AMERICAN SHUDOKAN ASSOCIATION NORTHWEST SCHOLARSHIP FUND: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN SHUDOKAN ASSOCIATION NORTHWEST SCHOLARSHIP FUND (EIN 20-3658877)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202213149349202061
- Schema version
- 2021v4.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T11:53:35-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911942703 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dietzen & Lakey PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4704 Tieton Dr Suite A | AddressLine1Txt |
| City | Yakima | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98908 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203658877 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN SHUDOKAN ASSOCIATION | BusinessNameLine1Txt |
| Business Name Line2 | NORTHWEST SCHOLARSHIP FUND | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMER | BusinessNameControlTxt |
| Phone | 5099611459 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2009 EVERGREEN COURT | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KARILEE MACK | PersonNm |
| Person Title | VICE PRESIDENT/TREASURER | PersonTitleTxt |
| Phone | 5099611459 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KARILEE | PersonFirstNm |
| Person Last | MACK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Karen A Dietzen | PreparerPersonNm |
| PTIN | P01371540 | PTIN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | NONE | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $156,077 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $5,395 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $13,309 | InvestmentIncomeAmt |
| Sale Of Assets Gross | $137,373 | SaleOfAssetsGrossAmt |
| Cost Or Other Basis Expense Sale | $122,780 | CostOrOtherBasisExpenseSaleAmt |
| Gain Or Loss From Sale Of Assets | $14,593 | GainOrLossFromSaleOfAssetsAmt |
| Total Revenue | $33,297 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $8,500 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $1,150 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $5,380 | OtherExpensesTotalAmt |
| Total Expenses | $15,030 | TotalExpensesAmt |
| Excess Or Deficit For Year | $18,267 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $335,143 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $5,027 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $358,437 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,143 | BOYAmt |
| EOY | $358,437 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,143 | BOYAmt |
| EOY | $358,437 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,143 | BOYAmt |
| EOY | $358,437 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO RAISE FUNDS AND DISTRIBUTE COLLEGE SCHOLARSHIP FUNDS TO STUDENTS OF YAKIMA SCHOOL OF KARATE AND ITS AFFILIATE SCHOOLS LOCATED IN THE STATES OF WASHINGTON, OREGON AND IDAHO. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | THE FUNDS RAISED IN 2021 FROM DONATIONS AND TOURNAMENT FEES ALLOWED THE ORGANIZATION TO PROVIDE SCHOLARSHIPS TO 6 QUALIFYING COLLEGE STUDENTS. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $15,030 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $15,030 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| KARILEE MACK | ||||
| VICE PRESIDENT/TREASURER | 5.00 | $0 | $0 | $0 |
| RANDY HOLEMAN | ||||
| PRESIDENT | 5.00 | $0 | $0 | $0 |
| ERIKA VESTAD | ||||
| SECRETARY | 5.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KARILEE MACK | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2009 EVERGREEN COURT | AddressLine1Txt |
| City | YAKIMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5099611459 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
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 | $17,262 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,880 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,909 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,549 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,395 | CurrentTaxYearAmt |
| Total | $61,995 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,262 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,880 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,909 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,549 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,395 | CurrentTaxYearAmt |
| Total | $61,995 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $61,995 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,077 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,145 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,377 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,309 | CurrentTaxYearAmt |
| Total | $47,484 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $109,479 | TotalSupportAmt |
| Public Support CY170 | 0.56630 | PublicSupportCY170Pct |
| Public Support PY170 | 0.62690 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 4 - Other Investment Income | Description: INTEREST INCOME. Amount: 1. Description: DIVIDEND INCOME. Amount: 8,118. Description: CAPITAL GAIN DISTRIBUTIONS. Amount: 5,190. Total Included on Form 990-EZ, line 4: 13,309. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: SCHOLARSHIP. Grantee Name: ALEXA CONTRERAS. Grantee Relationship: NONE. Property Description: CASH. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: SCHOLARSHIP. Grantee Name: YASMEEN JADDI. Grantee Relationship: NONE. Property Description: CASH. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: SCHOLARSHIP. Grantee Name: RIO KEMMOTSU. Grantee Relationship: NONE. Property Description: CASH. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: SCHOLARSHIP. Grantee Name: MICHAEL STRIEFEL. Grantee Relationship: NONE. Property Description: CASH. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: SCHOLARSHIP. Grantee Name: GABRIELLA VANOVER. Grantee Relationship: NONE. Property Description: CASH. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: SCHOLARSHIP. Grantee Name: LOKESH VUCHHURU. Grantee Relationship: NONE. Property Description: CASH. Amount Given: 1,500. Total included on Form 990-EZ, line 10: 8,500. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: LICENSES AND FEES. Amount: 3,660. Description: SUPPLIES. Amount: 1,720. Total to Form 990-EZ, line 16: 5,380. |
| Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets | Description: UNREALIZED GAIN ON INVESTMENTS. Amount: 5,027. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract. | DeclarationDesc |