2022-10-17T12:19:40-05:00 2021-12-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2021-01-01 262449481 GIVE BACK FOUNDATION GIVE 6083162548 2302 INTERNATIONAL LANE MADISON WI 537043136 MICHAEL STOETZEL TREASURER 6083162548 2022-10-07 1 MICHAEL STOETZEL 999009999 MIKE HABLEWITZ CPA P01259157 6082744020 2022-09-30 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JEANAN YASIRI MOE 2302 INTERNATIONAL LANE MADISON WI 537043136 83771815 0 X WWW.GIVEBACKFOUNDATION.ORG X 2008 DE THE ORGANIZATION PROVIDES CHARITABLE GIVING SERVICES TO EMPLOYER, EMPLOYEES, AND INDIVIDUALS TO EASILY AND AFFORDABLY MANAGE ALL THEIR CHARITABLE GIVING ACTIVITIES. EACH MEMBER HAS THE ABILITY TO DIRECT THE FUNDS FROM THEIR ACCOUNT TO ANY CHARITY OF THEIR CHOICE IN GOOD STANDING WITH THE UNITED STATES INTERNAL REVENUE SERVICE. 6 5 0 5 0 0 80274629 77786669 5702362 5965748 54745 19398 0 0 86031736 83771815 62362813 59630326 0 0 0 0 0 0 0 22722590 22732527 85085403 82362853 946333 1408962 35740490 36333568 14428455 13612571 21312035 22720997 X TO ENCOURAGE MORE GIVING. MORE PEOPLE, GIVING MORE, MORE OFTEN, TO MORE CHARITABLE ORGANIZATIONS. 0 0 59630326 59630326 0 THE ORGANIZATION PROVIDES A GIVING PLATFORM FOR INDIVIDUALS, EMPLOYEES, AND EMPLOYERS TO DONATE TO SELECTED 501(C)3 CHARITIES. 22459075 0 5965748 IN DECEMBER 2015, THE ORGANIZATION ENTERED INTO A 5 YEAR FIRM FIXED PRICE CONTRACT WITH THE OFFICE OF PERSONNEL MANAGEMENT (OPM) FOR SERVICES IN CONNECTION WITH THE COMBINED FEDERAL CAMPAIGN (CFC). THE CFC IS THE ANNUAL WORKPLACE CHARITY CAMPAIGN FOR FEDERAL EMPLOYEES. THE CONTRACT HAS DISTINCT OUTCOMES FOR EACH YEAR. THE PRIMARY OUTCOME FOR THE FIRST YEAR OF THE CONTRACT WHICH ENDED DECEMBER 31, 2016, WAS THE DEVELOPMENT OF AN ON-LINE CHARITY APPLICATION SYSTEM. THE PRIMARY OUTCOME FOR THE SECOND YEAR WHICH ENDED DECEMBER 31, 2017 WAS THE DEVELOPMENT OF THE PAYROLL DEDUCTION SYSTEM, ONLINE CHARITY LOOKUP AND CHARITY PLEDGING ADMINISTRATION AND MAINTENANCE. IN YEARS THREE THROUGH FIVE OF THE CONTRACT, THE PRIMARY FOCUS IS ADMINISTRATION AND DISTRIBUTION OF DONATED FUNDS TO CHARITIES, AS WELL AS MAINTENANCE OF THE SYSTEM. IN JANUARY 2021 THE CONTRACT WAS EXTENDED FOR ANOTHER 5 YEAR PERIOD. 82089401 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 AL AK CA FL GA HI IL KS KY MD MA MI MN MS ND NH NJ NM NY NC OR PA RI SC TN UT VA WV WI X WENDY VELASCO 6083162548 2302 INTERNATIONAL LANE MADISON WI 537043136 JEANAN YASIRI MOE CHAIR 3.00 X X 25000 0 0 PAMELA TERRY VICE CHAIR 1.00 X X 0 0 0 MICHAEL STOETZEL TREASURER 1.00 X X 0 0 0 TYLER NOVOGORATZ SECRETARY 1.00 X X 0 0 0 DAVID LEE DIRECTOR 1.00 X 0 0 0 WILLIAM PIERCE DIRECTOR 1.00 X 0 0 0 25000 0 0 0 0 0 0 TOTAL ADMINISTRATIVE SERVICES CORPORATIO 2302 INTERNATIONAL LANE MADISON WI 53704 OPERATIONAL & ADMINISTRATIVE SVCS 12836500 TRIBAL TECH LLC 121 SOUTH ALFRED STREET ALEXANDRIA VA 22314 OUTREACH COORDINATOR 7221925 KAPTIVATE LLC 111 S COLUMBUS STREET 2ND FLOOR ALEXANDRIA VA 22314 OUTREACH COORDINATOR 2319977 MAGUIRE MAGUIRE INCORPORATED 1100 LARKSPUR LANDING CIRCLE SUITE LARKSPUR CA 94939 OUTREACH COORDINATOR 1681916 PENNGOOD LLC 1020 19TH STREET NW SUITE 725 WASHINGTON DC 20036 OUTREACH COORDINATOR 436141 5 77786669 77786669 APPLICATION AND LISTING FEES 541900 5965748 5965748 5965748 19398 19398 83771815 5965748 0 19398 59547701 59547701 82625 82625 12836500 12836500 56669 56669 18500 18500 176886 176886 1302 1302 5004 5004 25 25 1370 1370 DISTRIBUTION FEES 9622575 9622575 LICENSING 13500 13500 196 196 82362853 82089401 273452 0 7886088 11703876 15241666 11285673 12610120 13341406 2616 2613 35740490 36333568 14428455 12812571 0 800000 14428455 13612571 X 21252851 22676132 59184 44865 21312035 22720997 35740490 36333568 1408962 0 X 0 1 X 1 0 X 6428910 87223329 83292956 80274629 77786669 335006493 6428910 87223329 83292956 80274629 77786669 335006493 335006493 135098 193719 54745 19398 402960 335409453 43580266 0.99880 0.99850 X 37029 1 77768116 18553 59597454 32872 21490916 44865 1 1 0 1 X 0 83771815 0 83771815 0 83771815 82362853 0 82362853 0 82362853 PART IV, LINE 2B: AS PART OF AN ARRANGEMENT THAT BEGAN DURING 2021, GIVE BACK FOUNDATION IS THE INTERMEDIARY FOR AN AGREEMENT BETWEEN THE CITY OF MADISON AND A DONOR. AS THE INTERMEDIARY, GIVE BACK FOUNDATION RECEIVES AND HOLDS FUNDS FROM THE CITY OF MADISON THAT WILL BE PASSED ONTO A DESIGNATED RECIPIENT AT A LATER TIME. GIVE BACK FOUNDATION DOES NOT HAVE ANY RIGHTS OR CLAIMS TO THE FUNDS RECEIVED. 0 UNITED WAY OF THE NATIONAL CAPITAL AREA 1577 SPRING HILL ROAD SUITE 420 VIENNA VA 22182 530234290 501 (C)(3) 5872442 0 PROGRAM SUPPORT COMMUNITY HEALTH CHARITIES 1199 N FAIRFAX ST ALEXANDRIA VA 22314 136167225 501 (C)(3) 5514489 0 PROGRAM SUPPORT AMERICA'S BEST CHARITIES 1100 LARKSPUR LANDING CIRCLE 108 LARKSPUR CA 94939 943067804 501 (C)(3) 4160561 0 PROGRAM SUPPORT GLOBAL IMPACT 1199 NORTH FAIRFAX STREET SUITE 300 ALEXANDRIA VA 22314 521273585 501 (C)(3) 2999341 0 PROGRAM SUPPORT AMERICA'S CHARITIES 14150 NEWBROOK DRIVE CHANTILLY VA 20151 541517707 501 (C)(3) 2371880 0 PROGRAM SUPPORT HEALTH AND MEDICAL RESEARCH CHARITIES OF AMERICA 1100 LARKSPUR LANDING CIRCLE 108 LARKSPUR CA 94939 943217739 501 (C)(3) 2114243 0 PROGRAM SUPPORT ANIMAL CHARITIES OF AMERICA 1100 LARKSPUR LANDING CIRCLE 108 LARKSPUR CA 94939 943193389 501 (C)(3) 2021811 0 PROGRAM SUPPORT MILITARY FAMILY AND VETERANS SERVICE ORGANIZATIONS 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501 (C)(3) 5100 0 PROGRAM SUPPORT MADISON READING PROJECT INC 101 AGNES CT MOUNT HOREB WI 53572 472077478 501 (C)(3) 5100 0 PROGRAM SUPPORT MARYSSA'S MISSION FOUNDATION 610 LINDBERG BLVD BEREA OH 44017 810824536 501 (C)(3) 5098 0 PROGRAM SUPPORT ISLAMIC MEDICAL ASSOCIATION OF NORTH AMERICA 101 W 22ND STREET LOMBARD IL 60148 364166125 501 (C)(3) 5089 0 PROGRAM SUPPORT COPTIC ORPHANS SUPPORT ASSOCIATION 3060 WILLIAMS DR SUITE 404 FAIRFAX VA 22031 541637257 501 (C)(3) 5088 0 PROGRAM SUPPORT MOTHERS REFUGE 14400 E 42ND STREET SOUTH SUITE 220 INDEPENDENCE MO 64055 431454628 501 (C)(3) 5087 0 PROGRAM SUPPORT LAUREL CATS INC 15033 COURTLAND PLACE LAUREL MD 20707 470989931 501 (C)(3) 5077 0 PROGRAM SUPPORT DALLAS MISSION FOR LIFE INC 1100 CADIZ STREET DALLAS TX 75215 752336522 501 (C)(3) 5072 0 PROGRAM SUPPORT UNITED WAY OF THE MID-SOUTH 1005 TILLMAN ST MEMPHIS TN 38112 561010742 501 (C)(3) 5071 0 PROGRAM SUPPORT GILDA S CLUB MADISON WISCONSIN INC 7907 UW HEALTH COURT MIDDLETON WI 53562 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FORM 990, PART VI, SECTION A, LINE 3 TOTAL ADMINISTRATIVE SERVICES (TASC) PROVIDES CERTAIN ADMINISTRATIVE, FINANCIAL, AND INFORMATION TECHNOLOGY SERVICES TO THE ORGANIZATION. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, DONOR AND CHARITY ACCOUNT MANAGEMENT, WEB HOSTING, DATA MANAGEMENT, CALL CENTER SUPPORT, AND TREASURY SERVICES. IN ADDITION, TASC PROVIDES CERTAIN SERVICES FOR THE ORGANIZATION IN CONNECTION WITH THE COMBINED FEDERAL CAMPAIGN (CFC) CONTRACT. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD APPROVES THE FINALIZED FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD OF DIRECTORS DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ANY DIRECTOR WITH A PERCEIVED OR ACTUAL CONFLICT OF INTEREST IS RECUSED FROM DISCUSSION AND VOTING ON THE TOPIC TO WHICH THE CONFLICT RELATES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.