NAQAQA GIVING FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NAQAQA GIVING FOUNDATION (EIN 20-0548484)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-04
- IRS object ID
- 202223089349100332
- Schema version
- 2021v4.0
- 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-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- General Explanation Attachment
- Land Etc Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-04T09:45:12-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 202050134 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAWRENCE S RACHMEL CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6345 BALBOA BLVD STE 382 | AddressLine1Txt |
| City | ENCINO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91316 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200548484 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE NAQAQA GIVING FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NAQA | BusinessNameControlTxt |
| Phone | 8185050177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11444 W OLYMPIC BLVD 11TH FLR | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90064 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GAVIN DE BECKER | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2022-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GAVIN DE | PersonFirstNm |
| Person Last | BECKER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NOMAN TAHIR CPA | PreparerPersonNm |
| PTIN | P02060413 | PTIN |
| Phone | 8183420808 | 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 | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $0 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $112,969 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $1,080 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,080 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $1,080 | InterestOnSavingsAdjNetIncmAmt |
| Dividends Rev And Expnss | $9,238 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $9,238 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $9,238 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$28 | NetGainSaleAstRevAndExpnssAmt |
| Total Rev And Expnss | $123,259 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $10,318 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $10,318 | TotalAdjNetIncmAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $85,603 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $85,603 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $111 | LegalFeesRevAndExpnssAmt |
| Legal Fees Dsbrs Chrtbl | $111 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $7,472 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Chrtbl Prps | $7,472 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $20,446 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Dsbrs Chrtbl | $20,446 | OtherProfFeesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $3,258 | DeprecAndDpltnRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $2,768 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $2,768 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $64,696 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $64,696 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $184,354 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $181,096 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $184,354 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $181,096 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$61,095 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $10,318 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $10,318 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $126,205 | CashBOYAmt |
| Cash EOY | $43,500 | CashEOYAmt |
| Sav And Temp Cash Invst BOY | $39,769 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $62,445 | SavAndTempCashInvstEOYAmt |
| Other Nts And Loans Rcvbl | $700 | OtherNtsAndLoansRcvblAmt |
| Other Nts And Loans Rcvbl BOY | $690 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $700 | OtherNtsAndLoansRcvblEOYAmt |
| Prepaid Expenses BOY | $2,000 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $4,500 | PrepaidExpensesEOYAmt |
| Other Investments BOY | $222,570 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $222,570 | OtherInvestmentsEOYAmt |
| Land Bldg Equip Cost Or Other Bss | $69,912 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,966 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $33,204 | LandBOYAmt |
| Land EOY | $29,946 | LandEOYAmt |
| Total Assets BOY | $424,438 | TotalAssetsBOYAmt |
| Total Assets EOY | $363,661 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $0 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $431 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $749 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $431 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $749 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $424,007 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $362,912 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $424,007 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $362,912 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $424,438 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $363,661 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $424,007 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$61,095 | ExcessRevenueOverExpensesAmt |
| Subtotal | $362,912 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $362,912 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $143 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $143 | SubtotalAmt |
| Tax Based On Investment Income | $143 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $143 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (true) | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCVT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4242087728 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11444 W OLYMPIC BLVD 11TH FLR | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90064 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | Yes (true) | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| GAVIN DE BECKER | ||||||
| 11684 VENTURA BLVD 440 | STUDIO CITY | CA | 91604 | President | 5.00 | $0 |
| MICHAEL LAFEVER | ||||||
| 11684 VENTURA BLVD 440 | STUDIO CITY | CA | 91604 | Secretary | 0.50 | $0 |
| BRUCE WAGNER | ||||||
| 11901 SANTA MONICA BLVD 593 | LOS ANGELES | CA | 90025 | Director | 0.50 | $0 |
| Ron J Kall | ||||||
| 11684 VENTURA BLVD 440 | STUDIO CITY | CA | 91604 | CFO | 0.50 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NAQAQA GIVING FOUNDATION (NGF) HAS SERVED THROUGH CORE PROGRAMS THAT INVEST IN EDUCATION, HEALTH & MEDICAL, UTILITIES, FOOD OUTREACH, VILLAGE BUILDING ASSISTANCE, CLEAN DRINKING WATER, AGRICULTURE, SERVING CHILDREN AND FAMILIES WITH LITTLE TO NO INCOME LIVING IN RURAL VILLAGES. FIJIAN VILLAGES AND COMMUNITIES THAT HAVE RECEIVED DIRECT ASSISTANCE IN 2021 INCLUDE: VIVILI, NAIDI, KANAKANA, NAGIGI, KOROLEVU BARAVI, DREKETI VILLAGE IN WAILEVU, WAILEVU VILLAGE, TUVURARA SETTLEMENT, WAIKAVA SETTLEMENT, LOLOUTA SETTLEMENT, WAIVURE, NATOA SETTLEMENT, MALAKE SAQANI, VATUKAROA ESTATE, AS WELL AS THE TOWN OF SAVUSAVU (A HUB FOR RURAL FARMERS). ON A PROGRAM LEVEL, SUCCESSFUL OUTCOMES INCLUDE THE FOLLOWING PROJECTS:ANY DOLLAR AMOUNT LISTED IS IN FIJIAN DOLLARS SAVUSAVU MEDICAL CENTRE IS THE LARGEST NGF PROJECT TO DATE. ESTABLISHED IN 2010, THE SAVUSAVU MEDICAL CENTRE CONTINUED THROUGHOUT 2021 TO PROVIDE THE COMMUNITY WITH THE ONLY PRIVATE MEDICAL CARE FACILITY IN THE REGION OFFERING THE ONLY 24-HOUR | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $0 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $0 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $0 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $0 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $0 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $181,096 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $181,096 | QualifyingDistributionsAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2005-01-21 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $181,096 | CurrentYearAmt |
| Year1 | $154,310 | Year1Amt |
| Year2 | $203,569 | Year2Amt |
| Year3 | $281,316 | Year3Amt |
| Total | $820,291 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $181,096 | CurrentYearAmt |
| Year1 | $154,310 | Year1Amt |
| Year2 | $203,569 | Year2Amt |
| Year3 | $281,316 | Year3Amt |
| Total | $820,291 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $363,661 | CurrentYearAmt |
| Year1 | $424,438 | Year1Amt |
| Year2 | $581,630 | Year2Amt |
| Year3 | $364,247 | Year3Amt |
| Total | $1,733,976 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $257,716 | CurrentYearAmt |
| Year1 | $258,464 | Year1Amt |
| Year2 | $337,252 | Year2Amt |
| Year3 | $263,949 | Year3Amt |
| Total | $1,117,381 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | GAVIN DE BECKER | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | NAQAQA GIVING FOUNDATION | RecipientPersonNm |
Recipient Foreign Address RecipientForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | HIBUSCUS HIGHWAY | AddressLine1Txt |
| Province Or State | SAVUSAVU | ProvinceOrStateNm |
| Country | FJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 9678852901 | RecipientPhoneNum |
| Recipient Email Address | info@fijicharity.org | RecipientEmailAddressTxt |
| Form And Info And Materials | NAME, HOME ADDRESS, EMAIL (IF AVAILABLE), PHONE CONTACT (IF APPLICABLE); WHAT IS REQUESTED;COST OF REQUEST (WHICH NEED TO BE VERIFIED); DESCRIPTION OF NEED; SUPPORTING DOCUMENTS; PERSONAL FINANCIAL INFORMATION; HOUSEHOLD COMPOSITION; SIGNED DECLARATION BY APPLICANT. | FormAndInfoAndMaterialsTxt |
| Restrictions On Awards | ELIGIBLE APPLICANTS ARE RESIDENTS OF FIJI WITH SUBSISTENCE INCOME (GENERALLY BELOW $5,000 FIJIAN DOLLARS PER YEAR) FACING HARDSHIP. FIJIAN VILAGES MAY MAKE REQUESTS AS A COMMUNITY IF THAT WHICH IS REQUESTED BENEFITS THE WHOLE OR A SUBSTANTIAL PORTION TO THE VILLAGE. | RestrictionsOnAwardsTxt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Related Or Exempt Function Incm | $1,080 | RelatedOrExemptFunctionIncmAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $9,238 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | -$28 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $10,290 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $10,290 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Noncash ContributionNoncashContributionInd | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|---|
| GAVIN DE BECKER | |||||||
| 1 | 11444 W OLYMPIC BLVD | LOS ANGELES | CA | 90064 | $105,082 | Yes (X) | |
| TERRI GILBERT | |||||||
| 2 | 11031 RING ROAD | RESTON | VA | 20190 | $5,000 | Yes (X) | |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | FIDELITY STOCK DONATION | NoncashPropertyDesc |
| Fair Market Value | $105,082 | FairMarketValueAmt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $7,472 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $7,472 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (2 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | RtRt | Current Year ExpenseCurrentYearExpenseAmt |
|---|---|---|---|---|---|---|
| SOLAR SYSTEM | 2009-01-07 | $46,796 | $26,910 | SL | 0.0500 | $2,340 |
| SOLAR SYSTEM | 2015-06-01 | $18,367 | $5,049 | SL | 0.0500 | $918 |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | General Explanation Supplemental Information for Form 990-PF | FormAndLineReferenceDesc |
| Medium Explanation | EXPENDITURE RESPONSIBILITY OF GRANT:THIS AGREEMENT IS ENTERED INTO BY AND BETWEEN THE NAQAQA GIVING FOUNDATION, A CALIFORNIA NON-PROFIT PUBLIC HEALTH CORPORATION (THE "GRANTOR") AND SAVUSAVU MEDICAL CENTRE ("GRANTEE").(1) GRANTOR SHALL GRANT $3,600 FIJIAN DOLLARS ("GRANT FUNDS") TO GRANTEE TO BE USED AS SET FORTH IN EXHIBIT A (THE "PROGRAM"). THE GRANT FUNDS ARE FOR ONE-YEAR. GRANTOR IN ITS SOLE DISCRETION CAN RENEW THE AGREEMENT ANNUALLY IN WHICH CASE, THIS AGREEMENT SHALL GOVERN THE GRANT FUNDS PAID IN ANY SUBSEQUENT YEAR.(2) GRANTEE SHALL USE ALL GRANT FUNDS FOR, AND ONLY FOR, THE CHARITABLE PURPOSE OF ENABLING GRANTEE TO CARRY OUT THE PROGRAM. USE OF ANY PORTION OF THE GRANT FUNDS, INCLUDING ANY INTEREST EARNED THEREON, FOR ANY OTHER PURPOSE MUST HAVE PRIOR WRITTEN APPROVAL BY THE GRANTOR.(3) GRANTEE AGREES TO REPAY ANY PORITON OF THE GRANT FUNDS WHICH IS NOT USED FOR THE PROGRAM IN ACCORDANCE WITH THE TERMS OF THIS AGREEMENT.(4) GRANTEE AGREES TO FURNISH PERIODIC REPORTS (NOT LESS THAN ANNUALLY) TO GRANTOR AS TO THE EXPENDITURE OF THE GRANT FUNDS.(5) GRANTEE AGREES TO MAINTAIN DURING THE ENTIRE PERIOD THAT GRANTEE HOLDS GRANT FUNDS (INCLUDING EARNINGS THEREON), THE GRANT FUNDS, INCLUDING EARNINGS THEREON, IN A SEPARATE FUND DEDICATED TO THE PROGRAM. GRANTEE AGREES TO KEEP ITS FINANCIAL AND OTHER RECORDS SO THAT THEY ADEQUATELY SHOW THE USE OF THE GRAND FUNDS EXCLUSIVELY FOR THE PROGRAM AND TO MAKE SUCH BOOKS AND RECORDS AVAILABLE TO THE GRANTOR AT REASONABLE TIMES.(6) GRANTEE AGREES IT WILL NOT USE THE GRANT FUNDS:(A) TO CARRY OUT PROPAGANDA, OR OTHERISE ATTEMPT TO INFLUENCE LEGISLATON;(B) TO INFLUENCE THE OUTCOME OF ANY SPECIFIC ELECTION OR TO CARRY ON, DIRECTLY OR INDIRECTLY, ANY VOTER REGISTRATION DRIVE;(C) FOR GRANTS TO INDIVIDUALS FOR TRAVEL OR STUDY (EXCEPT IN ACCORDANCE WITH THE PROGRAM);(D) FOR A GRANT TO A PRIVATE FOUNDATION AS DEFINED IN UNITED STATEES INTERNAL REVENUE CODE (THE CODE) SECTION 509 OR TO ANOTHER ORGANIZATION NOT DESCRIBED IN THE SECTION 501(C)(3) OF THE CODE;(E) FOR ANY PURPOSE OTHER THAN ONE SPECIFIED IN SECTION 170(C)(2)(B) OF THE CODE (E.G., CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES).(7) GRANTEE AGREES TO SUPPLY THE GRANTOR WITH SUCH OTHER INFORMATION AS MAY BE NECESSARY OR DESIRABLE TO PERMIT THE GRANTOR TO EXERCISE ITS RESPONSIBILITY FOR THE SUPERVISION OF THE GRANT AS REQUIRED BY SCTION 4945 OF THE CODE.IN WITNESS WHEREOF, GRANTOR AND GRANTEE HAVE ENTERED INTO THIS AGREEMENT ON THE 14 DATE OF APRIL, 2020.NAQAQA GIVING FOUNDATIONSAVUSAVU MEDICAL CENTREEXHIBIT AFREE CLINIC SCREENING EXPENSES: (DIABETES TESTS, BLOOD PRESSURE TESTS, FOR TESTING VISION AND DISTRIBUTING FREE READING GLASSES) $2,400FJ PER YEAR, PAID AS $200FJ PER MONTH.INSURANCE COSTS FOR SUPPORT OF RURAL COMMUNITY CARE:$1,200FJ | MediumExplanationTxt |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Machinery and Equipment | CategoryOrItemTxt |
| Cost Or Other Basis | $69,912 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $39,966 | AccumulatedDepreciationAmt |
| Book Value | $29,946 | BookValueAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $111 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $111 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (16 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| BANK SERVICE CHARGES | $208 | $208 |
| COMMUNITY DEVELOPMENT | $2,402 | $2,402 |
| CONTRIBUTION-EDUCATION SUPPORT | $425 | $425 |
| CONTRIBUTION-FIJI CHARITY | $29,413 | $29,413 |
| DUES | $365 | $365 |
| FARM & APIARY EXP ( bee hives) | $1,279 | $1,279 |
| GAIN/LOSS IN CURRENCY EXCHANGE | $3,151 | $3,151 |
| GROUNDS KEEPING | $1,808 | $1,808 |
| INSURANCE | $4,946 | $4,946 |
| MAINTENANCE & REPAIRS | $7,296 | $7,296 |
| MEDICAL | $951 | $951 |
| OFFICE EXPENSES | $7,307 | $7,307 |
| Rental Expenses | $1,417 | $1,417 |
| TAXES & LICENSES | $392 | $392 |
| TELEPHONE | $1,249 | $1,249 |
| UTILITIES | $2,087 | $2,087 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| DUE TO FIJI STAFF | $60 | $60 |
| PAYROLL TAX PAYABLE | $371 | $689 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| GRANT-ANGEL WINGS | $1,000 | $0 | $0 | $1,000 |
| MANAGEMENT FEE | $2,000 | $0 | $0 | $2,000 |
| MANAGEMENT FEE-MAXCROSS | $17,446 | $0 | $0 | $17,446 |