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PUBLIC MURAL GRANT AGREEMENT (4)
PUBLIC MURAL GRANT AGREEMENT t" This Grant Agreement is made and entered into on this $ day of March, 2024 between the Clearwater Community Redevelopment Agency, whose address is: 600 Cleveland Street, 6th Floor, Clearwater, FL 33755, ("CRA"), and Carlos Culbertson, DBA Zulu Painter ("Artist"). WHEREAS, it has been determined by the CRA that public art is highly desirable in the Downtown Clearwater Gateway Neighborhood; and WHEREAS, the Community Redevelopment Agency Trustees voted to approve an allocation of $90,000 in funding to the Downtown Clearwater Mural Festival, and provide support to artists in the form of a grant NOW, THEREFORE, the parties agree as follows: 1 TERM 1.1 The term of this agreement shall commence on March 1, 2024 and continue through April 5, 2024 ("termination date") unless earlier terminated under the terms of this agreement. 2 RESPONSIBILITIES OF THE ARTIST 2.1 Thg Artist shall cooperate with the City of Clearwater to ensure that all permits any permits or permissions are secured to install a mural(s) on Fraternal Order of the Eagles located at 1487 Gulf to Bay Dr, FL 33755 ("Building"). 2.2 The Artist shall enter into a separate written agreement with Fraternal Order of the Eagles ("Property Owner") of the Building commissioning a public mural (Exhibit A). 2.3 The Artist shall present the completed design(s) of the mural(s) to the Property Owner prior to the installation of the mural(s). (Exhibit B) 2.4 All Artwork shall be installed no later than April 5, 2024. 2.5 The Artist agrees to maintain in force a liability insurance policy in an amount acceptable to the City of Clearwater and the CRA (1 million per occurrence) which will insure and indemnify the City of Clearwater, the CRA, and the Owner from any suits, claims, or actions brought by any person or persons and from any and all costs of litigation brought against the Artist, the Property Owner and the City for such injuries to persons or damage to property occurring during the agreement or thereafter that results from performance by the Artist of the obligations set forth in this agreement. The City and the Property Owner shall be included as "additional insureds" on such policy. (Exhibit C) 3 RESPONSIBILITIES OF THE CITY 3.1 The CRA agrees to provide the Artist with a grant of $10,000 (ten thousand dollars) to be paid in two separate payments of $5,000 each. First payment ($5,000) to be paid upon completion of this signed 1 and executed contract and second payment ($5,000) to be paid once the mural has been completed. Artist will invoice the CRA for each payment. 3.1.1 The funds granted by the CRA are to be used for all materials and artists fees. 3.1.2 A photo of the completed work must be provided to the City of Clearwater Cultural Affairs Dept. within three (3) days of completion of the project. 3.2 The Cultural Affairs Dept. will serve as the City and CRA liaison for the artist 3.3 The CRA agrees to promote the mural festival through normal City communications, such as www.mvclearwater.com, www.downtownclearwater.com the City Facebook page and social media; internal staff communications; flyers; and messages to partner organizations. 4 INDEMNIFICATION 4.1 Subject to Florida Statute 768.28, the Artist agrees to indemnify and hold free and harmless, assume legal liability for and defend the City, CRA, and their officers, employees, agents, and servants, whether they are current or former, from and against any and all actions, claims, liabilities, assertions of liability, losses, costs and expenses, in law or in equity, including but not limited to attorney's fees at trial and appellate levels, reasonable investigative and discovery costs, court costs, or claims for bodily injury or death of persons and for loss of or damage to property, except as provided for herein, or every kind and nature whatsoever, which in any manner directly or indirectly may arise or be alleged to have arisen or as a result of the duties and obligations as required by this agreement that which has resulted or alleged to have resulted from the negligent acts or omissions or other wrongful conduct of or the infringement of any copyright by the Artist. Nothing contained herein is intended to serve as a waiver by the City of its sovereign immunity, to extend the liability of the City beyond the limits set forth in Section 768.28, Florida Statutes, or be construed as consent by the City to the sued by third parties. 5 NOTICE Any notice required or permitted to be given by the provision of this Agreement shall be conclusively deemed to have been received by a party hereto on the date it is delivered to such party at the address indicated below: City of Clearwater Community Redevelopment Agency 600 Cleveland Street, 6th Floor Clearwater, FL 33755 2 Carlos Culbertson DBA Zulu Painter 4616 26th Ave. N St. Petersburg, FL 33713 6 DEFAULT 6.1 Failure or refusal by the Artist to perform or do any act herein required shall constitute a default. In the event of a default, in addition to any other remedy available to the City, the City, upon thirty (30) days written notice, may terminate this agreement and demand repayment of grant funds provided. Such termination does not waive any other legal remedies available to the City. 7 TERMINATION Either party may terminate this agreement with thirty (30) days written notice without any further obligation. The City may terminate this agreement immediately for failure to adhere to any of the provisions of this agreement as determined by the City in its sole discretion. 8 DISCLAIMER OF WARRANTIES This agreement constitutes the entire agreement between the parties on the subject hereof and may not be changed, modified, or discharged except by written amendment duly executed by both parties. No representations or warranties by either party shall be binding unless expressed herein or in a duly executed amendment hereof. (signatures on following page) 3 In witness thereof, the parties hereto have caused this Artist and Public Mural Grant Agreement to be executed on the date and year first written above. ARTIST Carlos Culbertson "Zulu Painter" CITY OF CLEARWATER Jesus no CRA Director en Kohler CRA Attorney Attest: Ltd-ORdkce 0 ()X - Rosemarie Call City Clerk 4 Exhibit A AGREEMENT TO COMMISSION PUBLIC MURAL This agreement is atered into this `I j day of loat ri rte; C4fr 2024 by and Ca/ [ ,..%Q/�( of 20 P EQ STS PL. (hereafter C 34'z r called "Artist") and -�K. L'�(} j ��� � ,/C‹)becktOer (hereafter called "Owner"). Owner's Obligations a. The Owner recognizes that the purpose of the project, which is to enhance the community, is mutually beneficial to the Artist and the Owner, and therefore desires to have a mural(s) painted on the exterior of their building(s) located at 6--71x IP 16 lily (hereafter called "Building"). b. The Owner agrees to allow the Artist to paint a mural (hereafter called Artwork) on the Building. The dimensions and location(s) of the mural(s) will be /0 tr 13L -Ji c• -f 6,Gt (r i O Ay c. The Owner understands that the Artwork shall, in no way, be used for advertising. d. The Owner agrees to keep the Artwork displayed for a minimum of one year, barring any damage or Acts of God. e. The Owner agrees the Artwork is Copyrighted and created as a result of the mural services provided by Artist in accordance with this Agreement and are the property of the Artist pursuant to federal copyright law (Title 17, Chapter 2, Section 201-02 of the United States Code), whether registered or unregistered. Notwithstanding the assignment of any advertising/promotion rights to the Owner, any and all products, whether tangible or intangible, produced or created in connection with, or in the process of fulfilling this Agreement, are expressly and solely owned by Artist and may be used in the reasonable course of Artist's business. 11. Artist's Obligations a. The Artist shall cooperate with the city of Clearwater to ensure that all permits any permits or permissions are secured to install a mural(s) on the Building. b. The Artist shall present the completed design(s) of the mural(s) to the Owner prior to the installation of the mural(s). c. All Artwork shall be installed no later than April 5, 2024. d. The Artist agrees to maintain in force a liability insurance policy in an amount acceptable to the City of Clearwater (1 million per occurrence) which will insure and indemnify the City of Clearwater and the Owner from any suits, claims, or actions brought by any person or persons and from any and all costs of litigation brought against the Artist, the Owner and the City for such injuries to persons or damage to property occurring during the agreement or thereafter that results from performance by the Artist of the obligations set forth in this agreement. The City and the Owner shall be included as "additional insureds" on such policy. [Remainder of Page Left Blank Intentionally] IN WITNESS WHEREOF, the Parties have caused this Agreement to be signed in its corporate/legal name by its authorized representative or persons authorized to execute this Agreement on the date and year first above written. ner Z( /z ' i6 3 cis--z_setrert5e Artistate Exhibit B Exhibit C A`C..� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 02/19/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 CONTACT NAME: PHONE (855) 222-5919 FAX INC. No. Ext): (A/C, No): E-MAIL ADDRESS: supp ort@nextinsurance.com INSURER(S) AFFORDING COVERAGE NAIL # INSURERA: State National Insurance Company, Inc. 12831 INSURED CARLOS CULBERTSON ZU LU PAI NTER 4616 26th Ave N Saint Petersburg, FL 33713 INSURER B : NXT9XQXFDR-01-GL INSURER C : 05/10/2024 INSURER D : $1,000,000.00 INSURER E : $100,000.00 INSURER F : COVERAGES CERTIFICATE NUMBER: 740822782 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X NXT9XQXFDR-01-GL 05/10/2023 05/10/2024 EACH OCCURRENCE $1,000,000.00 DAMAGE TO PREMISES (EaENTEoccur ence) $100,000.00 CLAIMS -MADE X OCCUR MED EXP (Any one person) $15,000.00 PERSONAL &ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP/OP AGG $2,000,000.00 $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Contractors Errors and Omissions X NXT9XQXFDR-01-GL 05/10/2023 05/10/2024 Each Occurrence: Aggregate: $25,000.00 $50,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is Fraternal Order of Eagles. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Fraternal Order of Eagles 1485 Gulf To Bay BlvdcI Clearwater, FL 33755 I LIVE CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . •. 0 yy❑� . 71�-r Kty', a • - • 1 . AUTHORIZED REPRESENTATIVE art:f.S4'" LI -7 %-. i',--.,,'• Click or scan to view ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ''�RE® CERTIFICATE OF LIABILITY INSURANCE D/ DATE(MMIDYYYY) 02/19/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 CONTACT NAME: PHO No. Ext: (855) 222-5919 FAX CA& , NNo): E-MAIL pp ADDRESS: support@nextinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: State National Insurance Company, Inc. 12831 INSURED CARLOS CULBERTSON ZULUPAINTER 4616 26th Ave N Saint Petersburg, FL 33713 INSURER B NXT9XQXFDR-01-GL INSURER C 05/10/2024 INSURER D : $1,000,000.00 INSURER E : $100,000.00 INSURER F : COVERAGES CERTIFICATE NUMBER: 391407517 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X NXT9XQXFDR-01-GL 05/10/2023 05/10/2024 EACH OCCURRENCE $1,000,000.00 DAMAGE PREMSESO(EaENTED occu ante) $100,000.00 CLAIMS -MADE X OCCUR MED EXP (Any one person) $15,000.00 PERSONAL &ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JE T PER: LOC PRODUCTS - COMP/OP AGG $2,000,000.00 $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERJEXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N I A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Contractors Errors and Omissions X NXT9XQXFDR-01-GL 05/10/2023 05/10/2024 Each Occurrence: Aggregate: $25,000.00 $50,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is City of Clearwater, Cultural Affairs. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of Clearwater, Cultural Affairs PO Box 4847 Clearwater, FL 33758SHOULD Clearwater, FL 33758 I LIVE CERTIFICATE ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ID':.* ❑ ? -f_ • }P$ AUTHORIZED REPRESENTATIVE cov--- Click or scan to view ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3/5/24, 2:57 PM Property Details I Pinellas County Property Appraiser Mike Twitty, MAI, CFA Pinellas County Property Appraiser Parcel Summary (as of 05 -Mar -2024) Parcel Number 14-29-15-10476-010-0030 Owner Name FRATERNAL ORDER EAGLES INC GREATER CLWR AERIE 3452 Property Use 7753 Club, Lodge, Union Hall, Civic Club, Health Spa Site Address 1485 GULF TO BAY BLVD CLEARWATER, FL 33755 Mailing Address 1485 GULF TO BAY BLVD CLEARWATER, FL 33755-5320 Legal Description BOULEVARD HEIGHTS BLK J, THAT PT OF LOTS 3, 4,5,24 & 25 DESC AS BEG AT SW COR LOT 25 TH N51 DE 196.49FT TH S4ODE 120FT TH S50DW 110FT TH S4ODE 18.1 ... Current Tax District CLEARWATER (CW) Year Built 1947 Heated SF Gross SF Living Units Buildings 3,370 3,886 0 1 https://www. pcpao.gov/property-detai is?s=152914104760100030&xmin=-9214859.584004624&ymin=3244082.04725927&xmax=-9214498.59819537... 1/4 3/5/24, 2:57 PM Property Details I Pinellas County Property Appraiser Exemptions Year Homestead Institutional Use Status Property Exemptions & Classifications 2025 No 0% 2024 No 0% 2023 No 0% Miscellaneous Parcel Info Last Recorded Deed Sales Census Evacuation Flood Elevation Comparison Tract Zone Zone Certificate Zoning Plat Bk/Pg 05486/0730 Current Zoning 121030264021 NON EVAC FEMA Check for EC Map Maps 7/54 2023 Final Values Year Just/Market Value Assessed Value/SOH Cap County School Municipal Taxable Value Taxable Value Taxable Value 2023 $339,351 $339,351 $0 $0 $0 Value History Year Homestead Just/Market Exemption Value Assessed County School Municipal Value/SOH Taxable Taxable Taxable Cap Value Value Value 2022 N $314,561 $314,276 $0 $0 $0 https://www. pcpao.gov/property-details?s=152914104760100030&xmin=-9214859.584004624&ymin=3244082.04725927&xmax=-9214498.59819537... 2/4 Uncle penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here 2023-10-01 Signature of officer III.3 STEVE WINTON SECRETARY Date Type or print name and title Paid Preparer Use Only Print/Type preparer's name Preparer's signature Date 2023-10-01 Check P if self-employed PTIN P00098235 Firm's name ► FRATERNAL ORDER OF EAGLES Firm's EIN ► Firm's address 11.1485 GULF TO BAY BLVD CLEARWATER, FL 33755 Phone no. (727) 776-9868 May the IRS discuss this return with the preparer shown above? (see instructions) I Yes rNo For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11282Y Form 990 (2021) Return of Organization Exempt From Income Tax OMB No. 1545- Form Under Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundation*) Do not enter social security numbers on this form as it may be made public. 2611 O.Go to www.irs.Qov/Form990 for instructions and the latest information. Open to Public Department of the Treasury Inspection WteWilVISWYOWIEglendar year, or tax year beginning 06-01-2022 , and ending 05-31-2023 B Check if applicable: r Address change r Name change C Name of organization FRATERNAL ORDER OF EAGLES D Employer identification number 23-7179824 r Initial return Final Doing business as return/terminated E Telephone number r— Amended return r Application pending Number and street (or P.O. box if mail is not delivered to street address) 1485 GULF TO BAY BLVD Room/suite (727) 461-3464 City or town, state or province, country, and ZIP or foreign postal code CLEARWATER, FL 337555320 G Gross receipts $ 221,416 F Name and address of principal officer: 3 STEVE WINTON 1485 GULF TO BAY BLVD CLEARWATER,FL 33755 H(a) Is this a group return for subordinates? r Yesri No 11(b) Are all subordinates included? ryes rNo I Tax-exempt status: r 501(c)(3) F.. 501(c) ( 8 ) I (insert no.) r 4947(a)(1) or r 527 If "No," attach a list. See instructions. H(c) 0102 3 Website: P. HTTPS://WWW.FOE.COM Group exemption number!). K Form of organization: 1- Corporation r Trust r Association r Other ► L Year of formation: 1972 M State of legal domicile: FL Pzrt I Summary p C t0 :7 "5 iA 1 Briefly describe the organization's mission or most significant activities: TO PROVIDE SOCIAL AND FRATERNAL ACTIVITIES FOR MEMBERS AND THEIR BONA FIDE GUESTS AND TO SUPPORT THE FRATERNAL AND HUMANITARIAN EFFORTS OF THE FLORIDA STATE AERIE AND THE GRAND AERIE FRATERNAL ORDER OF EAGLES 2 Check this box ►r if the organization discontinued its operations or disposed of more than 25% of its net 3 Number of voting members of the governing body (Part VI, line 1a) assets. 3 6 4 Number of independent voting members of the governing body (Part VI, line lb) 4 0 5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) 5 8 6 Total number of volunteers (estimate if necessary) 6 0 7a Total unrelated business revenue from Part VIII, column (C), line 12 7a 0 b Net unrelated business taxable income from Form 990-T, Part I, line 11 7b 0 $ is CC 8 Contributions and grants (Part VIII, line 1h) 9 Program service revenue (Part VIII, line 2g) 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) • 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) Prior Year Current Year 4,431 5,005 0 0 0 0 82,768 71,777 87,199 76,782 s Va a. 1Y 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3 ) . . . 14 Benefits paid to or for members (Part IX, column (A), line 4) 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 16a Professional fundraising fees (Part IX, column (A), line lie) b Total fundraising expenses (Part IX, column (D), line 25) 0.0 127 730 0 0 42,364 45,835 0 0 17 Other expenses (Part IX, column (A), lines 11a -11d, llf-24e) • 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) 19 Revenue less expenses. Subtract line 18 from line 12 56,124 50,144 98,615 96,709 -11,416 -19,927 15 O.9 4462220 O9 _u• Total assets (Part X, line 16) 21 Total liabilities (Part X, line 26) 22 Net assets or fund balances. Subtract line 21 from line 20 Beginning of Current Year End of Year 307,064 287,137 0 0 307,064 287,137 Pa iii Signature Block Uncle penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here 2023-10-01 Signature of officer III.3 STEVE WINTON SECRETARY Date Type or print name and title Paid Preparer Use Only Print/Type preparer's name Preparer's signature Date 2023-10-01 Check P if self-employed PTIN P00098235 Firm's name ► FRATERNAL ORDER OF EAGLES Firm's EIN ► Firm's address 11.1485 GULF TO BAY BLVD CLEARWATER, FL 33755 Phone no. (727) 776-9868 May the IRS discuss this return with the preparer shown above? (see instructions) I Yes rNo For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11282Y Form 990 (2021) Form 990 (2021) Part 111 Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part 111 1 Briefly describe the organization's mission: TO PROVIDE SOCIAL AND FRATERNAL ACTIVITIES FOR MEMBERS AND THEIR BONA FIDE GUESTS AND TO SUPPORT THE FRATERNAL AND HUMANITARIAN EFFORTS OF THE FLORIDA STATE AERIE AND THE GRAND AERIE FRATERNAL ORDER OF EAGLES 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990 -EZ? ryes PrNo 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? rYes F, 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 $ including grants of $ ) (Revenue $ ) PROVIDING SOCIAL AND FRATERNAL ACTIVITIES FOR MEMBERS AND THEIR BONA FIDE GUESTS 4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ 4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ 4d Other program services (Describe in Schedule 0.) (Expenses $ 0 including grants of $ 4e Total program service expenses ► 0 0 ) (Revenue $ 0 ) Form 990 (2021) Form 990 (2021) Part IV Page 3 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," No complete Schedule A 2 Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. 2 No 1 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to N o candidates for public office? If "Yes," complete Schedule C, Part 1 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 ll 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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Par (III . . 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 I 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 11 . . 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III 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 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 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 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 VII 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 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 e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X 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)? 12a tridYiffe" laintiWegigrPsep Me, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional fa 13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E 3 4 5 No 6 No 7 No 8 No 9 No 10 No iia Yes 11b No 11c No lld No 11e No 11f No 12a No 12b No 13 No 14a Did the organization maintain an office, employees, or agents outside of the United States' 14a N o 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 N o investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV 15 Dfd the organization•rep'ort on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for N o any foreign organization? If "Yes," complete Schedule F, Parts II and IV . . 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other No assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV . . 14b 15 16 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on 17 No Part IX, column (A), lines 6 and lle? If "Yes," complete Schedule G, Part I. See instructions. . . 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 II 18 N o 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 20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . 20a N o b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? 19 Yes 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II 20b 21 No Form 990 (2021) Form 990 (2021) Part IV Page 4 Checklist of Required Schedules (continued) 22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes,"complete Schedule 1, Parts I and III 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 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 b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . 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, d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? 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 1 . . 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 Schedule L, Part I 26 Did the organization•report.anyamount 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 member of any of these persons? 27 maYflfe"ccozom@ki§sho S4ifd(c e dist or other assistance to snycurrent or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? If "Yes," completeSchedule L,Part III 28 Was the organization a party to a business transaction with one of the following parties (see the 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 b A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M . 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? 31 I idYfiie iikl iWKiiii.aakie,'terfninate,'or dissttilve and cease operations? IP "Yes," complete Schedule N, Part I 32 Did the organization sell, exchange, dispose of, or transfer more than 250/0 of its net assets? If "Yes," complete Schedule N, Part 11 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? 34 (/able CYOR dt blik&l fe ltytax•-exempt or taxable entity? If•"Yes," Complete Schedule R, Part ll, III, or IV, and Part V, line 1 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? b If 'Yes' to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," 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 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 38 Did the organization complete Schedule 0 and provide explanations on Schedule 0 for Part VI, lines lib and 19? Note. All Form 990 filers are required to complete Schedule 0 Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part V r Part V Yes No 22 No 23 No 24a No 24b 24c 24d 25a 25b 26 No 27 No 28a No 28b 28c 29 30 31 32 33 34 35a No No No No No No No No No 35b 36 37 No 38 Yes la Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable b Erlterthe number of Forms W -2G included on line la. Enter -0- if not applicable . la ib c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? 0 0 Yes No lc No Form 990 (2021) Form 990 (2021) Part V 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 8 b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines la and 2a is greater than 250, you may be required to e -file. See instructions. 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . b If "Yes," has it filed a Form 990-T for this year?If "No" to line 3b, provide an explanation in Schedule 0 . . 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial b 81tt'pss)t)inter the name of the foreign country: ► See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts 5a (rfgh4 $Je organization a party to a prohibited tax shelter transaction at any time during the tax year? . . b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If "Yes," to line 5a or 5b, did the organization file Form 8886-T" 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization 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's 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 provided to the payor? b If "Yes," did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282' d If "Yes," indicate the number of Forms 8282 filed during the year . I 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? g IPtheorganization received a contribution of qualified intellectual property, did the organization file Form 8899 as required' h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C7 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the 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? b Did the spontorifhg drgahization make a distribution to a donor, donor advisor, or related person? . 10 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 . 110a b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club lob 11 ithc%01(c)(12) organizations. Enter: a Gross income from members or shareholders b Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) 11a 11b 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 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? Note. See the instructions for additional information the organization must report on Schedule 0. 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 . . . c Enter the amount of reserves on hand 14a Did the organization receive any payments for indoor tanning services during the tax year? b If "Yes," has it filed a Form 720 to report these payments?If "No," provide an explanation in Schedule 0 . 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or 13b 13c excess parachute payment(s) during the year? 16 It biiesp'Ygasifbtidnstruetloost riiesEbutioii79eelbj8chttditleel\hection 4968 excise tax on net investment income? 17yfectY.es�1" corp I t Form 472p Sceule 0. 1c)(21) organizations, Didthe trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . Tf "Yaa." rompletp Fnrm 6069 2b Yes 3a No 3b 4a No 5a N o 5b No 5c 6a Yes 7a 7b 7c 7e 7f 7g 712 8 9a 9b 12a iia 14a No 14b 15 No 16 No 17 Form 990 (2021) Form 990 (2021) Part VI 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 b l w, describe the circumstances rocesses, pr chap �s " edule 0. See instructions. Check if Schedule 0 contains a response or dote to any line in this cart Vl Section A. Governing Body and Management la Enter the number of voting members of the governing body at the end of the tax YteaCere 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 0. b Enter the number of voting members included in line la, above, who are independent la 6 ib 0 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' 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision 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 5 Biletlieorganization become aware during the year of a significant diversion of the organization's assets? 6 Did the organization have members or stockholders' 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' b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or 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' b Each committee with authority to act on behalf of the governing body? 9 Is'there any bffiCer,'dirdctot, trustde, 6r kby 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 0 2 Yes No No 3 No 4 5 6 No No No 7a No 7b No 8a Yes 8b Yes 9 No Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code. 1Oa Did the organization have local chapters, branches, or affiliates' 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? iia Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form' b Describe on Schedule 0 the process, if any, used by the organization to review this Form 990. 12a Drd the ol-gailization have a written conflict of interest policy? If "No," go to line 13 b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts' c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule 0 how this was done 13 Did the organization have a written whistleblower policy? 14 Did the organization have a written document retention and destruction policy' 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 b Other officers or key employees of the organization If "Yes" to line 15a or 15b, describe the process on Schedule 0. 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' 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? Yes No 1Oa No 1Ob iia No 12a No 12b 12c 13 No 14 No 15a No 15b No 16a No 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 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply. r Own website r Another's website r Upon request r Other (explain in Schedule 0) 19 Describe in Schedule 0 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: ►) STEVE WINTON 1485 GULF TO BAY BLVD CLEARWATER,FL33755(727) 461-3484 Form 990 (2021) Form 990 (2021) Part VII Page 7 Compensation of Officers, Di rectors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 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 the instructions for definition of "key employee." • 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, Form 1099-MISC, and/or box 1 of Form 1099 -NEC) 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 the 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) Name and title (B) Average hours per week (list any hours for related organizations below dotted line) (C) Position (do not check more than one box, unless person is both an officer and a director/trustee) (D) Reportable compensation from the organization (W-2/1099- MISC/1099- NEC) (E) Reportable compensation from related organizations (W-2/1099- MISC/1099- NEC) (F) Estimated amount of other compensation from the organization and related organizations ' . S. it a ,2 Institutional Trustee 66 _ x . ® s 0 = •t � T Q 1 Frw I e. 0 a (1) LISA M LESTER 2 x 0 0 0 AERIE AUDITOR 0 (2) MARK J TURNER 10 .. X 0 0 0 JR PAST WORTHY PRESIDENT (3) MICHAEL A LOBLEIN 10 X 0 0 0 WORTHY PRESIDENT 0 (4) BOB MILTNER 4 X 0 0 0 WORTHY VICE-PRESIDENT 0 (5) EARL C HAMIL III 4 X 0 0 0 WORTHY CHAPLAIN 0 (6) JAMES STEVE WINTON 10 x 0 0 0 WORTHY SECRETARY 0 (7) TIMOTHY E KELLY 4 X 0 0 0 TREASURER 0 (8) MARK J TURNER 4 X 0 0 0 TRUSTEE CHAIRMAN 0 (9) JAMES STEVE WINTON 10 .. X 0 0 0 TRUSTEE 0 (10) WALTON S EARLE 4 X 0 0 0 TRUSTEE 0 (11) BART L AMERIO 4 x 0 0 0 TRUSTEE 0 (12) JOHN G GANNON 4 x 0 0 0 TRUSTEE 0 Form 990 (2021) Form 990 (2021) Part VII Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title (B) Average hours per week (list any hours for related organizations below dotted line) (C) Position (do not check more than one box, unless person is both an officer and a director/trustee (D) Reportable compensation from the organization (W- 2/1099- MISC/1099- NEC) (E) Reportable compensation from related organizations (W-2/1099- MISC/1099- NEC) (F) Estimated amount of other compensation from the organization and related organizations Individual trustee or di lector Institutional Trustee Officer Key employee Highest compensated employee Former lb Sub -Total ► c Total from continuation sheets to Part VII, Section A . . . . ► d Total (add lines lb and ic) ► 0 0 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 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 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 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 3 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. (C) Compensation (A) Name and business address (B) Description of services 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization ► 0 Form 990 (2021) Form 990 (2021) Pau VIII Page 9 Statement of Revenue Check if Schedule 0 contains a response or note to any line in this Part VIII (A) Total revenue (B) Related or exempt function revenue (C) Unrelated business revenue (D) Revenue excluded from tax under sections 512 - 514 la b c Federated campaigns . . Membership dues . . Fundraising events . . d Related organizations e Government grants (contributions) f All other contributions, gifts, grants, and similar amounts not included above g Noncash contributions included in lines la - lf:$ 2a la lb lc ld le if lg h Total. Add lines la-lf b c d e Business Code f All other program service revenue. 9 Total. Add lines 2a -2f 0 O 8 CC r O O finvestment income (including dividends, interest, and other 4914RgficeafP6IhintrWestment of tax-exempt bond proceeds S I ►I 5 Royalties (i) Real 6a Gross rents 6a b Less: rental expenses c Rental income or 6c d (Ms)ental income or (loss) 7a Gross amount from sales of assets other than inventory b Less: cost or other basis and sales expenses 6b 7a 7b (i) Securities c Gain or (loss) 7c d Net gain or (loss) ga Gross income from fundraising events (not including $ 0 of contributions reported on line 1c). See Part IV, line 18 . . . . b Less: direct expenses Se Sb 0 0 (ii) Personal (ii) Other"' c Net income or (loss) from fundraising events 9a Gross income from gaming activities. See Part IV, line 19 . b Less: direct expenses 9a 9b c Net income or (loss) from gaming activities . 10a Gross sales of inventory, less P ► 0 131,887 102,819 ► 29,068 29,068 returns and allowances . . b Less: cost of goods sold c Net income or (loss) from sales of inventory . . 0. Miscellaneous Revenue Business Code ila b c d All other revenue . . eTotal. Add lines Ila -11d 931 931 0 0 12 Total revenue. See instructions D. 931 76,782 71,777 0 0 Form 990 (2021) Form 990 (2021) Page 10 Part IX 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 0 contains a response or note to any line in this Part IX Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. (A) Total expenses (B) Program service expenses (C) Management and general expenses (D) Fundraising 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 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 8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) 9 Other employee benefits 10 Payroll taxes 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 (A) amount, list line ilg expenses on Schedule 0) 12 Advertising and promotion . . 13 Office expenses 14 Information technology 15 Royalties . 16 Occupancy 17 Travel 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 23 Insurance . . . 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 FUNCTIONS 730 0 0 0 42,578 0 0 3,257 0 0 4,230 0 0 0 0 1,267 b PERMITS AND LICENSES 826 c REPAIRS AND MAINTENANCE 2,933 d SALES TAX 4,805 e All other expenses 0 25 Total functional expenses. Add lines 1 through 24e 96,709 0 0 0 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 I. I if following SOP 98-2 (ASC 958-720). Form 990 (2021) Form 990 (2021) Part X Page 11 Balance Sheet Check if Schedule 0 contains a response or note to any line in this Part IX r (A) Beginning of year (B) End of year y a N Q 1 Cash -non-interest-bearing 2 Savings and temporary cash investments 3 Pledgt's and 'grants hecaivable,'net 4 Accounts receivable, net 5 Loans and other receivables from 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 6 Loansand other.receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) 7 Notes and loans receivable, net 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D b Less: accumulated depreciation 11 Investments—publicly traded securities . 12 Investments—other securities. See Part IV, line 11 13 Investments—program-related. See Part IV, line 11 14 Intangible assets l0a 575,000 10b 350,000 75,565 1 55,249 2 0 3 0 4 0 0 6 7 0 6,499 8 6,888 9 225,000 10c 225,000 15 Other assets. See Part IV, line 11 16 Total'assets: Add lines 1 ttfrough 15 (must equal line 33) 0 11 O 12 O 13 0 14 0 15 307,064 16 287,137 co J 17 Accounts payable and accrued expenses 18 Grants payable . 19 Deferred revenue 20 Tax-exempt bond liabilities 21 Escrow or custodial account liability. Complete Part IV of Schedule D 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 23 Secured mortgages and notes payable to unrelated third parties 24 Unsecured notes and loans payable to unrelated third parties 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 26 Total liabilities. Add lines 17 through 25 Organizations that follow FASB ASC 958, check here ► r and complete lines 27, 28, 32, and 33. 27 Net assets without donor restrictions 28 Net assets with donor restrictions Oiganizatioris that ao riot follow F'ASEi ASC 958, check here h 17 and complete lines 29 through 33. 29 Capital stock or trust principal, or current funds 30 Paid -in or capital surplus, or land, building or equipment fund . 31 Retained earnings, endowment, accumulated income, or other funds 32 Total net assets or fund balances 33 Tdtal'liabiilitibs and het'asshtstfuntl balances O 17 0 18 0 19 0 20 0 21 0 0 0 0 0 0 22 O 23 0 0 24 0 25 O 26 0 0 28 29 225,000 30 82,064 31 307,064 32 307,064 33 0 225,000 62,137 287,137 287,137 Form 990 (2021) Form 990 (2021) Part XI Page 12 Reconcilliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI r 1 Total revenue (must equal Part VIII, column (A), line 12) 2 Total expenses (must equal Part IX, column (A), line 25) 3 Revenue less expenses. Subtract line 2 from line 1 4 Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) 5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 Investment expenses 8 Prior period adjustments 9 Other changes in net assets or fund balances (explain in Schedule 0) . 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column 1 2 3 4 76,782 96,709 -19,927 307,064 5 0 6 0 7 0 8 0 9 0 10 287,137 Part XII Financial Statements and Reporting Check if Schedule 0 contains a response or note to any line in this Part XII 1 Accounting method used to prepare the Form 990: Cash r Accrual rOther If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule 0. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? 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: r Separate basis r Consolidated basis r Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? 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: r Separate basis r Consolidated basis P 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? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0. 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? 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 0 and describe any steps taken to undergo such audits. Yes r No 2a No 2b Yes 2c 3a No 3b Form 990 (2021) Form 990 (2021) Software ID: 22015720 Software Version: v1.00 Form 990 S . ecial Condition Descri . tion: Return to Form Special Condition Description SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Supplemental Financial Statements ► Complete if the organization answered "Yes," on Form 990, Part IV, line 6, 7, 8, 9, 10, lla, 11b, 11c, 11d, lie, lif, 12a, or 12b. ► Attach to Form 990. P. Go to www.irs.aov/Form990 for instructions and the latest information. OMB No. 1545-0047 2021 Open to Public Ins • ection Name of the organization FRATERNAL ORDER OF EAGLES Part I l Employer identification number 23-7179824 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6. 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? 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? (a) Donor advised funds (b) Funds and other accounts Part II r Yes r No r Yes r 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). r Preservation of land for public use (e.g., recreation or education) r Preservation of an historically important land area r Protection of natural habitat r Preservation of open space 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation r Preservation of a certified historic structure easement on the last day of the tax year. a Total number of conservation easements b Total acreage restricted by conservation easements c Number of conservation easements on a certified historic structure included in (a) d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register . . . 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year ► 2a Held at the End of the Year 2c 2d 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? r Yes r No 6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year ► 7 8 9 Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year $ 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)? r Yes r NO 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. Part III 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 ►$ (1i)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 1 110-$ b Assets included in Form 990, Part X ► $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. Schedule D (Form 990) 2021 52283D Schedule D (Form 990) 2021 Page 2 Part III 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 r Public exhibition b r Scholarly research d r Loan or exchange programs e r Other • r 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?. . . r Yes Part IV r 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? r Yes r No b If "Yes," explain the arrangement in Part XIII and complete the following table: c Beginning balance d Additions during the year e Distributions during the year f Ending balance Amount lc ld le if 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?r Yes r No b If "Yes▪ ," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .... r Part V Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10. I(a) Current year [ (b) Prior year J (c) Two years backJ(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 a Board designated or quasi -endowment b Permanent endowment ► c Term endowment i The percentages on lines 2a, 2b, and 2c should equal 100%. 3a balance (line 1g, column (a)) held as: Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) Unrelated organizations (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. Part VI Yes No 3a(i) 3a(ii) 3b Land, Buildings, and Equipment. Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. 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 . . . . 275,000 0 275,000 0 c Leasehold improvements 0 0 0 0 d Equipment . 75,000 0 75,000 0 e Other 0 0 0 0 225,000 0 225,000 Total. Add lines la through le. (Column (d) must equal Form 990, Part X, column (B), line 10(c).) . 225,000 Schedule D (Form 990) 2021 Schedule D (Form 990) 2021 Page 3 Part VII Investments - Other Securities. Complete if the organization answered "Yes" on Form 990, Part IVB line 11b.See Form 990, Part x, line 12. (a) Description of security or category (including name of security) (b) Book value (c) Method of valuation: Cost or end -of -year market value (1) Financial derivatives (2) Closely -held equity interests (3)Other (2) (A) (B) (C) (4) (D) (5) (E) (F) (G) (7) (H) (8) Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.) 0 Part VIII Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line llc. 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) Total. (Column (0) must equal Form 990, Part X, col.(8) line 13.) la Part IX 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) Total. (Column (0) must equal Form 990, Part X, col.(B) line 15.) Part X Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or llf. 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.(B) 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 r Schedule D (Form 990) 2021 Schedule D (Form 990) 2021 Page 4 Part XI 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 . 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 c Recoveries of prior year grants 2c d Other (Describe in Part XIII.) 2d e Add lines 2a through 2d 3 Subtract line 2e from line 1 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 . I 4a I b Other (Describe in Part XIII ) 4b c Add lines 4a and 4b 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) 1 2e 3 5 Part XII 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 2 Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities b Prior year adjustments c Other losses d Other (Describe in Part XIII.) 2a 1 2b 2c 2d e Add lines 2a through 2d 3 Subtract line 2e from line 1 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 I 4a L b Other (Describe in Part XIII.) 14b 2e 3 c Add lines 4a and 4b 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . Part XIII Supplemental Information Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines la 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 Schedule D (Form 990) 2021 Return to Form 1 Software ID: 22015720 Software Version: v1.00 SCHEDULE G (Form 990) Department of the Treasury Internal Revenue Service Name of the organization FRATERNAL ORDER OF EAGLES Supplemental Information Regarding 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. o Attach to Form 990 or Form 990 -EZ. I►Go to www it anvlFnrm49Q far inatructinns and the latest information. OMB No. 1545-0047 2022 Open to Public Inspection Employer identification number 23-7179824 Part I 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 r Mail solicitations b r Internet and email solicitations c r Phone solicitations d r In-person solicitations e r Solicitation of non-government grants f r S• olicitation of government grants g r S• pecial fundraising events 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 rYesrNo 1W Ye`s, 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. b (i) Name and address of individual or entity (fundraiser) (ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts from activity (v) Amount paid to (or retained by) fundraiser listed in col. (i) (vi) Amount paid to (or retained by) organization 1 Yes No 2 3 4 5 6 7 8 9 10 Total PO 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) 2022 Schedule G (Form 990) 2022 Part II 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. 1 Gross receipts . 2 Less: Contributions . . 3 Gross income (line 1 minus line 2) (a)Event #1 (event type) (b) Event #2 (event type) (c)Other events (total number) (d) Total events (add col. (a) through col. (c)) Direct Expenses 4 Cash prizes 5 Noncash prizes 6 Rent/facility costs 7 Food and beverages 8 Entertainment 9 Other direct expenses 10 Direct expense summary. Add lines 4 11 Net income summary. Subtract line 1 through 9 in column (d) ► 0 from line 3, column (d) ► Part III 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. 1 Gross revenue (a) Bingo 0 (b) Pull tabs/Instant bingo/progressive hingn (c) Other gaming (d) Total gaming (add col.(a) through col.(c)) 69,382 62,505 Direct Expenses 2 Cash prizes 3 Noncash prizes 4 Rent/facility costs . S Other direct expenses . 6 Volunteer labor 0 62,477 36,142 0 0 0 0 0 0 0 4,200 0 131,887 98,619 0 0 4,200 ✓ Yes 0,0 ✓ No r Yes_ r NO r Yes F No 7 Direct expense summary. Add lines 2 through 5 in column (d) ► _a Net aamina income summary. Subtract line 7 from line 1, column (d) ► 102,819 29,068 9 Enter the state(s) in which the organization conducts gaming activities:FL a Is the organization licensed to conduct gaming activities in each of these states? b If "No," explain• rotes rN0 10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? b If "Wes," explain• • r Yes FIN() Schedule G (Form 990) 2022 Schedule G (Form 990) 2022 Page 3 11 Does the organization conduct gaming activities with nonmembers? . 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? ryes PrNo • r Yes P No 13 Indicate the percentage of gaming activity conducted in: a The organization's facility b An outside facility . . 13a 100 % 13b 0 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: Name ► 3 STEVE WINTON Address ► 1485 GULF TO BAY BLVD CLEARWATER, FL33755 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? . rYes 17 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 ► $ 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 r Employee r 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? . . 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 $ 730 Part IV . ryes P'No 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 Return Reference Explanation Schedule G (Form 990) 2022 Return to Form 1 Software ID: 22015720 Software Version: v1.00 SCHEDULE 0 (Form 990) Department of the Treasury Internal Revenue Service Supplemental Information to Form 990 or 990 -EZ Complete to provide information for responses to specific questions on Form 990 or 990 -EZ or to provide any additional information. I► Attach to Form 990 or 990 -EZ. PP Go to www.irs.gov/Form99O for the latest information. Name of the organization FRATERNAL ORDER OF EAGLES OMB No. 1545-0047 2021 Open to Public Inspection Employer identification number 23-7179824 Return Reference Explanation Form 990, Part VI, Section C, Line 19 COPIES OF RETURN ARE AVAILABLE UPON REQUEST For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990 -EZ. Cat. No. 51056K Schedule 0 (Form 990) 2021 Software ID: 22015720 Software Version: v1.00