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HomeMy WebLinkAboutCFE Agenda 02132023 AGENDA Orange County Commission for the Environment February 13t", 2023 7:00 p.m., Bonnie B. Davis Environment and Agriculture Center Time Item Title 7:00 I. Call to Order 7:01 II. Additions or Changes to Agenda 7:03 III. Approval of DRAFT Meeting Summary — ]an. 9t", 2022 The CFE will consider approval of meeting summary from the last meeting.Action needed (Attachment 1) 7:05 IV. FY 2023-24 Orange County Outside Agency Application CFE will review an application from Piedmont Wildlife Center for County funding and provide ranking via the Orange County Outside Agency Application Scorecard. Action needed (Attachment 2)Additional application information and scorecard will be sent under separate cover. 7:30 V. CFE Recruitment and Candidate Review- Discussion CFE will discuss applicant review process and opportunities for recruitment. 8:00 VI. Committee Breakouts The CFE will break out into committee assignments and discuss goals/projects for the year. Committees will report on projects upon returning to the main meeting. 8:35 VII. Updates and Information Items Staff and/or CFE members will provide updates on the following items: • Solarize the Triangle • Earth Evening/Day Celebrations • Climate Action Plan • Eden View Subdivision Review Any other new information from CFE members and staff 9:00 VIII. Adjournment *Next Meeting Date: March 13rh, 2023;Bonnie B Davis Environment and Agriculture Center Attachment I Orange County Commission for the Environment Meeting Summary January 9, 2023; 7:00 pm Hybrid Meeting Present: Veronica Penn Beattie (via Zoom), Kristie Mather(via Zoom), Ian Morse (via Zoom), Geneva Gray, Mark Randall, Regina Baratta, Reade Oakley, Jessie Birckhead Absent: Kim Piracci, Kim Livingston, Jane Harris, David N. Mcnelis Staff: Wesley Poole, Chris Hirni, Amy Eckberg, Kalani Allen I. Call to Order Veronica Penn Beattie called the meeting to order at 7:04 pm. II. Additions or Changes to Agenda None. III. Approval of DRAFT Meeting Summary—December 12', 2022 Motion to approve by Jessie Birckhead; seconded by Regina Baratta; all in favor; none opposed; motion passed. IV. CFE Annual Report and Work Plan—Action Item Chris Hirni presented the final draft for this year's BOCC Report and Work Plan. The CFE discussed the document and made some minor edits. Motion to approve by Geneva Gray; seconded by Mark Randall; all in favor; none opposed; motion passed. V. CFE New Member Application Review and Recruitment Veronica Penn Beattie led the review and discussion of new member applications and recruitment. The CFE agreed that they were looking for diversity in new members along with applicants that would be able to commit the necessary time. After looking at the six current applicants, the CFE agreed to recommend appointment by the BOCC for the following positions: Elizabeth Christenson to Position#5 (Water Resources), Andrea Zimmerman to Position#4 (Biological Resources), and Christopher Austin to Position#7 (At Large). Motion to approve by Mark Randall; seconded by Ian Morse; all in favor; none opposed; motion passed. Wesley Poole will draft the Appointment Recommendation Memo and send to Veronica Penn Beattie for signature. VI. Sub-Committee Breakouts Page 1 of 3 Orange County Commission for the Environment Meeting Summary January 9, 2023; 7:00 pm Hybrid Meeting The CFE broke out into committee assignments and discussed goals/projects for the year. Afterwards, subcommittees came back together and reported information discussed to the overall CFE (see below). Sub-Committee Breakout Meetinz Summaries Air& Energy Resources Subcommittee: Present: Geneva Gray, Kristie Mather (via Zoom), Ian Morse (via Zoom), Reade Oakley, Veronica Penn Beattie (via Zoom) Absent: David Mcnelis Staff: Amy Eckberg Water Resources Subcommittee: Present: Mark Randall Absent: Kim Piracci Staff: Wesley Poole • The group continued the discussion on emerging pollutants such as PFAS and PFOA's. • Kim Piracci had found an interactive PFAS map produced by the EPA with a positive test in Hillsborough so the group will look further into it. Land Resources Subcommittee: Present: Jessie Birckhead, Regina Baratta Absent: Jane Harris, Kim Livingston Staff Chris Hirni • The committee continued review of the draft forest management policy document regarding no net loss of tree canopy on county-owned lands. • The committee intends to present a draft of the policy for review by the full CFE at the March meeting. Page 2 of 3 Orange County Commission for the Environment Meeting Summary January 9, 2023; 7:00 pm Hybrid Meeting VII. Updates and Information Items • Amy Eckberg gave the CFE a status update on the Climate Action Plan. The company is continuing to obtain data and the team is fine tuning the community engagement plan. They will begin by tying in with the upcoming Agriculture Summit followed by other activities. • Amy Eckberg gave the CFE an update on the Solarize the Triangle campaign. There were 1500 people that registered for a free assessment so the group is proceeding to carry through with that work. They are also working to secure funding to provide solar for Low to Moderate Income (LMI) families. • Kalani Allen notified the CFE that 2023 is the Year of the Trail. The entire State of North Carolina is celebrating and DEAPR will be asking the BOCC to join the coalition. • Jessie Birckhead notified the CFE that she and Veronica Penn Beattie have been working on a CFE Looking Ahead Calendar so that members would know what is expected of them throughout the year. They are also working on a CFE roster/ biography document so that they will know each other's background. Lastly, they plan to attend an upcoming BOCC meeting and invited other members to come along. VIII. Adjournment Regina Baratta motioned to adjourn the meeting at 8:52 pm; seconded by Kristie Mather; all in favor; none opposed; motion passed. Page 3 of 3 Attachment 2 COVER PAGE Applicant Contact Information Applicant Organization's Legal Name: Piedmont Wildlife Center Applicant Organization's Physical Address: 364 Leigh Farm Road, Durham, NC 27707 Applicant Organization's Mailing Address: 364 Leigh Farm Road, Durham, NC 27707 Applicant Organization's Web Address: https://www.piedmontwildlifecenter.org/ Executive Director: Karen McCall Telephone Number: 919-489-0900 E-Mail: admin(o)_piedmontwildlifecenter.org Tax ID Number: 47-0890261 Funding Request Please list all Fiscal Year 2024 Human Services (HS) funding requested for all programs and the proposed use of funds (please list program name only) Program Carrbor Chapel Orange Total o - HS Hill - County- HS HS Earthkeepers Afterschool Program - 2,800 11,685 14,485 Personnel Earthkeepers Afterschool Program — 200 315 515 Travel and Supplies Totals 3,000 12,000 15,000 Program information Page 8 of 30 Briefly explain your proposed use of funds: As part of our mission to connect people and nature, Piedmont Wildlife Center offers afterschool programs, camps, and other educational programming for children ages 5-17 in Orange and Durham Counties. Through our outdoor programs, students connect with nature, learn about the local environment, hone awareness skills, and build a desire to protect our environment. They also develop valuable mental, emotional, and interpersonal skills, which in turn improve their academic performance and general well-being. Indeed, studies show that when children spend time outside, it improves their ability to learn, reduces stress and anxiety, makes students more engaged and interested, develops self-discipline, and improves leadership aptitude. (https://greatergood.berkeley.edu/article/item/six ways nature helps children learn We intend to use the proposed grant to support our educational "Earth keepers" program. This is an expanded afterschool program performed on-site at Carrboro Elementary, Orange Middle, Gravely Middle, and A. L. Stanback Middle School. If the full grant amount is awarded, we plan to replicate the successes of Carrboro Elementary with an elementary school in Orange County. All students enrolled in afterschool at Carrboro Elementary and Orange County middle schools will participate in the Earthkeepers Program free of charge once a week. In 2022-23, we ran programs in Orange County for 6 weeks in the fall and 9 weeks in the spring, and programs in Carrboro for 9 weeks in the spring plus a "Wild for a Day" all-day camp program on January 23. This gave us a great opportunity to connect with students who would not normally sign up for a program at Piedmont Wildlife Center, getting them outside and helping them learn how we are all connected and part of the natural world. We will continue this program in a similar timeframe for 2023-24. Funds from this grant will go to support staff salaries and supplies so we are able to operate the programs at each school for all students in afterschool free of charge. Program information Page 9 of 30 To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. Signature: iG.t-cam Clax Executive Director Date Signature: 69ZZ/Z Z-Z Board Chairper n Date Application Signatures: Please submit a wet signature or electronic signature, MS Word cursive fonts are not acceptable. Program information Page 10 of 30 DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON-DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates. YES NO ❑ ip a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ 'F!i b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ in c) Current beneficiaries of the program for which funds are being requested? ❑ ©-d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below- NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin; age, handicap, religion, sexual orientation; gender identitylex press ion, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided-, this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any grant awarded. Signature: Ex cutave Direct r Date Signature: 44 /// Boar airpirsotf Date ApRlication Signatures: Please submit a wet signature or electronic signature, MS Word cursive fonts are not acceptable. A Program information Page 11 of 30 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): 12/2002 2. Agency's Purpose/Mission (no more than a few sentences): Our mission is to encourage conservation and inspire people to build lifelong connections with nature through immersive outdoor education, citizen science, and wildlife stewardship. 3. Please provide a brief description of your organization's past achievements in carrying out similar projects and evidence of successful record of meeting proposed budgets and timetables (no more than 100 words). We have been running our afterschool program for 8 years at CHCCS and Durham Public Schools. At Carrboro Elementary school, we have worked within our budget, sent timely program agendas to the school: carried out teacher trainings and submitted sign in lists for continuing education credit and followed the timeframe laid out in our proposals. Parents reported on surveys how their children share their experience and knowledge, and send their kids to camp. Positive survey responses, the excitement students showed when we arrived at the school, and teachers reported using the activities in our absence, are signs of our success. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes/No) No If yes, is this agency an Orange County Living Wage Certified Employer? No If no, please briefly explain. Due to financial decisions made prior to the pandemic, and then freezing salaries during the pandemic, salaries were adjusted as best as possible, and we had a group health plan. Our criteria to offer an employer plan changed and those who needed health insurance had to go back through the marketplace. Currently, the board is evaluating adjusting the current budget so we can pay a living wage without health insurance to our permanent full-time staff. We are incrementally raising wages with the goal of eventually providing a living wage. Schedule of Positions: # of FTE — Full-Time Paid Positions: 8 # of FTE — Part-Time Paid Positions: 1 * 1 Part time staff that works all year round. * 41 Part time staff that work seasonal. Program information Page 12 of 30 Race & Equity Consistent with our commitment to equity and inclusion, the Towns of Chapel Hill and Carrboro and Orange County Government are taking steps together to center racial equity in the Human Services Funding Program. We are requesting basic information about your organization's racial equity work. 5. How has your organization incorporated racial equity goals into your organizational goals? Our goal as an organization is for our staff, board, and participants to more comparably reflect the diversity of the community where we are located. In order to achieve this goal, we are actively working to remove barriers to the accessibility of Piedmont Wildlife Center's programs and space. We have changed our scholarship process, removing a tax document requirement that may have caused privacy concerns and adding a letter of recommendation instead; offer afterschool programs on-site and provided bus transportation to other schools; and we are advertising our open staff positions where candidates of all backgrounds are more likely to see them. In addition, our board is developing a Diversity, Equity, and Inclusion committee, and both board members and full time staff are participating in Diversity, Equity, and Inclusion workshops. 6. Please describe how you have involved the intended beneficiaries of the proposed project in the planning and design process (in 100 words or less). In order to design an afterschool program that will provide the greatest impact on our participants, we collaborated with the Afterschool teachers of the three Orange County middle schools. Through these discussions we learned what the kids' interests were and what activities they have enjoyed in the past, allowing us to tailor our programming to meet the kids where they are. In addition, the coordinators of each District's Afterschool programming assisted in the selection of which schools would most benefit from Piedmont Wildlife Center's presence, provided access, and arranged the schools' schedules. 7. Please fill in your agency demographics in the table below: Agency Demographics Staff Board Gender Men 4 4 Women 40 3 Nonbinary/Genderqueer 8 0 Self-Describe 2 0 Total 55 7 Race and Ethnicity Black or African-American 2 2 American Indian or Alaska Native 0 Asian Indian 0 White 40 4 Native Hawaiian or Other Pacific Islander 0 Program information Page 13 of Chinese 1 1 Japanese 0 Vietnamese 0 Filipino 2 Korean 0 Multiracial 11 Total 55 7 Of the above, how many Hispanic, Latino or Spanish origin 5 0 Of the above, how many non-Hispanic, Latino or Spanish origin 50 7 Total 55 7 8. Please describe any activities your organization is doing to address racial equity. a. % of staff that have attended racial equity training: 63 i. Two of our full-time staff participated in a non-profit conference focused on DEI in November 2022 with the intent of sharing what was learned with the rest of the full time staff. We have started to do so by incorporating cultural sharing into our staff meetings each month, and will continue this practice into training for seasonal staff. ii. Three of our full-time staff participated in other DEI trainings earlier in 2022. One of this same staff will partake in an online course in February 2023 on Justice, Equity, Diversity, and Inclusion in Environmental Education and work with seasonal staff to integrate the lessons learned into summer staff training. b. % of board that have attended racial equity training: 88 i. We had a DEI training for our board in November 2022. The training focused on recognizing cultural diversity and shaping ourselves toward Acceptance, Adaptation, and Integration through open conversations. We are working to schedule another training and form a DEI committee. ii. In addition, at least two board members will attend the BoardLead Nonprofit Learning Series in February 2023, a four-part training series that will focus on best practices in good governance and how to practice diversity, equity, and inclusion. c. Any additional activities: Program information Page 14 of 30 PROGRAM INFORMATION I *Please submit for each program if applying for funding for more than one program. 9. Program Name: Earthkeepers Afterschool Program Program Primary Contact and Title: Katie Zimmerman, Education Programs Coordinator Telephone Number: 919-489-0900 E-Mail: katiez _piedmontwildlifecenter.org 10. Please briefly describe the proposed program, including an explanation of how it aligns with the Town of Chapel Hill and Carrboro's Results Framework, and Orange County BOCC Goals and Priorities, and the target population to benefit from the program. (250 words or less) The Earthkeepers Afterschool Program addresses Chapel Hill and Carrboro's Strategic Objective 1, or"children improve their education outcomes,"as well as Orange County's goal to "ensure a high quality of life and lifelong learning that champions diversity, education at all levels, libraries, parks, recreation, and animal welfare. Through our programs, children ages 5-14 and from all walks of life learn naturalist skills that improve their awareness, creativity, and problem-solving abilities. Both they and their teachers are encouraged to ask questions to heighten their curiosity, challenge their observations, and keep them wondering. Students develop a relationship with what sparks their interest, motivating them to preserve and protect our environment, continue learning and use these skills in the classroom. In FY 22-23, we brought our program to Carrboro Elementary School with both an afterschool program and 3 "Wild for a Day"programs on their teacher work days. In addition, we ran our program at 3 middle schools in Orange County. In FY 23-24, we intend to repeat the success of Carrboro Elementary's programs at an elementary school in Orange County as well as continue the programs at the existing schools. Our projected numbers are based on similar attendance at the Orange County elementary school as what we have previously experienced at Carrboro Elementary. 11. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. Program information Page 15 of 30 Program Target Population Demographics Projecte Actual Project Projected d 2021- ed 2023- 2021- 2022 2022- 2024 2022 2023 Gender Men 92 10 106 144 Women 99 10 87 112 Non binary/Genderqueer 2 0 1 0 Self-Describe 0 0 0 0 Total 193 20 194 256 Race and Ethnicity Black or African-American 20 2 5 39 American Indian or Alaska Native 0 0 0 0 Asian Indian 9 1 1 6 White 104 17 66 182 Native Hawaiian or Other Pacific Islander 0 0 0 0 Chinese Japanese Vietnamese 0 1 Filipino Korean 0 0 Some other race 60 0 121 29 Total 193 20 194 256 Of the above, how many Hispanic, Latino or Spanish origin 60 3 18 30 Of the above, how many non-Hispanic, Latino or Spanish origin 133 17 176 226 Total 193 20 0 256 Age 0-5 years 55 5 18 55 6-18 years 138 15 176 201 19-50 years 0 0 0 51+ years 0 0 0 Total F 193 20 194 256 Geographic Location Town of Chapel Hill 7 0 9 0 Town of Carrboro 100 20 73 89 Orange County (Outside of Chapel Hill/Carrboro) 28 0 71 167 Outside of Orange County 58 0 41 0 Total 193 20 194 256 Income Low-income (80% of the Area Median Income and Below) ** ** ** Program information Page 16 of 30 Please see income table in the attachments Total 0 0 0 0 **We do not have this data except when people apply for scholarships, and then it is destroyed upon scholarship approval. We provided the program free to Carrboro afterschool students last year, but worked through the aftercare manager at the school, and do not have access to and do not have access to families' Confidential financial information. We are able to estimate for Orange County based on percent of students on Free or Reduced Lunch. 12. Cost Per Individual This cost per individual must reflect the total program budget divided by the total number of program individuals in this application. Actual 2021- Projected 2022- Projected 2023- 2022 2023 2024 Total Cost of Program $1,401.73 $12,732 $17,641.34 Total # of Individuals 87 194 256 Cost Per Individual $16.11 $73.14 $60.80 13. Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective, Intermediate Result, and the Agency Performance Indicator for each program for which you are applying for funding. Please select one strategic objective per program. If you would like to provide additional information on how your program aligns with additional strategic objectives, please include that information in Question 10 — Program Description. See the Results Framework in the Attachments section as a reference. Program Name: Strategic Children improve their educational GUtGGmes Objective (please choose ❑ Residents Increase their livelihood security one from the Results ❑ Residents improve their health outcomes Framework) Intermediate Children demonstrate new grade-level-appropriate skills. Result (please choose one from the Results Framework) Program information Page 17 of 30 RESULTS Actual Projected Projected 2021-2022 2022-2023 2023-2024 Performance % and # of 20 students 40% and the 50% and the Indicators program successfully equivalent equivalent (Please choose participants will demonstrated 28 students 35 students at least one increase their awareness and will will performance awareness and observation skills. successfully successfully indicator to observation demonstrate demonstrate report on from skills. This will be In lieu of doing our awareness awareness the Results observed by original plan of and and Framework and counselors "Earth Keepers" observation observation add additional asking questions, afterschool skills. skills. performance and watching programming, Jaydee indicators that who successfully Moore, the Afterschool you would like demonstrates Director, was to report to the their skills during understaffed and Towns. Please activities. unable to take on insert Counselors will coordinating our additional rows record the # of program to include as needed, students and % training Afterschool listing one per at the end of the teachers. Instead, she row). activities. asked us to support her for her teacher workdays at Carrboro Elementary. We were able to support Jaydee by providing a "Wild For Day" program at Carrboro Elementary on February 15th, March 25th, and April 15th. Afterschool In lieu of doing our 90% of 100% of teachers will be original plan of teachers will teachers will trained on nature "Earth Keepers" receive receive mentoring and afterschool training and training and receive 2 hours programming, Jaydee continuing continuing of continuing Moore, the Afterschool education education education credit. Director, was credit. They credit. They Teachers will be understaffed and will be able will be able able to unable to take on to assist and to assist and incorporate coordinating our lead lead activities program to include activities activities assisting us, or training Afterschool taught during taught during leading them on teachers. Instead, she the training. the training. their own, asked us to support continuing her for her teacher students' workdays at Carrboro connection with Elementary. We were nature. able to support Jaydee by providing a "Wild For Day" program at Carrboro Elementary on February 15th, March 25th, and April 15th. Program information Page 19 of 30 OBE COUNTY NUX 1 I; L C:A WJUNA Outside Agencies/Human Services Please select which function area best aligns with your agency and program(s) in which you are requesting funding. Please select only one from the list below: ❑ Behavior Health ❑ Public Health & Health Education ❑ Food & Nutritional Service ❑ Recreational ❑ Housing ❑ Senior Services ❑ Human Rights & Community Services 191 Youth Services ❑ Juvenile & Adult Justice Services ❑ Other If you selected other, please tell us what function area best aligns with your organization: Please indicate three program goals/performance measures below. A few notes: • If you use percentages, please put the actual number equivalence. • Please ensure your performance measures are outcome based and not outputs. Provide an Earthkeepers afterschool program for 15-20 students at A.L. Stanback Middle, 15-20 at Program Goal # 1 Gravelly Hill Middle, 15-20 at Orange Middle, and approximately 70 students at an elementary school in Orange County 1 day a week for 2 hours a day, for approximately 8 weeks per semester. Performance Measure Coordinate with the afterschool managers to (How will you accomplish develop and keep a check in sheet with students' your goal?) names. 23 students from A.L. Stanback Middle, 20 Actual Results students from Orange Middle, and 24 students from (Outcome) Gravelly Hill Middle each school have participated Ending FY2022 in our EarthKeepers Afterschool program each week Projected Results A group of 15-20 students per middle school will (Outcome) participate in our outdoor Earthkeepers afterschool Ending FY2023 program. Projected Results A group of 15-20 students per middle school and (Outcome) 70 students at an elementary school will participate Ending FY2024 in our outdoor Earthkeepers afterschool program. Program information Page 20 of 30 OBE COUNTY I. � K1'E 1 CAMOUNA Outside Agencies/Human Services Program Goal # 2 Students will demonstrate awareness and naturalist skills. Performance Measure Counselors will observe students successfully (How will you accomplish demonstrating awareness and naturalist skills your goal?) during specific stealth games and guided explorations. Actual Results All 67 students (100%) successfully demonstrated (Outcome) that they were knowledgeable of the material Ending FY2022 provided and demonstrated the skills Projected Results Counselors will observe at least 6 students per (Outcome) school (30/a) successfully demonstrating nature Ending FY2023 knowledge, awareness, and naturalist skills to counselors. Counselors will observe at least 35% of students, Projected Results or 7 students per middle school and 25 elementary (Outcome) students successfully demonstrating nature Ending FY2024 knowledge, awareness, and naturalist skills to counselors. Program Goal # 3 Students will increase their desire and amount of time spent outside beyond the time in ourpro ram Performance Measure Counselors will ask all participants if they spent (How will you accomplish time outside at home or with friends and share ourgoal?) stories from those experiences each week. Actual Results All 67 students (100%) have shared that they have (Outcome) spent more time outdoors. Ending FY2022 Projected Results 40% or 8 students will spend more time outside (Outcome) and share stories about their experiences with Ending FY2023 counselors each week. Projected Results 45% or 9 students per middle school and 32 (Outcome) elementary students will spend more time outside Ending FY2024 and share stories about their experiences with counselors each week. Program information Page 21 of 30 Community Impact Award If you are applying for the Town of Chapel Hill's Community Impact Award, please provide responses to the questions below. All other applicants, please skip these questions. (Responses should not exceed 100 words per question 1. Please describe the impact the proposed programs will have on the target population. Please include specific quantitative and qualitative data in your response. 2. What methods/tools will your organization use to evaluate the proposed program's effectiveness? Please include specific examples, such as a logic model. 3. Please briefly describe how your proposed programs aligns with evidence-based approaches to addressing human service need(s). 4. Please describe one to three key partnerships/collaborations that add the most value to the success of the proposed programs. 5. If you are not awarded a Community Impact Award, what would your agency's funding request be? Program information Page 22 of 30 4. ATTACHMENTS Description of Required Attachments a) Financial Audit A recent financial audit that should cover CY2021, for calendar year agencies, and FY2021-2022, for fiscal year agencies. For agencies with prior year revenues totaling $500,000 or more a financial audit, prepared by a certified public accountant is required. Agencies with prior year revenues of less than $500,000 may submit a completed Schedule of Receipts and Expenditures form (see application materials), in lieu of an audit/report. Agencies with a certified audit/report should not complete the form. Schedule of Receipts and Expenditures form is listed on the Town's and county website here. b) Agency Budget Please complete the provided template or submit your own budget file (as long as it contains the same information, and in a similar format, as requested in the provided template. Please explain other in your budget). Agency Budget Template is listed on the Town's and County website here. Please submit In PDF form only. c) Program Budget You may complete the provided template, or you may submit your own budget file (as long as it contains the same information, in the same format, as requested in the provided template. Please explain other in your budget). Program Budget Template is listed on the Town's and County website here. Please submit in pdf only. d) IRS Federal Form 990 A copy of the agency's 2020 Form 990 is required. The specific form depends upon the agency's financial activity. Review the IRS' table guide, for more details. For Form 990-N (e-postcard) filers, include a copy of the postcard, with the agency's application materials. e) NC Solicitation License A copy of the agency's current solicitation license is required. Organizations that solicit contributions in North Carolina, directly or through a third party, must renew their licenses annually. For more details, refer to the NC Secretary of State's licensing website and its Frequently Asked Questions Guide (PDF), about exemptions. If exempt per N.C.G.S. § 131F-3, include a copy of the exemption letter with the agency's application materials. f) IRS Federal Tax-Exemption Letter A copy of the agency's current IRS tax-exempt letter that confirms its nonprofit status is required. An agency can request a copy of its letter from the IRS' Customer Account Services. g) List of Board of Directors Provide the following information about each board of director's member: name, telephone number, address, occupation or affiliation of each member and the list must identify the principal officers of the governing body, and length of term. h) Certificate of Liability Insurance A copy of the agency's current certificate, from the agency's insurance carrier. Table 1 below outlines insurance types and minimums required, for each jurisdiction. If exempt from Worker's Compensation compliance, include a statement explaining why, with the agency's application materials. NOTE: Proof of insurance is not required at the time of application submission. If your agency is approved for funding, documentation of insurance must be provided to the jurisdiction awarding the funding when the contract is awarded. The insurance certificate should reflect the funding jurisdiction as an additional insured party and certificate holder and provide coverage for the duration of the funding period (July 1 — June 30). Renewal certificates must be sent to the jurisdiction 30 days prior to any expiration date, cancellation or modification of any stipulated insurance coverage. NOTE: Upon request, insurance requirements may be reviewed on a case by case basis by the Town or County. Please contact the staff identified on the Submission Requirements on Page 2 if you have questions or would like to request a review of your insurance requirements. Table 1. Forms of Liability Insurance and Minimum Policy Amounts Required INSURANCE TOWN OF CARRBORO TOWN OF CHAPEL HILL ORANGE COUNTY3 Worker's Limits for Coverage A- Compensation' Statutory State NC, for each employee Limits for Coverage B - Employers Liability of: $1,000,000 Each Occurrence $1,000,000 BID for each employee Limits for Coverage A- $1,000,000 BID policy limit Limits for Coverage A- Statutory State NC, for each Statutory State NC, for each employee The contractor shall provide employee and maintain, during the life Limits for Coverage B - of the contract, workers' Limits for Coverage B - Employers Liability of: compensation insurance as Employers Liability of: $1 million Each Occurrence required by law, as well as $1 million Each Occurrence $1,000,000 BID limit employer's liability coverage $1,000,000 BID limit as noted below. Employer's Liability: Workers'Compensation is required if the contractor/vendor has employees. Owner Waiver is acceptable for a Sole Proprietor. Commercial $1 million Each Occurrence General Liability $2 million Aggregate $1 million Each Occurrence $1 million Each Occurrence $2 million Aggregate Products/Completed $2 million Aggregate Operations, Explosion, Collapse & Underground Automobile $1 million Each Occurrence $1 million Each Occurrence $1 million Each Occurrence Liability *Only required for agencies *Owned/non-owned, and *Only required for agencies doing travel as part of the hired motor vehicle doing travel as part of the agreement with the Town. agreement with the County. Professional $1 million Each Occurrence $1 million Each Occurrence $1 million Each Occurrence Liability $2 million Aggregate $2 million Aggregate $2 million Aggregate Sexual Abuse & $1 million Each Occurrence Molestation $1 million Each Occurrence $2 million Aggregate $1 million Each Occurrence $2 million Aggregate $2 million Aggregate *May be required for *Only required for agencies contractors working directly *Only required for agencies doing direct work with doing direct work with minors (under the age of one-on-one with children minors (under the age of 18) and elderly or in overnight 18) sheltering capacities. $1 million Each Occurrence $1 million Each Occurrence $1 million Each Occurrence Cyber Liability $2 million Aggregate $2 million Aggregate $2 million Aggregate *Only required for agencies *May be required for *Only required for agencies transmitting personal Contractors having access transmitting personal identifiable information that to personal identifying identifiable information that is disseminated information, and/or is disseminated electronically computer networks. electronically. • Visit the NC Industrial Commission's website for more information regarding Coverage A. Also, note that if an agency uses subcontractors, it must require subcontractors to have workmen's compensation insurance. • Bodily Injury by Disease (BID). • Please visit Orange County's Risk Management page for more information about the County's Minimum Insurance Requirements. • For additional information regarding the Town of Chapel Hill's Minimum Insurance Requirements, please contact the Office of Risk Management or Business Management. Town of Chapel Hill At- your-Service. 2022 Income Limits US Department of Housing and Urban Development (HUD) Durham-Chapel Hill Metropolitan Statistical Area (Durham, Orange, and Chatham Counties) Income 1 2 3 4 5 6 7 8 Level person people people people people people people people 30%area median $20,100 $22,950 $25,800 $28,650 $32,470 $37,190 $41,910 $46,630 income 50% area median $33,450 $38,200 $43,000 $47,750 $51,600 $55,400 $59,250 $63,050 income 60%area median $40,150 $45,850 $51,600 $57,300 $61,900 $66,500 $71,100 $75,650 income 80%area $100,85 median $53,500 $61,150 $68,800 $76,400 $82,550 $88,650 $94,750 0 income AttachmentsPage 26 of 30 p4 C 0 Human Services Program Results Framework y � The Town of Chapel Hill and the Town of Carrboro's Human Services Program funds programs that improve education, livelihood security, and health outcomes for all residents. The program's overarching goal is to achieve economic and social wellbeing and opportunities to thrive for all residents, particularly those who are low-income or otherwise disenfranchised. Goal: All Chapel Hill and Carrboro residents experience economic and social well-being & � o tunities to thrive. 17- 1 ve 2: Strat ' Objec��3• Children.impro their Resident prove thei educatio ut es esi en s increase it live i oo s security health outco es Intermediate Intermediate Intermediate I10propriate mediate Result ermediate Result termediateResult Result Result Result 2: Residents 3.1: Residents 3.2: Residents 1.1: Children 1.2: 2.1: Residents ease job skills access emonstrate new birth-to-K access Children access for the asic health care healthy lifestyle early childhood demonstrate t most appropriate cal economy ervices (primary, behaviors developmem new b havioral, dental) opportunities grade-level- services appropriate skill s Strategic Objective 1 : Children improve their education outcomes Intermediate Result 1.1: Children birth-to-K access early childhood development opportunities Agency Performance Indicators • % and # of children receiving scholarships who attend licensed, 4-5-star childcare facilities • % and # of program participant children who are read age-appropriate books in their home once a week • % and # of children referred to socio-emotional health services that complete an age appropriate therapeutic or enrichment program Intermediate Result 1.2: Children demonstrate new grade-level-appropriate skills (grades K- 12) Agency Performance Indicators • % and # of program participants that are promoted to the next grade • % and # of program participants that improve grades by end of program period • % and # of program participants that improve classroom behavior • % and # of program participants that express greater confidence in their ability to be successful at school • % and # of program participants that express greater confidence in their leadership and pro-social abilities • % and # of children referred to socio-emotional health services that complete an age appropriate therapeutic or enrichment program • % and # of program participants who plan on attending post-secondary education Strategic Objective 2: Residents increase their livelihoods security Intermediate Result 2.1: Residents access the most appropriate social safety net services Agency Performance Indicators • % and # of program participants with knowledge of appropriate social services • % and # of completed referrals • % and # Client satisfaction rates • % and # of program participants who meet at least 1 financial goal • % and # of program participants who maintain or improve their housing status • % and # of unduplicated community members who receive emergency shelter services • % and # of program participants who are homeless or experiencing unstable housing who obtain housing • % and # of individuals that receive abuse and neglect prevention and response services • % and # of program participants that receive food assistance • % and # of individuals who receive emergency financial assistance for essential needs • % and # of individuals who receive legal information, services or referral • % and # of participants who do not become court involved during the program Intermediate Result 2.2: Residents increase job skills appropriate for the local economy Agency Performance Indicators Attachments • % and # of participants who pass ESL tests • % and # of participants who self-report improved English language abilities • % and # of participants who earn GEDs • % and # of program participants who secure employment • % and # of program participants who report improved wages and benefits • % and # of program participants who report that services enabled employment, education or training • % and # of participants who increase incomes (wages, disability, public benefits, or other income) • % and # of participants who maintain incomes (wages, disability, public benefits, or other income) Strategic Upjective 3: Residents improve their healtn outcomes Intermediate Result 3.1: Residents access basic health care services (primary, behavioral, dental) Agency Performance Indicators • % and # of program participants that report they have access to primary care • % and # of program participants that report they have access to behavioral care • % and # of program participants that report they have access to dental care • % and # of program participants who report they have improved access to health care services • % and # of preventive screenings provided • % and # of individuals referred to health promotion and/or healthcare services • % and # of program participants that report they have access to substance abuse treatment Intermediate Result 3.2: Residents demonstrate new healthy lifestyle behaviors Agency Performance Indicators • # of people reporting healthier functionality and lifestyle behaviors (improved nutrition, conflict resolution skills, stress reduction practices, exercise at least 30min 3x a week, annual check-ups, etc.) • % and # of program participants who demonstrate new physical skills that support their independence • % and # of program participants who demonstrate new, improved, or restored social skills • % and # of program participants who demonstrate new, improved, or restored life skills • % and # of program participants who report new, improved, or restored social connections • % and # of program participants who meet one wellness goal • % and # of program participants who comply with treatment • % and # of hospitalization rates among program participants with substance abuse and/or psychiatric disorders • % and # of program participants that consume fresh food Other Measures • Total residents served Attachments • % and # of agencies that pay employees a living wage • % and # of agencies that offer health benefits to employees Key Terms • Goal: The longer-term, wider change to which the program contributes. • Strategic Objective (SO): The benefit expected to occur for beneficiary groups. SOs express the central purpose of the program in a realistic, specific, measurable way. • Intermediate Result (IR): The expected change in identifiable behaviors of a specific group or the expected change in systems, policies or institutions required to achieve the strategic objectives. • Output: The goods, services, knowledge, skills, attitudes and enabling environment that are delivered by the project (as a result of the activities undertaken). • Indicators: Quantitative or qualitative factors or variables that provide a simple and reliable means to measure achievement, to reflect the changes connected to an intervention, or to help assess the performance of a development actor. Performance indicator statements should be SMART (specific, measurable, achievable, relevant, time bound). Measurement In a results framework, results statements are measured through performance indicators. Agency performance indicators will be measured and reported on annually by funded agencies. The Human Services Program will report on the overall results. During the first year of implementation of the results framework, staff will determine the appropriate frequency of measurement and reporting. We anticipate being able to disaggregate measures by gender, race, ethnicity, age, and disability status. Attachments Agency Budget Operating Budget for entire Agency AGENCY NAME: Actual Projected Projected Percent PROGRAM REVENUE 2021-2022 2022-2023 2023-2024 Change Private Donations $ 66,110 $ 55,500 $ 58,275 5% Program Generated Revenue $ 603,149 $ 561,115 1 $ 633,959 1 13% Local Government Grants: Human Services-Town of Carrboro $ 500 $ 3,000 $ 3,000 0% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ - $ - $ - 0 Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 9,000 $ 10,000 $ 12,000 20% Other- Orange County $ - $ - $ - 0 Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ - $ - $ - 0 State Government Federal Government(CDBG/HOME/etc.) $ 6,140.00 $ 6,750.00 $ 7,087.50 5% Private Foundation Grants t$ l8,909.00 $ 4,450.00 $ 4,672.50 5%Other Revenue - $ 16,650 $ 17,483 $ 0.05 Total Program Revenue $ 703,808 $ 657,465 $ 736,477 12% PROGRAM EXPENSES Compensation $ 469,392 $ 522,116 $ 548,222 5% Rent&Utilities $ 16,711 $ 17,000 $ 17,850 5% Supplies & Equipment $ 48,206 $ 89,403 $ 93,873 5% Travel &Training $ - $ 2,000 $ 2,100 5% Other Expenses: $ - $ 16,000 $ 16,800 5% Total Program Expenses $ 534,309 $ 646,519 $ 678,845 5% SURPLUS/(DEFICIT) FOR PERIOD: $ 169,499 $ 10,946 1 $ 57,632 1 427% Please explain Other Grants Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit The deficit shown is due to two primary reasons. One is that in FY 2122, our two PPP loans were forgiven, each totaling $80,000. In FY 2223, we were understaffed for our seasonal programs, and so our full time staff filled in. This led to no additional compensation being required as previously budgeted. In both cases, the surplus is used to support underfunded programs, such as Earthkeepers Afterschool. FY 2021-22 Agency Budget FY 2021-22 Agency Budget Program Budget Operating Budget for Specific Program If you are requesting funds for more than one program, a program budget worksheet should be provided for each program. PROGRAM NAME: Piedmont Wildlife Center Earthkeepers Afterschool program Actual Projected Projected Percent PROGRAM REVENUE 2021-2022 2022-2023 2023-2024 Change Private Donations $ 352 $ 500 $ 500 0% Program Generated Revenue $ 7,125 $ 8,500 $ 8,500 0% Local Government Grants: Human Services-Town of Carrboro $ 500 $ 3,000 $ 3,000 0% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ - $ - $ - 0 Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 9,000 $ 9,000 $ 12,000 33% Other-Orange County 1 $ - $ - 1 $ - 1 0 Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ - $ - $ - 0 State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 600.00 1 $ 600.00 1 0 Other Revenue $ 1,000 $ - $ (1.00) Total Program Revenue $ 17,577 $ 22,000 $ 24,600 12% PROGRAM EXPENSES Compensation $ 19,706 $ 23,836 $ 25,028 5% Rent& Utilities $ - $ - 0 Supplies&Equipment $ 150 $ 160 7% Travel &Training $ 163 $ 440 $ 515 17% Other Expenses: $ - $ - $ - 0 Total Program Expenses "19,869 $ 24,426 $ 25,703 5% SURPLUS/(DEFICIT) FOR PERIOD: 1 $ (2,292) $ (2,426) $ (1,103) 55% Please explain Other Grants Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. Our only source of funding for this program is the grant we receive from Outside Agency.We view this deficit as worth- while expense towards building Piedmont Wildlife Center's mission. The deficit is covered by other camp porgramming and general funds, as stated in the Agency Budget. FY 2021-22 Program Budget efile GRAPHIC rint- DO NOT PROCESS I As Filed Data - I DLN: 93493032008162 Form990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 p►� Under section 501(c),527,or 4947(a)(1)of the Internal Revenue Code(except private foundations) 2020 ► Do not enter social security numbers on this form as it may be made public. Department of the ►Go to www.irs.gov/Form990 for instructions and the latest information. � Publicen to Treasury Inspection Internal Revenue Service A For the 2020 calendar year,or tax year beginning 07-01-2020 ,and ending 06-30-2021 B Check if applicable: C Name of organization D Employer identification number ❑Address change PIEDMONT WILDLIFE CENTER INC 47-0890261 ❑Name change ❑Initial return Doing business as ❑Final return/terminated ❑Amended return Number and street(or P.O.box if mail is not delivered to street address) Room/suite E Telephone number ❑Application pending 364 LEIGH FARM RD (919)489-0900 City or town,state or province,country,and ZIP or foreign postal code DURHAM,NC 27707 G Gross receipts$751,245 F Name and address of principal officer: H(a) Is this a group return for CHRISTON WILES 364 LEIGH FARM ROAD subordinates? ❑Yes ❑./No DURHAM,NC 27707 H(b) Are all subordinates included? ❑Yes ❑No I Tax-exempt status: 2 501(c)(3) ❑ 501(c)( ) A(insert no.) ❑ 4947(a)(1)or ❑ 527 If"No,"attach a list. (see instructions) 3 Website:► WWW.PIEDMONTWILDLIFECENTER.ORG H(c) Group exemption number► K Form of organization: ❑d Corporation ❑ Trust ❑ Association ❑ Other► L Year of formation: 2002 M State of legal domicile: NC Summary 1 Briefly describe the organization's mission or most significant activities: OUR MISSION IS TO ENCOURAGE CONSERVATION AND INSPIRE PEOPLE TO BUILD LIFELONG CONNECTIONS WITH NATURE THROUGH a� IMMERSIVE OUTDOOR EDUCATION, CITIZEN SCIENCE,AND WILDLIFE STEWARDSHIP. v ti a� 2 Check this box 00, E] if the organization discontinued its operations or disposed of more than 25%of its net assets. :.63 Number of voting members of the governing body(Part VI, line la) . 3 9 �? 4 Number of independent voting members of the governing body(Part VI, line lb) 4 9 W 5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) 5 60 v6 Total number of volunteers (estimate if necessary) . 6 25 Q 7a Total unrelated business revenue from Part VIII, column (C), line 12 7a 0 b Net unrelated business taxable income from Form 990-T, line 39 . 7b 0 Prior Year Current Year a 8 Contributions and grants(Part VIII, line lh) 228,023 156,360 C 9 Program service revenue (Part VIII, line 2g) 345,867 575,482 a 10 Investment income(Part VIII, column (A), lines 3,4, and 7d ) 0 74 it Other revenue(Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and lie) 44,691 14,135 12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 618,581 746,051 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3 ) . 0 0 14 Benefits paid to or for members(Part IX, column (A), line 4) . 0 0 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 400,791 483,691 f 16a Professional fundraising fees(Part IX,column (A), line 11e) 0 0 b Total fundraising expenses(Part IX,column(D),line 25)00,25,476 17 Other expenses(Part IX, column (A), lines lla-lld, llf-24e) 127,159 106,844 18 Total expenses.Add lines 13-17 (must equal Part IX, column (A), line 25) 527,950 590,535 19 Revenue less expenses. Subtract line 18 from line 12 90,631 155,516 y Beginning of Current Year End of Year Qm 20 Total assets (PartX, line 16) . 210,915 457,427 m g 21 Total liabilities(PartX, line 26) . 141,419 323,727 Zu. 22 Net assets or fund balances. Subtract line 21 from line 20 69,496 133,700 Signature Block 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. ****** 2022-02-01 Signature of officer Date Sign Here 'KAREN MCCALL EXECUTIVE DIRECTOR Type or print name and title Print/Type preparer's name Preparer's signature Date PTIN 2022-02-01 Check Elif P01210703 Paid self-em to ed Preparer Firm's name ► STEWARD INGRAM&COOPER PLLC Firm's EIN► 56-2195159 Use Only Firm's address►PO BOX 41168 Phone no.(919)872-0866 RALEIGH,NC 27629 May the IRS discuss this return with the preparer shown above? (see instructions) . ❑d Yes ❑No For Paperwork Reduction Act Notice,see the separate instructions. Cat. No. 11282Y Form 990 (2020) Form 990 (2020) Page 2 Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III ❑ 1 Briefly describe the organization's mission: OUR MISSION IS TO ENCOURAGE CONSERVATION AND INSPIRE PEOPLE TO BUILD LIFELONG CONNECTIONS WITH NATURE THROUGH IMMERSIVE OUTDOOR EDUCATION, CITIZEN SCIENCE,AND WILDLIFE STEWARDSHIP. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . ❑Yes ❑./ No If"Yes," describe these new services on Schedule O. 3 Did the organization cease conducting,or make significant changes in how it conducts, any program services? . ❑Yes ❑./ No If"Yes," describe these changes on Schedule O. 4 Describe the organization's program service accomplishments for each of its three largest program services,as measured by expenses. Section 501(c)(3)and 501(c)(4) organizations are required to report the amount of grants and allocations to others,the total expenses, and revenue, if any,for each program service reported. 4a (Code: )(Expenses$ 502,301 including grants of$ )(Revenue$ 576,480) See Additional Data 4b (Code: )(Expenses$ including grants of$ )(Revenue$ ) 4c (Code: )(Expenses$ including grants of$ )(Revenue$ ) 4d Other program services(Describe in Schedule 0.) (Expenses$ including grants of$ ) (Revenue$ ) 4e Total program service expenses► 502,301 Form 990(2020) Form 990 (2020) Page 3 11711119 Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?If"Yes,"complete Yes Schedule A 1i . 1 2 Is the organization required to complete Schedule 8, Schedule of Contributors(see instructions)? °� 2 Yes 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates No for public office?If"Yes,"complete Schedule C, Part I . 3 4 Section 501(c)(3)organizations. 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 . 4 No 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6)organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?If"Yes,"complete Schedule C, Part 111. 5 No 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?If"Yes,"complete Schedule D,Part 11i. 6 NO 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?If"Yes,"complete Schedule D, Part lI IN . 7 No 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets?If"Yes," 8 No complete Schedule D, Part III IN . . 9 Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair,or debt negotiation services? If"Yes,"complete Schedule D, Part IV 1i . 9 NO 10 Did the organization,directly or through a related organization, hold assets in temporarily restricted endowments, 10 No permanent endowments,or quasi endowments?If"Yes,"complete Schedule D, Part V . . 11 If the organization's answer to any of the following questions is"Yes,"then complete Schedule D, Parts VI,VII,VIII, IX, or X as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10?If"Yes,"complete Schedule D, Part VI. 1i . I la Yes b Did the organization report an amount for investments—other securities in Part X, line 12 that is 5%or more of its total assets reported in Part X, line 16?If"Yes,"complete Schedule D, Part VlI 1i . llb No c Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16?If"Yes,"complete Schedule D, Part VIII IN . Ilc NO d Did the organization report an amount for other assets in Part X, line 15 that is 5%or more of its total assets reported in Part X, line 16?If"Yes,"complete Schedule D, Part IX 1i . lld No e Did the organization report an amount for other liabilities in Part X, line 25?If"Yes,"complete Schedule D, PartX°� Ile No f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?If"Yes,"complete Schedule D, PartX IJ llf Yes 12a Did the organization obtain separate, independent audited financial statements for the tax year?If"Yes,"complete Schedule D, Parts XI and XII IN . 12a Yes b Was the organization included in consolidated, independent audited financial statements for the tax year? 12b No If"Yes,"and if the organization answered"No"to line 12a, then completing Schedule D, Parts XI and XII is optional a4� 13 Is the organization a school described in section 170(b)(1)(A)(ii)?If"Yes,"complete Schedule E 13 No 14a Did the organization maintain an office, employees,or agents outside of the United States? . 14a No b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment,and program service activities outside the United States,or aggregate foreign investments 14b No valued at$100,000 or more?If"Yes,"complete Schedule F, Parts I and IV . . 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization?If"Yes,"complete Schedule F, Parts II and IV . 15 No 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals?If"Yes,"complete Schedule F, Parts III and IV . 16 No 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, 17 No column (A), lines 6 and lle?If"Yes,"complete Schedule G, Part/(see instructions) . 1i 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines lc and 8a?If"Yes,"complete Schedule G, Part Il . IN 18 Yes 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?If"Yes," complete Schedule G, Part Ill . 19 No 20a Did the organization operate one or more hospital facilities?If"Yes,"complete Schedule H . 20a No b If"Yes"to line 20a, did the organization attach a copy of its audited financial statements to this return? 20b 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic 21 No government on Part IX,column (A), line 1?If"Yes,"complete Schedule I, Parts I and II . . Form 990(2020) Form 990 (2020) Page 4 Checklist of Required Schedules (continued) Yes No 22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, 22 column (A), line 2?If"Yes,"complete Schedule I, Parts I and III . NO 23 Did the organization answer"Yes"to Part VII, Section A, line 3,4, or 5 about compensation of the organization's current and former officers, directors,trustees, key employees,and highest compensated employees?If"Yes,"complete 23 No Schedule J . . 24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year,that was issued after December 31, 2002?If"Yes,"answer lines 24b through 24d and complete Schedule K. If"No,"go to line 25a . 24a No b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24b c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? 24c d Did the organization act as an "on behalf of issuer for bonds outstanding at any time during the year? 24d 25a Section 501(c)(3),501(c)(4),and 501(c)(29)organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year?If"Yes,"complete Schedule L, Part I . 25a No b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?If"Yes,"complete 25b No Schedule L, Part I . . 26 Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director,trustee, key employee, creator or founder, substantial contributor, or 35%controlled entity or family 26 No member of any of these persons?If"Yes,"complete Schedule L, Part II . . 27 Did the organization provide a grant or other assistance to any current or former officer, director,trustee, key employee, creator or founder, substantial contributor,or employee thereof, a grant selection committee member, or to 27 No a 35%controlled entity(including an employee thereof) or family member of any of these persons?If"Yes,"complete Schedule L,Part III . . 28 Was the organization a party to a business transaction with one of the following parties(see Schedule L, Part IV instructions for applicable filing thresholds,conditions,and exceptions): a A current or former officer, director,trustee, key employee, creator or founder, or substantial contributor?If"Yes," complete Schedule L, Part IV . . 28a No b A family member of any individual described in line 28a?If"Yes,"complete Schedule L, Part IV . . 28b No c A 35%controlled entity of one or more individuals and/or organizations described in lines 28a or 28b?If"Yes," complete Schedule L, Part IV . 28c No 29 Did the organization receive more than $25,000 in non-cash contributions?If"Yes,"complete Schedule M . 29 No 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?If"Yes,"complete Schedule M . 30 No 31 Did the organization liquidate,terminate, or dissolve and cease operations?If"Yes,"complete Schedule N, Part I 31 No 32 Did the organization sell, exchange,dispose of, or transfer more than 25%of its net assets?If"Yes,"complete Schedule N, Part II . 32 No 33 Did the organization own 1001/6 of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?If"Yes,"complete Schedule R, Part I . 33 No 34 Was the organization related to any tax-exempt or taxable entity?If"Yes,"complete Schedule R, Part Il,III, or IV,and Part V, line 1 . 34 No 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 35a No b If'Yes'to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity 35b within the meaning of section 512(b)(13)?If"Yes,"complete Schedule R, Part V, line 2 . . 36 Section 501(c)(3)organizations. Did the organization make any transfers to an exempt non-charitable related organization?If"Yes,"complete Schedule R, Part V, line 2 . 36 No 37 Did the organization conduct more than 5%of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?If"Yes,"complete Schedule R, Part VI 37 No 38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 111b and 19? Note. All Form 990 filers are required to complete Schedule O. 38 Yes Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . ❑ Yes No la Enter the number reported in Box 3 of Form 1096. Enter-0- if not applicable la 0 b Enter the number of Forms W-2G included in line la. Enter-0- if not applicable lb 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . lc Form 990(2020) Form 990 (2020) Page 5 Statements Regarding Other IRS Filings and Tax Compliance (continued) 2a Enter the number of employees reported on Form W-3,Transmittal of Wage and Tax Statements,filed for the calendar year ending with or within the year covered by this return . 2a 60 b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2b Yes Note. If the sum of lines la and 2a is greater than 250,you may be required to a-file (see instructions) 3a Did the organization have unrelated business gross income of$1,000 or more during the year? . 3a No b If"Yes,"has it filed a Form 990-T for this year?If"No"to line 3b,provide an explanation in Schedule O . 3b 4a At any time during the calendar year,did the organization have an interest in, or a signature or other authority over, a 4a No financial account in a foreign country(such as a bank account,securities account,or other financial account)? b If"Yes," enter the name of the foreign country: ► See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts(FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . 5a No b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b No c If"Yes,"to line 5a or 5b, did the organization file Form 8886-T? . Sc 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization 6a No solicit any contributions that were not tax deductible as charitable contributions? . . b If"Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? 6b 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of$75 made partly as a contribution and partly for goods and services 7a No provided to the payor? . . b If"Yes," did the organization notify the donor of the value of the goods or services provided? 7b c Did the organization sell, exchange,or otherwise dispose of tangible personal property for which it was required to file Form 8282? . 7c No d If"Yes," indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds,directly or indirectly,to pay premiums on a personal benefit contract? 7e No f Did the organization,during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f No g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? 7g h If the organization received a contribution of cars, boats, airplanes, or other vehicles,did the organization file a Form 1098-C? 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the 8 sponsoring organization have excess business holdings at any time during the year? 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? 9a b Did the sponsoring organization make a distribution to a donor, donor advisor,or related person? . 9b 10 Section 501(c)(7)organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 10a b Gross receipts, included on Form 990, Part VIII, line 12,for public use of club facilities 10b 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders Ila b Gross income from other sources(Do not net amounts due or paid to other sources against amounts due or received from them.) . Ilb 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 12a b If"Yes," enter the amount of tax-exempt interest received or accrued during the year. 12b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? 13a Note. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans 13b c Enter the amount of reserves on hand . 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? . 14a No b If"Yes," has it filed a Form 720 to report these payments?If"No,"provide an explanation in Schedule O 14b 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . 15 No If"Yes," see instructions and file Form 4720, Schedule N. 16 Is the organization an educational institution subject to the section 4968 excise tax on net investment income? . 16 No If"Yes," complete Form 4720, Schedule O. Form 990(2020) Form 990 (2020) Page 6 Governance, Management,and Disclosure For each "Yes"response to lines 2 through 7b below,and for a "No"response to lines 8a, 8b, or 10b below, describe the circumstances,processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI . ❑� Section A. Governing Body and Management Yes No la Enter the number of voting members of the governing body at the end of the tax year la 9 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee,explain in Schedule O. b Enter the number of voting members included in line la, above,who are independent lb 9 2 Did any officer, director,trustee, or key employee have a family relationship or a business relationship with any other officer, director,trustee, or key employee? . 2 No 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision 3 No of officers, directors or trustees, or key employees to a management company or other person? . 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 4 No 5 Did the organization become aware during the year of a significant diversion of the organization's assets? 5 No 6 Did the organization have members or stockholders? 6 No 7a Did the organization have members,stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . 7a No b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders,or 7b No persons other than the governing body? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? . 8a Yes b Each committee with authority to act on behalf of the governing body? 8b Yes 9 Is there any officer, director,trustee, or key employee listed in Part VII, Section A,who cannot be reached at the organization's mailing address?If"Yes,"provide the names and addresses in Schedule O . 9 No Section B. Policies This Section B requests information about policies not required by the Internal Revenue Code. Yes No 10a Did the organization have local chapters, branches, or affiliates? . 10a No b If"Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 10b Ila Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . Ila Yes b Describe in Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy?If"No,"go to line 13 12a Yes b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . 12b Yes c Did the organization regularly and consistently monitor and enforce compliance with the policy?If"Yes,"describe in Schedule O how this was done . 12c Yes 13 Did the organization have a written whistleblower policy? . 13 Yes 14 Did the organization have a written document retention and destruction policy? 14 Yes 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director,or top management official . 15a No b Other officers or key employees of the organization . 15b No If"Yes"to line 15a or 15b,describe the process in Schedule O (see instructions). 16a Did the organization invest in, contribute assets to,or participate in a joint venture or similar arrangement with a taxable entity during the year? 16a No b If"Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law,and take steps to safeguard the organization's exempt status with respect to such arrangements? 16b Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to be filed► 18 Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990,and 990-T(501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. ❑ Own website ❑d Another's website ❑./ Upon request ❑ Other(explain in Schedule O) 19 Describe in Schedule O whether(and if so, how)the organization made its governing documents,conflict of interest policy, and financial statements available to the public during the tax year. 20 State the name, address,and telephone number of the person who possesses the organization's books and records: ►THE ORGANIZATION 364 LEIGH FARM RD DURHAM,NC 27707(919)489-0900 Form 990(2020) Form 990 (2020) Page 7 Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line in this Part VII ❑ Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees la Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors,trustees(whether individuals or organizations), regardless of amount of compensation. Enter-0- in columns(D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See instructions for definition of"key employee." a List the organization's five current highest compensated employees(other than an officer, director,trustee or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. See instructions for the order in which to list the persons above. ❑ Check this box if neither the organization nor any related organization compensated any current officer,director, or trustee. (A) (B) (C) (D) (E) (F) Name and title Average Position (do not check more Reportable Reportable Estimated hours per than one box, unless person compensation compensation amount of other week(list is both an officer and a from the from related compensation any hours director/trustee) organization organizations from the for related _ 2, _ (W-2/1099- (W-2/1099- organization and organizations •n ?,L, MISC) MISC) related below dotted `—i m - organizations line) C: — - D <: 2. - _ T7 2 0 _ - n �P i ILI L (1)CHRISTON WILES 4.00 ...................................................................... ................ X X 0 0 0 PRESIDENT/SECRETARY (2)MARC GARTNER 4.00 ...................................................................... ................ X X 0 0 0 VICE PRESIDENT (3)DOMINIQUE COLE JOHNSON 4.00 ...................................................................... ................ X X 0 0 0 TREASURER (4)ANNA BENGAL 1.00 ...................................................................... ................ X 0 0 0 DIRECTOR (5)CHRISTY BONDY 1.00 ...................................................................... ................ X 0 0 0 DIRECTOR (6)ROBIN BURLEY 1.00 ...................................................................... ................ X 0 0 0 DIRECTOR (7)HELEN HSU 1.00 ...................................................................... ................ X 0 0 0 DIRECTOR (8)BOBBY SCHOPLER 1.00 ...................................................................... ................ X 0 0 0 DIRECTOR (9)JOSHUA SETZER 1.00 ...................................................................... ................ X 0 0 0 DIRECTOR (10)KAREN MCCALL 40.00 ...................................................................... """"""""' X 53,417 0 0 EXECUTIVE DIRECTOR Form 990(2020) Form 990 (2020) Page 8 MORNIF Section A. Officers, Directors,Trustees, Key Employees,and Highest Compensated Employees(continued) (A) (B) (C) (D) (E) (F) Name and title Average Position (do not check more Reportable Reportable Estimated hours per than one box, unless person compensation compensation amount of other week(list is both an officer and a from the from related compensation any hours director/trustee) organization organizations from the for related I _ 2 = T (W-2/1099- (W-2/1099- organization and organizations a q r ?,i5 _ MISC) MISC) related below dotted `i- r ='v organizations line) C - _ _: 19 'L itQL _ Tt 2 Ci 2 L lb Sub-Total . ► c Total from continuation sheets to Part Vll,Section A . ► d Total (add lines lb and 1c) ►1 53,4171 01 0 2 Total number of individuals(including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization ► 0 Yes No 3 Did the organization list any former officer,director or trustee, key employee,or highest compensated employee on line la?If"Yes,"complete Schedule J for such individual . 3 No 4 For any individual listed on line la, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000?If"Yes,"complete Schedule J for such individual . 4 No 5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for services rendered to the organization?If"Yes,"complete Schedule J for such person 5 No Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) (B) (C) Name and business address Description of services Compensation 2 Total number of independent contractors(including but not limited to those listed above) who received more than $100,000 of compensation from the organization ► 0 Form 990(2020) Form 990 (2020) Page 9 Statement of Revenue Check if Schedule O contains a response or note to any line in this Part VIII ❑ (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt business excluded from function revenue tax under sections revenue 512- 514 la Federated campaigns la = 3 b Membership dues I lb L:jo c Fundraising events I lc C d Related organizations I Id a 3 ... e Government grants(contributions) I le I 79,535 N t f All other contributions,gifts,grants, O N and similar amounts not included If 76,825 w d) above g Noncash contributions included in .c 0 lines la-lf:$ lg 2,324 G � U A h Total.Add lines la-lf ► 156,360 Business Code 2a EDUCATION AND CAMPS 611710 548,356 548,356 ti b CONSERVATION PROGRAMS 27,126 27,126 N 611710 a v c S d E c2 0 e f All other program service revenue. 9 Total.Add lines 2a-2f. . . . . ► 575,482 3 Investment income (including dividends, interest, and other similar amounts) ► 74 74 4 Income from investment of tax-exempt bond proceeds ► 5 Royalties . ► (i) Real (ii) Personal 6a Gross rents 6a b Less: rental expenses 6b c Rental income or(loss) 6c d Net rental income or(loss) . ► (i) Securities (ii)Other 7a Gross amount from sales of 7a assets other than inventory b Less: cost or other basis and 7b sales expenses c Gain or(loss) 7c d Net gain or(loss) ► 8a Gross income from fundraising events 3 (not including$ of contributions reported on line lc). > See Part IV,line 18 Sa 15,696 W b Less: direct expenses 8b 2,559 i 4) c Net income or(loss) from fundraising events ► 13,137 13,137 t 0 9a Gross income from gaming activities. See Part IV, line 19 . 9a b Less: direct expenses . 9b c Net income or(loss) from gaming activities ► SOaGross sales of inventory, less returns and allowances 10a 3,633 b Less: cost of goods sold 10b 2,635 c Net income or(loss) from sales of inventory ► 998 998 Miscellaneous Revenue Business Code Sla b c dAll other revenue eTotal.Add lines lla-lld ► 12 Total revenue. See instructions ► 746,051 576,480 0 13,211 Form 990(2020) Form 990 (2020) Page 10 Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part IX ❑ Do not include amounts reported on lines 6b, (A) (B) ( (D) 7b,Sib,9b,and 10b of Part Vill. Total expenses Program service Managemm ent and Fundraising expenses general expenses expenses 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . . 2 Grants and other assistance to domestic individuals. See Part IV, line 22 . . 3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. . . 4 Benefits paid to or for members 5 Compensation of current officers, directors,trustees,and 53,417 45,404 5,342 2,671 key employees . . 6 Compensation not included above,to disqualified persons(as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . 7 Other salaries and wages . 382,934 325,494 38,293 19,147 8 Pension plan accruals and contributions(include section 401 (k)and 403(b) employer contributions) 9 Other employee benefits 16,796 14,276 1,680 840 10 Payroll taxes 30,544 25,963 3,054 1,527 11 Fees for services(non-employees): a Management . . b Legal . . c Accounting . d Lobbying e Professional fundraising services. See Part IV, line 17 f Investment management fees . . g Other(If line 11g amount exceeds 10%of line 25, column 47,984 38,744 7,949 1,291 (A) amount, list line 11g expenses on Schedule O) 12 Advertising and promotion . 1,015 1,015 13 Office expenses 10,393 9,148 1,245 14 Information technology 15 Royalties . . 16 Occupancy 17,685 14,148 3,537 17 Travel 2,740 2,740 18 Payments of travel or entertainment expenses for any federal,state, or local public officials . 19 Conferences, conventions, and meetings 20 Interest 21 Payments to affiliates 22 Depreciation, depletion,and amortization 350 350 23 Insurance . 10,238 9,726 512 24 Other expenses. Itemize expenses not covered above(List miscellaneous expenses in line 24e. If line 24e amount exceeds 10%of line 25, column (A) amount, list line 24e expenses on Schedule 0.) a BAD DEBT 6,495 6,495 b ANIMAL CARE EXPENSES 5,020 5,020 c EDUCATION AND CAMP SUPP 2,645 2,645 d DEVELOPMENT AND TRAININ 1,799 989 810 e All other expenses 480 144 336 25 Total functional expenses.Add lines 1 through 24e 590,535 502,301 62,758 25,476 26 Joint costs.Complete this line only if the organization reported in column (B)joint costs from a combined educational campaign and fundraising solicitation. Check here► ❑ if following SOP 98-2 (ASC 958-720). Form 990(2020) Form 990 (2020) Page 11 Balance Sheet Check if Schedule O contains a response or note to any line in this Part IX ❑ (A) (B) Beginning of year End of year 1 Cash-non-interest-bearing . 192,588 1 65,900 2 Savings and temporary cash investments 624 2 370,698 3 Pledges and grants receivable, net . 3 4 Accounts receivable, net 10,487 4 6,211 5 Loans and other payables to any current or former officer,director,trustee, key employee, creator or founder, substantial contributor,or 35%controlled 5 entity or family member of any of these persons 6 Loans and other receivables from other disqualified persons(as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) . . . 6 H 7 Notes and loans receivable, net . 7 N 8 Inventories for sale or use . 6,486 8 8,862 r 9 Prepaid expenses and deferred charges 9 3,127 Q 10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 33,112 b Less: accumulated depreciation 10b 30,483 730 10c 2,629 11 Investments—publicly traded securities . 11 12 Investments—other securities. See Part IV, line 11 12 13 Investments—program-related. See Part IV, line 11 13 14 Intangible assets . 14 15 Other assets. See Part IV, line 11 15 16 Total assets. Add lines 1 through 15 (must equal line 33) . 210,915 16 457,427 17 Accounts payable and accrued expenses 26,831 17 52,882 18 Grants payable 18 19 Deferred revenue 19 191,310 20 Tax-exempt bond liabilities . 20 21 Escrow or custodial account liability. Complete Part IV of Schedule D 21 22 Loans and other payables to any current or former officer, director,trustee, key employee, creator or founder, substantial contributor, or 35%controlled entity or family member of any of these persons 22 J 23 Secured mortgages and notes payable to unrelated third parties 23 24 Unsecured notes and loans payable to unrelated third parties 114,588 24 79,535 25 Other liabilities(including federal income tax, payables to related third parties, 25 and other liabilities not included on lines 17- 24). Complete Part X of Schedule D 26 Total liabilities. Add lines 17 through 25 141,419 26 323,727 vOrganizations that follow FASB ASC 958,check here► and complete lines 27, 28,32,and 33. 27 Net assets without donor restrictions I 69,496I 27 I 133,700 r m 28 Net assets with donor restrictions I I 28 Organizations that do not follow FASB ASC 958,check here► ❑ and LL complete lines 29 through 33. p 29 Capital stock or trust principal,or current funds I I 29 d 30 Paid-in or capital surplus, or land, building or equipment fund I I 30 Q31 Retained earnings, endowment, accumulated income, or other funds I I 31 32 Total net assets or fund balances I 69,4961 32 I 133,700 Z 33 Total liabilities and net assets/fund balances I 210,9151 33 I 457,427 Form 990(2020) Form 990 (2020) Page 12 Reconcilliation of Net Assets Check if Schedule O contains a response or note to any line in this Part XI ❑ 1 Total revenue (must equal Part VIII,column (A), line 12) . 1 746,051 2 Total expenses(must equal Part IX, column (A), line 25) . 2 590,535 3 Revenue less expenses. Subtract line 2 from line 1 3 155,516 4 Net assets or fund balances at beginning of year(must equal Part X, line 32, column (A)) 4 69,496 5 Net unrealized gains(losses)on investments 5 6 Donated services and use of facilities . 6 7 Investment expenses . 7 8 Prior period adjustments . 8 -91,312 9 Other changes in net assets or fund balances(explain in Schedule O) 9 0 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32,column (B)) 10 133,700 Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII ❑ Yes No 1 Accounting method used to prepare the Form 990: ❑ Cash ❑./ Accrual ❑Other If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a No If'Yes,'check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis,or both: ❑ Separate basis ❑ Consolidated basis ❑ Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? 2b Yes If'Yes,'check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis,or both: ❑./ Separate basis ❑ Consolidated basis ❑ Both consolidated and separate basis c If"Yes,"to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? 2c Yes If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? 3a No b If"Yes," did the organization undergo the required audit or audits?If the organization did not undergo the required audit or audits,explain why in Schedule O and describe any steps taken to undergo such audits. 3b Form 990(2020) Additional Data Software ID: Software Version: EIN: 47-0890261 Name: PIEDMONT WILDLIFE CENTER INC Form 990 (2020) Form 990, Part III, Line 4a: PROVIDES CONSERVATION AND ENVIRONMENTAL EDUCATION PROGRAMS TO CHILDREN AND ADULTS THROUGH DAY CAMPS,SCHOOL PROGRAMS(BOTH ON AND OFF- SITE),YOUTH LEADERSHIP TRAINING,ADULT CLASSES,BIRTHDAY PARTIES,AND VOLUNTEER OPPORTUNITIES. efile GRAPHIC pri t- DO NOT PROCESS I As Filed Data - I DLN: 93493032008162 SCHEDULE A Public Charity Status and Public Support OMB No. 1545-0047 (Form 990 or Complete if the organization is a section 501(c)(3)organization or a section 02 O 990EZ) 4947(a)(1) nonexempt charitable trust. ►Attach to Form 990 or Form 990-EZ. Department ofthe Treasury ►Go to www.irs.gov/Form990 for instructions and the latest information. Open to Public Name of the organization Employer identification number PIEDMONT WILDLIFE CENTER INC �47-0890261 Reason for Public Charity Status All organizations must complete this art. See instructions. The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 ❑ A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city,and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170 (b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 Q An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in 170(b)(1)(A)(ix)operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city,and state of the college or university: 10 An organization that normally receives: (1) more than 331/3%of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3%of its support from gross investment income and unrelated business taxable income (less section 511 tax)from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) it An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 An organization organized and operated exclusively for the benefit of,to perform the functions of,or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1)or section 509(a)(2). See section 509(a)(3).Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f,and 12g. a Type I.A supporting organization operated, supervised, or controlled by its supported organization(s),typically by giving the supported organization(s)the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization.You must complete Part IV,Sections A and B. b Type II.A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s).You must complete Part IV,Sections A and C. c Type III functionally integrated.A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions).You must complete Part IV,Sections A, D,and E. d Type III non-functionally integrated.A supporting organization operated in connection with its supported organization(s)that is not functionally integrated.The organization generally must satisfy a distribution requirement and an attentiveness requirement(see instructions).You must complete Part IV,Sections A and D,and Part V. e Check this box if the organization received a written determination from the IRS that it is a Type I,Type II,Type III functionally integrated,or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Provide the following information about the supported organization(s . (i) Name of supported (ii) EIN (iii)Type of (iv) Is the organization listed (v)Amount of (vi)Amount of organization organization in your governing document? monetary support other support(see (described on lines (see instructions) instructions) 1- 10 above(see instructions)) Yes No Total For Paperwork Reduction Act Notice,see the Instructions for Cat. No. 11285F Schedule A(Form 990 or 990-EZ) 2020 Form 990 or 990-EZ. Schedule A(Form 990 or 990-EZ) 2020 Page 2 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f)Total (or fiscal year beginning in)► 1 Gifts,grants,contributions, and membership fees received. (Do not 101,535 65,720 47,759 228,023 156,360 599,397 include any"unusual grant.") . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . 3 The value of services or facilities furnished by a governmental unit to 12,000 12,000 12,000 12,000 12,000 60,000 the organization without charge.. 4 Total.Add lines 1 through 3 113,535 77,720 59,759 240,023 168,360 659,397 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2%of the amount shown on line 11, column (f). 6 Public support. Subtract line 5 from l 659,397 line 4. Section B. Total Support Calendar year (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f)Total (or fiscal year beginning in)► 7 Amounts from line 4. . 113,535 77,720 59,759 240,023 168,360 659,397 8 Gross income from interest, dividends, payments received on 163 74 11 74 322 securities loans, rents, royalties and income from similar sources. . . 9 Net income from unrelated business activities, whether or not the business is regularly carried on. 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.). . 11 Total support.Add lines 7 through 659,719 10 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . 12 2,222,744 13 First 5 years. If the Form 990 is for the organization's first,second,third,fourth, or fifth tax year as a section 501(c)(3) organization,check thisbox and stop here ► ❑. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section C. Computation of Public Support Percentage 14 Public support percentage for 2020 (line 6,column (f)divided by line 11, column (f)) . . . . . . . . . 14 99.950 15 Public support percentage for 2019 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . 15 82.940 16a 33 1/3%support test-2020. If the organization did not check the box on line 13, and line 14 is 33 1/3%or more,check this box and stop here.The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . ► ❑� b 33 1/3%support test-2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3%or more,check this box and stop here.The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . ► ❑ 17a 10%-facts-and-circumstances test-2020. If the organization did not check a box on line 13, 16a, or 16b,and line 14 is 10%or more, and if the organization meets the"facts-and-circumstances"test, check this box and stop here. Explain in Part VI how the organization meets the"facts-and-circumstances"test.The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► El b 100/o-facts-and-circumstances test-2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10%or more, and if the organization meets the"facts-and-circumstances"test,check this box and stop here. Explain in Part VI how the organization meets the"facts-and-circumstances"test.The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► El18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a,or 17b, check this box and see instructions . ► ❑. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A(Form 990 or 990-EZ) 2020 Schedule A(Form 990 or 990-EZ) 2020 Page 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f)Total (or fiscal year beginning in)► 1 Gifts, grants, contributions, and membership fees received. (Do not include any"unusual grants.") . 2 Gross receipts from admissions, merchandise sold or services performed,or facilities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 . . . . . 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total.Add lines 1 through 5 7a Amounts included on lines 1, 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1%of the amount on line 13 for the year. c Add lines 7a and 7b. 8 Public support. (Subtract line 7c from line 6. Section B. Total Support Calendar year (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f)Total (or fiscal year beginning in)► 9 Amounts from line 6. . . 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources. b Unrelated business taxable income (less section 511 taxes)from businesses acquired after June 30, 1975. c Add lines 10a and 10b. 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . 13 Total support. (Add lines 9, 10c, 11,and 12.). 14 First 5 years. If the Form 990 is for the organization's first, second,third,fourth,or fifth tax year as a section 501(c)(3) organization, check this box and stop here. ► ❑. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section C. Computation of Public Support Percentage 15 Public support percentage for 2020 (line 8, column (f) divided by line 13,column (f)) . . . . . . . . . 15 16 Public support percentage from 2019 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . 16 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2020 (line 10c, column (f) divided by line 13,column (f)) . . . . . . 17 18 Investment income percentage from 2019 Schedule A, Part III, line 17 . . . . . . . . . . . . . 18 19a 331/3%support tests-2020.If the organization did not check the box on line 14,and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%,check this box and stop here.The organization qualifies as a publicly supported organization . . . . . . . 1010 b 33 1/3%support tests-2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%and line 18 is not more than 33 1/3%, check this box and stop here.The organization qualifies as a publicly supported organization . . . . ► ❑ 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . IN, ❑ Schedule A(Form 990 or 990-EZ) 2020 Schedule A(Form 990 or 990-EZ) 2020 Page 4 Supporting Organizations (Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b,of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box 12d, of Part I,complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes No 1 Are all of the organization's supported organizations listed by name in the organization's governing documents? If"No,"describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. 1 2 Did the organization have any supported organization that does not have an IRS determination of status under section 509 (a)(1) or(2)?If"Yes,"explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1)or(2). 2 3a Did the organization have a supported organization described in section 501(c)(4), (5), or(6)?If"Yes,"answer lines 3b and 3c below. 3a b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or(6) and satisfied the public support tests under section 509(a)(2)?If"Yes,"describe in Part VI when and how the organization made the determination. 3b c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If"Yes,"explain in Part VI what controls the organization put in place to ensure such use. 3c 4a Was any supported organization not organized in the United States ("foreign supported organization")?If"Yes"and if you checked box 12a or 12b in Part I,answer lines 4b and 4c below. 4a b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization?If"Yes,"describe in Part VI how the organization had such control and discretion despite being controlled or 4b supervised by or in connection with its supported organizations. c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3)and 509(a)(1) or(2)?If"Yes,"explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(8)purposes. 4c 5a Did the organization add,substitute,or remove any supported organizations during the tax year?If"Yes,"answer lines 5b and 5c below(if applicable).Also,provide detail in Part VI,including(i) the names and EIN numbers of the supported organizations added,substituted, or removed, (ii)the reasons for each such action; (iii)the authority under the organization's organizing document authorizing such action; and(iv)how the action was accomplished(such as by 5a amendment to the organizing document). b Type I or Type II only.Was any added or substituted supported organization part of a class already designated in the organization's organizing document? 5b c Substitutions only. Was the substitution the result of an event beyond the organization's control? 5c 6 Did the organization provide support(whether in the form of grants or the provision of services or facilities)to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations,or(iii)other supporting organizations that also support or benefit one or more of the filing organization's supported organizations?If"Yes,"provide detail in Part VI. 6 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor(defined in section 4958(c)(3)(C)), a family member of a substantial contributor,or a 35%controlled entity with regard to a substantial contributor?If"Yes,'complete Part I of Schedule L(Form 990 or 990-EZ) . 7 8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7?If"Yes," complete Part I of Schedule L(Form 990 or 990-EZ). 8 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or(2))?If"Yes," provide detail in Part VI. 9a b Did one or more disqualified persons(as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest?If"Yes,"provide detail in Part VI. 9b c Did a disqualified person (as defined in line 9a) have an ownership interest in,or derive any personal benefit from, assets in which the supporting organization also had an interest?If"Yes,"provide detail in Part VI. 9c 10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)?If"Yes," answer line IOb below. 10a b Did the organization have any excess business holdings in the tax year?(Use Schedule C, Form 4720, to determine whether the organization had excess business holdings). 10b Schedule A(Form 990 or 990-EZ) 2020 Schedule A(Form 990 or 990-EZ) 2020 Page 5 Supporting Organizations (continued) Yes No 11 Has the organization accepted a gift or contribution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons described in lines lib and 11c below,the governing body of a supported organization? Ila b A family member of a person described in 11a above? llb c A 35%controlled entity of a person described in line lla or llb above?If"Yes"to 11a, 11b, or 11c,provide detail in Part Sic Section B. Type I Supporting Organizations Yes No 1 Did the officers,directors,trustees,or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the tax year?If"No," describe in Part VI how the supported organization(s)effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year. 1 2 Did the organization operate for the benefit of any supported organization other than the supported organization(s)that operated, supervised, or controlled the supporting organization?If"Yes,"explain in Part VI how providing such benefit carried out the purposes of the supported organization(s)that operated, supervised or controlled the supporting 2 organization. Section C. Type II Supporting Organizations Yes No 1 Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)?If"No,"describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s). 1 Section D. All Type III Supporting Organizations Yes No 1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i)a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification,to the extent not previously provided? 1 2 Were any of the organization's officers, directors,or trustees either(i)appointed or elected by the supported organization (s) or(ii) serving on the governing body of a supported organization?If"No,"explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 2 3 By reason of the relationship described in line 2 above,did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year?If"Yes,"describe in Part VI the role the organization's supported organizations played in this regard. 3 Section E. Type III Functionally-Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year(see instructions): a ❑ The organization satisfied the Activities Test. Complete line 2 below. b ❑ The organization is the parent of each of its supported organizations. Complete line 3 below. c ❑ The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions) 2 Activities Test.Answer lines 2a and 2b below. Yes No a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s)to which the organization was responsive?If"Yes,"then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes,how the organization was responsive to those supported organizations,and how the organization determined that these activities constituted substantially all of its activities. 2a b Did the activities described in line 2a constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in?If"Yes,"explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 2b 3 Parent of Supported Organizations.Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of 3a the supported organizations?If"Yes"or"No"provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations?If"Yes,"describe in Part VI. the role played by the organization in this regard. 3b Schedule A(Form 990 or 990-EZ) 2020 Schedule A(Form 990 or 990-EZ) 2020 Page 6 Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations 1 ❑ Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970(explain in Part VI). See instructions.All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A-Adjusted Net Income (A)Prior Year (B)Current Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross 6 income or for management,conservation, or maintenance of property held for production of income(see instructions) 7 Other expenses(see instructions) 7 8 Adjusted Net Income(subtract lines 5, 6 and 7 from line 4) 8 Section B - Minimum Asset Amount (A)Prior Year (B)Current Year (optional) 1 Aggregate fair market value of all non-exempt-use assets(see instructions for short tax year or assets held for part of year): 1 a Average monthly value of securities la b Average monthly cash balances lb c Fair market value of other non-exempt-use assets lc d Total (add lines la, lb,and lc) Id e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness applicable to non-exempt use assets 2 3 Subtract line 2 from line ld 3 4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4 5 Net value of non-exempt-use assets(subtract line 4 from line 3) 5 6 Multiply line 5 by 0.035 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount(add line 7 to line 6) 8 Section C - Distributable Amount Current Year 1 Adjusted net income for prior year(from Section A, line 8, Column A) 1 2 Enter 85%of line 1 2 3 Minimum asset amount for prior year(from Section B, line 8, Column A) 3 4 Enter greater of line 2 or line 3 4 5 Income tax imposed in prior year 5 6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency 6 temporary reduction (see instructions) 7 ❑ Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) Schedule A(Form 990 or 990-EZI 2020 Schedule A(Form 990 or 990-EZ) 2020 Page 7 Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Section D - Distributions Current Year 1 Amounts paid to supported organizations to accomplish exempt purposes 1 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in 2 excess of income from activity 3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3 4 Amounts paid to acquire exempt-use assets 4 5 Qualified set-aside amounts(prior IRS approval required-provide details in Part VI) 5 6 Other distributions(describe in Part VI). See instructions 6 7 Total annual distributions.Add lines 1 through 6. 7 8 Distributions to attentive supported organizations to which the organization is responsive (provide 8 details in Part VI). See instructions 9 Distributable amount for 2020 from Section C, line 6 9 10 Line 8 amount divided by Line 9 amount 10 Section E - Distribution Allocations (;) (See instructions) Excess Distributions Underdistributions Distributable Pre-2020 Amount for 2020 1 Distributable amount for 2020 from Section C, line 6 2 Underdistributions, if any,for years prior to 2020 (reasonable cause required--explain in Part VI). See instructions. 3 Excess distributions carryover, if any,to 2020: a From 2015. b From 2016. c From 2017. d From 2018. e From 2019. f Total of lines 3a through e g Applied to underdistributions of prior years h Applied to 2020 distributable amount i Carryover from 2015 not applied (see instructions) j Remainder. Subtract lines 3g, 3h,and 3i from line 3f. 4 Distributions for 2020 from Section D, line 7: a Applied to underdistributions of prior years b Applied to 2020 distributable amount c Remainder. Subtract lines 4a and 4b from line 4. 5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero,explain in Part VI. See instructions. 6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero,explain in Part VI. See instructions. 7 Excess distributions carryover to 2021.Add lines 3j and 4c. 8 Breakdown of line 7: a Excess from 2016. b Excess from 2017. c Excess from 2018. d Excess from 2019. e Excess from 2020. Schedule A(Form 990 or 990-EZ) (2020) Schedule A(Form 990 or 990-EZ) 2020 Page 8 Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c,4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, llb, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV,Section D, lines 2 and 3; Part IV, Section E, lines lc, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line le; Part V Section D, lines 5, 6,and 8; and Part V, Section E, lines 2, 5, and 6.Also complete this part for any additional information. (See instructions). Facts And Circumstances Test efile GRAPHIC print- DO NOT PROCESS I As Filed Data - I DLN: 93493032008162 SCHEDULE D Supplemental Financial Statements OMB No. 1545-0047 (Form 990) 2020 ►Complete if the organization answered "Yes,"on Form 990, Part IV, line 6, 7,8,9, 10, Ila, llb, lIc, lld, Ile, Ilf, 12a,or 12b. Department of the Treasury ►Attach to Form 990. • Internal Revenue Service ►Go to www.irs.gov/Form990 for instructions and the latest information. 90 Name of the organization Employer identification number PIEDMONT WILDLIFE CENTER INC �47-0890261 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts 1 Total number at end of year. . . . . . . . . 2 Aggregate value of contributions to (during year) 3 Aggregate value of grants from (during year) 4 Aggregate value at end of year. . . . . . . . 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . ❑ Yes ❑ No 6 Did the organization inform all grantees,donors,and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ No Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1 Purpose(s)of conservation easements held by the organization (check all that apply). ❑ Preservation of land for public use (e.g., recreation or education) ❑ Preservation of an historically important land area ❑ Protection of natural habitat ❑ Preservation of a certified historic structure ❑ Preservation of open space 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Year a Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . 2a b Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . . . . 2b c Number of conservation easements on a certified historic structure included in (a) . . . . . 2c d Number of conservation easements included in (c)acquired after 7/25/06, and not on a historic 2d structure listed in the National Register. . . 3 Number of conservation easements modified,transferred, released, extinguished, or terminated by the organization during the tax year► 4 Number of states where property subject to conservation easement is located ► 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . ❑ Yes ❑ No 6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year 00, 7 Amount of expenses incurred in monitoring, inspecting, handling of violations,and enforcing conservation easements during the year ► $ 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ No 9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement,and balance sheet, and include, if applicable,the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 8. la If the organization elected,as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition,education,or research in furtherance of public service, provide, in Part XIII,the text of the footnote to its financial statements that describes these items. b If the organization elected,as permitted under FASB ASC 958,to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition,education,or research in furtherance of public service, provide the following amounts relating to these items: (i)Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . ► $ (ii)Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items: a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . ► $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ►$ For Paperwork Reduction Act Notice,see the Instructions for Form 990. Cat. No. 52283D Schedule D(Form 990) 2020 Schedule D(Form 990) 2020 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization's acquisition, accession,and other records, check any of the following that are a significant use of its collection items (check all that apply): a ❑ Public exhibition d ❑ Loan or exchange programs b El Scholarly Scholarly research ❑ Other.................................................................................................. c ❑ Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?. . . ❑ Yes ❑ No Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. la Is the organization an agent,trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • ❑ Yes ❑ No b If"Yes," explain the arrangement in Part XIII and complete the following table: Amount c Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lc d Additions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . id e Distributions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . le f Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . if 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? . . . ❑ Yes ❑ No b If"Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII . . . . ❑ IGMISZ—Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back la Beginning of year balance b Contributions . . c Net investment earnings, gains, and losses d Grants or scholarships . . e Other expenditures for facilities and programs . . f Administrative expenses g End of year balance 2 Provide the estimated percentage of the current year end balance (line lg,column (a)) held as: a Board designated or quasi-endowment► .......................................... b Permanent endowment► .......................................... c Term endowment► .......................................... The percentages on lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: Yes No (i) Unrelated organizations . t3bii) (ii) Related organizations . b If"Yes"on 3a(ii), are the related organizations listed as required on Schedule R? 4 Describe in Part XIII the intended uses of the organization's endowment funds. LQLW Land, Buildings, and Equipment. Complete if the or anization answered "Yes" on Form 990, Part IV, line lla. See Form 990, Part X, line 10. Description of property (a)Cost or other basis (b)Cost or other basis(other) (c)Accumulated depreciation (d)Book value (investment) la Land . . b Buildings . . c Leasehold improvements d Equipment . 33,112 30,483 2,629 e Other . . Total.Add lines la through le. (Column (d)must equal Form 990, Part X, column(B), line 10(c).) ► 2,629 Schedule D(Form 990) 2020 Schedule D(Form 990) 2020 Page 3 Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b.See Form 990, Part X, line 12. (a) Description of security or category (b) (c) Method of valuation: (including name of security) Book Cost or end-of-year market value value (1) Financial derivatives . (2)Closely-held equity interests . (3)Other (B) (C) (D) (E) (F) (G) (H) (I) Total.(Column(b)must equal Form 990,Part X,col.(8)line 12.) ► Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation: Cost or end-of-year market value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total.(Column(b)must equal Form 990,Part X,col.(8)line 13.) ► Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. (a) Description (b) Book value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total.(Column(b)must equal Form 990, Part X, col.(8)line 15.) ► Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f.See Form 990, Part X, line 25. 1. (a) Description of liability (b) Book value (1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) Total.(Column(b)must equal Form 990,Part X,col.(8)line 25.) ► 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ❑� Schedule D(Form 990) 2020 Schedule D(Form 990) 2020 Page 4 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a. 1 Total revenue, gains, and other support per audited financial statements 1 760,610 2 Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains(losses)on investments 2a b Donated services and use of facilities 2b 12,000 c Recoveries of prior year grants 2c d Other(Describe in Part XIII.) 2d 2,559 e Add lines 2a through 2d . 2e 14,559 3 Subtract line 2e from line 1 . 3 746,051 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b 4a b Other(Describe in Part XIII.) . 4b c Add lines 4a and 4b . 4c 0 5 Total revenue.Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . 5 746,051 Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a. 1 Total expenses and losses per audited financial statements 1 605,094 2 Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities 2a 12,000 b Prior year adjustments 2b c Other losses . 2c d Other(Describe in Part XIII.) . 2d 2,559 e Add lines 2a through 2d . 2e 14,559 3 Subtract line 2e from line 1 3 590,535 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b 4a b Other(Describe in Part XIII.) . 4b c Add lines 4a and 4b . 4c 0 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . 5 590,535 Supplemental Information Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines is and 4; Part IV, lines lb and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. Return Reference Explanation See Additional Data Table Schedule D(Form 990) 2020 Schedule D(Form 990) 2020 Page 5 Supplemental Information (continued) Return Reference Explanation Schedule D(Form 990) 2020 Additional Data Software ID: Software Version: EIN: 47-0890261 Name: PIEDMONT WILDLIFE CENTER INC Supplemental Information Return Reference Explanation PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERN AL REVENUE CODE. IN ADDITION,THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION D EDUCTION UNDER SECTION 170(B)(1)(A)AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). IN THE NORMAL COURSE OF BUSINESS,THE ORGANI ZATION IS SUBJECT TO EXAMINATION BY VARIOUS TAXING AUTHORITIES.ALTHOUGH THE OUTCOME OF TA X AUDITS IS ALWAYS UNCERTAIN, MANAGEMENT BELIEVES THAT THERE ARE NO SIGNIFICANT UNRECOGNIZ ED TAX LIABILITIES AS OF JUNE 30, 2021.THE ORGANIZATION FILES FORM 990 (RETURN OF ORGANIZ ATION EXEMPT FROM TAX)AS REQUIRED BY LAW.THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERA L OR STATE TAX RETURN EXAMINATIONS FOR YEARS ENDING PRIOR TO JUNE 30, 2018. Supplemental Information Return Reference Explanation PART XI, LINE 2D - OTHER PRESENTATION DIFFERENCE FOR FUNDRAISING EXPENSES 2,559. ADJUSTMENTS: Supplemental Information Return Reference Explanation PART XII, LINE 2D-OTHER PRESENTATION DIFFERENCE FOR FUNDRAISING EXPENSES 2,559. ADJUSTMENTS: efile GRAPHIC print- DO NOT PROCESS I As Filed Data - I DLN: 93493032008162 SCHEDULE G Supplemental Information Regarding n�o 1545-0047(Form 990 or 990-EZ) 2 U Fundraising or Gaming Activities Complete if the organization answered"Yes"on Form 990,Part IV,lines 17,18,or 19,or if the organization entered more than$15,000 on Form 990-EZ,line 6a. Open Department of the Treasury ►Attach to Form 990 or Form 990-EZ. Inspection Internal Revenue Service ►Go to www.irs.gov/Form990 for instructions and the latest information. Name of the organization Employer identification number PIEDMONT WILDLIFE CENTER INC 47-0890261 Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. a ❑ Mail solicitations e ❑ Solicitation of non-government grants b ❑ Internet and email solicitations f ❑ Solicitation of government grants c ❑ Phone solicitations g ❑ Special fundraising events d ❑ In-person solicitations 2a Did the organization have a written or oral agreement with any individual (including officers,directors,trustees or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? ❑Yes❑No b If"Yes," list the 10 highest paid individuals or entities(fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least$5,000 by the organization. (i) Name and address of individual (ii)Activity (ill) Did (iv) Gross receipts (v)Amount paid to (vi)Amount paid to or entity (fundraiser) fundraiser have from activity (or retained by) (or retained by) custody or fundraiser listed in organization control of col. (i) contributions? Yes No Total . . . . . . . . . . . . . . . . . . . .► 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing. -------------------------- For Paperwork Reduction Act Notice,see the Instructions for Form 990 or 990-EZ. Cat. No.50083H Schedule G(Form 990 or 990-EZ)2020 Schedule G (Form 990 or 990-EZ) 2020 Page 2 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a)Event#1 (b) Event#2 (c)Other events (d)Total events (add col. (a)through VIRTUAL 5K RAPTOR FLY THRU col. (c)) (event type) (event type) (total number) d 0 1 Gross receipts. 12,558 3,138 15,696 2 Less: Contributions. 3 Gross income (line 1 minus line 2) 12,558 3,138 15,696 4 Cash prizes 5 Noncash prizes W C6 Rent/facility costs �CLx Z Food and beverages W 8 Entertainment N 9 Other direct expenses 2,559 2,559 10 Direct expense summary. Add lines 4 through 9 in column (d) ► 2,559 11 Net income summary. Subtract line 10 from line 3,column (d) ► 13,137 Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. (b)Pull tabs/Instant (d)Total gaming (add (a) Bingo bingo/progressive bingo (c) Other gaming col.(a)through col.(c)) d 0 1 Gross revenue 2 Cash prizes C Q) CL 3 Noncash prizes ti 4 Rent/facility costs 5 Other direct expenses ❑ Yes % ❑ Yes................. ❑ Yes----------------% 6 Volunteer labor ❑ No ❑ No ❑ No 7 Direct expense summary. Add lines 2 through 5 in column (d) ► 8 Net gaming income summary. Subtract line 7 from line 1,column (d). ► 9 Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states? ❑Yes ❑No b If"No," explain: -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 10a Were any of the organization's gaming licenses revoked,suspended or terminated during the tax year? ❑Yes ❑No b If"Yes," explain: -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------j Schedule G(Form 990 or 990-EZ)2020 Schedule G (Form 990 or 990-EZ) 2020 Page 3 11 Does the organization conduct gaming activities with nonmembers? ❑Yes ❑No 12 Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gaming? ❑Yes ❑No 13 Indicate the percentage of gaming activity conducted in: a The organization's facility 13a b An outside facility 13b 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: Name► ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Address► ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? ❑Yes ❑No b If"Yes," enter the amount of gaming revenue received by the organization► $ and the amount of gaming revenue retained by the third party► $ c If"Yes," enter name and address of the third party: Name► ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Address► ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 16 Gaming manager information: ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Name► Gaming manager compensation► $ -------------------------------------------------- Description of services provided► --------------------------------------------------------------------------------------------------------------------------------------------------------------------- ❑ Director/officer ❑ Employee ❑ Independent contractor 17 Mandatory distributions: a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? ❑Yes ❑No b Enter the amount of distributions required under state law distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year► $ Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions. Return Reference Explanation Schedule G(Form 990 or 990-EZ)2020 efile GRAPHIC pri t- DO NOT PROCESS I As Filed Data - I DLN: 93493032008162 SCHEDULE O Supplemental Information to Form 990 or 990-EZ OMB No. 1545-0047 (Form 990 or 990- Complete to provide information for responses to specific questions on 2020 EZ) Form 990 or 990-EZ or to provide any additional information. ►Attach to Form 990 or 990-EZ. ,- Department of the Treasury ►Go to www.irs.nov/Form99O for the latest information. _ HP# €Iti �6 ' i�ation Employer identification number PIEDMONT WILDLIFE CENTER INC 47 0890261 990 Schedule O, Supplemental Information Return Explanation Reference FORM 990, THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 AND SENDS IT TO THE BOARD TREASURER FOR REVIEW PART VI, AND APPROVAL.AFTER THE TREASURER'S APPROVAL,THE FORM 990 IS PRESENTED TO THE BOARD OF D SECTION B, IRECTORS FOR APPROVAL.ONCE APPROVED BY THE BOARD,THE FORM 990 IS FILED WITH INTERNAL REV LINE 11B ENUE SERVICE. 990 Schedule O, Supplemental Information Return Explanation Reference FORM 990, THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT AT THE BEGINN PART VI, ING OF THEIR TERM.ANNUALLY,THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND SIGN THE CO SECTION B, INFLICT OF INTEREST STATEMENT. LINE 12C 990 Schedule O, Supplemental Information Return Explanation Reference FORM 990, A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS MAY BE OBTAINED BY CONTACTING THE ORGANIZ PART VI, ATION AT THE FOLLOWING ADDRESS: PIEDMONT WILDLIFE CENTER, INC.364 LEIGH FARM ROAD DURHAM, SECTION C, NC 27707 LINE 19 CD CD � 0 c ���GREATS Cl Q v =r o 3 * m <CD CD ,=t y �. . N Q , o D I a n O 0 � N r O' �-0 cr � � o�v�Ny o o ' ✓ CD � p N v O CD Z v O O S " — CD3 Z Z CD m (n n n Q ; v � m CD r* (D (p 7 l 1 (D X O Q CD �. CZ o0 O `G X MCD �. <_ N co ~ o m fn Z .rt CD -0 U) n• rh `� <1 mm � CD �, C M C_ •(� BCD = Q cn n n =E; h°-h r,CD ' O n ; N = � Z CIO 0 -n Z � � � v v =r CD my 3 � � m m CD CD 3 n �-- . S N C p2. O O (n CD( C ON n rt w O W) Q) Er= �-" IV CDO CD Cfl O co S Cn fn .. — (D m Z .3 ( Oa OD v m `� S < � O c CD CD ~� � CD '� O � W Q0 (D 0 (D CD X C Q (n e--r hl r O Q (D �,`� O CD r N 3 O O (D Q O n• INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. O. BOX 2508 CINCINNAT'I, OH 45201 � 008 Employer Identification Number: Date: 47-0890261 DiN: 17053096836068 PIEDMONT WILDLIFE CENTER Contact Person: 364 LEIGH FARM RD SHAWNDEA KREBS ID## 31072 DURHAM, NC 27707 Contact Telephone Number: (877) 829-5500 Public Charity Status: 170 (b) (1) (A) (vi) Dear Applicant: Our letter dated February 2003, stated you would be exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code, and you would be treated as a public charity, rather than as a private foundation, during an advance ruling period. Based on the information you submitted, you are classified as a public charity under the Code section listed in the heading of this letter. Since your exempt status was not under consideration, you continue to be classified as an organization exempt from Federal income tax under section 501(c) (3) of the Code. Publication 557, Tax-Exempt Status for Your Organization, provides detailed information about your rights and responsibilities as an exempt organization. You may request a copy by calling the tall-free number for forms, (800) 829-3676. Information is also available on our Internet Web Site at www.irs.gov. If you have general questions about exempt organizations, please call our toll-free number shown in the heading. Please keep this letter in your permanent records. Sincerely yours, Robert Choi Director, Exempt Organizations Rulings and Agreements Letter 1050 (DO/CG)