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Home My WebLink About2021 TPA Season of EventsE �M JEFFERSON COUNTY Deadline: December 31, 2020 at 4;30 p.m. TOURISM PROMOTION PROGRAM • APPLICATION FOR FUNDING Name of Organization llnR AllIcy%Kb'WebSite ` 1-41pr�d aac.,t,-0r� Mailing Address: 70 Contact Person: M. garAn (A J L i E-Mail: Funding Title: Funding Dates: Amount Requested: $ Signature of Authorized 19- TYPE OF PROPOSAL (CHECK ALL APPLICABLE): nx TOURISM PROMOTION/MARKETING �— I G 3 C Q - 30-5T- kN a'4 1, 7-0,2_1 1�0 il44 ® OPERATION OF A SPECIAL EVENT/FESTIVAL DESIGNED TO ATTRACT TOURISTS OPERATION OF A TOURISM -RELATED FACILITY OWNED BY/OPERATED BY NON-PROFIT ORGANIZATION ❑ OPERATION AND/OR CAPITAL EXPENDITURE OF A TOURISM -RELATED FACILITY OWNED BY A MUNICIPALITY SUBMISSION REQUIREMENTS: • A one -page funding request including all income and expenses for the entire funding request (including matching funds and in -kind contributions) and clearly itemizing or detailing expenses for which County lodging tax dollars will be used. • Documentation of non-profit or government status. • List of Board Members. • Your organization's most recent financial statement, Form 990, or tax return. Other documentation showing financial viability may be submitted if organization is newly created. • A document up to three pages including a description of the proposed funding request with an explanation of how it will assist in building tourism and/or promoting events or activities that will bring overnight tourists to Jefferson County. • Include up to three examples and plans or links for marketing, performance indicators, and future sustainability. • If the application is not fully complete, the application will not be reviewed. Send Completed Application and Required Documentation to: Jefferson County Administrator's Office P.O. Box 1220 Port Townsend, WA 98368 Ilocke@co.jefferson.wa.us All documentation must be received by deadline and contain ALL submission requirements to be considered for funding. Please provide one (1) original and a digital copy of submission package. Questions? Call Leslie Locke at 360.385.9100 or e-mail Ilocke@co.jefferson.wa.us 1�PATHE PRODUCTION ALLIANCE FUNDING REQUEST The Production Alliance ("TPA") requests $30,000 from the Jefferson County Lodging Tax Advisory Committee ("Committee") to market and manage three special events in 2021. Funds awarded empower our alliance to soften the blow of the pandemic and empower our community's pursuit of a sustainable and resilient future. In collaboration with our production partners and a network of artists and entrepreneurs, TPA has set our sights on a season of "choose your own adventure" style experiences. We plan to develop engaging multimedia packages for the Jefferson County Farm Tour, Olympic Peninsula Apple & Cider Festival, and First Night (our newest tradition), and produce a variety of limited -contact, in -person events if public health and safety mandates allow. As the outlook for the tourism sector remains highly uncertain, TPA intends to develop robust content capable of feeding into marketing campaigns for the next 1-3 years and effectively bolstering the County's reputation as a tourist destination post -pandemic. Our ultimate goal in 2021, is to produce versatile events that immerse attendees in the unique characteristics and culture of Jefferson County. EVENTS & GATHERINGS Led by TPA's Leadership Team, our network of filmmakers, photographers, designers, and artists is poised to produce a series of live -streamed or pre-recorded classes, concerts, demonstrations, lectures, presentations, performances, screenings, tastings, and/or tours featuring live Q&A sessions that build community through celebration, as well as, print and digital marketing materials. Full funding by the Committee ensures that TPA can honor the intent of RCW 67.28.1816 by supporting multimedia packages for earned media and advertisement that have the greatest potential to increase tourism. Leveraging the LTAC award, TPA will secure additional sponsorships to fund event activities, entertainment, and programs. To amplify the impact of marketing campaigns and promotional outreach, TPA will build upon our strong working relationships with Port Townsend Main Street, the Jefferson County Chamber of Commerce, and local accommodations, restaurants and bars to develop "getaway" packages that entice not only tourists to make Jefferson County their New Year's Eve destination but also residents wishing to celebrate the holiday with a "staycation". TPA's mission is to create joy, to inspire engagement, to build resilient communities. Through inclusive and dynamic gatherings, we celebrate cultural heritage and "sense of place" as conduits for positive social change and improved quality of life. Our team is dedicated to bringing this mission to fruition in new and innovative ways. Jefferson County Farm Tour September 18-19, 20211 Funding Request: $1 S, 000 Participation Data (2020) 800+ views of digital series 3,500+ unique views of webnase 5 promotional videos with 370 views 6,800 people reached on social media E-News delivered to 1550+ subscribers with 518 Opens and 92 Clicks The 18th annual Jefferson County (Virtual) Farm Tour featured 21 local farms with enhanced online profiles and vibrant photography, plus six online presentations by farmers with live Q&A sessions. Based on our survey of virtual participants: 25% were joining Farm Tour for the first time 33% were from outside of Jefferson County 4% were visiting at the time of Farm Tour Media Partnerships (2019): Sims Way Banner displayed Sept 14 - 20, 2020 50+ posters displayed throughout Jefferson County 30+ on -air messages & interviews on KPTZ 91.9FM In the PDN / PT & JC Leader o 2 feature articles o 3 print & 2 one -month run digital ads Our Vision for 2021 Connect visitors to the farms and farmers who nurture Jefferson County's food systems and steward our community's rich agriculture history. TPA is preparing to produce limited -contact, in -person events but also recognize that the 19th Annual Jefferson County Farm Tour may need to be primarily virtual. We will assess best practices with our farmers in the spring. Either way, we look forward to another successful year of celebrating locally grown food, fiber and farm -made products! Olympic Peninsula Apple & Cider Festival October 8-10, 20211 Funding Request: $10, 000 Participant Data (2020) 367+ unique views webpage Targeted campaigns on Facebook and Instagram Promotional videos with 1100+ views E-News delivered to 975+ subscribers with 518 Opens with 359 Opens and 56 Clicks 80 posters displayed throughout East Puget Sound Olym is Peninsula il� fe&Cider V Foe sti vaI a 6a "Dance Party in Your Living Room" live -streamed online and on KPTZ 91.917M recieving 79 unique views with an average of 35 participants engaged at a time. The 4th annual Olympic Peninsula Apple & Cider Festival featured agricultural and culinary experiences throughout Jefferson County. This year, seven Drink the Dragon partners and five restaurants highlighted the relationships between beverage crafters, chefs, and restaurateurs while promoting sales of locally -made beverages and seasonal menu items. Local Libation Boxes sold by: Harvest Bites featured at: Media Partnerships: • Alpenfire Cider . Hopscotch Farm . Feature article and'/4 page • Discovery Bay Brewing . The Gorilla Kitchen ad the PT & JC Leader • Eaglemount Wine & Cider . White Lotus Farm . 10+ on -air underwriting • Finnriver Farm & Cidery . Elevated Ice Cream messages & PSAs on Port Townsend Brewery . Cafe Tenby KPTZ 91.917M • Propolis Brewery • Wilderbee Farm's Mead Werks Our Vision for 2021 Connect visitors to the breweries, cideries, distilleries, meaderies, and wineries distinct to Jefferson County and marketing beverage tastings, pair culinary events, and site tours as part of a distinct tourism experience. TPA is preparing to produce limited -contact, in -person events but also recognizes that the 5th Olympic Peninsula Apple & Cider Festival may need to be primarily virtual. We assess best practices with our partners and the Olympic Culinary Loop network in the spring. Either way, we look forward to another successful year of celebrating the season and the tastes of the region! First Night Friday, December 31, 20211 Funding Request: $S, 000 Participant Data (2019) 9 venues 400 tickets sold 30+ activities & performances Family -friendly, Children and teens FREE 30+ volunteers from ages 18-65 years Feature article in the PT & JC Leader Feature article in the PDN First Night is an all -ages event featuring arts and culture activities at multiple downtown locations. After more than a decade of stewardship, the Jefferson County Historical Society has opted to pass the event reins to TPA. Our Vision for 2021 After a brief hiatus in 2020, we plan to engage our alliance of artists, dancers, musicians, and performers to create a spectacle of color, light, and movement through which visitors can promenade into the new year. TPA is preparing to produce this limited -contact, in -person event with 12+ indoor and outdoor venues and a vibrant itinerary of arts and culture programming that draws visitors into the region and provides economic opportunities for local artists and businesses at a critical time of year. 2020 Jefferson County LTAC Funding Request The Production Alliance requests $30,000 from the Jefferson County Lodging Tax Advisory Committee to support the operation and marketing of three special events* in 2021, including - Jefferson County Farm Tour I September 18-19, 20211 Funding Request: $15,000 - Olympic Peninsula Apple & Cider Festival I October 8-10, 20211 Funding Request: $10,000 - First Night Celebration I Friday, December 31, 20211 Funding Request: $5,000 Jefferson County Farm Tour E Olympic Peninsula Apple & Cider Festival EXPENSES Itemized Costs Sources ofFunds Itemized Costs Sources of Funds Itemized Costs Sources ofFunds Event Planning & Management Event Staff $5,000 Sponsorship $5,000 ticket Sales / Merchandise Sale $3,000 Ticket Sales Marketing Coordinator $3,000 LTAC $3,000 LTAC $1,000 LTAC Advertising & Marketing Graphic Design $1,500 LTAC $500 LTAC $500 Ticket Sales Website Design & CMS $500 LTAC $500 LTAC $500 LTAC Photography & Videography $5,000 LTAC $3,500 LTAC $500 LTAC Promotional Items / Merchandise $500 Sponsorship $4,000 Merchandise Sales - - Print & Digital Advertising $3,000 2:1 Sponsor/LTAC $5,000 LTAC/Sponsorship $2,500 LTAC Banners / Signage $1,000 LTAC $2,500 LTAC $500 LTAC Collateral Materials $3,000 LTAC $500 LTAC $500 Sponsorship Entermiment Musicians / Performing Artists - - $500 Ticket Sales $1,000 Sponsorship Lecturer/Speaker/Presenter - - - - $1,000 Sponsorship Sound/Light Engineer - - $400 Ticket Sales Fireworks / Permits - - - - $2,500 Ticket Sales Stage Hand/Mgr - - - - $1,000 Ticket Sales Equiptment & Supplies Equiptment/Rental - - - $100 Sponsorship Miscellaneous $500 Sponsorship $500 Ticket Sales / Merch TOTAL EXPENSES $23,000 $25,500 $15,000 INCOMEJefferson County Farm Tour Ticket Sales / Admission - Merchandise Sales - Advertisment Sales - Booth / Vendor Fees - TPA Season Sponsorships* $3,500 Event Sponsorships** $3,500 Grant Funding - Jefferson County LTAC $15,000 Donations $1,000 In-IGnd Goods / Services - TOTAL INCOME $23 000 *TPA Season Sponsorships The Food Co-op $1,500 PT & Jefferson County Leader $2,000 **Event Sponsorships** JeffCo Farmers Market $500 Jefferson Land Trust $1,000 Carl's Building Supply $1,000 Chimacum Corner Farmstand $3,500 Olympic Peninsula Apple & Cider Festival $5,500 $5,000 $1,000 $1,000 $3,500 $10,000 $26,000 *TPA Season Sponsorships The Food Co-op $1,500 PT & Jefferson County Leader $2,000 New Year's Eve Arts & Culture Festival $7,400 $2,600 $5,000 $15,000 **Event Sponsorships** Coldwell Banker $800 First Federal Savings & Loan $500 Olympic Smile Care $800 Olympic Peninsula Steam $500 b �tronger owns StrongerTowns Board of Directors StrongerTowns is located in Port Townsend, Washington and serves all of Jefferson County. We are a 501(c)(3) nonprofit and exist primarily on the volunteer efforts of our board, advisory teams, and wonderful community members. Founded in 2016, StrongerTowns has a goal of supporting local initiatives that have a need for nonprofit status yet are still too nascent and experimental to warrant a full independent corporate structure. StrongerTowns has four active programs underway—Skillmation, The Benji Project, Becoming Professional, The Production Alliance —and is evaluating a handful more. Martha Trolin, Chair Martha has more than 30 years of professional experience in nonprofits. Her best projects include helping create New Mexico's rural continuum of care for people living with HIV, passing civil rights legislation to include GLBTQ people, and now, Skillmation, spreading the wealth of human knowledge as far and wide as possible. Martha was a member of Jefferson County Community Foundation's second Women's Giving Circle, and has the most active Donor Advised Fund in the history of the organization. Doug Ross, Vice Chair Doug and his family were drawn to Port Townsend (from Vail, CO) in 2005. He manages the North American Office for HFI Textiles (Taipei, Taiwan) offering outdoor/performance fabrics to the outdoor recreation and active sports markets (e.g. The North Face and Under Armour). Doug enjoys his connection with local youth through his son AJ's many sports and activities as well as his daughter Cassie's time racing for the local high school mountain bike team. Ben Bauermeister, Secretary Ben has an entrepreneurial skill set that spans technical management, creative work, and business development. His background in publishing stems from his participation in the high tech industry for over 25 years with Adobe Systems, Inc., Hewlett Packard Company, and Aldus Corporation. Most recently as the Director for Strategic Development at Adobe his projects included direct work on the Flash Text Layout Framework, systems for storage and retrieval of content metadata, and creating the business model for the New York Times 2.0 reader application. His passion for innovation keeps him closely tied to the Pacific Northwest start-up market where he seeks to strengthen communities by creating opportunities for young professionals and local youth through education, mentorship, and life experiences. Ben started Skillmation in 2015 with Martha Trolin and established the StrongerTowns rural impact incubator in 2017. Cynthia Osterman Building up 20 years of professional experience as a mindfulness meditator, Cynthia founded the Benji Project in 2016 to help teach teenagers techniques in stress management and emotional resilience skills. She brings expertise in business and communications, as well as, extensive experience serving on nonprofit boards. The Benji Project became a program of StrongerTowns in 2018. THE PAPRODUCTION ALLIANCE The Production Alliance Leadership Team The origin of The Production Alliance (TPA) begins with Daniel Ortega Vaughan Milholland, a Jefferson County native who has been producing community events since 2009. Shaped by mentorship from civic and tribal leaders, Milholland works to inspire broadscale volunteerism and intergenerational community development by connecting people to one another through the heritage and culture of a place. In 2019, Milholland and a small team of entrepreneurs founded TPA under the umbrella of StrongerTowns, a 501(c)(3) nonprofit organization, to increase the social impact of their traditions and celebrations. The mission of TPA is to uphold cultural heritage and strengthen resiliency through inclusive, annual gatherings that celebrate community and improve quality of life in Jefferson County. TPA aims to unify established and new celebrations under one cohesive identity so that the whole may be greater than the sum of its parts. Our team maintains a strong record of achievement in leading nonprofits, area businesses, and government agencies in all aspects of community engagement and volunteer recruitment, including a decade of success planning, marketing, and managing free public events. Members serve as advisors to the overall development of organizational structure, brand awareness, strategic partnerships, programmatic growth, and audience diversification. Members also serve on one or more steering committees responsible for the planning and management of each of TPA's community events. Daniel Milholland, Director Of Operations Danny is the owner and creator of Thunderbull Productions, publisher of Strait Up Magazine, manager and booking agent for the performing arts group NANDA, and a founding member and producer of five annual traditions on the Quimper Peninsula including: Cake Picnic, Old School 4th of July, All County Picnic, Olympic Peninsula Apple & Cider Festival and PT Parkways. He was nominated for the Jefferson County Chamber of Commerce Young Professional of the Year in 2016 and Citizen of the Year in 2017. A lifelong resident of Port Townsend, Daniel comes from a line of active community members; his sister Amanda is the Executive Director of the Jefferson County Farmers Market; his parents Doug and Nancy have initiated numerous community led endeavors. Danny also represents The Production Alliance on the StrongerTowns Board of Directors. Megan Claflin, Director of Development A Pacific Northwest native, Megan is passionate about community engagement and public discourse around social justice, human rights, environmental stewardship, and the arts. A graduate of Western Washington University, she worked for 10 years as an award -winning journalist and photographer before transitioning into fundraising and development in 2014. Today, Megan works predominantly for nonprofits and public corporations pursuing funding for capital projects and program development. She has raised more than $14 million to date via federal, state and philanthropic sources and has effectively advocated for campaigns at the local and state level. Megan has served on multiple nonprofit boards in Jefferson County, most recently for KPTZ 91.917M, co-chairing a special committee to raise $750,000 for a new station and broadcasting studio. She has partnered with Thunderbull Productions since 2013. Kiyota Sage, Director of Systems & Technology Kiyota has spent the last decade working in web development and database architecture and management. An independently contracted full stack software engineer with a lean towards front end systems, he also serves on a team building and maintaining a proprietary CMS and event ticketing framework specializing in seminars and registered events for nonprofit organizations. A founding member of the performing arts group NANDA, Kiyota has partnered with Daniel Milholland to produce numerous events up and down the West Coast. Justine Gonzalez -berg, Director of Community Engagement Justine is a community organizer and journalist proud to call the Olympic Peninsula her home. After graduating from Hampshire College with a BA in Political Science and Non -Fiction Creative Writing, she returned to the Northwest. Here, her passions for social justice and community resiliency have led Justine to work as a campaign organizer for equitable taxes in Washington State, serve on the Board of Trustees for Homeward Bound Community Land Trust, and become the lead coordinator for the Jefferson County Farm Tour. She is also the co-founder of Strait Up Magazine. Justine has partnered with Thunderbull Productions since 2016. Dan Anderson, Equipment & Public Safety Manager A veteran of the U.S. Navy, Dan has more than 20 years of professional experience in electrical systems, construction, and carpentry. He is an avid environmentalist and is thankful to be part of the Power Trip Energy team, which shares his views on creating renewable energy for future generations. Dan has partnered with Daniel Milholland since before the founding of Thunderbull Productions and specializes in event logistics and traffic management. He is an active community volunteer, from Kitsap County Search & Rescue to the Quimper Unitarian Universalist Fellowship, and more. He is proud to call Port Townsend home along with his wife and two daughters. INTERNAL REVENUE SERVICE P. O. Box 2508 CINCINNATI, OH 45201 Date: J U ' ` 16 2016 STRONGERTOWNS 1239 TAYLOR STREET PORT TOWNSEND, WA 98368-5438 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 81-2518239 DLN: 26053567001836 Contact Person: CUSTOMER SERVICE ID## 31954 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170 (b) (1) (A) (vi) Form 990/990-EZ/990-N Required: Yes Effective Date of Exemption: May 26, 2016 Contribution Deductibility: Yes Addendum Applies: No we're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Letter 5436 -2- Sincerely, Jeffrey I. Cooper Director, Exempt Organizations Rulings and Agreements Letter 5436 Click on the question -mark icons to display help windows. The information provided will enable you to file a more complete return and reduce the chances the IRS will need to contact you. Form 990 EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) ► Do not enter social security numbers on this form, as it may be made public. ► Go to www.irs.gov/Form990EZ for instructions and the latest information. OMB No. 1545-0047 00019 A For the 2019 calendar year, or tax year beginning January 1 2019, and ending December 31 , 20 19 B Check if applicable: C Name of organization D Employer identification number ❑ Address change Strongertowns 8 1 2 5 1 8 2 3 9 ❑ Name change Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number ❑ Initial return 1239 Taylor St. 206-226-3280 ❑ Final return/terminated ❑ Amended return City or town, state or province, country, and ZIP or foreign postal code F Grou Exem tlon p p El Application pending Port Townsend, WA, USA, 98368 Number ► G Accounting Method: 0 Cash ❑ Accrual Other (specify) ► H Check ► 0 if the organization is not Website: ► http://strongertowns.org/ required to attach Schedule B (Form 990, 990-EZ, or 990-PF). J Tax-exempt status (check only one) - 0 501(c)(3) ❑ 501(c) ( ) 4 (insert no.) ❑ 4947(a)(1) or ❑527 K Form of organization: 0 Corporation ❑ Trust ❑ Association ❑ Other L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B)) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . . . . . . ► $ 139611 Rimn Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part 1) Check if the oraanization used Schedule O to respond to anv auestion in this Part I . n ® 1 Contributions, gifts, grants, and similar amounts received . . . . . . . . . . . . . 1 112078 ® 2 Program service revenue including government fees and contracts . . . . . . . . . 2 27533 3 0 ® 3 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . ® 4 Investment income . . . . . . . . . . . . . . . . . . . . . . . 4 0 5a Gross amount from sale of assets other than inventory . . . . 5a 0 b Less: cost or other basis and sales expenses . . . . . . . . 5b 0 c Gain or (loss) from sale of assets other than inventory (subtract line 5b from line 5a) . . . . 5c 0 6 Gaming and fundraising events: 3 cc a b Gross income from gaming (attach Schedule G if greater than $15,000) . . . . . . . . . . . . . . . . . . . . 6a Gross income from fundraising events (not including $ 0 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds $15,000) . . 6b 0 0 c Less: direct expenses from gaming and fundraising events . . . 6c 0 d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6d 0 7a Gross sales of inventory, less returns and allowances . . . . . 7a 0 b Less: cost of goods sold . . . . . . . . . . . . . . 7b 0 c Gross profit or (loss) from sales of inventory (subtract line 7b from line 7a) . . . . . . . 7c 0 8 Other revenue (describe in Schedule O) . . . . . . . . . . . . . . . . . . . 8 0 9 139611 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . ► 10 Grants and similar amounts paid (list in Schedule O) . . . . . . . . . . . . . . 10 2500 11 Benefits paid to or for members . . . . . . . . . . . . . . . . . . . . . 11 0 y m x14 w 12 13 15 Salaries, other compensation, and employee benefits ® . . . . . . . . . . . . Professional fees and other payments to independent contractors ® . . . . . . . . Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . . . . Printing, publications, postage, and shipping . . . . . . . . . . . . . . . . . . . . 12 0 13 34525 14 0 15 8316 16 Other expenses (describe in Schedule O) ® . . . . . . . . . . . . . . . . . 16 55858 17 101199 17 Total expenses. Add lines 10 through 16 ► . . . . . . . . . . . . . . . . rn y19 a 18 Excess or (deficit) for the year (subtract line 17 from line 9) . . . . . . . . . . . . Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end -of -year figure reported on prior year's return) . . . . . . . . . . . . . . . 18 38412 19 26774 20 y Z 20 21 Other changes in net assets or fund balances (explain in Schedule O) . . . . . . . . Net assets or fund balances at end of year. Combine lines 18 through 20 . . ► 21 65186 For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 106421 Form UUU-tL (2019) Form 990-EZ (2019) Page 2 ® Balance Sheets (see the instructions for Part II) Check if the organization used Schedule O to respond to any question in this Part II . . ❑ u u (A) Beginning of year (B) End of year 22 Cash, savings, and investments . . . . . . . . . . . . . . . . . 26774 22 65186 23 Land and buildings . . . . . . . . . . . . . . . . . . . . . . 0 23 0 0 24 0 24 Other assets (describe in Schedule O) . . . . . . . . . . . . . . . 25 Total assets . . . . . . . . . . . . . . . . . . . . . . . . 26774 25 65186 26 Total liabilities (describe in Schedule O) . . . . . . . . . . . . . . 0 26 0 26774 27 65186 27 Net assets or fund balances (line 27 of column (B) must agree with line 21) Statement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III ❑ Expenses What is the organization's primary exempt purpose? Support and oversight of local service organizations (Required for section 501(c)(3) and 501(c)(4) Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of organizations; optional for others.) persons benefited, and other relevant information for each program title. 28 The goal of the SKILLMATION program is to bridge the economic, educational, and age barriers in rural communities - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - through mentorship. Our website and hand -built relationships with local schools have benefitted 150 people in Jefferson County. ---------------------------------------------------------------------------------------------------------------------------------------------- --We- We- pro -vide -mentors - mentors for - public-- -school- - programs - - as well- - - as for - local- -- business- - development.-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ® (Grants $ 2,500 ) If this amount includes foreign grants, check here ► ❑ 28a 21,240 29 THE BENJI PROJECT delivers a series of professionally developed seminars for local youth - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - to increase confidence and self compassion with a goal of increasing communication and decreasing teen suicide. ---------------------------------------------------------------------------------------------------------------------------------------------- These seminars have been attended by approx 275 local youth in 2019 through a mix of private and school events and seminars. ---------------------------------------------------------------------------------------------------------------------------------------------- (Grants $ ) If this amount includes foreign grants, check here ► ❑ 29a 19,312 30 THE PRODUCTION ALLIANCE builds community through celebration. TPA works with non-profit organizations, local businesses ---------------------------------------------------------------------------------------------------------------------------------------------- and government agencies to collaboratively produce annual events for over 10,000 residents that build community ---------------------------------------------------------------------------------------------------------------------------------------------- and strengthen resiliency through inclusive gatherings that celebrate community and improve quality of life in Jefferson County. ---------------------------------------------------------------------------------------------------------------------------------------------- (Grants $ ) If this amount includes foreign grants, check here ► ❑ 30a 36,452 31 Other program services (describe in Schedule O) . . . . . . . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here ► ❑ 31 a 32 Total program service expenses (add lines 28a through 31 a) . . . . . . . . . . . . . ► 32 77,004 List of Officers. Directors. Trustees. and Kev Emnlovees (list each one even if not compensated —see the instructions for Part IV) Check if the organization used Schedule O to respond to any question in this Part IV . ❑ ® (a) Name and title (b) Average hours per week devoted to position (c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-) (d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation Ben Bauermeister -------------------------------------------------------------------------- 10 0 0 0 Martha Trolin -------------------------------------------------------------------------- 10 0 0 0 Cynthia Osterman -------------------------------------------------------------------------- 10 0 0 0 Danny Milholland -------------------------------------------------------------------------- 10 0 0 0 Doug Ross -------------------------------------------------------------------------- 10 0 0 0 -------------------------------------------------------------------------- -------------------------------------------------------------------------- -------------------------------------------------------------------------- -------------------------------------------------------------------------- -------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------------------------- H Form 990-EZ (2019) Form 990-EZ (2019) Page 3 LQM Other Information (Note the Schedule A and personal benefit contract statement requirements in the instructions for Part V.) Check if the organization used Schedule 0 to respond to any question in this Part V ❑ Yes No 33 Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule 0 . . . . . . . . . . . . . . . . . . . 33 ✓ ® 34 Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the change on Schedule 0. See instructions . . . . . . . . . . . . . . . . . . . . . . 34 ✓ 35a Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? . . . . . . . . . . . . 35a ✓ b If "Yes" to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule 0 35b ✓ c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III . . . . . 35c ✓ 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicable parts of Schedule N . . . . . . . . . . . . . 36 ✓ 37a Enter amount of political expenditures, direct or indirect, as described in the instructions ► I 37a b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . 37b ✓ 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee; or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? 38a ✓ b If "Yes," complete Schedule L, Part II, and enter the total amount involved . . . . 38b 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 9 . . . . . . . . . . 39a b Gross receipts, included on line 9, for public use of club facilities . . . . . . . 39b 40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 ► ; section 4912 ► ; section 4955 ► b Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I 40b ✓ c Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . ► 0 d Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed by the organization . . . . . . . . . . . . . . . . Po- e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T . . . . . . . . . . . . . . . . . . . . 40e I I ✓ 41 List the states with which a copy of this return is filed ► Washington State 42a The organization's books are in care of ► Ben Bauermeister Telephone no. ► 206-226-3280 Located at ► 1239 Taylor St., Port Townsend ZIP + 4 ► 98368 b -------------------------------------------------------------------------------------------------------------- At any time during the calendar year, did the organization have an interest in or a signature or other authority over Yes I No a financial account in a foreign country (such as a bank account, securities account, or other financial account)? - 42b ✓ If "Yes," enter the name of the foreign country ► See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FEAR). c At any time during the calendar year, did the organization maintain an office outside the United States? 42c ✓ If "Yes," enter the name of the foreign country ► 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041—Check here . . . ► ❑ and enter the amount of tax-exempt interest received or accrued during the tax year . . . . . ► 1 43 Yes No 44a Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . 44a ✓ b Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . 44b ✓ c Did the organization receive any payments for indoor tanning services during the year? . . . . . . . 44c ✓ d If "Yes" to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an explanation in Schedule 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . 44d ✓ 45a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . 45a ✓ b 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," Form 990 and Schedule R may need to be completed instead of Form 990-EZ. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 45b ✓ 0 U 0 n Form 990-EZ (2019) Form 990-EZ (2019) Page 4 Yes No 46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I . . . . . . . . . . . . . 46 ✓ GMEBY Section 501(c)(3) Organizations Only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule O to respond to any question in this Part VI . ❑ Yes No 47 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 . . . . . . . . . . . . . . . . . . . . . 47 48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . . . 48 ✓ 49a Did the organization make any transfers to an exempt non -charitable related organization? . . . . . . 49a ✓ b If "Yes," was the related organization a section 527 organization? . . . . . . . . . . . . . . 49b ✓ 50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees, and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None." (a) Name and title of each employee (b) Average hours per week devoted to position (c) Reportable compensation (Forms W-2/1099-MISC) (d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation None ----------------------------------------------------------------- ----------------------------------------------------------------- ----------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------------------------- f Total number of other employees paid over $100,000 . . . . ► o 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None." (a) Name and business address of each independent contractor None (b) Type of service (c) Compensation d Total number of other independent contractors each receiving over $100,000 . . ► 0 52 Did the organization complete Schedule A? Note: All section 501(c)(3) organizations must attach a completed Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . .►0 Yes ❑ No 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 / Signature of officer Date ' Type or print name and title Paid Preparer Print/Type preparer's name Preparer's signature Date El Check if self-employed Use Only Firm's name ► Firm's EIN 0- Firm's address ► Phone no. May the IHS discuss this return with the preparer shown above.? See instructions . . . . . . . . . . ► U Yes LJ No Form 990-EZ (2019)