SUPER SHOT INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SUPER SHOT INC (EIN 35-2122575)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202343189349305729
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T08:45:34-08:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010727068	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Targeted Services PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	709 Clay Street Suite 102	AddressLine1Txt
City	Fort Wayne	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46802	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	352122575	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Super Shot Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SUPE	BusinessNameControlTxt
Phone	2604247468	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1515 Hobson Road	AddressLine1Txt
City	Fort Wayne	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46805	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Connie Heflin	PersonNm
Person Title	Executive Dir.	PersonTitleTxt
Signature	2023-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Connie	PersonFirstNm
Person Last	Heflin	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Patricia Oppor	PreparerPersonNm
PTIN	P00234243	PTIN
Phone	2602033121	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Gail Doran	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1515 Hobson Road	AddressLine1Txt
City	Fort Wayne	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46805	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,697,668	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.supershot.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	To educate, promote vaccination and increase avenues for immunizations for all children in Allen County and surrounding communities.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	47	TotalEmployeeCnt
Total Volunteers	116	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$3,499,941	PYContributionsGrantsAmt
CY Contributions Grants	$2,797,186	CYContributionsGrantsAmt
PY Program Service Revenue	$792,217	PYProgramServiceRevenueAmt
CY Program Service Revenue	$649,618	CYProgramServiceRevenueAmt
PY Investment Income	$20,296	PYInvestmentIncomeAmt
CY Investment Income	$44,117	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$4,312,454	PYTotalRevenueAmt
CY Total Revenue	$3,490,921	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$680,468	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$631,414	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$21,846	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,642,994	PYOtherExpensesAmt
CY Other Expenses	$1,999,542	CYOtherExpensesAmt
PY Total Expenses	$2,323,462	PYTotalExpensesAmt
CY Total Expenses	$2,630,956	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,988,992	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$859,965	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,496,185	TotalAssetsBOYAmt
Total Assets EOY	$3,966,451	TotalAssetsEOYAmt
Total Liabilities BOY	$42,243	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$50,251	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,453,942	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,916,200	NetAssetsOrFundBalancesEOYAmt
Mission	To educate, promote vaccination and increase avenues for immunizations for all children in Allen County and surrounding communities.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,378,628	ExpenseAmt
Revenue	$649,618	RevenueAmt
Desc	Super Shot plays a critical role in Allen Countys public health infrastructure by providing vaccines to children and adults regardless of insurance status. Super Shot accepts public and commercial insurance and if individuals are uninsured, we ask for a $15/vaccine administration fee, but turn no one away if unable to pay the administration fee. Super Shot offers weekend and evening hours at clinics located on public bus routes and offers translation services in over 120+ languages. In 2022, Super Shot administered 36,422 doses of vaccine to 24,654 community members. 20,890 (85%) of patients were children and 3,764 (15%) were adults. The primary race/ethnicity of the families we served was 47% White, 16% Hispanic, 15% Black/African American, 13% Asian, and 9% of patients declined to answer. 93% of our patients were from Allen County with 64% from medically underserved zip codes.	Desc
Total Program Service Expenses	$2,378,628	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	9	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	47	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Connie Heflin	PersonNm
Phone	2604247468	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1515 Hobson Road	AddressLine1Txt
City	Fort Wayne	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46805	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Connie Heflin
Executive Dir.	40.00	0.00	Yes (X)	$75,000	$0	$0
Gail Doran
Chairman	0.92	0.00	Yes (X)	$0	$0	$0	Yes (X)
Gregory Perigo
Vice-Chairman	0.66	0.00	Yes (X)	$0	$0	$0	Yes (X)
Donald R Shook Jr MBA
Treasurer	0.77	0.00	Yes (X)	$0	$0	$0	Yes (X)
Sarah GiaQuinta MD
Secretary	0.19	0.00	Yes (X)	$0	$0	$0	Yes (X)
Patti Brahe
Director	0.19	0.00		$0	$0	$0	Yes (X)
Mary Hess BSN RN
Director	0.19	0.00		$0	$0	$0	Yes (X)
Krista Peak
Director	0.19	0.00		$0	$0	$0	Yes (X)
Don Schenkel
Director	0.19	0.00		$0	$0	$0	Yes (X)
Susan Johnson
Director	0.19	0.00		$0	$0	$0	Yes (X)
Mary Hess RN BSN
Director	0.19	0.00		$0	$0	$0	Yes (X)
Deb Jones
Director	0.19	0.00		$0	$0	$0	Yes (X)
Meredith Stout
Director	0.19	0.00		$0	$0	$0	Yes (X)
Mona Reimers
Director	0.19	0.00		$0	$0	$0	Yes (X)
Douglas Beebe
Director	0.19	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$75,000	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	None	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$125,000	GovernmentGrantsAmt
All Other Contributions	$2,672,186	AllOtherContributionsAmt
Noncash Contributions	$2,189,389	NoncashContributionsAmt
Total Contributions	$2,797,186	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Vaccine administration	Desc
Business	624100	BusinessCd
Total Revenue Column	$649,618	TotalRevenueColumnAmt
Related Or Exempt Func Income	$649,618	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$649,618	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,946	TotalRevenueColumnAmt
Exclusion	$46,946	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,203,638	SecuritiesAmt
Other	$280	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,203,349	SecuritiesAmt
Other	$3,398	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$289	SecuritiesAmt
Other	-$3,118	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,829	TotalRevenueColumnAmt
Exclusion	-$2,829	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,490,921	TotalRevenueColumnAmt
Related Or Exempt Func Income	$649,618	RelatedOrExemptFuncIncomeAmt
Exclusion	$44,117	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$75,000	TotalAmt
Program Services	$50,250	ProgramServicesAmt
Management And General	$12,375	ManagementAndGeneralAmt
Fundraising	$12,375	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$498,244	TotalAmt
Program Services	$364,966	ProgramServicesAmt
Management And General	$133,278	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,487	TotalAmt
Program Services	$2,487	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,138	TotalAmt
Program Services	$11,138	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$44,545	TotalAmt
Program Services	$33,272	ProgramServicesAmt
Management And General	$11,273	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$35,404	TotalAmt
Management And General	$35,404	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,957	TotalAmt
Program Services	$17,457	ProgramServicesAmt
Fundraising	$8,500	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,757	TotalAmt
Program Services	$10,757	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,695	TotalAmt
Program Services	$17,613	ProgramServicesAmt
Management And General	$3,708	ManagementAndGeneralAmt
Fundraising	$374	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$57,566	TotalAmt
Program Services	$31,350	ProgramServicesAmt
Management And General	$25,619	ManagementAndGeneralAmt
Fundraising	$597	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$35,923	TotalAmt
Program Services	$35,058	ProgramServicesAmt
Management And General	$865	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,885	TotalAmt
Program Services	$1,885	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,544	TotalAmt
Program Services	$3,544	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,160	TotalAmt
Program Services	$26,160	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$32,047	TotalAmt
Program Services	$24,087	ProgramServicesAmt
Management And General	$7,960	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Donated Vaccine	$1,649,789	$1,649,789
Clinic Supplies	$58,270	$58,270
Program Equipment	$33,295	$33,295
Uncollectible accounts	$7,250	$7,250

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,630,956	TotalAmt
Program Services	$2,378,628	ProgramServicesAmt
Management And General	$230,482	ManagementAndGeneralAmt
Fundraising	$21,846	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$126,170	BOYAmt
EOY	$332,315	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,187,210	BOYAmt
EOY	$843,812	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$379,928	BOYAmt
EOY	$94,916	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$76,074	BOYAmt
EOY	$37,596	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,195	BOYAmt
EOY	$6,441	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$697,113	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$74,672	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$178,289	BOYAmt
EOY	$622,441	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,539,319	BOYAmt
EOY	$2,020,784	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$8,146	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,496,185	BOYAmt
EOY	$3,966,451	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$42,243	BOYAmt
EOY	$50,251	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,243	BOYAmt
EOY	$50,251	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,527,161	BOYAmt
EOY	$3,348,507	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$926,781	BOYAmt
EOY	$567,693	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,453,942	BOYAmt
EOY	$3,916,200	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,496,185	BOYAmt
EOY	$3,966,451	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$859,965	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$397,707	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	false	FSAuditedInd
Audit Committee	false	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,296,143	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,150,460	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,288,079	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,499,941	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,775,292	CurrentTaxYearAmt
Total	$13,009,915	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,296,143	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,150,460	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,288,079	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,499,941	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,775,292	CurrentTaxYearAmt
Total	$13,009,915	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$122,556	SubstantialContributorsTotAmt
Public Support Total170	$12,887,359	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,687	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,695	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,859	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$31,078	CurrentTaxYearMinus1YearAmt
Current Tax Year	$46,945	CurrentTaxYearAmt
Total	$112,264	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$13,122,179	TotalSupportAmt
Public Support CY170	0.98210	PublicSupportCY170Pct
Public Support PY170	0.98370	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$543,156	OtherCostOrOtherBasisAmt
Depreciation	$11,042	DepreciationAmt
Book Value	$532,114	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$153,957	OtherCostOrOtherBasisAmt
Depreciation	$63,630	DepreciationAmt
Book Value	$90,327	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$622,441	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$3,096,214	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$397,707	NetUnrealizedGainsInvstAmt
Other Revenue	$3,000	OtherRevenueAmt
Revenue Not Reported	-$394,707	RevenueNotReportedAmt
Revenue Subtotal	$3,490,921	RevenueSubtotalAmt
Total Revenue Per Form990	$3,490,921	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,630,956	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$2,630,956	ExpensesSubtotalAmt
Total Expenses Per Form990	$2,630,956	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part X : FIN48 Footnote

Super Shot is a nonprofit organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code and qualifies for the 60% charitable contribution limitation. The CARES Act has temorarily allowed a 100% charitable contribution limitation for the calendar year 2021 only. The Organization has been classified as an organization that is not a private foundation under Section 509(a) of the Internal Revenue Code. However, the Organization is subject to federal income tax on any unrelated business taxable income. No unrelated business taxable income was reported in 2021 or 2020. The company is generally no longer subject to examination by the Internal Revenue Service for years before 2019. Super Shot, Inc. follows the guidance in FASB ASC 740-10-25 and determined no material unrecognized tax benefits or liabilities exist as of December 31, 2022. The adoption of 740-10-25 did not impact Super Shot, Inc.'s financial position or results of operations. If applicable, Super Shot, Inc. will recognize interest and penalties related to underpayment of income taxes as income tax expense. As of December 31, 2022 and 2021, Super Shot, Inc. had no amounts related to unrecognized income tax benefits and no amounts related to accrued interest and penalties. Super Shot, Inc. does not anticipate any significant changes to unrecognized income tax benefits over the next year.

Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990

Loss on assets in revenue $3000

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$539,600	NoncashContributionsRptF990Amt
Method Of Determining Revenues	County Assessm	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Contribution	28623	ContributionCnt
Noncash Contributions Rpt F990	$1,649,789	NoncashContributionsRptF990Amt
Method Of Determining Revenues	CDC Pricing	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2	Several members of the Board of Directors are CEO's of clinics, hospitals and other health-related entities. These Board members have contact with each other when conducting business for their respective organizations. None have a 35% or greater ownership interest in the organizations that they serve.
Form 990, Part VI, Section B, Line 11b	Form 990 is reviewed by the full governing Board at its meeting preceding the filing deadline for the return. A vote is taken to approve the filing of Form 990 if no items are flagged for further review / investigation.
Form 990, Part VI, Section B, Line 12c	Annually, members of the governing Board and Officers provide the names of entities, from which they, or their family members, receive compensation, have greater than a 10% ownership or investment interest, or otherwise might benefit personally from business transactions between the entity and Super Shot. Steps outlined in the Conflict of Interest policy are followed when potential transactions involving these businesses and organizations arise.
Form 990, Part VI, Section B, Line 15a	Annually, the Executive Committee obtains updated compensation data for comparable positions within Allen County, Indiana. These data are taken into account in determining Executive Director compensation for the upcoming budget year. The full Board approves the Executive Director's compensation in conjunction with its approval of the budget for the fiscal year.
Form 990, Part VI, Section B, Line 15b	Not applicable. No officers other than the Executive Director are compensated.
Form 990, Part VI, Section C, Line 19	Articles of Incorporation, by-laws, conflict of interest policy and annual report are made available upon request.
Part III, line 4a (continued)	Since 1993, Super Shot has been ensuring the health of the most vulnerable children in our community by providing life-saving immunizations. We break down the barriers of vaccination - access and cost - and increase awareness of the importance of vaccination though our four walk-in Clinics and community education. Super Shot was founded by the compassion of two determined community leaders who cared deeply about the health of local children. Dr. Jane Irmscher, Health Commissioner of the Allen County Health Department, and Sister Mary Conrad Kirchhoff, a Poor Handmaid of Jesus Christ, brought key community leaders and hundreds of volunteers together to address our communitys low immunization rate. Twenty-nine years later, there is still a great need. Nationally, Indiana ranks 49th worst in public health spending. Super Shot helps address this gap and with your support, we are ensuring the health of our community. We ask uninsured/underinsured families for a $15 administration fee, per vaccination, to help support our program, but no one is turned away if they are unable to pay. We offer 16 vaccines to uninsured, underinsured and Medicaid eligible children and 14 vaccines to underinsured and uninsured adults. We also accept most commercial insurance plans. Vaccines are one of the greatest medical advancements and are the best way to prevent infectious disease. While getting vaccinated seems like the obvious choice, barriers and awareness, remain obstacles. Continuing to break down barriers as we strive to increase vaccination rates is critical to the health of our community. Our clinics ensure the most vulnerable children and adults have access to vaccines.Clinics Locations and Times:1.Grabill Missionary Church 13637 State Street, Grabill, IN 46741Monday 10 am 1 pm 2.Hobson 1515 Hobson Rd, Fort Wayne, IN 46805Tuesday & Thursday 10 am 7 pm; Wednesday & Friday 10am - 4pm; Saturday 9 am - Noon3.Anthony Medical Center 5717 S. Anthony Blvd., Fort Wayne, IN 46816Wednesday 4 7 pm4.Fort Wayne Community Schools FACE Center 230 E. Douglas Ave, Fort Wayne, IN 46802Monday - Friday 9 am 4 pm In addition to continuing to serve the community at our own clinics, Super Shot partners with local schools and trusted partners to provide on-site vaccine clinics. Super Shot works to educate the community on the importance of immunizations through ongoing training and distribution of educational materials at local hospitals, schools, health events, to child-care providers, and at our clinic sites. Our staff empowers parents by providing them with the facts on immunizations. Our education coordinator speaks, consults, and engages in the community to provide scientific data on how immunizations work, the immunization schedule, and how immunizations save lives. Super Shot participates in many community health events to reinforce the value of community immunity. We serve children from birth through age 18 that are eligible for the Vaccine for Children Program (Medicaid eligible, uninsured, underinsured) and uninsured and underinsured adults. We also serve children and adults that are commercially insured. There are many economic reasons why vaccinations are important. From containing an infectious outbreak, to employees calling in sick and absenteeism, disease and illness cost money. But more importantly, vaccinations save lives. Vaccines protect you, me, our children, our parents, our grandchildren, our neighbors, our co-workers, and our entire community against deadly diseases.