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)
a
Do not enter social security numbers on this form as it may be made public.
a
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
A For the 2021 calendar year, or tax year beginning , 2021, and ending , 20
B Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C Name of organization
Doing business as
Number and street (or P.O. box if mail is not delivered to street address) Room/suite
City or town, state or province, country, and ZIP or foreign postal code
D Employer identification number
E Telephone number
F Name and address of principal officer:
G Gross receipts $
H(a)
Is this a group return for subordinates?
Yes No
H(b) Are all subordinates included?
Yes No
If “No,” attach a list. See instructions.
H(c) Group exemption number
a
I Tax-exempt status: 501(c)(3) 501(c) ( )
`
(insert no.) 4947(a)(1) or 527
J Website:
a
K
Form of organization:
Corporation Trust Association Other
a
L Year of formation: M State of legal domicile:
Part I
Summary
Activities & Governance
1 Briefly describe the organization’s mission or most significant activities:
2 Check this box
a
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
7 a 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
RevenueExpenses
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) ......
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)
a
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 ........
Net Assets or
Fund Balances
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
F
Signature of officer
Date
F
Type or print name and title
Paid
Preparer
Use Only
Print/Type preparer’s name Preparer’s signature Date
Check if
self-employed
PTIN
Firm’s name
a
Firm’s address
a
Firm’s EIN
a
Phone no.
May the IRS discuss this return with the preparer shown above? See instructions ...........
Yes No
For Paperwork Reduction Act Notice, see the separate instructions.
Form 990 (2021)
2015
N/A
143
952,619.
51,653.
134.
34,421.
368,543.
620,366.
1,395,129.
107,540.
78.
93,893.
1,596,640.1,038,827.
HOME SWEET HOME
290 HANLEY INDUSTRIAL CT
47-5028899
(314)448-9838
MO
17
17
8
0.
0.
1,606,820.
531,119.
62,464.
1,006,617.
1,537,736.988,909.
58,904.49,918.
399,056.
52,160.
461,299.
23,092.
438,207.346,896.
06/21/2022
ZIELINSKI & ASSOCIATES
(314)644-2150
Barbara M. Zielinski P01322973
43-1915295
TO GIVE UNDER-SERVED FAMILIES A SENSE OF PRIDE AND TO IMPROVE
THE QUALITY OF THEIR LIVES BY PROVIDING BASIC HOUSEHOLD
FURNISHINGS.
SAINT LOUIS, MO 63144
ELIZABETH REZNICEK, 290 HANLEY IND CT, SAINT LOUIS, MO 63144
ELIZABETH REZNICEK, EXECUTIVE DIRECTOR
2150 HAMPTON AVE, SAINT LOUIS, MO 63139
BAA
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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 . . . . . . . . . . . . .
1 Briefly describe the organization’s mission:
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
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? .................................
Yes No
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.
4 a (Code: ) (Expenses $ including grants of $ ) (Revenue $ )
4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ )
4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ )
4d Other program services (Describe on Schedule O.)
(Expenses $ including grants of $ ) (Revenue $
)
4e Total program service expenses
a
Form 990 (2021)
1,322,074. 0. 1,596,640.
1,322,074.
TO GIVE UNDER-SERVED FAMILIES A SENSE OF PRIDE AND TO IMPROVE
THE QUALITY OFTHEIR LIVES BY PROVIDING BASIC HOUSEHOLD FURISHINGS.
THE ORGANIZATION CONNECTS NONPROFIT PARTNERS IN THE ST. LOUIS REGION WITH DONATED FURNITURE AND
HOUSEHOLD ITEMS. HOME SWEET HOME HELPS CLIENTS FROM PARTNER ORGANIZATIONS TRANSITION TO THEIR
NEW LIVING SITUATIONS WITH MUCH-NEEDED FURNISHING AND BASICS, PROVIDING A SENSE OF OWNERSHIP
AND A SOURCE OF STABILITY AT THIS CRUCIAL TIME. CLIENTS ARE REFERRED BY PARTNER AGENCIES FROM
ACROSS THE ST. LOUIS AREA, WHICH SERVE PEOPLE WHO ARE DEALING WITH DOMESTIC VIOLENCE OR
ADDICTION OR STRUGGLING WITH HOMELESSNESS, MENTAL ILLNESS, AND OTHER CHALLENGES. HOME
SWEET HOME COLLECTS HOUSEHOLD ITEMS FROM DONORS AND INVITES CLIENTS TO SHOP FOR KITCHEN
TABLES, COUCHES, DISHES, AND OTHER NECESSITIES FOR THE HOME. SINCE ITS INCEPTION IN
2015, THE ORGANIZATION HAS SERVED OVER 2,000 FAMILIES, PROVIDED OVER 2,000 BEDS, AND
DONATED NEARLY 120,000 HOUSEHOLD ITEMS.
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Form 990 (2021)
Page
3
Part IV 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 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
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 . .
5
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 ........................
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 . . .
7
8 Did the organization maintain collections of works of art, historical treasures, or other similar assets?
If “Yes,”
complete Schedule D, Part III ..........................
8
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 . .............
9
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 ...............
10
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
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
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
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 ..............
11d
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X
11e
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
11f
12 a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete
Schedule D, Parts XI and XII ...........................
12a
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
12b
13 Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E .... 13
14a Did the organization maintain an office, employees, or agents outside of the United States? ..... 14a
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 .....
14b
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 ...........
15
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........
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 .....
17
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,” complete Schedule G, Part III .......................
19
20 a Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H ...... 20a
b If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? . 20b
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 ....
21
Form 990 (2021)
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Form 990 (2021)
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4
Part IV 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
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
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
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . 24b
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? ........................
24c
d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? . . 24d
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 .....
25a
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 ........................
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 A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If
“Yes,” complete Schedule L, Part IV ........................
28a
b A family member of any individual described in line 28a? If “Yes,” complete Schedule L, Part IV .... 28b
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 ........................
28c
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
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
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
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)? ....... 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 . .
35b
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 ..............
36
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
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 ..............
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 No
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 (gambling) winnings to prize winners? .................
1c
Form 990 (2021)
0
0
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Form 990 (2021)
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5
Part V Statements Regarding Other IRS Filings and Tax Compliance
(continued)
Yes No
2 a
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
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)?
4a
b If “Yes,” enter the name of the foreign country
a
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
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? .....
6a
b If “Yes,” did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible? ..........................
6b
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? ........................
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? ...........................
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
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
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? ....................
15
If “Yes,” see the instructions and file Form 4720, Schedule N.
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, 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)
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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
7 a 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
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.
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? ........................
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
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
a
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 Another’s website Upon request 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.
20 State the name, address, and telephone number of the person who possesses the organization’s books and records
a
Form 990 (2021)
17
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JULIE RAMACCIOTTI, 290 HANLEY IND CT, SAINT LOUIS, MO 63144 (314)448-9838
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)
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)
Individual trustee
or director
Institutional trustee
Officer
Key employee
Highest compensated
employee
Former
(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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
Form 990 (2021)
MIKE FISCHER 2.00
Board Chair 0. 0. 0.
CHRISTIE BRINKMAN 2.00
DIRECTOR 0. 0. 0.
JAKE BROOKS 2.00
DIRECTOR 0. 0. 0.
CHAD CONNER 2.00
DIRECTOR 0. 0. 0.
Monica Conners 2.00
DIRECTOR 0. 0. 0.
MICHELLE HAMILTON 2.00
DIRECTOR 0. 0. 0.
LAUREN HARDCASTLE 2.00
DIRECTOR 0. 0. 0.
BERTA JAMES 2.00
Secretary 0. 0. 0.
CONNIE KROENUNG 2.00
DIRECTOR 0. 0. 0.
Sue Foster 2.00
DIRECTOR 0. 0. 0.
Jennifer Ehlen 2.00
DIRECTOR 0. 0. 0.
IAN LINGLE 5.00
Director 0. 0. 0.
CINDY MORRISON 2.00
DIRECTOR 0. 0. 0.
Tamar Hodges 2.00
DIRECTOR 0. 0. 0.
REV 04/04/22 PRO
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
Individual trustee
or director
Institutional trustee
Officer
Key employee
Highest compensated
employee
Former
(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
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
1b Subtotal .....................
a
c Total from continuation sheets to Part VII, Section A .....
a
d Total (add lines 1b and 1c) ...............
a
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
a
Yes No
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 ............
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
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 ......
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
(C)
Compensation
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
a
Form 990 (2021)
72,908. 0. 0.
72,908. 0. 0.
MIKE PALERMO 2.00
DIRECTOR 0. 0. 0.
Virginia Tardy 2.00
DIRECTOR 0. 0. 0.
Josh Wright 2.00
DIRECTOR 0. 0. 0.
Elizabeth S. Reznicek 40.00
Executive Director 72,908. 0. 0.
REV 04/04/22 PRO
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 . . . . . . . . . . . . .
(A)
Total revenue
(B)
Related or exempt
function revenue
(C)
Unrelated
business revenue
(D)
Revenue excluded
from tax under
sections 512–514
Contributions, Gifts, Grants,
and Other Similar Amounts
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
g Noncash contributions included in
lines 1a–1f ........
1g $
h Total. Add lines 1a–1f ..........
a
Program Service
Revenue
Business Code
2a
b
c
d
e
f All other program service revenue . .
g
Total. Add lines 2a–2f ..........
a
Other Revenue
3
Investment income (including dividends, interest, and
other similar amounts) ..........
a
4
Income from investment of tax-exempt bond proceeds
a
5 Royalties ..............
a
6a Gross rents . . 6a
(i) Real (ii) Personal
b
Less: rental expenses
6b
c
Rental income or (loss)
6c
d Net rental income or (loss) ........
a
7a
Gross amount from
sales of assets
other than inventory
7a
(i) Securities (ii) Other
b
Less: cost or other basis
and sales expenses .
7b
c Gain or (loss) . . 7c
d Net gain or (loss) ...........
a
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 . .
a
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 . . .
a
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 . . .
a
Miscellaneous
Revenue
Business Code
11a
b
c
d All other revenue .......
e Total. Add lines 11a–11d .........
a
12 Total revenue. See instructions ......
a
Form 990 (2021)
722,796.
0. 0.
0. 0. 78.
0.
99,563.
0. 89,383.
10,180.
4,510.
4,510. 0. 0.
24,295.
1,395,129.
78.
24,295.
107,540.
1,395,129.
89,383.
4,510.
112,050. 0. 89,461.1,596,640.
PROGRAM FEES 624190
83,245. 83,245. 0. 0.
REV 04/04/22 PRO
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,
8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service
expenses
(C)
Management and
general expenses
(D)
Fundraising
expenses
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
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
fundraising solicitation. Check here
a
if
following SOP 98-2 (ASC 958-720) . . .
Form 990 (2021)
328,502. 102,562. 46,723.
36,669. 11,448. 5,215.
0. 14,484. 0.
0. 0. 10,422.
126,531. 0. 0.
18,744. 0. 0.
13,424. 0. 0.
477,787.
53,332.
14,484.
10,422.
126,531.
18,744.
13,424.
25,053. 9,124. 15,825. 104.
1,537,736. 1,322,074. 153,198. 62,464.
FURNITURE DISTRIBUTIONS TO CLIENTS
709,392. 709,392. 0. 0.
FURNITURE PURCHASES 47,454. 47,454. 0. 0.
OPERATING EXPENSES 14,324. 5,445. 8,879. 0.
TRUCK EXPENSES 26,789. 26,789. 0. 0.
REV 04/04/22 PRO
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 . . . . . . . . . . . . .
AssetsLiabilitiesNet Assets or Fund Balances
(A)
Beginning of year
(B)
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
5
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
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
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
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
26 Total liabilities. Add lines 17 through 25 ...........
26
Organizations that follow FASB ASC 958, check here
a
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
a
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)
26,233.
202,969.
6,345.
53,034.
29,451.
81,024.
19,753.
32,407.
53,034.
135,756.
212,548.
2,895.
4,965.
42,855.
23,092.
0.
438,207.
0.
293,862.
92,911.
30,631. 62,280.
399,056. 461,299.
52,160. 23,092.
346,896. 438,207.
399,056. 461,299.
REV 04/04/22 PRO
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
10 Net 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 . . . . . . . . . . . . .
Yes No
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? . . . 2a
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
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
Single Audit Act and OMB Circular A-133? ......................
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 on Schedule O and describe any steps taken to undergo such audits .
3b
Form 990 (2021)
32,407.
1,596,640.
1,537,736.
58,904.
346,896.
438,207.
REV 04/04/22 PRO
SCHEDULE A
(Form 990)
Department of the Treasury
Internal Revenue Service
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.
a
Attach to Form 990 or Form 990-EZ.
a
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization Employer identification number
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 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?
(v) Amount of monetary
support (see
instructions)
(vi) Amount of
other support (see
instructions)
Yes No
(A)
(B)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Schedule A (Form 990) 2021
HOME SWEET HOME 47-5028899
BAA
REV 04/04/22 PRO
Schedule A (Form 990) 2021
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)
a
(a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
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
Section B. Total Support
Calendar year (or fiscal year beginning in)
a
(a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 .........................
a
Section C. Computation of Public Support Percentage
14 Public support percentage for 2021 (line 6, column (f), divided by line 11, column (f)) .... 14 %
15 Public support percentage from 2020 Schedule A, Part II, line 14 ..........
15 %
16 a 33
1
/3
% support test—2021. 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 ............
a
b 33
1
/3
% support test—2020. 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 ...........
a
17
a
10%-facts-and-circumstances test—2021. 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 ....................................
a
b
10%-facts-and-circumstances test—2020. 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 ....................................
a
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 ....................................
a
Schedule A (Form 990) 2021
REV 04/04/22 PRO
Schedule A (Form 990) 2021
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
(a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 ....
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.) ...........
Section B. Total Support
Calendar year (or fiscal year beginning in)
a
(a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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.) ..........
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 .........................
a
Section C. Computation of Public Support Percentage
15 Public support percentage for 2021 (line 8, column (f), divided by line 13, column (f)) ..... 15 %
16 Public support percentage from 2020 Schedule A, Part III, line 15 ...........
16 %
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2021 (line 10c, column (f), divided by line 13, column (f)) . . . 17 %
18 Investment income percentage from 2020 Schedule A, Part III, line 17 ..........
18 %
19a
33
1
/3
% support tests—2021. 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 .
a
b
33
1
/3
% support tests—2020. 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
a
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
a
Schedule A (Form 990) 2021
99.98
0.02
2,623,507.
2,623,507.
2,623,507.
2,623,507.
381.
381.
2,623,888.
99.99
0.01
304,395. 560,513. 357,094. 629,609. 771,896.
304,395. 560,513. 357,094. 629,609. 771,896.
304,395. 560,513. 357,094. 629,609. 771,896.
169. 134. 78.
169. 134. 78.
304,395. 560,513. 357,263. 629,743. 771,974.
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Schedule A (Form 990) 2021
Page
4
Part IV Supporting Organizations
(Complete only if you checked a box in 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 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.
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.
3c
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.
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?
5b
c
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
(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).
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
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.
10a
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) 2021
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Schedule A (Form 990) 2021
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5
Part IV Supporting Organizations (continued)
Yes No
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?
11a
b A family member of a person described on line 11a above? 11b
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
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.
c
The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions).
Yes No 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,
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
Schedule A (Form 990) 2021
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Schedule A (Form 990) 2021
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6
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.
Section A—Adjusted Net Income (A) Prior Year
(B) Current 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
Section B—Minimum Asset Amount (A) Prior Year
(B) Current 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 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 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).
Schedule A (Form 990) 2021
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Schedule A (Form 990) 2021
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7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)Part V
Section D—Distributions Current Year
1 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 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 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 Distributable amount for 2021 from Section C, line 6 9
10
Line 8 amount divided by line 9 amount 10
Section E—Distribution Allocations (see instructions)
(i)
Excess Distributions
(ii)
Underdistributions
Pre-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2
Underdistributions, if any, for years prior to 2021
(reasonable cause required—explain in Part VI). See
instructions.
3 Excess distributions carryover, if any, to 2021
a
From 2016 .....
b
From 2017 .....
c From 2018 .....
d From 2019 .....
e From 2020 .....
f Total of lines 3a through 3e
g
Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j
Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4 Distributions for 2021 from
Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5
Remaining underdistributions for years prior to 2021, 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 2021. Subtract lines 3h
and 4b from line 1. For result greater than zero, explain in
Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j
and 4c.
8 Breakdown of line 7:
a
Excess from 2017 ...
b Excess from 2018 . . .
c Excess from 2019 . . .
d Excess from 2020 . . .
e Excess from 2021 . . .
Schedule A (Form 990) 2021
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Schedule A (Form 990) 2021
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8
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 (Form 990) 2021
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Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
a
Attach to Form 990 or Form 990-PF.
a
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization Employer identification number
Organization type (check one):
Filers of: Section:
Form 990 or 990-EZ
501(c)( ) (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 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 ..................
a
$
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. Schedule B (Form 990) (2021)
HOME SWEET HOME 47-5028899
3
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BAA
Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
1
ST. LOUIS-JEFFERSON SOLID WASTE MGMT DISTRICT
7525 SUSSEX AVENUE 95,149.
SAINT LOUIS MO 63143
2 ST. LOUIS COUNTY
41 SOUTH CENTRAL AVENUE 87,370.
SAINT LOUIS MO 63105
3 ST. LOUIS COMMUNITY FOUNDATION
#2 OAK KNOLL PARK 99,630.
SAINT LOUIS MO 63105
4 TADLOCK BRUEGGEMANN REAL ESTATE
10936 MANCHESTER ROAD 37,000.
SAINT LOUIS MO 63122
5 4 Hands Brewing Company
1220 S 18th St 9,739.
Saint Louis MO 63104
6 Christie Brinkman
9127 Appomattox Ct 8,228.
Saint Louis MO 63123
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
7
MIKE FISCHER
415 E. BODLEY AVENUE 55,960.
SAINT LOUIS MO 63122
8 EAST MISSOURI FOUNDATION
180 S. WEIDMAN ROAD 29,000.
BALLWIN MO 63021
9 CATHY VANDER PLUYM
6948 AMHERST 30,896.
Saint Louis MO 63130
10 Cardinals Care
700 Clark St 8,000.
Saint Louis MO 63102
11 SPOEHRER FAMILY CHARITABLE TRUST
211 N. BROADWAY, SUITE 3600 25,000.
SAINT LOUIS MO 63102
12 LINDA WERNER
#8 PEBBLE CREEK ROAD 25,020.
SAINT LOUIS MO 63124
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
13
Concord Trinity United Methodist Church
5275 S, Lindbergh Blvd. 18,585.
NEW YORK NY 10013
14 GRAPEVINE WINES AND SPIRITS
309 S. KIRKWOOD ROAD 20,912.
SAINT LOUIS MO 63122
15 CLIFFORD W. GAYLORD FOUNDATION
13422 CLAYTON ROAD, SUITE 220 19,000.
SAINT LOUIS MO 63131
16 WEBSTER GROVES PRESBYTERIAN CHURCH
45 W. LOCKWOOD AVENUE 54,505.
SAINT LOUIS MO 63119
17 Cornelsen Charitable Foundation
337 W Lockwood Ave STE D 130,000.
Saint Louis MO 63119
18 JENNIFER EHLEN
4024 HARTFORD STREET 10,297.
SAINT LOUIS MO 63116
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
19
HARLENE AND MARVIN WOOL FOUNDATION
540 MARYVILLE CENTRE DRIVE 15,000.
SAINT LOUIS MO 63141
20 VETERANS UNITED FOUNDATION
4603 JOHN GARRY DRIVE, SUITE 5-7 15,000.
COLUMBIA MO 65203
21 Dana Brown Charitable Trust
C/O US Bank Private Wealth Management 505 N. 7th St, 16th Fl.
10,000.
Saint Louis MO 63101
22 Delta Dental of Missouri
12399 Gravois Rd. 5,000.
Saint Louis MO 63127
23 RUTH SITEMAN
150 CARONDELET PLAZA, #2001 10,035.
SAINT LOUIS MO 63105
24 KRISTIN VOGEL
1106 Stevenson Ln 21,409.
TOWSON MD 21204
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
25
Andrea Dent
17446 Wyman Ridge Dr 7,000.
Eureka MO 63025
26 Anonymous Donor
n/a 6,930.
N/a MO 11111
27 Enterprise Holdings
600 Corporate Park Dr 9,000.
Saint Louis MO 63105
28 Facebook
n/a 17,789.
n/a MO 1111
29 Fidelity Charitable
PO Box 770001 16,500.
Cincinnati OH 45277
30 Sue Foster
3569 Summerlyn Dr 9,193.
Saint Louis MO 63129
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
31
Good Shepherd Lutheran Church
327 Woods Mill Rd 13,250.
Ballwin MO 63011
32 Mary Lee Grone
555 Couch Ave 5,200.
Saint Louis MO 63122
33 Lauren Hardcastle
2000 Sundowner Ridge Dr 5,782.
Ballwin MO 63011
34 Berta James
215 N Mosley Rd 11,549.
Saint Louis MO 63141
35 Kirkwood United Methodist Church
201 W. Adams Ave. 9,607.
Saint Louis MO 63122
36 Ian Lingle
16348 Wilson Farm Dr 6,651.
Chesterfield MO 63005
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
37
Matt Long
231 Southside Ave 8,250.
Saint Louis MO 63119
38 McCarthy Charity Golf Classic Corp
1341 N Rock Hill Rd 10,000.
Saint Louis MO 63124
39 Opus Prize Foundation
60 S. 6th Street, Ste. 2950 24,000.
Minneapolis MN 55402
40 Mike Palermo
333 Emmanuel Ct 5,010.
Valley Park MO 63088
41 Peace United Church of Christ
204 E Lockwood Ave 8,100.
Saint Louis MO 63119
42 Pershing Charitable Trust
7711 Bonhomme Ave Suite 875 10,000.
Saint Louis MO 63105
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
43
Pott Foundation
C/O US Bank Private Wealth Management 10 N Hanley Rd
7,500.
Saint Louis MO 63105
44 Lee Anne Quatrano
7395 Pershing Ave Apt B 32,059.
Saint Louis MO 63130
45 Carol Reznicek
2251 Wellington Dr 18,737.
Belleville IL 62221
46 Ron Ryckman
1528 Walnut St 10,160.
Philadelphia PA 19102
47 Schwab Charitable
211 Main St 41,050.
San Francisco CA 94105
48 Barb Shadburne
1726 Janey PL 8,212.
Saint Louis MO 63122
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
49
St. Louis Philanthropic Organization
20 S Sarah St 10,000.
Saint Louis MO 63108
50 Sunnen Foundation
7910 Manchester Rd 20,000.
Saint Louis MO 63143
51 The David B. Lichtenstein Foundation
1400 Forum Blvd. Ste. 7A Box 132 18,000.
Columbia MO 65203
52 Thrivent Financial
6111 W. Plano Pkwy, Ste 1000YC 7,016.
Plano TX 75093
53 USA Mortgage
12140 Woodcrest Executive Dr. Ste 150 11,900.
Saint Louis MO 63141
54 Vatterott Foundation
10143 Paget Dr 5,000.
Saint Louis MO 63123
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Schedule B (Form 990) (2021)
Page 2
Name of organization Employer identification number
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(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.)
(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) (2021)
HOME SWEET HOME 47-5028899
55
Shawn Waldrop
12559 Grandview Forest Dr 5,549.
Saint Louis MO 63127
56 World Wide Technology Foundation
60 Weldon Pkwy 16,023.
Maryland Heights MO 63043
57 YourCause
n/a 6,635.
n/a MO 11111
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Schedule B (Form 990) (2021)
Page 3
Name of organization Employer identification number
Part II
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
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
Schedule B (Form 990) (2021)
HOME SWEET HOME 47-5028899
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Schedule B (Form 990) (2021)
Page 4
Name of organization Employer identification number
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.)
a
$
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 Relationship of transferor to transferee
(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 Relationship of transferor to transferee
(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 Relationship of transferor to transferee
(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 Relationship of transferor to transferee
Schedule B (Form 990) (2021)
HOME SWEET HOME
47-5028899
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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
a
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.
a
Attach to Form 990.
a
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization Employer identification number
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
Conservation Easements.
Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
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
Preservation of a historically important land area
Preservation of a certified historic structure
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 in (a) .... 2c
d Number of conservation easements included in (c) acquired after 7/25/06, 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
a
4
Number of states where property subject to conservation easement is located
a
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
a
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
a
$
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
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.
1
a
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 ................
a
$
(ii) Assets included in Form 990, Part X ....................
a
$
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 .................
a
$
b Assets included in Form 990, Part X .....................
a
$
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule D (Form 990) 2021
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Schedule D (Form 990) 2021
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Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
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
Public exhibition
b
Scholarly research
c
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 to be sold to raise funds rather than to be maintained as part of the organization’s collection? . .
Yes No
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? ..........................
Yes No
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? 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
a
%
b Permanent endowment
a
%
c Term endowment
a
%
The percentages on lines 2a, 2b, and 2c should equal 100%.
3
a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:
Yes No
(i) Unrelated organizations ...........................
3a(i)
(ii) Related organizations ........................... 3a(ii)
b If “Yes” on line 3a(ii), are the related organizations listed as required on Schedule R? ........ 3b
4 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.
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 .........
e Other ...........
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.) .....
a
Schedule D (Form 990) 2021
0.
92,911. 30,631.
0.
62,280.
62,280.
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Schedule D (Form 990) 2021
Page
3
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)
(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, col. (B) line 12.) .
a
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.) .
a
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.) ..............
a
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, col. (B) line 25.) ..............
a
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) 2021
Schedule D (Form 990) 2021
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.
1 Total revenue, gains, and other support per audited financial statements ......... 1
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 ......................... 2e
3 Subtract line 2e from line 1 ........................ 3
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 .......................... 4c
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) .......
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 ............. 1
2 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 ......................... 2e
3 Subtract line 2e from line 1 ........................ 3
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 .......................... 4c
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) .......
5
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.
Schedule D (Form 990) 2021
1,606,820.
1,547,916.
1,606,820.
1,606,820.
1,547,916.
1,547,916.
BAA
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Schedule D (Form 990) 2021
Page
5
Part XIII Supplemental Information (continued)
Schedule D (Form 990) 2021
SCHEDULE M
(Form 990)
Department of the Treasury
Internal Revenue Service
Noncash Contributions
a
Complete if the organizations answered “Yes” on Form 990, Part IV, lines 29 or 30.
a
Attach to Form 990.
a
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization Employer identification number
Part I Types of Property
(a)
Check if
applicable
(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
1 Art—Works of art .....
2 Art—Historical treasures . . .
3 Art—Fractional interests . . .
4 Books and publications . . .
5
Clothing and household
goods .........
6 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
a
( )
26 Other
a
( )
27 Other
a
( )
28
Other
a
( )
29 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
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 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? ...............
30a
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? ...............................
31
32 a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ...............................
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. Schedule M (Form 990) 2021
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BAA REV 04/04/22 PRO
Schedule M (Form 990) 2021
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 (Form 990) 2021
REV 04/04/22 PRO
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
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.
a
Attach to Form 990 or Form 990-EZ.
a
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization Employer identification number
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Schedule O (Form 990) 2021
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47-5028899
Pt VI, Line 7a: THE CURRENT BOARD MEMBERS ELECT THEIR SUCCESSORS
Pt VI, Line 8a: MINUTES ARE TAKEN AT BOARD MEETINGS
Pt VI, Line 8b: MINUTES ARE TAKEN AT COMMITTEE MEETINGS
Pt VI, Line 11b: THE BOARD IS PROVIDED WITH A DRAFT COPY OF THE ENTIRE 990 PRIOR
TO FILING
Pt VI, Line 12c: CONFLICTS ARE REVIEWED ANNUALLY DURING BOARD MEETINGS
Pt VI, Line 15a: EXECUTIVE DIRECTOR COMPENSATION IS REVIEWED BY BOARD OF DIRECTORS
Pt VI, Line 19: DOCUMENTS ARE AVAILABLE UPON REQUEST
Pt XI: Payroll Protection Program loan forgiveness of $32,407.00
BAA
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Form
8879-TE
2021
IRS e-file Signature Authorization
for a Tax Exempt Entity
Department of the Treasury
Internal Revenue Service
For calendar year 2021, or fiscal year beginning , 2021, and ending , 20
a
Do not send to the IRS. Keep for your records.
a
Go to www.irs.gov/Form8879TE for the latest information.
OMB No. 1545-0047
Name of filer EIN or SSN
Name and title of officer or person subject to tax
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 Form 990 check here . .
a
b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . 1b
2a Form 990-EZ check here .
a
b Total revenue, if any (Form 990-EZ, line 9) ........ 2b
3a
Form 1120-POL check here
a
b Total tax (Form 1120-POL, line 22) .......... 3b
4a Form 990-PF check here .
a
b Tax based on investment income (Form 990-PF, Part V, line 5) . 4b
5a Form 8868 check here . .
a
b Balance due (Form 8868, line 3c) ........... 5b
6a Form 990-T check here .
a
b Total tax (Form 990-T, Part III, line 4) .......... 6b
7a Form 4720 check here . .
a
b Total tax (Form 4720, Part III, line 1) .......... 7b
8a Form 5227 check here . .
a
b FMV of assets at end of tax year (Form 5227, Item D) .... 8b
9a Form 5330 check here . .
a
b Tax due (Form 5330, Part II, line 19) .......... 9b
10a Form 8038-CP check here
a
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
2021 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
ERO firm name
to enter my PIN
Enter five numbers, but
do not enter all zeros
as my signature
on the tax year 2021 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 2021 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
a
Date
a
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.
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2021 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
a
Date
a
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.
Form 8879-TE (2021)
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ZIELINSKI & ASSOCIATES
9 4 0 5 5
04/01/2022
0.
06/21/2022
ELIZABETH REZNICEK, EXECUTIVE DIRECTOR
REV 04/04/22 PRO
BAA
Additional information from your 2021 Federal Exempt Tax Return
Form 990: Return of Organization Exempt from Income Tax
Other amt. not included Itemization Statement
Description Amount
Donations 517,220.
Grant income 254,676.
Donations in-kind 722,796.
Less Special Event income -99,563.
Total 1,395,129.
Form 990: Return of Organization Exempt from Income Tax
Line 2f Oth Rel/Exmpt Tot Itemization Statement
Description Amount
Total Other Revenue 28,805.
Less Furniture Sales -4,510.
Total 24,295.
Form 990: Return of Organization Exempt from Income Tax
Line 27, column (A) Itemization Statement
Description Amount
Undesignated 142,362.
Board designated 151,500.
Total 293,862.
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