Form 990 – Fill Out and Use This PDF

The Form 990 is officially titled the "Return of Organization Exempt From Income Tax" and is required by the IRS for tax-exempt organizations under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code, excluding private foundations. This form allows the public to evaluate how an organization operates, including its overall mission, programs, and finances. Given its importance and public accessibility, ensuring accurate and timely submission of Form 990 is crucial for maintaining an organization's tax-exempt status.

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Form 990 PDF Details

In the landscape of nonprofit operations, the Form 990: Return of Organization Exempt From Income Tax, emerges as a pivotal piece of documentation that transcends mere tax compliance. Crafted by the Internal Revenue Service (IRS), this form details a plethora of insights not only about a nonprofit’s financial health but also about its governance practices, significant activities, compliance with various regulations, and contributions to society. More than a tax document, Form 990 functions as a transparent lens through which the public, including donors, stakeholders, and policymakers, can evaluate an organization's mission, leadership, and the allocation of its resources. Its comprehensive nature captures everything from the organization's detailed revenue streams, expenses, and net assets to nuanced disclosures about board member independence, employee count, and fundraising activities. Notably, it mandates openness about potential conflicts of interest and emphasizes accountability through sections dedicated to the nonprofit's adherence to tax regulations, such as reporting on lobbying expenditures or investment income. Thus, Form 990 serves as both a regulatory requirement and a public declaration of the organization’s commitment to transparency, accountability, and its charitable or social objectives.

Question	Answer
Form Name	Form 990
Form Length	12 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	3 min
Other names	2020 form 990, 990 fillable form, 990 form, irs form 990

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Form 990

Return of Organization Exempt From Income Tax

OMB No. 1545-0047

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

2021

▶ Do not enter social security numbers on this form as it may be made public.

Department of the Treasury

Open to Public

Internal Revenue Service

▶ Go to www.irs.gov/Form990 for instructions and the latest information.

Inspection

For the 2021 calendar year, or tax year beginning

, 2021, and ending

, 20

Check if applicable:

C Name of organization

D Employer identification number

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

Initial return

Final return/terminated

City or town, state or province, country, and ZIP or foreign postal code

Amended return

G Gross receipts $

Application pending

F Name and address of principal officer:

H(a) Is this a group return for subordinates?

Yes

H(b) Are all subordinates included?

Yes

Tax-exempt status:

501(c)(3)

501(c) (

) ◀ (insert no.)

4947(a)(1) or

527

If “No,” attach a list. See instructions.

H(c) Group exemption number ▶

Website: ▶

Form of organization:

Corporation

Trust

Association

Other ▶

L Year of formation:

M State of legal domicile:

Part I

Summary

Revenue Activities & Governance

Net Assets orExpenses Fund Balances

1Briefly describe the organization’s mission or most significant activities:

2Check 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)		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 2021 (Part V, line 2a)		5
6	Total number of volunteers (estimate if necessary)		6
7a	Total unrelated business revenue from Part VIII, column (C), line 12		7a
b	Net unrelated business taxable income from Form 990-T, Part I, line 11		7b
		Prior Year	Current 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)

11Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . . .

12Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)

13Grants and similar amounts paid (Part IX, column (A), lines 1–3) . . . . .

14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . .

15Salaries, 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) ▶
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
		Beginning of Current Year	End of 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 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

Paid

Preparer

Use Only

▲▲

Signature of officer

Date

Type or print name and title

Print/Type preparer’s name

Preparer’s signature

Date

Check

PTIN

self-employed

Firm’s name ▶

Firm’s EIN ▶

Firm’s address ▶

Phone no.

May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . .

Yes

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2021)

Form 990 (2021)Page 2

Part III Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III . . . . . . . . . . . . .

1Briefly describe the organization’s mission:

2Did 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.

3Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “Yes,” describe these changes on Schedule O.

4Describe 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 $

including grants of $

) (Revenue $

)

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 $	) (Revenue $	)
4e Total program service expenses ▶

Form 990 (2021)

Form 990 (2021)		Page 3

Part IV	Checklist of Required Schedules

1Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,”

complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . .

3Did 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 . . . . . . . . . . . . . .

4Section 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 . . . . . . . . . . .

5Is 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 . .

6Did 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 . . . . . . . . . . . . . . . . . . . . . . . .

7Did 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

. . .

8Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,”

complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . . . . . . .

9Did 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 . . . . . . . . . . . . . .

10Did 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 . . . . . . . . . . . . . . .

11If 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.

aDid the organization report an amount for land, buildings, and equipment in Part X, line 10? If “Yes,”

complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . .

bDid 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 . . . . . . . .

cDid 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 . . . . . . . .

dDid 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 . . . . . . . . . . . . . .

eDid the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X

fDid 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 . . . . . . . . . . . . . . . . . . . . . . . . . . .

bWas 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?

bDid 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 . . . . .

15Did 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 . . . . . . . . . . .

16Did 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. . . . . . . .

17Did 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 . . . . .

18Did 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 . . . . . . . . . . . . . . .

19Did 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?

21Did 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 . . . .

Yes No

11a

11b

11c

11d

11e

11f

12a

12b

14a

14b

20a

20b

Form 990 (2021)

Form 990 (2021)		Page 4

Part IV	Checklist of Required Schedules (continued)

22Did 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 . . . . . . . . . . . .

23Did 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 . . . . . . . . . . . . . . .

bDid the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . .

cDid the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . .

dDid 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 . . . . .

bIs 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 . . . . . . . . . . . . . . . . . . . . . . . .

26Did 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 . . .

27Did 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 . . . . . . . . . . . . . . . . . . . .

28Was 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):

aA 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 . . . .

cA 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If

“Yes,” complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . .

29Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M

30Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If “Yes,” complete Schedule M . . . . . . . . . . . . . . . .

31Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, Part I

32Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,”

complete Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . .

33Did 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 . . . . . . . . . . .

34Was 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)? . . . . . . .

bIf “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 . .

36Section 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 . . . . . . . . . . . . . .

37Did 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

38Did 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 . . . . . . . . . . . . . .

Yes No

24a

24b

24c

24d

25a

25b

28a

28b

28c

35a

35b

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

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

cDid the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . .

Yes No

Form 990 (2021)


Form 990 (2021)					Page 5

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		2a
b	If at least one is reported on line 2a, did the organization file all required federal employment tax returns? .			2b
	Note: If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
3a	Did the organization have unrelated business gross income of $1,000 or more during the year? . . . .			3a
b	If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation on Schedule O .			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 account)?			4a

bIf “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?	6a

bIf “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).

aDid 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

cDid the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

	required 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

bGross 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
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 on Schedule O .			14b

15Is 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
If “Yes,” see the instructions and file Form 4720, Schedule N.

16Is the organization an educational institution subject to the section 4968 excise tax on net investment income? 16

If “Yes,” complete Form 4720, Schedule O.

17Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator 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.

Form 990 (2021)


Form 990 (2021)		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 . . . . . . . . . . . . .

Section A. Governing Body and Management

				Yes	No

1a	Enter the number of voting members of the governing body at the end of the tax year . .	1a
	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	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?		2
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? .		3
4	Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?		4
5	Did the organization become aware during the year of a significant diversion of the organization’s assets? .		5
6	Did the organization have members or stockholders?		6
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?		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
8	Did the organization contemporaneously document the meetings held or written actions undertaken during
	the year by the following:
a	The governing body?		8a
b	Each committee with authority to act on behalf of the governing body?		8b
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 . . . .		9
			9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
				Yes	No

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 the form?		11a
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
b	Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?		12b
c	Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,”
	describe on Schedule O how this was done		12c
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 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?		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
			16b
Section C. Disclosure

17List the states with which a copy of this Form 990 is required to be filed ▶

18Section 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)

19Describe 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.

20State the name, address, and telephone number of the person who possesses the organization’s books and records ▶

Form 990 (2021)

Form 990 (2021)Page 7

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, 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.

(A)	(B)
Name and title	Average
	hours
	per week
	(list any
	hours for
	related
	organizations
	below
	dotted line)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(C)

Position

(do not check more than one box, unless person is both an officer and a director/trustee)

or director	Individual trustee	Institutional trustee	Officer	Key employee	employee	Highest compensated	Former

(D)(E)

Reportable Reportable

compensation compensation

from the from related organization (W-2/ organizations (W-2/

1099-MISC/ 1099-MISC/

1099-NEC) 1099-NEC)

(F)

Estimated amount

of other

compensation

from the

organization and

related organizations

Form 990 (2021)

Form 990 (2021)											Page 8

Part VII	Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
					(C)
	(A)	(B)			Position				(D)	(E)	(F)
	(A)	(B)	(do not check more than one						(D)	(E)	(F)
	Name and title	Average	(do not check more than one						Reportable	Reportable	Estimated amount
	Name and title	Average	box, unless person is both an						Reportable	Reportable	Estimated amount
		hours	box, unless person is both an						compensation	compensation	of other
		hours	officer and a director/trustee)						compensation	compensation	of other
		per week	officer and a director/trustee)						from the	from related	compensation

			Individualtrustee ordirector	Institutionaltrustee	Officer	Keyemployee	Highestcompensated employee	Former
		(list any	Individualtrustee ordirector	Institutionaltrustee	Officer	Keyemployee	Highestcompensated employee	Former	organization (W-2/	organizations (W-2/	from the
		hours for							1099-MISC/	1099-MISC/	organization and
		related							1099-NEC)	1099-NEC)	related organizations
		organizations
		below
		dotted line)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(22)

(23)

(24)

(25)

1b	Subtotal	. . . . . .	▶
c Total from continuation sheets to Part VII, Section A		. . . . .	▶
d	Total (add lines 1b and 1c)	. . . . . .	▶

2Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization ▶

3Did 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 . . . . . . . . . . . .

4For 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5Did 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 No

Section B. Independent Contractors

1Complete 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

(C)

Compensation

2Total 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 (2021)

Form 990 (2021)Page 9

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
Program Service	Revenue

Other Revenue

Miscellaneous

Revenue

(A)	(B)	(C)	(D)
Total revenue	Related or exempt	Unrelated	Revenue excluded
	function revenue	business revenue	from tax under
			sections 512–514

1a	Federated campaigns . . . .	1a
b	Membership dues	1b
c	Fundraising events	1c
d	Related organizations . . . .	1d
e	Government grants (contributions)	1e
f	All other contributions, gifts, grants,
	and similar amounts not included above	1f
		1f

gNoncash contributions included in

lines 1a–1f	1g	$

h Total. Add lines 1a–1f		. . . . ▶

		Business Code
2a
b
c
d
e
f	All other program service revenue . .
g	Total. Add lines 2a–2f . . . . . . . . . . ▶

3Investment income (including dividends, interest, and

other similar amounts) . . . . . . . . . . ▶

4Income from investment of tax-exempt bond proceeds ▶

5	Royalties . . .	. . . . . . . .		.	. .	▶
			(i) Real		(ii) Personal
6a	Gross rents . .	6a
6a	Gross rents . .	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss)			.	. .	▶
7a	Gross amount from		(i) Securities		(ii) Other
	sales of assets
	other than inventory	7a

bLess: cost or other basis

and sales expenses . 7b

cGain 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
	Less: direct expenses . . . .
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

cNet income or (loss) from gaming activities . . . ▶

10a Gross sales of inventory, less

returns and allowances . . .	10a
b Less: cost of goods sold . . .	10b

cNet 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 . . .	. . .	▶

Form 990 (2021)

Form 990 (2021)		Page 10

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,		(A)	(B)	(C)	(D)
8b, 9b, and 10b of Part VIII.		Total expenses	Program service	Management and	Fundraising
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	Grants and other assistance to domestic
2	Grants and other assistance to domestic
	individuals. See Part IV, line 22
3	Grants and other assistance to foreign
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 . . . .
4	Benefits paid to or for members . . . .
5	Compensation of current officers, directors,
	trustees, and key employees
6	Compensation not included above to disqualified
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
7	Other salaries and wages
8	Pension plan accruals and contributions (include
	section 401(k) and 403(b) employer contributions)
9	Other employee benefits
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
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 .
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 b c d

eAll other expenses

25Total functional expenses. Add lines 1 through 24e

26Joint 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 (2021)

Form 990 (2021)Page 11

Part X Balance Sheet

Check if Schedule O contains a response or note to any line in this Part X . . . . . . . . . . . . .

Assets

Liabilities

Net Assets or Fund Balances

		(A)	(B)
		Beginning of year	End of year
1	Cash—non-interest-bearing		1
2	Savings and temporary cash investments		2
3	Pledges and grants receivable, net		3
4	Accounts receivable, net		4

5Loans 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
			5
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) .		6
			6
7	Notes and loans receivable, net		7
8	Inventories for sale or use		8
9	Prepaid expenses and deferred charges		9
10a	Land, buildings, and equipment: cost or other
	basis. Complete Part VI of Schedule D . . .	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities		11
12	Investments—other securities. See Part IV, line 11		12
13	Investments—program-related. See Part IV, line 11		13
14	Intangible assets		14
15	Other assets. See Part IV, line 11		15
16	Total assets. Add lines 1 through 15 (must equal line 33)		16
17	Accounts payable and accrued expenses		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 . .		21
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		22
			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		25
			25
26	Total liabilities. Add lines 17 through 25		26
	Organizations that follow FASB ASC 958, check here ▶
	and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions		27
28	Net assets with donor restrictions		28
	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		29
30	Paid-in or capital surplus, or land, building, or equipment fund . . . .		30
31	Retained earnings, endowment, accumulated income, or other funds . .		31
32	Total net assets or fund balances		32
33	Total liabilities and net assets/fund balances		33

Form 990 (2021)

Form 990 (2021)			Page 12

Part XI		Reconciliation 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
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

10Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line

32, column (B))	10

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	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:
	Separate basis	Consolidated basis	Both consolidated and separate basis

cIf “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 Single Audit Act and OMB Circular A-133? . . . . . . . . . . . . . . . . . . . . . .

bIf “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 .

Yes No

Form 990 (2021)

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3. The following section is considered relatively easy, Part III, Statement of Program Service, Briefly describe the, Did the organization undertake, prior Form or EZ, Yes, If Yes describe these new services, Did the organization cease, services, Yes, If Yes describe these changes on, Code, Expenses, including grants of, and Revenue - all of these form fields will need to be filled out here.

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Revenue, e Total program service expenses, and Expenses in form 990

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