿ 1 ÿ ÿ ÿ0 7« ÿ21=2 3;ÿ ÿ} ÿ 2ÿ3 ÿ kÿ1 ÿ ÿ2 2 ¬ ÿ7 1 2ÿ 1 ÿ 2 l ÿ 05/07/2025

= 2ÿ1 ÿ1 2ÿ12ÿ 2 1 ÿ <w ÿ 1ÿ xÿ

yeNBÿGGG DNBfMfQeBf?AÿeAEÿPBFDABfQeBf?A

uH ­Cÿu Gv®yGvJÿ 2ÿ 1 2ÿ xo7 = ÿ 21 ÿ =ÿ 7 1 ÿ 3< 2ÿ 0 k ÿ 1 1} 7ÿ< ÿ 1 2ÿ o7 = ÿ o 7ÿ kl

5 9 6 3 6 5 5 9 6 3 6

>?ÿA?BÿDABDNÿeddÿ£DN?C

ÿ 2 ÿ ÿ ÿ <1 ÿ 3 2 ÿ 2 ÿ ÿ3 ÿ k;ÿ} ÿ ÿ3 ÿ = 2ÿ1 ÿ ÿ898:ÿ 21 ÿ 7ÿ2 2 ÿ 7 7ÿ <1 lÿ ÿ 1 23ÿ ÿ ÿ 3ÿ <3 =ÿ ÿ2 2 ÿ ÿ 127 ÿ} ÿ ÿ2§ 23 ÿ1 ÿyP Jÿ ;ÿi17 2 ¦7ÿo0 ÿ i 0 ÿ 123 1 ÿ 12ÿ 12 ¦7ÿ ÿo ÿ 21 7 2 ÿ 12ÿj ÿ 2 l h¬ ÿ = 2ÿ Rhonda L Hinds & Associates CPA PA

ÿ 05/07/2025

uH ÿ PCBÿHDBefAÿzFfCÿ ?Ngÿ°ÿIDDÿGACBNPQBf?ACÿÿ >?ÿv?BÿIP gfBÿzFfCÿ ?NgÿB?ÿBFDÿGHIÿ±AdDCCÿHD¡PDCBDEÿz?ÿ>?ÿI?

?NÿyNf eQOÿQBÿeAEÿyeLDN²?N©ÿHDEPQBf?AÿQBÿv?BfQDªÿCDDÿ eQ©ÿ?MÿM?NgJ BAA

REV 03/12/25 PRO

0123ÿ zuÿ 898:


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.

�� �

✓h.h.o't)

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...

D������� �� C�����������

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

https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity...

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


Detail by Entity Name

3 of 5

https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity...

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

View image in PDF format

12/19/2024 -- AMENDED ANNUAL REPORT

View image in PDF format

12/17/2024 -- AMENDED ANNUAL REPORT

View image in PDF format

08/17/2024 -- AMENDED ANNUAL REPORT

View image in PDF format

08/15/2024 -- AMENDED ANNUAL REPORT

View image in PDF format

03/07/2024 -- ANNUAL REPORT

View image in PDF format

01/24/2023 -- ANNUAL REPORT

View image in PDF format

03/04/2022 -- ANNUAL REPORT

View image in PDF format

03/13/2021 -- ANNUAL REPORT

View image in PDF format

6/2/2025, 9:47 AM


Detail by Entity Name

4 of 5

https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity...

03/23/2020 -- ANNUAL REPORT

View image in PDF format

03/18/2019 -- ANNUAL REPORT

View image in PDF format

01/04/2018 -- ANNUAL REPORT

View image in PDF format

04/21/2017 -- ANNUAL REPORT

View image in PDF format

10/11/2016 -- AMENDED ANNUAL REPORT

View image in PDF format

09/09/2016 -- Off/Dir Resignation

View image in PDF format

09/08/2016 -- AMENDED ANNUAL REPORT

View image in PDF format

03/29/2016 -- ANNUAL REPORT

View image in PDF format

04/15/2015 -- ANNUAL REPORT

View image in PDF format

03/25/2014 -- ANNUAL REPORT

View image in PDF format

05/20/2013 -- ANNUAL REPORT

View image in PDF format

02/02/2012 -- ANNUAL REPORT

View image in PDF format

04/26/2011 -- ANNUAL REPORT

View image in PDF format

05/04/2010 -- ANNUAL REPORT

View image in PDF format

04/23/2009 -- ANNUAL REPORT

View image in PDF format

05/01/2008 -- ANNUAL REPORT

View image in PDF format

02/12/2007 -- ANNUAL REPORT

View image in PDF format

01/19/2006 -- ANNUAL REPORT

View image in PDF format

04/28/2005 -- ANNUAL REPORT

View image in PDF format

07/30/2004 -- ANNUAL REPORT

View image in PDF format

01/21/2003 -- ANNUAL REPORT

View image in PDF format

09/22/2002 -- ANNUAL REPORT

View image in PDF format

05/03/2001 -- ANNUAL REPORT

View image in PDF format

05/15/2000 -- ANNUAL REPORT

View image in PDF format

01/28/1999 -- ANNUAL REPORT

View image in PDF format

05/06/1998 -- ANNUAL REPORT

View image in PDF format

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

View image in PDF format

04/29/1996 -- ANNUAL REPORT

View image in PDF format

04/13/1995 -- ANNUAL REPORT

View image in PDF format

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.

DAA

Schedule A (Form 990) 2023


TITUSPLAY 04/29/2025 1:21 PM

Schedule A (Form 990) 2023

TITUSVILLE PLAYHOUSE INC

59-6177447

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

DAA


TITUSPLAY 04/29/2025 1:21 PM

Schedule A (Form 990) 2023

TITUSVILLE PLAYHOUSE INC

59-6177447

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.”) . . . . . .

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

Schedule A (Form 990) 2023 DAA


TITUSPLAY 04/29/2025 1:21 PM

Schedule A (Form 990) 2023

TITUSVILLE PLAYHOUSE INC

59-6177447

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) 2023

DAA


TITUSPLAY 04/29/2025 1:21 PM

Schedule A (Form 990) 2023

Part IV 11 a

TITUSVILLE PLAYHOUSE INC

59-6177447

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


TITUSPLAY 04/29/2025 1:21 PM

Schedule A (Form 990) 2023

Part V 1

TITUSVILLE PLAYHOUSE INC

59-6177447

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

DAA


TITUSPLAY 04/29/2025 1:21 PM

Schedule A (Form 990) 2023

Part V

TITUSVILLE PLAYHOUSE INC

59-6177447

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

DAA


TITUSPLAY 04/29/2025 1:21 PM

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.)

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. .....................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

DAA

Schedule A (Form 990) 2023


TITUSPLAY 04/29/2025 1:21 PM

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.

DAA

Schedule B (Form 990) (2023)


TITUSPLAY 04/29/2025 1:21 PM

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)

DAA


TITUSPLAY 04/29/2025 1:21 PM

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)

DAA


TITUSPLAY 04/29/2025 1:21 PM

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)

DAA


TITUSPLAY 04/29/2025 1:21 PM

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


TITUSPLAY 04/29/2025 1:21 PM

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

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

Schedule D (Form 990) 2023 DAA


TITUSPLAY 04/29/2025 1:21 PM

Schedule D (Form 990) 2023

Part XIII

TITUSVILLE PLAYHOUSE INC

59-6177447

Page 5

Supplemental Information (continued)

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

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


TITUSPLAY 04/29/2025 1:21 PM

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

................................................................................................................................................................. .................................................................................................................................................................

DAA

Schedule G (Form 990) 2023


TITUSPLAY 04/29/2025 1:21 PM

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.

. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... .

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

. ......................................................................................................................................................................

FORM 990 HAS BEEN PRESENTED TO BOARD OF DIRECTORS AND PRESIDENT.

. ......................................................................................................................................................................

. ......................................................................................................................................................................

FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY

. ......................................................................................................................................................................

BOARD OF DIRECTORS MONITORS AND ENFORCES POLICY ON CONFLICTS OF INTEREST.

. ......................................................................................................................................................................

. ......................................................................................................................................................................

FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION

. ......................................................................................................................................................................

DOCUMENTS ARE AVAILABLE UPON REQUEST.

. ......................................................................................................................................................................

. ......................................................................................................................................................................

FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION

. ......................................................................................................................................................................

BOOK / TAX DEPRECIATION DIFFERENCE

$

-38

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

.

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


6/6/25, 2:55 PM

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


6/6/25, 2:55 PM

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

Document Images 02/07/2025 -- ANNUAL REPORT

View image in PDF format

03/11/2024 -- ANNUAL REPORT

View image in PDF format

01/09/2023 -- ANNUAL REPORT

View image in PDF format

04/29/2022 -- ANNUAL REPORT

View image in PDF format

01/20/2021 -- ANNUAL REPORT

View image in PDF format

06/02/2020 -- ANNUAL REPORT

View image in PDF format

04/25/2019 -- ANNUAL REPORT

View image in PDF format

02/20/2018 -- ANNUAL REPORT

View image in PDF format

02/08/2017 -- ANNUAL REPORT

View image in PDF format

03/28/2016 -- ANNUAL REPORT

View image in PDF format

04/09/2015 -- ANNUAL REPORT

View image in PDF format

04/23/2014 -- ANNUAL REPORT

View image in PDF format

https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…

3/4


6/6/25, 2:55 PM

Detail by Entity Name

04/22/2013 -- ANNUAL REPORT

View image in PDF format

04/05/2012 -- ANNUAL REPORT

View image in PDF format

01/13/2011 -- ANNUAL REPORT

View image in PDF format

04/02/2010 -- ANNUAL REPORT

View image in PDF format

04/21/2009 -- ANNUAL REPORT

View image in PDF format

07/23/2008 -- ANNUAL REPORT

View image in PDF format

08/24/2007 -- ANNUAL REPORT

View image in PDF format

04/28/2006 -- ANNUAL REPORT

View image in PDF format

07/25/2005 -- ANNUAL REPORT

View image in PDF format

04/13/2004 -- ANNUAL REPORT

View image in PDF format

10/31/2003 -- 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=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

PY

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

CO

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

NT

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

CL IE

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

PY

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

CO

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,

NT

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

NT

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

PY

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

NT

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

PY

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? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

CL IE

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

CL IE

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

10250529 152165 C7033

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

CL IE

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

432026 01-14-25

10250529 152165 C7033

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, $

CL IE

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

432027 01-14-25

10250529 152165 C7033

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.)

CL IE

NT

CO

PY

Part VI

432028 01-14-25

10250529 152165 C7033

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.

CL IE

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

CL IE

(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.)

423452 01-09-25

10250529 152165 C7033

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

CL IE

$

(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

10250529 152165 C7033

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

CL IE

(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

423454 01-09-25

10250529 152165 C7033

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)

CL IE

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

10250529 152165 C7033

$ $

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: %

CL IE

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)

432052 01-02-25

10250529 152165 C7033

26 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. 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)

CL IE

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.

CL IE

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

CL IE

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 ~~~~~~~~~~~~~~~

CL IE

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

CL IE

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

CL IE

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).

CL IE

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.

CL IE

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

Document Images 05/21/2025 -- ANNUAL REPORT

View image in PDF format

04/01/2024 -- ANNUAL REPORT

View image in PDF format

04/06/2023 -- ANNUAL REPORT

View image in PDF format

01/25/2022 -- ANNUAL REPORT

View image in PDF format

01/29/2021 -- ANNUAL REPORT

View image in PDF format

06/04/2020 -- ANNUAL REPORT

View image in PDF format

03/26/2019 -- ANNUAL REPORT

View image in PDF format


02/27/2018 -- ANNUAL REPORT

View image in PDF format

03/17/2017 -- ANNUAL REPORT

View image in PDF format

03/07/2016 -- ANNUAL REPORT

View image in PDF format

03/03/2015 -- ANNUAL REPORT

View image in PDF format

03/05/2014 -- ANNUAL REPORT

View image in PDF format

04/18/2013 -- ANNUAL REPORT

View image in PDF format

04/04/2012 -- ANNUAL REPORT

View image in PDF format

03/18/2011 -- ANNUAL REPORT

View image in PDF format

04/15/2010 -- ANNUAL REPORT

View image in PDF format

04/21/2009 -- ANNUAL REPORT

View image in PDF format

04/30/2008 -- ANNUAL REPORT

View image in PDF format

05/01/2007 -- ANNUAL REPORT

View image in PDF format

04/14/2006 -- ANNUAL REPORT

View image in PDF format

03/23/2005 -- ANNUAL REPORT

View image in PDF format

03/16/2004 -- ANNUAL REPORT

View image in PDF format

04/07/2003 -- ANNUAL REPORT

View image in PDF format

04/30/2002 -- ANNUAL REPORT

View image in PDF format

04/19/2001 -- ANNUAL REPORT

View image in PDF format

04/14/2000 -- ANNUAL REPORT

View image in PDF format

04/26/1999 -- ANNUAL REPORT

View image in PDF format

04/30/1998 -- ANNUAL REPORT

View image in PDF format

01/26/1998 -- Amended/Restated Article/NC

View image in PDF format

05/20/1997 -- ANNUAL REPORT

View image in PDF format

03/25/1996 -- ANNUAL REPORT

View image in PDF format

04/28/1995 -- ANNUAL REPORT

View image in PDF format

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.

232025 12-09-22

08120514 794202 72-02006.000

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

232026 12-09-22

08120514 794202 72-02006.000

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

232027 12-09-22

08120514 794202 72-02006.000

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.)

232028 12-09-22

08120514 794202 72-02006.000

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.

223451 11-15-22

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.)

223452 11-15-22

08120514 794202 72-02006.000

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

08120514 794202 72-02006.000

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

223454 11-15-22

08120514 794202 72-02006.000

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

LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 232051 09-01-22

08120514 794202 72-02006.000

$ $ 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

232052 09-01-22

08120514 794202 72-02006.000

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


21215

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


21215

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


21215

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.)

. ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ..................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... . ...................................................................................................................................................................... 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

REV 05/09/24 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 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

REV 05/09/24 PRO

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

REV 05/09/24 PRO

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.)

BAA

REV 05/09/24 PRO

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

REV 05/09/24 PRO

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

BAA

Relationship of transferor to transferee

REV 05/09/24 PRO

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 . . . .

. .

. .

. .

. .

. .

. .

For Paperwork Reduction Act Notice, see the Instructions for Form 990. BAA

REV 05/09/24 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 . . . . . 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

. . .

REV 05/09/24 PRO

(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

. .

. .

. .

. .

. .

. .

. .

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

.

.

.

.

.

.

.

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

REV 05/09/24 PRO

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

REV 05/09/24 PRO

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

REV 05/09/24 PRO

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

. .

. .

. .

. .

. .

. .

. .

. .

Available post-2017 NOL carryover

. .

. .

. .

. .

. .

. .

. .

. .

$ $ $ $ . . . .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

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.

REV 05/09/24 PRO

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

. .

. .

. .

. .

. .

. .

. .

REV 05/09/24 PRO

. .

. .

. .

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

Print

$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

View image in PDF format

11/02/2023 -- AMENDED ANNUAL REPORT

View image in PDF format

01/18/2023 -- ANNUAL REPORT

View image in PDF format

01/21/2022 -- ANNUAL REPORT

View image in PDF format

01/27/2021 -- ANNUAL REPORT

View image in PDF format

01/05/2020 -- ANNUAL REPORT

View image in PDF format

05/01/2019 -- ANNUAL REPORT

View image in PDF format

02/13/2018 -- ANNUAL REPORT

View image in PDF format

01/21/2017 -- ANNUAL REPORT

View image in PDF format

01/06/2016 -- ANNUAL REPORT

View image in PDF format

01/25/2015 -- ANNUAL REPORT

View image in PDF format

03/19/2014 -- ANNUAL REPORT

View image in PDF format

01/30/2013 -- ANNUAL REPORT

View image in PDF format

02/09/2012 -- ANNUAL REPORT

View image in PDF format

01/13/2011 -- ANNUAL REPORT

View image in PDF format

02/23/2010 -- ANNUAL REPORT

View image in PDF format

03/24/2009 -- ANNUAL REPORT

View image in PDF format

04/04/2008 -- ANNUAL REPORT

View image in PDF format


03/19/2007 -- ANNUAL REPORT

View image in PDF format

04/04/2006 -- ANNUAL REPORT

View image in PDF format

04/13/2005 -- ANNUAL REPORT

View image in PDF format

04/12/2004 -- ANNUAL REPORT

View image in PDF format

04/30/2003 -- ANNUAL REPORT

View image in PDF format

11/06/2002 -- Amendment

View image in PDF format

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

Return to Table of Contents


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

Previous On List Events

Next On List

Return to List

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

Previous On List Events

Next On List

View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format

Return to List

Name History

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 /

Previous On List Next On List Return to List

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

View image in PDF format

07/15/2024 -- Amendment

View image in PDF format

03/14/2024 -- ANNUAL REPORT

View image in PDF format

01/31/2023 -- ANNUAL REPORT

View image in PDF format

06/13/2022 -- Amendment

View image in PDF format

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

View image in PDF format

01/15/2021 -- ANNUAL REPORT

View image in PDF format

02/10/2020 -- ANNUAL REPORT

View image in PDF format

12/10/2019 -- Amendment

View image in PDF format

06/14/2019 -- ANNUAL REPORT

View image in PDF format

03/09/2018 -- ANNUAL REPORT

View image in PDF format

01/17/2017 -- ANNUAL REPORT

View image in PDF format

01/23/2016 -- ANNUAL REPORT

View image in PDF format

01/12/2015 -- ANNUAL REPORT

View image in PDF format

06/13/2014 -- Name Change

View image in PDF format

01/16/2014 -- ANNUAL REPORT

View image in PDF format

11/27/2013 -- Amendment

View image in PDF format

02/11/2013 -- ANNUAL REPORT

View image in PDF format

02/29/2012 -- ANNUAL REPORT

View image in PDF format

03/03/2011 -- ANNUAL REPORT

View image in PDF format

02/22/2010 -- ANNUAL REPORT

View image in PDF format

02/24/2009 -- ANNUAL REPORT

View image in PDF format

03/07/2008 -- ANNUAL REPORT

View image in PDF format

03/16/2007 -- ANNUAL REPORT

View image in PDF format

03/15/2006 -- ANNUAL REPORT

View image in PDF format

03/22/2005 -- ANNUAL REPORT

View image in PDF format

02/04/2004 -- ANNUAL REPORT

View image in PDF format

03/10/2003 -- ANNUAL REPORT

View image in PDF format

01/30/2002 -- ANNUAL REPORT

View image in PDF format

01/22/2001 -- ANNUAL REPORT

View image in PDF format

01/20/2000 -- ANNUAL REPORT

View image in PDF format

05/10/1999 -- ANNUAL REPORT

View image in PDF format

06/12/1998 -- Domestic Non-Profit

View image in PDF format

Previous On List Next On List Return to List

field manor Search

Events Name History

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.

�� �

-;{t(-co�r

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. . . . . . . . . . . . . . . .

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 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

y po

C tn

e lC i

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?. . . .

y po

C tn

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.

e lC i

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 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 .................

y po

C tn

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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e lC i

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.

y po

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

C tn

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

e lC i

payments received on securities loans, rents, royalties, and income from similar sources .

b

y po

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.)

y po

e lC i

C tn

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

y po

Section C. Type II Supporting Organizations 1

C tn

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?

e lC i

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

y po

e lC i

Section C - Distributable Amount 1 2 3 4 5 6 7 EEA

C tn

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

y po

(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

C tn

e lC i

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 po

C tn

e lC i EEA

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

y po

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.

C tn

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

e lC i

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

y po

$

(a) No.

(b) Name, address, and ZIP + 4

(c) Total contributions

C tn $

(a) No.

(a) No.

(a) No.

e lC i

(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

y po (See instructions.)

$ (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

e lC i

(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

y po

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

C tn

Part III

e lC i

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

y po

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

e lC i

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

y po

(b) Book value

C tn

(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.

e lC i

(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

y po

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

C tn

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.

e lC i

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

y po

(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

C tn

3

7

2023

e lC i

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

y po

68

........ ....

1,932

C tn

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

e lC i

(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.

y po

C tn

e lC i

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

y po

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.

C tn

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.

e lC i

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

y po

(a) Classification of property

19a b c d e f g h

C tn

e lC i

(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…

2/4


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

View image in PDF format

02/13/2018 -- ANNUAL REPORT

View image in PDF format

09/04/2017 -- ANNUAL REPORT

View image in PDF format

02/18/2016 -- ANNUAL REPORT

View image in PDF format

02/22/2015 -- ANNUAL REPORT

View image in PDF format

01/19/2014 -- ANNUAL REPORT

View image in PDF format

01/06/2013 -- ANNUAL REPORT

View image in PDF format

03/09/2012 -- ANNUAL REPORT

View image in PDF format

09/19/2011 -- ANNUAL REPORT

View image in PDF format

01/14/2011 -- ANNUAL REPORT

View image in PDF format

01/20/2010 -- ANNUAL REPORT

View image in PDF format

01/07/2009 -- ANNUAL REPORT

View image in PDF format

01/14/2008 -- ANNUAL REPORT

View image in PDF format

02/12/2007 -- ANNUAL REPORT

View image in PDF format

08/03/2006 -- ANNUAL REPORT

View image in PDF format

01/14/2005 -- ANNUAL REPORT

View image in PDF format

04/02/2004 -- ANNUAL REPORT

View image in PDF format

https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=MELBOU…

3/4


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

View image in PDF format

02/26/1999 -- ANNUAL REPORT

View image in PDF format

03/05/1998 -- ANNUAL REPORT

View image in PDF format

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…

4/4


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


•

Department of State

•

Division of Corporations

•

Search Records

•

Search by Entity Name

Previous On List

No Events

Next On List

Return to List

No Name History

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

DAA


21527

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


21527

Schedule A (Form 990) 2023

SPACE COAST BIRDING AND WILDLIFE

92-2238262

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) 2023

DAA


21527

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


21527

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

DAA


21527

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

DAA


21527

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.)

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. .....................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

. ......................................................................................................................................................................

DAA

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 . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

y po

C tn

e lC i

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?. . . .

y po

C tn

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.

e lC i

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 . . . . . . . . . . . . . . . .

y po

C tn

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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e lC i

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

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.)

y po

e lC i

C tn

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

y po

Section C. Type II Supporting Organizations 1

C tn

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?

e lC i

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

y po

e lC i

Section C - Distributable Amount 1 2 3 4 5 6 7 EEA

C tn

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

y po

(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

C tn

e lC i

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.)

y po

C tn

e lC i EEA

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

y po

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

C tn

e lC i

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

y po

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

e lC i

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.

y po

(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

C tn

(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.

e lC i

(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

y po

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

C tn

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.

e lC i

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)

y po

C tn

e lC i EEA

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

y po

C tn

e lC i

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

y po

(a) Classification of property

19a b c d e f g h

C tn

e lC i

(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

y po

C tn

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.

e lC i

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 ___________

y po

C tn

e lC i STATMENT.LD

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

y po

_________________________________________________________ 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 ______________

C tn

e lC i

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

y po

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.)

C tn

e lC i

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

y po

C tn

e lC i

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?. . . .

y po

C tn

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.

e lC i

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 . . . . . . . . . . . . . . . .

y po

C tn

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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e lC i

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 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.)

y po

e lC i

C tn

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

y po

Section C. Type II Supporting Organizations 1

C tn

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?

e lC i

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

y po

e lC i

Section C - Distributable Amount 1 2 3 4 5 6 7 EEA

C tn

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

y po

(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

C tn

e lC i

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.)

y po

C tn

e lC i EEA

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

y po

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

C tn

e lC i

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

y po

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

e lC i

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.

y po

(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

C tn

(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.

e lC i

(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

y po

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

C tn

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.

e lC i

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)

y po

C tn

e lC i EEA

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

y po

C tn

e lC i

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

y po

(a) Classification of property

19a b c d e f g h

C tn

e lC i

(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

y po

C tn

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.

e lC i

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 ___________

y po

C tn

e lC i STATMENT.LD

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

y po

_________________________________________________________ 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 ______________

C tn

e lC i

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

y po

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.)

C tn

e lC i

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

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.)

e lC i

C tn 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

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

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 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

17580310 758901 208486

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

17580310 758901 208486

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

17580310 758901 208486

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

17580310 758901 208486

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

17580310 758901 208486

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

332026 12-21-23

17580310 758901 208486

20 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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

332027 12-21-23

17580310 758901 208486

21 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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.)

332028 12-21-23

17580310 758901 208486

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

208486_1


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.)

323452 12-26-23

17580310 758901 208486

Schedule B (Form 990) (2023)

25 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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

17580310 758901 208486

Schedule B (Form 990) (2023)

26 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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

323454 12-26-23

17580310 758901 208486

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

17580310 758901 208486

28 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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

332052 09-28-23

17580310 758901 208486

29 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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

17580310 758901 208486

30 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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.

332054 09-28-23

17580310 758901 208486

Schedule D (Form 990) 2023

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

332081 09-13-23

17580310 758901 208486

Schedule G (Form 990) 2023

32 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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:

332082 09-13-23

17580310 758901 208486

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.

332083 09-13-23

17580310 758901 208486

Schedule G (Form 990) 2023

34 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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

17580310 758901 208486

35 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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

332101 11-01-23

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.

332102 11-01-23

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

332141 09-11-23

17580310 758901 208486

38 2023.05060 NATIONAL KIDNEY FOUNDATION

208486_1


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.

332142 09-11-23

17580310 758901 208486

Schedule M (Form 990) 2023

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

17580310 758901 208486

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.

332212 11-14-23

17580310 758901 208486

Schedule O (Form 990) 2023

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.

332212 11-14-23

17580310 758901 208486

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.

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

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

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

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

1,846,985

. .

. .

. .

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.

.

.

.

.

.

.

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

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.

. .

. .

. .

. .

. .

Cat. No. 50055P

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

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.

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

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

. .

. .

. .

. .

. .

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

. .

. .

. .

. .

. .

. .

. .

. .

. .

. .

Cat. No. 50053T

. .

. .

. .

. .

. .

. .

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

✔ ✔ ✔ ✔ ✔

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

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) . . . . . . . . . . . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

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

✔ ✔

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)

. .

. .

. .

. . . . .

. .

. . . . .

. .

. . . . .

. .

. . . . .

. .

. . . . .

. .

. . . . .

. .

. . . . .

. .

. .

✔ 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

REV 09/17/24 PRO

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

REV 09/17/24 PRO

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)


Page 2

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).


Page 3

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).


Page 4

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.


Page 5

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.


Page 6

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.


Page 2

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).


Page 3

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).


Page 4

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.


Page 5

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.


Page 6

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.


Marketing Support Program

Foil Surf Contest

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

Judges

$1,500.00

$1,200.00

$300.00

Personnel

$4,000.00

$3,000.00

$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

.

.

.

.

.

.

.

.

.

.

.

.

.

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?

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

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

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.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

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

.

.

.

.

.

.

.

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 .

.

.

.

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 .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

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

.

.

.

.

.

.

.

. .

. .

.

.

. .

.

.

. .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

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

.

.

.

. .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

. .

.

.

.

.

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

.

.

.

.

.

.

.

.

28

.

.

.

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 .

.

.

.

.

.

.

.

.

.

.

.

.

.

1

Total revenue (must equal Part VIII, column (A), line 12)

.

.

.

.

.

.

.

.

.

.

.

.

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)

.

. .

. .

.

. .

.

. .

.

.

.

.

.

.

.

.

.

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

.

. .

.

.

. .

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

.

.

.

.

.

.

.

.

.

2c

d

Other (Describe in Part XIII.)

.

.

.

.

.

.

.

.

.

.

.

e

Add lines 2a through 2d .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Subtract line 2e from line 1 .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

3 4

.

.

.

1

2a

2d .

.

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.)

.

.

.

.

.

.

.

.

.

.

.

c

Add lines 4a and 4b .

.

.

.

.

.

.

.

.

.

.

.

5

.

.

4a 4b .

.

.

Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)

Part XII

. .

. .

. .

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

Total expenses and losses per audited financial statements

2

Amounts included on line 1 but not on Form 990, Part IX, line 25:

.

.

.

.

.

.

.

.

.

.

1

a

Donated services and use of facilities

.

.

.

.

.

.

.

.

b

Prior year adjustments

.

.

.

.

.

.

.

.

c

Other losses

d

Other (Describe in Part XIII.)

.

.

.

.

.

.

.

.

.

.

.

e

Add lines 2a through 2d .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

2e

3

Subtract line 2e from line 1 .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

3

4

Amounts included on Form 990, Part IX, line 25, but not on line 1:

5

.

.

.

.

. .

. .

. .

.

.

.

.

.

.

.

.

.

.

2b .

.

a

Investment expenses not included on Form 990, Part VIII, line 7b . .

b

Other (Describe in Part XIII.)

.

.

.

.

.

.

.

.

.

.

.

c

Add lines 4a and 4b .

.

.

.

.

.

.

.

.

.

.

.

.

.

2a

2c 2d

4a 4b .

.

.

Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)

. .

. .

. .

. .

4c .

.

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 .

.

.

.

.

.

.

3 Enter total number of other organizations or entities .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

. 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 .

.

.

.

.

.

.

(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

.

1 .

.

.

.

.

.

Cat. No. 50055P

.

.

.

.

.

.

.

.

.

.

. 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

.

.

.

.

.

.

.

.

.

.

.

.

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

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

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? .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

b

Any related organization? .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

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

.

.

.

3

Art—Fractional interests

.

.

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

.

.

18

Collectibles

.

.

.

.

.

19

Food inventory

.

.

.

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

.

.

.

252,000 F M V

6

.

.

.

.

.

.

.

.

.

.

.

.

. .

.

.

.

(d) Method of determining noncash contribution amounts

. .

.

.

. .

.

.

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)

e

Loans or loan guarantees by related organization(s)

f

Dividends from related organization(s)

g

Sale of assets to related organization(s) .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

h

Purchase of assets from related organization(s) .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

i

Exchange of assets with related organization(s) .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

j

Lease of facilities, equipment, or other assets to related organization(s) .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

k

Lease of facilities, equipment, or other assets from related organization(s) .

.

.

. .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

1a

.

.

.

.

.

.

.

.

.

.

. .

. .

.

.

.

.

.

.

.

.

.

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) . .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

1p

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

1q

r

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.

.

. .

. .

. .

. .

. .

. .

(b) Transaction type (a­s)

. .

. .

. .

.

. .

.

. .

(c) Amount involved

.

. .

.

. .

.

1o

.

.

.

1n

.

.

.

.

.

.

.

.

.

.

.

.

.

Yes

1m Yes

.

.

.

.

.

.

Yes

1l

.

.

.

.

.

1k

.

.

.

.

.

No

.

.

.

.

.

No

1j

.

.

.

.

.

No

1i

.

.

.

.

.

No

1h

.

.

.

.

.

1g

.

.

.

.

.

No

.

.

.

.

.

1f

Reimbursement paid by related organization(s) for expenses .

.

.

.

.

No

Reimbursement paid to related organization(s) for expenses .

.

.

.

.

No

1e

q

.

.

.

.

Yes

p

.

.

.

.

1c 1d

Sharing of paid employees with related organization(s) .

.

.

.

.

Yes

o

(a) Name of related organization

.

.

. .

.

. .

No

1b

. .

. .

.

No Yes

No Yes

1r

No

1s

No

(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)


Page 2

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).


Page 3

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).


Page 4

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.


Page 5

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.


Page 6

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.


Marketing Support Program

Florida Future Fall

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

$7,500.00

$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


THE TRUSTEES OF COLUMBIA UNIVERSITY

13-5598093

Page 5

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

V23-7.16

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

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

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

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 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

JSA 3E1220 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY

13-5598093

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

JSA 3E1221 1.000

6416BJ K321

Schedule A (Form 990) 2023

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY

13-5598093

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

Schedule A (Form 990) 2023 JSA 3E1229 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY

13-5598093

Page 5

Schedule A (Form 990) 2023

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

6416BJ K321

3a 3b

Schedule A (Form 990) 2023

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY

13-5598093

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

JSA 3E1231 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY

13-5598093

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

JSA 3E1232 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY

13-5598093 Page 8

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

JSA 3E1225 1.000

6416BJ K321

V23-7.16


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

6416BJ K321

V23-7.16

Schedule B (Form 990) (2023)


Page 2

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)

JSA 3E1253 1.000

6416BJ K321

V23-7.16


Page 3

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)

JSA 3E1254 1.000

6416BJ K321

V23-7.16


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)

JSA 3E1255 1.000

6416BJ K321

Relationship of transferor to transferee

V23-7.16


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.

JSA 3E1264 1.000

6416BJ K321

V23-7.16

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

JSA 3E1265 1.000

6416BJ K321

V23-7.16


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

JSA 3E1266 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information (continued)

13-5598093

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

JSA 3E1500 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information (continued)

13-5598093

Schedule C (Form 990 or 990-EZ) 2023

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

JSA 3E1500 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information (continued)

Schedule C (Form 990 or 990-EZ) 2023

Part IV

13-5598093

Page 4

GOVERNMENTAL RELATIONS ACTIVITIES.

Schedule C (Form 990 or 990-EZ) 2023

JSA 3E1500 1.000

6416BJ K321

V23-7.16


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

6416BJ K321

V23-7.16

Schedule D (Form 990) 2023


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

JSA 3E1269 1.000

6416BJ K321

V23-7.16


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

6416BJ K321

Schedule D (Form 990) 2023

V23-7.16


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

JSA 3E1271 1.000

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information (continued)

Schedule D (Form 990) 2023

Part XIII

13-5598093

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

6416BJ K321

V23-7.16


THE TRUSTEES OF COLUMBIA UNIVERSITY Supplemental Information (continued)

Schedule D (Form 990) 2023

Part XIII

13-5598093

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

6416BJ K321

V23-7.16


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

6416BJ K321

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

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).

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

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).

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

V23-7.16

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

V23-7.16


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

V23-7.16


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

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

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

6416BJ K321

V23-7.16

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

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

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

6416BJ K321

V23-7.16

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

6416BJ K321

V23-7.16

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

6416BJ K321

V23-7.16

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

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

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

6416BJ K321

V23-7.16

Schedule O (Form 990 or 990-EZ) (2023)


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

6416BJ K321

V23-7.16


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 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

6416BJ K321

V23-7.16


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 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

JSA 3E1228 1.000

6416BJ K321

V23-7.16


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 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

6416BJ K321

V23-7.16


OMB No. 1545-0047

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

6416BJ K321

V23-7.16

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


567

0123ÿÿ 89 ÿ 2 ÿ - . 2/3 0/ÿ11ÿ/ ÿ22 3425ÿÿ 60/20 7ÿ9 04 ÿ8 29 ÿ

ÿ ÿ !" # ÿ $% & ' '( ' &ÿ) *+ ÿ&%ÿ, ' '( ' &

:;ÿ=;ÿ>>>?@AB?CDEFGDAHIJÿL;MÿNOP=MQR=N;OPÿSOTÿ=UVÿWS=VP=ÿNOL;MXS=N;OY `VL;MVÿa;QÿbVcNOYÿ012ÿd49e 0 ÿ27 /eÿ/1ÿ/ ÿ.42.13ÿ11ÿ0123ÿfghiÿ3 ÿjklmnopÿnrÿsnltiÿu 71v

:NZVÿL;MXÿ=;ÿ=UVÿÿ MV[QVP=VMYÿ\;ÿO;=ÿ PVOTÿ=;ÿ=UVÿ]^_Y

ÿÿÿÿ 3 ÿ11ÿ0/9/590e99e4 7ÿ 0ÿ0/25ÿ93ÿ2 492eÿ8012ÿ ÿ317ÿ.21.29/12ÿ12ÿe932d 2e eÿ0/9/5iÿ0/2ÿ/ ÿ1v0 2 3ÿ0 3 ÿ10ÿ790 ÿ iÿ 0eÿ0/2ÿ/ ÿu4390 33e932d 2e eÿ 0/9/5 3ÿ0 3 ÿ10ÿ790 ÿ

ÔÕÖÿÔØÙÚÛÖÖÚÿÜÝÿÞÜßÙàáâãÿäåâæÖØÚâÛçÿâåÿÛÕÖÿÞâÛçÿÜÝÿèÖéÿêÜØë wMNO=ÿ;Mÿ=axVYÿ 8 ÿyz{|@}@|ÿ~ B A | @D Bÿ10ÿ. d ÿ

ÿÿÿÿ 4390 33ÿ0 3 e932d 2e eÿ0/9/5ÿ0 3 iÿ91ÿe91120/ÿ1213ÿ u1

Sÿÿ ÿ/ ÿ ..21.29 /ÿu1 ÿ112ÿ1e 2 7ÿ/ ÿ 7 33919 /910ÿ11ÿ/ ÿ0/9/590e99e4 7ÿv 13ÿ0 3 ÿ93ÿ0/2eÿ10ÿ790 ÿ ÿ ÿ ÿÿ 3./9103ÿ8 1e 3ÿ ..75ÿ1075ÿ/1ÿ 1075ÿ;OVÿ11ÿ/ ÿ11771v90dÿ3 0ÿu1 3ÿ 2/ 90ÿ0/9/93iÿ01/ÿ90e99e4 73 ÿ 3 ÿ903/24 /9103ÿ10ÿ. d ÿ 60e99e4 7317ÿ.21.29/12 ÿ 12.12 /910 8ÿ 12.12 /910 2/0 23 9. 2243/ 3/ / 3./ÿ. 5 ÿ 1e ÿ891ÿ 05 ï ÿ 0/2ÿ/ ÿ/ ÿ 7 33919 /910ÿ8 ÿ ÿ ÿ 12.12 /910iÿ8ÿ ÿ8ÿ 12.12 /910iÿ ÿ ÿ 2/0 23 9. ÿ ;=V ÿ ÿ/ ÿ ÿu1 ÿ u1 ÿ 0eiÿ90ÿ/ ÿ0/25ÿ3. iÿ0/2ÿ/ ÿ ..21.29 /ÿ 1e ÿ8 iÿ8iÿ12ÿ ÿ112ÿ/ ÿ/ ÿ 7 33919 /910ÿ11ÿ/ ÿ iÿ40733ÿ9/ÿ93ÿ ÿe932d 2e eÿ0/9/5ÿ ÿe932d 2e eÿ0/9/5ÿ3 147eÿ903/ eÿ ÿ/ ÿ ..21.29 /ÿ 3./910ÿ1213ÿ0129d0ÿ 140/ÿ2 ÿ u1 ÿ112ÿ/ ÿ/ ÿ 7 33919 /910ÿ11ÿ9/3ÿ1v0 2 13.79 0 ÿ /ÿ80 2 ÿ2.12/90dÿ ÿ 1e ÿ891ÿ 05 ì / 2ÿ83 ÿ903/24 /9103 ÿ íîïÿðñòÿðóòÿèÜåôØÜÝâÛÿÞÜØôÜØãÛâÜå õ bÿ 61ÿ10ÿ790 ÿ ÿ514ÿ eÿ 2/0 23 9. ÿ12ÿ 2243/ 3/ /i ÿ12ÿ eÿ ÿ 0eÿ0/2eÿ ÿ 3ÿ9/3ÿ/ ÿ 7 33919 /910iÿ mm poÿnÿ¡¢¢nk£oÿt¡ £¡ £p¤ÿ 0eÿ514ÿ 2ÿ.21 9e90dÿ/ 93ÿ1123ÿ/1ÿ ÿ. 2/0 23 9.iÿ/243/iÿ12ÿ3/ /ÿ90ÿv 9 ÿ514ÿ ÿ 0ÿ1v0 23 9.ÿ90/23/iÿ ÿ nko ¤pÿ¥pÿ¦£ p¤ÿ§¡po¨© / 93ÿu1 ÿ91ÿ514ÿ ÿ 05ÿ1129d0ÿ. 2/0 23iÿ1v0 23iÿ12ÿu 0 19 9 293ÿ8 ÿ903/24 /9103ÿ ªÿÿÿÿ ee233ÿ8043u 2iÿ3/2 /iÿ 0eÿ ./ÿ12ÿ349/ÿ01 ÿ8 ÿ903/24 /9103 9 4 3/2 3ÿ0 3 ÿ 0eÿ ee233ÿ81./910 7

öïíÿ÷ÖÚÛÿïóïÚÛÿøÛØÖÖÛùÿóØúÿûßü «ÿÿÿÿ 9/5iÿ3/ /iÿ 0eÿ¬6 ÿ 1e èÖéÿêÜØëùÿèêÿïîîýþ

­ÿÿÿÿ 93/ÿ 140/ÿ043u 283 ÿ 2ÿ81./910 7

wSM=ÿ] ®S¯xSaVMÿ]TVO=NLNRS=N;Oÿ QXbVMÿ°®] ±

0/2ÿ5142ÿ26 ÿ90ÿ/ ÿ ..21.29 /ÿu1 ÿ2 ÿ26 ÿ.21 9e eÿ343/ÿ3 / ÿ/ ÿ0 3 ÿd9 0ÿ10ÿ790 ÿ ÿ/1ÿ 19eÿ _;RNSWÿPVRQMN=aÿOQXbVM u 4.ÿv9/ 17e90dÿ012ÿ90e99e4 73iÿ/ 93ÿ93ÿd 0 2 775ÿ5142ÿ31 9 7ÿ3 429/5ÿ043u 2ÿ888 ÿ²1v 2iÿ112ÿ ÿ ¿ ¿ 239e 0/ÿ 790iÿ317ÿ.21.29/12iÿ12ÿe932d 2e eÿ0/9/5iÿ3 ÿ/ ÿ903/24 /9103ÿ112ÿ 2/ÿ6iÿ7 /2ÿ012ÿ1/ 2ÿ 0/9/93iÿ9/ÿ93ÿ5142ÿ3.7152ÿ9e 0/919 /910ÿ043u 2ÿ8 6 ÿ61ÿ514ÿe1ÿ01/ÿ ÿ ÿ043u 2iÿ3 ÿ³n´ÿnÿµpÿ¡ÿ ;M ¶·¸iÿ7 /2 ÀXxW;aVMÿNTVO=NLNRS=N;OÿOQXbVMÿ ;=V ÿ61ÿ/ ÿ 140/ÿ93ÿ90ÿ312ÿ/ 0ÿ10 ÿ0 3 iÿ3 ÿ/ ÿ903/24 /9103ÿ112ÿ790 ÿ ÿ8 ÿ 731ÿ¹¥¡ÿ̧¡tpÿ¡£¤ÿ ïó ¿ ííÿ0îÿó ¸ktºplÿ¶nÿ» ¼pÿ¥pÿ½p¾kpoplÿ112ÿd49e 790 3ÿ10ÿv 13ÿ043u 2ÿ/1ÿ0/2

wSM=ÿ]] ÁVM=NLNRS=N;O

Â0e 2ÿ. 0 7/93ÿ11ÿ. 2Ã425iÿ6ÿ 2/915ÿ/ / 2 ÿ043u 2ÿ3 1v0ÿ10ÿ/ 93ÿ1123ÿ93ÿ35ÿ 122 /ÿ/ . 52ÿ9e 0/919 /910ÿ043u 2ÿ812ÿ6ÿ 3ÿv 9/90dÿ112ÿ ÿ043u 2ÿ/1ÿu ÿ9334 eÿ/1ÿ3 ÿ 0e 6ÿ 3ÿ01/ÿ34uà /ÿ/1ÿu 4.ÿv9/ 17e90dÿu 43ÿ8 ÿ6ÿ 3ÿ 3./ÿ1213ÿu 4.ÿv9/ 17e90diÿ12ÿ8u ÿ6ÿ ÿ01/ÿu 0ÿ01/919eÿu5ÿ/ ÿ60/20 7ÿ9 04 8 29 ÿ8698 ÿ/ /ÿ6ÿ 3ÿ34uà /ÿ/1ÿu 4.ÿv9/ 17e90dÿ 3ÿ ÿ2347/ÿ11ÿ ÿ1 9742ÿ/1ÿ2.12/ÿ 77ÿ90/23/ÿ12ÿe99e 0e3iÿ12ÿ8 ÿ/ ÿ698ÿ 3ÿ01/919eÿ3 ÿ/ /ÿ6ÿ 3 01ÿ710d 2ÿ34uà /ÿ/1ÿu 4.ÿv9/ 17e90d ÿ 0e 6ÿ 3ÿ ÿÂ8ÿ 9/9Ä0ÿ12ÿ1/ 2ÿÂ8ÿ. 2310ÿ8e 190 eÿu 71v ÿ 0e 2 ÿ0 2 ÿ 1e 83 ÿ0/2eÿ10ÿ/ 93ÿ1123ÿ891ÿ 05 ÿ90e9 /90dÿ/ /ÿ6ÿ 3ÿ 3./ÿ1213ÿ0 2 ÿ2.12/90dÿ93ÿ 122 / ÁVM=NLNRS=N;OÿNOP=MQR=N;OPYÿÅ14ÿ343/ÿ 2133ÿ14/ÿ9/3ÿ ÿ u1 ÿ91ÿ514ÿ ÿu 0ÿ01/919eÿu5ÿ/ ÿ698ÿ/ /ÿ514ÿ 2ÿ 4220/75ÿ34uà /ÿ/1ÿu 4.ÿv9/ 17e90dÿ u 43ÿ514ÿ ÿ1 97eÿ/1ÿ2.12/ÿ 77ÿ90/23/ÿ 0eÿe99e 0e3ÿ10ÿ5142ÿ/ ÿ2/420ÿ012ÿ2 7ÿ3/ /ÿ/2 03 /9103iÿ9/3ÿ ÿe1 3ÿ01/ÿ ..75ÿ012ÿ312/d d ÿ90/23/ÿ. 9eiÿ 4939/910ÿ12ÿ u 0e103 0/ÿ11ÿ3 42eÿ.21. 2/5iÿ 0 77 /910ÿ11ÿe u/iÿ 10/29u4/9103ÿ/1ÿ 0ÿ90e99e4 7ÿ2/923 0/ÿ 22 0d 3 0/ÿ869 iÿ 0eiÿd 0 2 775iÿ. 53 0/3ÿ 1/ 2ÿ/ 0ÿ90/23/ÿ 0eÿe99e 0e3iÿ514ÿ 2ÿ01/ÿ2 492eÿ/1ÿ39d0ÿ/ ÿ 2/919 /910iÿu4/ÿ514ÿ343/ÿ.21 9e ÿ5142ÿ 122 /ÿ26 ÿ8 ÿ/ ÿ903/24 /9103ÿ112ÿ 2/ÿ66iÿ7 /2

_N cOS=QMVÿ;Lÿ ÇY_YÿxVMP;O ÆVcO MVÿ _N

:V O V M S W ÿ ] O P = M Q R = N ;O P 8 /910ÿ2120 3ÿ 2ÿ/1ÿ/ ÿ60/20 7ÿ9 04 ÿ 1e ÿ40733ÿ1/ 2v93ÿ

\S=V

123ÿ56ÿ898

vÿ790 ÿ uÿ 3ÿu 0ÿ ee eÿ/1ÿ/ 93ÿ1123 ÿ ÿ171vg/ 214d ÿ0/9/5ÿ93ÿ 2 492eÿ/1ÿ 13.7/ÿ/ 93ÿ790 ÿ/1ÿ90e9 /ÿ/ /ÿ9/ÿ 3ÿe92 /ÿ12ÿ90e92 /ÿ 1129d0ÿ. 2/0 23iÿ1v0 23iÿ12ÿu 0 19 9 293ÿv 0ÿ9/ÿ.21 9e 3ÿ/ ÿ0123ÿfghÿ 01/e /1ÿ 01/ 2ÿ171vg/ 214d ÿ0/9/5ÿ90ÿv 9 ÿ9/ÿ 3ÿ 0ÿ1v0 23 9.ÿ90/23/ÿ2 93ÿ / 214d ÿ0/9/5ÿv9/ ÿ901123 /910ÿ ÈQ=QMVÿTVZVW;xXVO=Pÿ012ÿ/ ÿ7 /3/ÿ901123 /910ÿ u14/ÿe 71.3 0/3ÿ 2 d 02de90ÿ9d3ÿÿ/90 /ÿ03/e /4e3ÿ/ÿ11ÿ1.ÿ92/13ÿ909ee92ÿ ÿ 17/1ÿ1vg 129d0ÿ. 2/0 23iÿ1v0 23iÿ12ÿ 27 /eÿ/1ÿ0123ÿfghÿ 0eÿ9/3ÿ903/24 /9103iÿ34 ÿ 3ÿ7d937 /910ÿ0 /eÿ u 0 19 9 293iÿ31ÿ/ /ÿ9/ÿ 0ÿ3 /9315ÿ 05ÿ ..79 u7ÿ2.12/90dÿ 1/2ÿ/ 5ÿv 2ÿ.4u793 eiÿd1ÿ/1ÿ́´´¨ loµ̈n¼Ésnlt¹Ê 2 4923 0/3ÿ012ÿ 3.7iÿ ÿ. 2/0 23 9.ÿ/ /ÿ 3ÿ 05ÿ90e92 /ÿ1129d0ÿ . 2/0 23ÿ3 5ÿu ÿ2 492eÿ/1ÿ 13.7/ÿ8 e473ÿÎg ÿ 0eÿÎg ÿ8 ÿ/ ÿ ËUS=ÌPÿ VÍ 90 ÿ ÿ 3ÿu 0ÿ31e919eÿ/1ÿ 7 2915ÿ 1vÿ ÿe932d 2e eÿ0/9/5ÿ 13.7/3ÿ 2/0 23 9.ÿ603/24 /9103ÿ112ÿ8 e473ÿÎg ÿ 0eÿÎg ÿ80123ÿ ÏÐ / 93ÿ790 ÿ 0ÿ ÿ/ /ÿ93ÿ ÿe932d 2e eÿ0/9/5ÿ3 147eÿ ÿ/ ÿ wQMx;PVÿ;LÿÈ;MX ..21.29 /ÿu1 ÿ112ÿ/ ÿ/ ÿ 7 33919 /910ÿ11ÿ9/3ÿ1v0 2ÿ / 2v93iÿ9/ÿ 0ÿ90e99e4 7ÿ12ÿ0/9/5ÿ80123ÿfghÿ2 4 3/2 ÿv 1ÿ93ÿ2 492eÿ/1ÿ197ÿ 0ÿ 3 147eÿ ÿ/ ÿ ÿu1 ÿ 0eÿ0/2ÿ9/3ÿ ..21.29 /ÿ/ ÿ 7 33919 /910 901123 /910ÿ2/420ÿv9/ ÿ/ ÿ698ÿ93ÿd990dÿ514ÿ/ 93ÿ1123ÿu 43ÿ/ 5 /ÿ 1ÿ Ñ

0123ÿËÒÓÿ89 ÿ g


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


Turn static files into dynamic content formats.

Create a flipbook