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NON-PROFIT CULTURAL GRANT AGREEMENT
NON-PROFIT CULTURAL GRANT AGREEMENT This Non -Profit Cultural Grant or Partnership Agreement ("Agreement") is made as June 1 t , 2024 ("the Effective Date"), by and between THE CITY OF CLEARWATER, a municipal corporation ("City"), and FLING TOGETHER COLLECTIVE ("Applicant") (collectively, "Parties"). WITNESSETH: WHEREAS, on March 11, 2021, President Joseph Biden signed into law the American Rescue Plan Act of 2021 ("ARPA"), Pub. L. 117-2, a $1.9 trillion economic stimulus bill passed by the 117th United States Congress to aid the country with the economic and health effects of the COVID-19 pandemic; and WHEREAS, ARPA included a $350 billion Coronavirus State and Local Fiscal Recovery Funds ("SLFRF") program designed to assist state, local, and tribunal governments in their response to the COVID-19 pandemic; and WHEREAS, the City received a total of $22,483,893.00 under the SLFRF program in two equal tranches on May 19, 2021 and June 6, 2022; and WHEREAS, on August 4, 2022, at a duly -noticed City Council meeting, the Clearwater City Council approved funding allocations from the SLFRF program for twelve proposed project and program types; and WHEREAS, one such funding allocation was in the amount of $1,000,000.00 and made for non-profit cultural grants or partnerships ("the Program") which was intended to be used to provide grant funding to nonprofits and government entities for programs focused on arts and cultural opportunities in the community whose programming, services and/or attendance was negatively impacted because of the COVID-19 pandemic; and WHEREAS, on July 20, 2023, the City made available a second round of applications for the Program; and WHEREAS, on September 20, 2023, the City received an application ("the Application") from the Applicant, a true and correct copy of which is attached to this Agreement as "Exhibit A", requesting financial assistance under the program to host a series of workshops, performances, and community classes, aimed to celebrate and amplify the unique cultural tapestry of Clearwater and deliver free/low-cost educational and community opportunities for highland dancers while supporting initiatives and events that have a positive impact on our community. ("the Project"); and WHEREAS, the Application was evaluated and scored by a review committee who recommended approval of the Applicant's financial assistance for the Project request to the Clearwater City Council; and WHEREAS, on December 7, 2023, at a City Council meeting, the Clearwater City Council approved the review committee's recommendation and authorized the City's staff to negotiate a definitive grant agreement with the Applicant; and WHEREAS, the City finds that providing financial assistance for the Project is a permissible expenditure under the Program; and WHEREAS, the City finds that the Project promotes the general public welfare of the citizens of Clearwater; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereby agree as follows: 1. GENERAL 1. Recitals. The foregoing recitals are true and correct and are incorporated in and form a part of this Agreement. 2. Intent; Purpose of Agreement. The purpose of this Agreement is to further the implementation of the Program by providing for financial assistance to the non-profit for programs that focus on arts and culture including programming, targeting organizations that have been negatively impacted due to the COVID-19 pandemic. II. APPLICANT RESPONSIBILITIES 1. Implementation of the Project. The Applicant shall implement the Project in substantial conformity with the Application. 2. Bi -annual Reporting. The Applicant shall submit bi-annual reports accounting for all Program grant funds disbursed to the Applicant and subsequently used by the Applicant for purposes of the Project. Any Program grant funds disbursed by the City but not used by the Applicant by the Termination Date found in Section 9 shall be returned to the City 14 days after the Termination Date. III. CITY RESPONSIBILITIES 1. Grant Funding. The City shall provide grant funding in the amount of $5,000.00 (five thousand dollars) within 14 days after the Effective Date of this Agreement. 2. City Manager Word Final. The City Manager retains sole discretion to determine whether the Applicant has successfully submitted bi-annual reports as required by Section 11(2) If the City Manager or designee finds the Applicant has not successfully submitted one bi-annual report in compliance with Section 11(2), then the Parties agree that the City Manager's decision is final, this Agreement shall be null and void, the City shall not owe any additional grant money to the Applicant under the Program, the Applicant shall return the initial $5,000.00 originally disbursed to it plus default interest at rate of 10%, and the Applicant shall have no recourse against the City. IV. APPLICANT DEFAULT 1. Failure to Implement the Program. If the Applicant fails to implement the Project in substantial compliance with the Application as required by Section 11(1), then the Parties agree that the Applicant shall be in default under this Agreement. 2. Failure to Submit Bi -Annual Reporting. If the Applicant fails to submit bi-annual reports as required by Section 11(2), then the Parties agree that the Applicant shall be in default under this Agreement. 3. Application Misrepresentations. If the City determines, at any time and in the City's sole discretion, that any portion of the Application constituted a material misrepresentation, then the Parties agree that the Applicant shall be in default under this Agreement. 4. Other Events of Default. In addition to the foregoing, the occurrence of any one or more of the following after the Effective Date shall also constitute an event of default by the Applicant: A. The Applicant shall make a general assignment for the benefit of its creditors, or shall admit in writing its inability to pay its debts as they become due or shall file a petition in bankruptcy, or shall be adjudicated a bankrupt or insolvent, or shall file a petition seeking any reorganization, arrangement, composition, readjustment, liquidation, dissolution or similar relief under any present or future statute, law or regulation or shall file an answer admitting, or shall fail reasonably to contest, the material allegations of a petition filed against it in any such proceeding, or shall seek or consent to or acquiesce in the appointment of any trustee, receiver or liquidator of the Applicant or any material part of such entity's properties; or B. Within 60 days after the commencement of any proceeding by or against the Applicant seeking any reorganization, arrangement, composition, readjustment, liquidation, dissolution or similar relief under any present or future statute, law or regulation, such proceeding shall not have been dismissed or otherwise terminated, or if, within 60 days after the appointment without the consent or acquiescence of the Applicant of any trustee, receiver or liquidator of any of such entities or of any material part of any of such entity's properties, such appointment shall not have been vacated. 5. Notice of Default and Opportunity to Cure. The City shall provide written notice of any default under this Agreement and provide the Applicant 30 days from the date the notice is sent to cure the default. This notice will be deemed sent when sent by first class mail to the Applicant's notice address or when delivered to the Applicant if sent by a different means. 6. City Remedies. If, after notice and an opportunity to cure, the Applicant fails to cure any of the events of default listed in Section IV of this Agreement, then the Parties agree that: a) this Agreement shall be null and void; b) that the City will have no further responsibility to the Applicant, including the responsibility to tender any remaining Program grant funds to the Applicant; c) that any Program grant funds actually tendered by the City to the Applicant shall be returned to City along with default interest at a rate of 10% starting from the date of default; and d) the Applicant shall have no recourse against the City. V. MISCELLANEOUS 1. Notices. All notices, demands, requests for approvals or other communications given by either party to another shall be in writing, and shall be sent to the office for each party indicated below and addressed as follows: To the Applicant: Fling Together c/o Tampa Bay Highland Dancers 1969 Sunset Point Road Clearwater, FL 33765 Attention: Vice President To the City: City of Clearwater P.O. Box 4748 Clearwater, Florida 33758 Attention: City Clerk with copies to: City of Clearwater P.O. Box 4748 Clearwater, Florida 33758 Attention: City Attorney 2. Unavoidable Delay. Any delay in performance of or inability to perform any obligation under this Agreement (other than an obligation to pay money) due to any event or condition described in this Section as an event of "Unavoidable Delay" shall be excused in the manner provided in this Section. "Unavoidable Delay" means any of the following events or conditions or any combination thereof: acts of God, acts of the public enemy, riot, insurrection, war, pestilence, archaeological excavations required by law, unavailability of materials after timely ordering of same, building moratoria, epidemics, quarantine restrictions, freight embargoes, fire, lightning, hurricanes, earthquakes, tornadoes, floods, extremely abnormal and excessively inclement weather (as indicated by the records of the local weather bureau for a five year period preceding the Effective Date), strikes or labor disturbances, delays due to proceedings under Chapters 73 and 74, Florida Statutes, restoration in connection with any of the foregoing or any other cause beyond the reasonable control of the party performing the obligation in question, including, without limitation, such causes as may arise from the act of the other party to this Agreement, or acts of any governmental authority (except that acts of the City shall not constitute an Unavoidable Delay with respect to performance by the City). An application by any party hereto for an extension of time pursuant to this Section must be in writing, must set forth in detail the reasons and causes of delay, and must be filed with the other party to this Agreement within 30 days following the occurrence of the event or condition causing the Unavoidable Delay or 30 days following the party becoming aware (or with the exercise of reasonable diligence should have become aware) of such occurrence. The party shall be entitled to an extension of time for an Unavoidable Delay only for the number of days of delay due solely to the occurrence of the event or condition causing such Unavoidable Delay and only to the extent that any such occurrence actually delays that party from proceeding with its rights, duties and obligations under this Agreement affected by such occurrence. 3. Indemnification. The Applicant agrees to assume all risks of inherent in this Agreement and all liability therefore, and shall defend, indemnify, and hold harmless the City and the City's officers, agents, and employees from and against any and all claims of Toss, liability and damages of whatever nature, to persons and property, including, without limiting the generality of the foregoing, death of any person and loss of the use of any property. This includes, but is not limited to, matters arising out of or claimed to have been caused by or in any manner related to the Applicant's activities or those of any approved or unapproved invitee, contractor, subcontractor, or other person approved, authorized, or permitted by the Applicant whether or not based on negligence. Nothing herein shall be construed as consent by the City to be sued by third parties, or as a waiver or modification of the provisions or limits of Section 768.28, Florida Statutes or the Doctrine of Sovereign Immunity. 4. Assignability; Complete Agreement. This Agreement is non -assignable by either party and constitutes the entire Agreement between the Applicant and the City and all prior or contemporaneous oral and written agreements or representations of any nature with reference to the subject of the agreement are canceled and superseded by the provisions of this agreement. 5. Applicable Law and Construction. The laws of the State of Florida shall govern the validity, performance, and enforcement of this Agreement. This Agreement has been negotiated by the City and the Applicant, and the Agreement, including, without limitation, the Exhibits, shall not be deemed to have been prepared by the City or the Applicant, but by all equally. 6. Severability. Should any section or part of any section of this Agreement be rendered void, invalid, or unenforceable by any court of law, for any reason, such a determination shall not render void, invalid, or unenforceable any other section or any part of any section in this Agreement. 7. Amendments. This Agreement cannot be changed or revised except by written amendment signed by all parties hereto. 8. Jurisdiction and Venue. For purposes of any suit, action or other proceeding arising out of or relating to this Agreement, the parties hereto do acknowledge, consent and agree that venue thereof is Pinellas County, Florida. Each party to this Agreement hereby submits to the jurisdiction of the State of Florida, Pinellas County and the courts thereof and to the jurisdiction of the United States District Court for the Middle District of Florida, for the purposes of any suit, action or other proceeding arising out of or relating to this Agreement and hereby agrees not to assert by way of a motion as a defense or otherwise that such action is brought in an inconvenient forum or that the venue of such action is improper or that the subject matter thereof may not be enforced in or by such courts. If, at any time during the term of this Agreement, the Applicant is not a resident of the State of Florida or has no office, employee, City, registered agent or general partner thereof available for service of process as a resident of the State of Florida, or if any permitted assignee thereof shall be a foreign corporation, partnership or other entity or shall have no officer, employee, agent, or general partner available for service of process in the State of Florida, the Applicant hereby designates the Secretary of State, State of Florida, its agent for the service of process in any court action between it and the City arising out of or relating to this Agreement and such service shall be made as provided by the laws of the State of Florida for service upon a nonresident; provided, however, that at the time of service on the Florida Secretary of State, a copy of such service shall be delivered to the Applicant at the address for notices as provided in Section V(1). 9. Termination. If not earlier terminated as provided in this Agreement, the term of this Agreement shall expire and this Agreement shall no longer be of any force and effect on December 1, 2026. [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. Fling Together Collective By: if Elizabeth Constatine Vice President STATE OF FLORIDA COUNTY OF PINELLAS J The foregoing instrument was acknowledged before me this `day of 2024 by t r. zabati who is personally known to me or who has produced a driver's license as identification. My Commission expires: It J g l 7-132-r° NotaryP lic AZ"..".fi RALPH HOOGE. P. iV.= Conriaion A HH 330610 '- •.a#°' Expies No+*ntar 9.2026 i THE CITY OF CLEARWATER, a municipal corporation Lead Assistant City Attorney By: J Attest: Powder City Manager Lo_u_ 0 dt_ Rosemarie Call City Clerk C. Project Information Completed by flingtogether@gmail.com on 9/19/2023 1:34 PM Case Id: 15965 Name: Fling Together - 2023 Address: *No Address Assigned C. Project Information Please provide the following information. C.1. Project Description The Fling Together Collective, a registered 501(c)(3) nonprofit corporation, is embarking on a cultural initiative to enrich the city of Clearwater. Through a series of workshops, performances, and community classes, our organization aims to celebrate and amplify the unique cultural tapestry of Clearwater. A large part of our mission is to deliver free/low-cost educational and community opportunities for highland dancers while supporting initiatives and events that have a positive impact on our community. C.2. Project Goals (minimum 3 required) Fling Together's first goal is to organize a series of culturally immersive workshops, performances, and classes in Clearwater that invite Highland Dancers from around the country to both lead and participate in different events. Our second goal is to foster community engagement by promoting active participation through interactive workshops and classes that encourage community members to learn about Celtic culture and dance. Our third goal is to facilitate dialogues and cultural exchange in Clearwater by inviting guest artists and experts to lead workshops and performances that educate and inspire. C.3. Project Activities Organize workshops led by artists and experts in Highland Dancing. The goal of these workshops is to develop Highland Dancers into world-class performers, by honing skills such as choreography, stage presence, and storytelling. Host a cultural performance for the residents of Clearwater that allows dancers to showcase the skills they developed during the workshop sessions. Offer classes to the residents of Clearwater in Highland Dancing. These classes will provide residents with the opportunity to experience the rich cultural history of Highland Dancing and develop cross-cultural skills. C.4. Project Impact — Describe how the project/program benefits the Clearwater community. Residents will have the opportunity to explore and appreciate the cultural richness of dance through classes and performances. By promoting cultural activities, the project will attract visitors and boost the local economy by supporting local artists and businesses. It will put Clearwater on the map as a hub of culture and dance. Fling Together Collective will provide free/low-cost educational opportunities for highland dancers, nurturing their talents and passion. Printed By: Amber Brice on 11/30/2023 1 of 3 NNeighborty S sttWarr! The organization will actively support initiatives and events that have a positive impact on the Clearwater community, reinforcing its commitment to the city's well-being. The Fling Together Collective is dedicated to making Clearwater a hub for cultural diversity and exchange, where every resident can participate, learn, and celebrate the cultural richness that makes the city unique, all while supporting highland dancers and community initiatives. C.5. Project Alignment with Cultural Arts Strategic Plan (select one or more of the following) ❑ Strengthen the identity of neighborhoods through an investment in public art at the neighborhood level. ❑ Invest in iconic public art in strategic locations to bolster the public art experience. Q Implement programs that build the capacities of the arts and culture sector to be more unified in their vision toward the same goal. ❑ Define spaces in Clearwater that an investment in the arts can be concentrated for maximum impact. QSupport neighborhoods through broadening and diversifying arts experiences. C.6. Project Alignment with Greenprint 2.0 — Describe how the project/program supports the goals and objectives of Clearwater Greenprint 2.0 as it pertains to the following: • Education and Awareness • Green Energy and Buildings • Transportation • Livability • Water Conservation • Waste Reduction • Local Food • Green Economy n/a C.7. Project Evaluation • Describe how you will determine goals of the project are achieved. • Who will conduct the evaluation? • Who or what will the evaluation target? • What methods will be used to collect participant feedback? (surveys, evaluation forms, interviews, etc.) • When will you collect this information? • How will you use this information for future programs? Our goals will be evaluated by our board members and mentors of our organization. Our goals will be measured in the number of dancers who participate in the program, the number of attendees at the performance that is presented, and the number of participants in the public classes that we offer. Printed By: Amber Brice on 11/30/2023 2 of 3 NNeighborly SoftvJ,ary D. Funding Request Completed by flingtogether@gmail.com on 9/20/2023 12:56 PM Case Id: 15965 Name: Fling Together - 2023 Address: *No Address Assigned D. Funding Request Please provide the following information. D.1. Funding Request Table If you selected "Other" please provide expenses in detail Costumes, stage lighting, music royalties etc. for staged performance. D.2. City of Clearwater Cultural Affairs Nonprofit grant funds requested? Note: Allocation of the grant funds will be paid on a case-by-case basis after consulting with awardees their need for the funds. $12,700.00 D.3. Does this project/program anticipate the use of funds or assistance from other organizations? No D.4. Describe your plans to use other funds on this project. In this section, only describe funds that are secured. Provide the source of funds, amounts, and how these funds will be used. n/a Printed By: Amber Brice on 6/10/2024 Neighborly So 1 of 2 Project Estimate Funding Request Amount From Other Funding Sources Source of Other Funding Personnel: Administrative $500.00 $500.00 $0.00 Personnel: Programmatic $7,000.00 $7,000.00 $0.00 Outside Fees and Services: Administrative $200.00 $200.00 $0.00 Outside Fees and Services: Programmatic $500.00 $500.00 $0.00 Outside Fees and Services: Other $100.00 $100.00 $0.00 Space Rental $3,000.00 $3,000.00 $0.00 Marketing $200.00 $200.00 $0.00 Other $1,000.00 $1,000.00 $0.00 For Projects: Utility Costs $200.00 $200.00 $0.00 $12,700.00 $12,700.00 $0.00 If you selected "Other" please provide expenses in detail Costumes, stage lighting, music royalties etc. for staged performance. D.2. City of Clearwater Cultural Affairs Nonprofit grant funds requested? Note: Allocation of the grant funds will be paid on a case-by-case basis after consulting with awardees their need for the funds. $12,700.00 D.3. Does this project/program anticipate the use of funds or assistance from other organizations? No D.4. Describe your plans to use other funds on this project. In this section, only describe funds that are secured. Provide the source of funds, amounts, and how these funds will be used. n/a Printed By: Amber Brice on 6/10/2024 Neighborly So 1 of 2 D.5. Describe your plans to seek new funding to supplement ARPA funding. Describe the sources to which you will apply, the amounts sought, and the proposed use of those funds. We will also seek from other non-profit organizations that support Highland Dance. D.6. What will happen if this project is not funded? We will continue to offer programming to develop dancers through online platforms at the dancers' expense. D.7. What will happen if this project is partially funded? We will scale back the project to the level of funding provided. Printed By: Amber Brice on 6/10/2024 2 of 2 PVei€yhl »riv S,ftwdie We will survey participants to learn what was most beneficial for them in terms of development and what opportunities we have to improve in the future. We will collect anonymous feedback via online surveys. The results of this information will help us shape future programming. C.B. Identify the timeline for implementation of the proposed project/program. We will take 6-12 months to develop the program and to promote it. Then, dancers will be in Clearwater for 2 weeks of classes, workshops, and rehearsals. We will present a performance to the public at the end of the 2 -week period. C.9. Sustainability — Describe plans to sustain the project/program after grant funds are expended. We will maintain relationships with dancers, community members, and mentors through online media. C.10. Routine Maintenance and Utility Costs — If funding is requested for a capital or infrastructure project, provide the anticipated routine maintenance, including utility costs. There is no routine maintenance or utility cost associate with the program. C.11. Fiscal Condition — Describe the fiscal condition of your organization as it relates to the successful completion of the project/program proposed. A program like this will help establish Fling Together Collective in the space of development of Highland Dancers for performance opportunities. C.12. Organization's Fiscal Year February 1-January3l C.13. Organizational Operating Budget Summa Expenses Total Cash Expenses In -Kind Contributions Total Operating Expenses 3500 $1,233.13 $0.00 $1,233.13 Income Total Cash Income In -Kind Contributions Total Operating Income 3500 $2,151.00 $0.00 $2,151.00 Printed By: Amber Brice on 11/30/2023 3 of 3 HNei i7'aos'iy �<a Submit Completed by flingtogether@gmail.com on 9/20/2023 3:31 PM Case Id: 15965 Name: Fling Together - 2023 Address: *No Address Assigned Submit Please provide the following information. The submitted Application, including attachments, is subject to disclosure under Florida's public records law subject to limited applicable exemptions. Applicant acknowledges, understands, and agrees that, except as noted below, all information in its application and attachments will be disclosed, without any notice to Applicant, if a public records request is made for such information, and the City will not be liable to Applicant for such disclosure. QSocial security numbers are collected, maintained and reported by the City to be in compliance with IRS 1099 reporting requirements and are exempt from public records pursuant to Florida Statutes §119.071. QIf Applicant believes that information in its application, including attachments, contains information that is confidential and exempt from disclosure, Applicant must include a general description of the information and provide reference to the Florida statute or other law which exempts such designated information from disclosure in the event of a public records request. The City does not warrant or guarantee that information designated by Applicant as exempt from disclosure is in fact exempt, and if the City disagrees, it will make such disclosures in accordance with its sole determination as to the applicable law. QI certify that, I am authorized to submit this application on behalf of the business, the information provided in this application is true and accurate to the best of my ability, and no false or misleading statements have been made in order to secure approval of this application. You are authorized to make all the inquiries you deem necessary to verify the accuracy of the information contained herein. Additionally, applicant agrees that in the event that money is provided pursuant to this application, the City or its agent shall be entitled to access and audit such records as may be necessary to prevent fraud in this process or ensure compliance with federal requirements. Under penalties of perjury, I declare that I have read the foregoing application and that the facts stated in it are true. I understand that knowingly making a false written declaration may be charged as a felony of the third degree. Applicant Name Elizabeth Constantine Applicant Title Vice President/Fling Together Collective Elizabeth Constantine i~I Ener y f it og t#> + nt ii,ccu t on /20/2023 3:31 PM Printed By: Amber Brice on 6/10/2024 1 of 2 H Neighborly Software Date 09/20/2023 Printed By: Amber Brice on 6/10/2024 2 of 2 NNeighborly Software E. Required Documentation Completed by flingtogether@gmail.com on 9/20/2023 3:28 PM Case Id: 15965 Name: Fling Together - 2023 Address: *No Address Assigned E. Required Documentation Please provide the following information. QAwardees must use all ARPA grant funds towards the proposed project/program. QAwardees must keep a record of all grant materials on file for six years. This includes the grant application, budget, quarterly reports, and evaluation documentation. The City of Clearwater may request access to these records at any time during the six-year retention period. Q Quarterly reports must be submitted to City of Clearwater through Neighborly to update the progress of the project/program. Failure to submit the required reporting may result in forfeiture of awarded funds. INSURANCE INFORMATION Insurance is required for all funded activities. Select each insurance instrument that your agency currently carries. (Specific insurance requirements will be determined during the city's application review process. You are not required to purchase these or additional insurances at this time.) Q General Liability - Bodily Injury ($500,000/ per person/per occurrence) ▪ General Liability - Property Damage ($100,000/per occurrence) Q Workers' Compensation (Per State of Florida Law) Q Flood Insurance if applicable Q Employee Fraud (Losses due to fraud/theft/physical damage) Q Professional Liability FOR MORE INFORMATION ABOUT REQUIRED DOCUMENTATION, PLEASE REFER TO THE TEXT BELOW. Q Completed W-9 form for organization. DBA, Tax ID Number (or Social Security Number for sole proprietor), and Mailing Address for Grant Check MUST MATCH ENTRIES IN GENERAL INFORMATION SECTION Q If incorporated, copy of "active" state business registration from Florida Division of Corporations • Search by "Entity Name" here (use full legal business name), select listing with "Active" Status, and attach most recent filing as a screenshot; or Printed By: Amber Brice on 6/10/2024 1 of 3 ,Neisilbot`ly SOfC`h'<i Ck_' • If not required to register with Florida Division of Corporations, attach documentation showing the organization was operating prior to October 1, 2022 and meets all regulatory requirements of the City of Clearwater. Q For 501(c)(3) Organizations, a copy of your certificate must be uploaded. Q Financials • A copy of last fiscal year budget is required. Q Current Clearwater Business Tax Receipt (BTR), if applicable. Note that certain organizations are not required to file a BTR. Q Proof of insurance (General Liability (Bodily Injury and/or Property Damage, Workers Compensation, Flood Insurance (if applicable), Employee Fraud, Professional Liability) Documentation W-9 Form *Required FTC CO Articles of Incorporation .pdf ErActive State Business Registration, local business registration/license, or 501(c)(3) certificate *Required U.S. Postal Service.pdf OFFICE OF THE SECRETARY OF STATE.pdf LI Financials *Required FTC Budget 2023 - Nonprofit Operating Budget.pdf ❑ Current Clearwater Business Tax Receipt **No files uploaded Printed By: Amber Brice on 6/10/2024 2 of 3 Neiphboriy Softvv.ar: ❑ Proof of Insurance **No files uploaded ▪ Form 990 *Required 1023EZ.pdf FinalLetter_92-2056734_FLINGTOGETHERCOLLECTIVE_06062023_00 (1) (1).pdf Q Other Documentation to Support Answers in Application Letter. pdf Printed By: Amber Brice on 6/10/2024 3 of 3 N Nein>or ?y A�"� �® `�v� CERTIFICATE OF LIABILITY INSURANCE DATE (YYYY) 06/06/2026/202 4 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 Verifly Insurance Services, LLC DBA Thimble Insurance Services 174 West 4th Street, Suite 204 York, NY 10014 https://support.thimble.com/ CONTACT THIMBLE htts //su ort.thimble.com/ NAME: p pp PHONE FAX (A/C. No. Ext): (A/C, No): E-MNew ADDRESS: support@thimble.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Specialty Insurance Company X 22608 INSURED Fling Together Collective 4455 S Galapago St, Englewood, CO, 80110 flingtogether@gmail.com INSURER B : INSURER C : X INSURER D : DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER E : INSURER F : https://www.thimble.com/check-policy-status/ MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: 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 N SUBR WVD N POLICY NUMBER IBL-F32DRHSP2 POLICY EFF (MM/DD/YYYY) 06/06/2024 7:37 PM EDT POLICY EXP (MM/DD/YYYY) 07/01/2024 11:59 PM EDT LIMITS EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ 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 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (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 $ $ $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space isrequired) (con't on form Acord 101) CERTIFICATE HOLDER CANCELLATION Elizabeth Constantine Fling Together Collective SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ykr4 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® AGENCY CUSTOMER ID: flingtOgether@gmail.COm LOC #: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Verifly Insurance Services, LLC DBA Thimble Insurance Services POLICY NUMBER IBL-F32DRHSP2 CARRIER National Specialty Insurance Company NAIC CODE 22608 NAMED INSURED Fling Together Collective 4455 S Galapago St, Englewood, CO, 80110 flingtogether@gmail.com EFFECTIVE DATE: 06/06/2024 7:37 PM EDT ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: Acord 25 FORM TITLE. Certificate of Liability Insurance Description of Operations (con't) Episodic Coverage (THSN CG 02 03 02 21) for policy number IBL-F32DRHSP2 until 07/01/2025 11:59 PM EDT ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACGRO® v CERTIFICATE OF LIABILITY INSURANCE DATE (602YYI) 06/06/2024 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 Verifly Insurance Services, LLC DBA Thimble Insurance Services 174 West 4th Street, Suite 204 New York, NY 10014 https://support.thimble.com/ CONTACT NAME: THIMBLE https://support.thimble.com/ PHONE FAX (A/C. No. Ext): (A/C, No): ADDRESS: support@thimble.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Specialty Insurance Company COMMERCIAL GENERAL LIABILITY 22608 INSURED Fling Together Collective 4455 S Galapago St, Englewood, CO, 80110 flingtogether@gmail.com INSURER B : INSURER C : 07/01/2024 11:59 PM EDT INSURER D : $ 1,000,000 INSURER E : INSURER F : https://Www.thimble.com/check-policy-status/ X COVERAGES CERTIFICATE 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 (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y IBL-F32DRHSP2 06/06/2024 7:37 PM EDT 07/01/2024 11:59 PM EDT EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TOU RENTED PREMISES (Ea occurrence) $ 100.000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ 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 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (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 $ $ $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space isrequired) (con't on form Acord 101) CERTIFICATE HOLDER CANCELLATION City of Clearwater am ber. brice@ myclearwater.co m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ykr4 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD® AGENCY CUSTOMER ID: flingtogether@gmail.com LOC #: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Verifly Insurance Services, LLC DBA Thimble Insurance Services POLICY NUMBER IBL-F32DRHSP2 CARRIER National Specialty Insurance Company NAIC CODE 22608 NAMED INSURED Fling Together Collective 4455 S Galapago St, Englewood, CO, 80110 flingtogether@gmail.com EFFECTIVE DATE: 06/06/2024 7:37 PM EDT ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: Acord 25 FORM TITLE: Certificate of Liability Insurance Description of Operations (con't) Episodic Coverage (THSN CG 02 03 02 21) for policy number IBL-F32DRHSP2 until 07/01/2025 11:59 PM EDT ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Form WV -9 (Rev. March 2024) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. Print or type. See Specific Instructions on page 3. 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.) Fling Together Collective 2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) II IndividuaVsole proprietor i• C corporation • S corporation • Partnership • Trust/estate . . • LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check box for the tax classification of its owner. for the tax the appropriate Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) P3 Other (see instructions) nonprofit coporation exempt under IRS Code 501(c)(3) 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, this box if you have any foreign partners, owners, or beneficiaries. See instructions classification, check (�P lies to accounts maintained outside the United States.) . 5 Address (number, street, and apt, or suite no.). See instructions. 1969 Sunset Point Road Requester's name and address (optional) 6 City, state, and ZIP code Clearwater, FL 33765 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. Part II Social security number or Employer identification number 9 2 2 0 5 6 7 3 4 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Signature of Here us. person -> Date 5/26/2024 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. What's New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification. New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024) Form W-9 (Rev. 3-2024) Page 2 must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid). • Form 1099 -DIV (dividends, including those from stocks or mutual funds). • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds). • Form 1099 -NEC (nonemployee compensation). • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers). • Form 1099-S (proceeds from real estate transactions). • Form 1099-K (merchant card and third -party network transactions). • Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition). • Form 1099-C (canceled debt). • Form 1099-A (acquisition or abandonment of secured property). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Caution: If you don't return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued); 2. Certify that you are not subject to backup withholding; or 3. Claim exemption from backup withholding if you are a U.S. exempt payee; and 4. Certify to your non -foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and 5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What Is FATCA Reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441-1474). Under those rules, if a Form W-9 or other certification of non -foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities. The following persons must provide Form W-9 to the payor for purposes of establishing its non -foreign status. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity. • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust. • In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust. See Pub. 515 for more information on providing a Form W-9 or a certification of non -foreign status to avoid withholding. Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a qualified foreign pension fund under Regulations section 1.897(0-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non -foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non -foreign status). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if their stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and is relying on this exception to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called "backup withholding." Payments that may be subject to backup withholding include, but are not limited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third -party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester; 2. You do not certify your TIN when required (see the instructions for Part II for details); 3. The IRS tells the requester that you furnished an incorrect TIN; 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or 5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under "By signing the filled - out form" above (for reportable interest and dividend accounts opened after 1983 only). Form 990 -PF Department of the Treasury Internal Revenue Service Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation Do not enter social security numbers on this form as it may be made public. Go to www.irs.gov/Form990PF for instructions and the latest information. OMB No. 1545-0047 20023 Open to Public Inspection For calendar year 2023 or tax year beginning February 01 Name of foundation FLING TOGETHER COLLECTIVE Number and street (or P.O. box number if mail is not delivered to street address) 4455 S GALAPAGO ST City or town, state or province, country, and ZIP or foreign postal code ENGLEWOOD, CO 80110-5626 , 2023, and ending January 31 A Employer identification number 92-2056734 ,2024 Room/suite B Telephone number (see instructions) 858-531-9464 G Check all that apply: ❑✓ Initial return 0 Initial return of a former public charity ❑ Final return ❑ Amended return O Address change ❑ Name change H Check type of organization: 0 Section 501(c)(3) exempt private foundation 0 Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundation I Fair market value of all assets at end of year (from Part II, col. (c), line 16) $ 1, 850 Part I Operating and Administrative Expenses J Accounting method: ❑✓ Cash 0 Accrual 0 Other (specify) (Part I, column (d), must be on cash basis. C If exemption application is pending, check here . ❑ D 1. Foreign organizations, check here . . . ❑ 2. Foreign organizations meeting the 85% test, check here and attach computation . . ❑ E If private foundation status was terminated under section 507(b)(1)(A), check here 0 F If the foundation is in a 60 -month termination under section 507(b)(1)(B), check here . . .❑ Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) 1 Contributions, gifts, grants, etc., received (attach schedule) 2 Check ❑✓ if the foundation is not required to attach SchB 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities 5a Gross rents b Net rental income or (loss) o 6a Net gain or (loss) from sale of assets not on line 10 b Gross sales price for all assets on line 6a o 7 Capital gain net income (from Part IV, line 2) . . 8 Net short-term capital gain 9 Income modifications 10a Gross sales less returns and allowances 0 b Less: Cost of goods sold o c Gross profit or (loss) (attach schedu e) 11 Other income (attach schedule) 12 Total. Add lines 1 through 11 13 Compensation of officers, directors, trustees, etc 14 Other employee salaries and wages 15 Pension plans, employee benefits 16a Legal fees (attach schedule) b Accounting fees (attach schedule) c Other professional fees (attach schedule) . 17 Interest 18 Taxes (attach schedule) (see instructions) . 19 Depreciation (attach schedule) and depletion 20 Occupancy 21 Travel, conferences, and meetings 22 Printing and publications 23 Other expenses (attach schedule) 24 Total operating and administrative expenses. Add lines 13 through 23 25 Contributions, gifts, grants paid 26 Total expenses and disbursements. Add lines 24 and 25 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements b Net investment income (if negative, enter -0-) . c Ad'usted net income if ne•ative, enter -0- For Paperwork Reduction Act Notice, see instructions. (a) Revenue and expenses per books 3,957 (b) Net investment income (c) Adjusted net income (d) Disbursements for charitable purposes (cash basis only) 3,957 0 165 0 165 621 0 0 746 0 0 1,532 0 165 535 535 2,067 1,890 700 Cat. No. 11289X Form 990 -PF (2023) Form 990 -PF (2023) Page 2 Part II Balance Sheets Attached schedules and amounts in the description column Beginning of year End of year should be for end -of -year amounts only. (See instructions.) (a) Book Value (b) Book Value (c) Fair Market Value Assets 1 Cash—non-interest-bearing 2 Savings and temporary cash investments 3 Accounts receivable o Less: allowance for doubtful accounts 4 Pledges receivable Less: allowance for doubtful accounts 0 1, 850 0 0 o 0 0 0 " 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions) . 7 Other notes and loans receivable (attach schedule) Less: allowance for doubtful accounts 0 0 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10a Investments—U.S. and state government obligations (attach schedule) b Investments—corporate stock (attach schedule) c Investments—corporate bonds (attach schedule) . . . 11 Investments—land, buildings, and equipment: basis Less: accumulated depreciation (attach schedule) o 0 o 0 12 Investments—mortgage loans 13 Investments—other (attach schedule) 14 Land, buildings, and equipment: basis Less: accumulated depreciation (attach schedule) 0 0 15 Other assets (describe 16 Total assets (to be completed by all filers—see the instructions. Also, see page 1, item I) 0 1,850 1,850 Liabilities I 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payable (attach schedule) . . 22 Other liabilities (describe ) 23 Total liabilities (add lines 17 through 22) 40 `, 40 0 �� Net Assets or Fund Balances I Foundations that follow FASB ASC 958, check here and (40) 1,850 complete lines 24, 25, 29, and 30 D� 24 Net assets without donor restrictions 25 Net assets with donor restrictions Foundations that do not follow FASB ASC 958, check,, 0 0�� here and complete lines 26 through 30 ■ 26 Capital stock, trust principal, or current funds 27 Paid -in or capital surplus, or land, bldg., and equipment fund 28 Retained earnings, accumulated income, endowment, or other funds 29 Total net assets or fund balances (see instructions) . . 30 Total liabilities and net assets/fund balances (see instructions) .e (40) 1,850 0 1, 850 Part Ill Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end -of -year figure reported on prior year's return) 2 Enter amount from Part I, line 27a 3 Other increases not included in line 2 (itemize) 4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize) 6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 . . 1 (40) 2 1, 890 3 4 1, 850 5 6 1, 850 Form 990 -PF (2023) Form 990 -PF (2023) Page 3 Part IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (for example, real estate, 2 -story brick warehouse; or common stock, 200 shs. MLC Co.) (b) How acquired —Purchase D—Donation (c) Date acquired (mo., day, yr.) (d) Date sold (mo., day, yr.) 1a b c d e (e) Gross sales price (f) Depreciation allowed (or allowable) (g) Cost or other basis plus expense of sale (h) Gain or (loss) ((e) plus (f) minus (g)) a b c d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69. (I) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col. (h)) (i)FMV as of 12/31/69 Q) Adjusted basis as of 12/31/69 (k) Excess of col. (i) over col. (j), if any a b c d e 2 Capital gain net income or (net capital loss) 3 Net short-term capital gain or (loss) as defined If gain, also enter in Part I, line 8, column (c) Part I, line 8 If gain, also enter in Part I, line 7 { If (loss), enter -0- in Part I, line 7 in sections 1222(5) and (6): See instructions. If (loss), enter -0- in } } 2 3 Part V Excise Tax Based on Investment Income (Section 4940(a), 4940(b), or 4948—see instructions) la Exempt operating foundations described in section 4940(d)(2), check here Date of ruling or determination letter: (attach copy of letter b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt 4% (0.04) of Part I, line 12, col. (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations 3 Add lines 1 and 2 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations 5 Tax based on investment income. Subtract line 4 from line 3. If zero 6 Credits/Payments:; a 2023 estimated tax payments and 2022 overpayment credited to 2023 • and enter if necessary—see foreign or less, enter . . "N/A" organizations, only; only; -0- 6a on line 1. instructions) enter others, enter -0-) others, enter -0-) o 1 2 0 0 3 0 4 0 5 7 0 0 b Exempt foreign organizations—tax withheld at source 6b o c Tax paid with application for extension of time to file (Form 8868) . . . . 6c o.: d Backup withholding erroneously withheld 6d 0% 7 Total credits and payments. Add lines 6a through 6d 8 Enter any penalty for underpayment of estimated tax. Check here 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount 10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter 11 Enter the amount of line 10 to be: Credited to 2024 estimated tax ■ if Form 2220 is attached . owed the amount overpaid . . . 0 Refunded • 8 0 9 0 10 0 11 0 Form 990 -PF (2023) Form 990 -PF (2023) Part VI -A 1a Page 4 Statements Regarding Activities During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? b Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions for the definition If the answer is "Yes" to la or lb, attach a detailed description of the activities and copies of any materials published or distributed by the foundation in connection with the activities. c Did the foundation file Form 1120-POL for this year? d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the foundation. $ (2) On foundation managers. $ e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers. $ 2 Has the foundation engaged in any activities that have not previously been reported to the IRS? If "Yes," attach a detailed description of the activities. 3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes 4a Did the foundation have unrelated business gross income of $1,000 or more during the year? b If "Yes," has it filed a tax return on Form 990-T for this year? 5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? If "Yes," attach the statement required by General Instruction T. 6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either: • By language in the governing instrument, or • By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain in the governing instrument'? 7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XIV 8a Enter the states to which the foundation reports or with which it is registered. See instructions. Co b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990 -PF to the Attorney General (or designate) of each state as required by General Instruction G? If "No," attach explanation 9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 2023 or the tax year beginning in 2023? See the instructions for Part XIII. If "Yes," complete Part XIII 10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses 11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions 12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges? If "Yes," attach statement. See instructions 13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? Website address ftcdance . com 14 The books are in care of Alexa Smith Anderson Telephone no. (858) 531-9464 Located at 4455 S GALAPAGO ST, ENGLEWOOD, CO ZIP+4 80110-5626 15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 -PF in lieu of Form 1041—check here and enter the amount of tax-exempt interest received or accrued during the year 115 16 At any time during calendar year 2023, did the foundation have an interest in or a signature or other authority over a bank, securities, or other financial account in a foreign country? See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes," enter the name of the foreign country Form 990 -PF (2023) Form 990 -PF (2023) Part VI -B Pages Statements Regarding Activities for Which Form 4720 May Be Required File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. la During the year, did the foundation (either directly or indirectly): (1) Engage in the sale or exchange, or leasing of property with a disqualified person? (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person'? (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? (5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person) (6) Agree to pay money or property to a government official? (Exception. Check "No" if the foundation agreed to make a grant to or to employ the official for a period after termination of government service, if terminating within 90 days.) b If any answer is "Yes" to 1a(1)—(6), did any of the acts fail to qualify under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions . . c Organizations relying on a current notice regarding disaster assistance, check here E d Did the foundation engage in a prior year in any of the acts described in 1 a, other than excepted acts, that were not corrected before the first day of the tax year beginning in 2023? 2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation defined in section 4942(j)(3) or 4942(j)(5)): a At the end of tax year 2023, did the foundation have any undistributed income (Part XII, lines 6d and 6e) for tax year(s) beginning before 2023? If "Yes," list the years 20 , 20 , 20 , 20 b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to all years listed, answer "No" and attach statement—see instructions.) c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here. 20 , 20 , 20 , 20 3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? b If "Yes," did it have excess business holdings in 2023 as a result of (1) any purchase by the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5 -year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20 -year first phase holding period? (Use Form 4720, Schedule C, to determine if the foundation had excess business holdings in 2023 ) 4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2023' 1a(1) 1a(2) 1a(3) 1a(4) 1a(5) 1a(6) 4b Form 990 -PF (2023) Form 990 -PF (2023) Part VI -B Page 6 Statements Regarding Activities for Which Form 4720 May Be Required (continued) 5a During the year, did the foundation pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? (2) Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive? (3) Provide a grant to an individual for travel, study, or other similar purposes? (4) Provide a grant to an organization other than a charitable, etc., organization described in section 4945(d) (4)(A)? See instructions (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions . . c Organizations relying on a current notice regarding disaster assistance, check here d If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax because it maintained expenditure responsibility for the grant? If "Yes," attach the statement required by Regulations section 53.4945-5(d). 6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . 6b If "Yes" to 6b, file Form 8870. 7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? b If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction? 8 Is the foundation 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? 8 V Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors Part VII 1 List all officers, directors, trustees, and foundation managers and their compensation. See instructions. (a) Name and address (b) Title, and average hours per week devoted to position (c) Compensation (If not paid, enter -0-) (d) Contributions to employee benefit plans and deferred compensation (e) Expense account, other allowances Alexa Smith Anderson 4455 S Galapago St, Englewood, CO 80110 President Treasurer 20 0 0 0 Kate Cassidy 1674 WEBSTER ST, Birmingham, MI 48009 Secretary 5 0 0 0 Elizabeth Constantine 941 SANTA MONICA DRIVE, Dunedin, FL 48009 Vice President 5 0 0 0 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter "NONE." (a) Name and address of each employee paid more than $50,000 (b) Title, and average hours per week devoted to position (c) Compensation (d) Contributions to employee benefit plans and deferred compensation (e) Expense account, other allowances NONE Total number of other employees paid over $50,000 . . . Form 990 -PF (2023) Form 990 -PF (2023) Part VII Page 7 Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued) Five highest-paid independent contractors for professional services. See instructions. If none, enter "NONE." (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation NONE Total number of others receiving over $50,000 for professional services Part VIII -A Summary of Direct Charitable Activities List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses 1 Community Dance Workshops - Free dance classes available to the community via zoom. were given honorariums for their time 165 Part VIII -B Summary of Program -Related Investments (see instructions) Describe the two largest program -related investments made by the foundation during the tax year on lines 1 and 2. Amount 1 All other program -related investments. See instructions. 3 Total. Add lines 1 through 3 Form 990 -PF (2023) Form 990 -PF (2023) Part IX Page 8 Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.) Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes: a Average monthly fair market value of securities b Average of monthly cash balances c Fair market value of all other assets (see instructions) d Total (add lines 1 a, b, and c) e Reduction claimed for blockage or other factors reported on lines 1a and 1 c (attach detailed explanation) is b is 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line 1d 4 Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see instructions) 5 Net value of noncharitable-use assets. Subtract line 4 from line 3 6 5 0 Minimum investment return. Enter 5% (0.05) of line 5 6 Distributable Amount (see instructions) (Section 49420)(3) and (j)(5) private operating foundations and certain foreign organizations, check here L and do not complete this part.) 1 Minimum investment return from Part IX, line 6 Part X 0 1 0 2a Tax on investment income for 2022 from Part V, line 5 2a 0 b Income tax for 2022. (This does not include the tax from Part V.) 0 c Add lines 2a and 2b 2c 3 Distributable amount before adjustments. Subtract line 2c from line 1 3 4 Recoveries of amounts treated as qualifying distributions 4 5 Add lines 3 and 4 5 6 Deduction from distributable amount (see instructions) 6 7 2b 7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 Qualifying Distributions (see instructions) 1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes: a Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 b Program -related investments—total from Part VIII -B 2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 3 Amounts set aside for specific charitable projects that satisfy the: a Suitability test (prior IRS approval required) b Cash distribution test (attach the required schedule) 4 Qualifying distributions. Add lines 1 a through 3b. Enter here and on Part XII, line 4 Part XI 0 0 0 0 0 0 is 700 1b 0 2 1,246 3a 0 3b 4 1,946 Form 990 -PF (2023) Form 990 -PF (2023) Part XII Page 9 Undistributed Income (see instructions) 1 Distributable amount for 2023 from Part X, line 7 2 Undistributed income, if any, as of the end of 2023: a Enter amount for 2022 only b Total for prior years: 20 21 , 20 20 , 20 19 3 Excess distributions carryover, if any, to 2023: a From 2018 0 b From 2019 c From 2020 d From 2021 e From 2022 f Total of lines 3a through e 4 Qualifying distributions for 2023 from Part XI, line 4: $ 1, 946 a Applied to 2022, but not more than line 2a . b Applied to undistributed income of prior years (Election required—see instructions) . . . c Treated as distributions out of corpus (Election required—see instructions) d Applied to 2023 distributable amount . e Remaining amount distributed out of corpus 5 Excess distributions carryover applied to 2023 (If an amount appears in column (d), the same amount must be shown in column (a).) . . 6 Enter the net total of each column as indicated below: a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 b Prior years' undistributed income. Subtract line 4b from line 2b c Enter the amount of prior years' undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed . . . . d Subtract line 6c from line 6b. Taxable amount—see instructions e Undistributed income for 2022. Subtract line 4a from line 2a. Taxable amount—see instructions f Undistributed income for 2023. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2024 7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required—see instructions) 8 Excess distributions carryover from 2018 not applied on line 5 or line 7 (see instructions) . 9 Excess distributions carryover to 2024. Subtract lines 7 and 8 from line 6a . . 10 Analysis of line 9: a Excess from 2019 . . b Excess from 2020 . . c Excess from 2021 . . e Excess from 2022 . . e Excess from 2023 . (d) 2023 Form 990 -PF (2023) Form 990 -PF (2023) Part XIII la Page 10 Private Operating Foundations (see instructions and Part VI -A, question 9) If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2023, enter the date of the ruling NA b Check box to indicate whether the foundation is a private operating foundation described in section 2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part IX for each year listed b 85% (0.85) of line 2a c Qualifying distributions from Part XI, line 4, for each year listed . . . . d Amounts included in line 2c not used directly for active conduct of exempt activities . . e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c . . . 3 Complete 3a, b, or c for the alternative test relied upon: a "Assets" alternative test—enter: (1) Value of all assets (2) Value of assets qualifying under section 4942(j)(3)(B)(i) . . . . b "Endowment" alternative test—enter 2/3 of minimum investment return shown in Part IX, line 6, for each year listed . c "Support" alternative test—enter: (1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) . . . . (2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii) . . . . (3) Largest amount of support from an exempt organization . . . Part (4) Gross investment income . . . XIV Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at any time during the year—see instructions.) 4942(j)(3) or 4942(j)(5) Tax year Prior 3 years (e) Total (a) 2023 (b) 2022 (c) 2021 (d) 2020 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).) b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest. 2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here ❑ if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the foundation makes gifts, grants, etc., to individuals or organizations under other conditions, complete items 2a, b, c, and d. See instructions. a The name, address, and telephone number or email address of the person to whom applications should be addressed: b The form in which applications should be submitted and information and materials they should include: c Any submission deadlines: d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors: Form 990 -PF (2023) Form 990 -PF (2023) Part XIV Page 11 Supplementary Information (continued) 3 Grants and Contributions Paid During the Year or Approved for Future Payment Form 990 -PF (2023) Recipient If recipient is an individual, show any relationship to any foundation manager or substantial contributor Foundation status of recipient Purpose of grant or contribution Amount Name and address (home or business) a Paid during the year Total 3a b Approved for future payment Total 3b Form 990 -PF (2023) Form 990 -PF (2023) Page 12 Part XV -A Enter gr 1 Pro a b c d e f g 2 Me 3 Inte 4 Div 5 Nei a b 6 Nei 7 Ot 8 Gai 9 Nei 10 Grc 11 OtI- b c d e 12 Su 13 Total. Add line 12, columns (b), (d), and (e) (See worksheet in line 13 instructions to verify calculations.) Analysis of Income -Producing Activities GS amounts unless otherwise indicated. gram service revenue: Unrelated business income Excluded by section 512, 513, or 514 (e) Related or exempt function income (See instructions.) (a) Business code (b) Amount (c) Exclusion code (d) Amount Fees and contracts from government agencies mbership dues and assessments . . . . rest on savings and temporary cash investments idends and interest from securities . . . . rental income or (loss) from real estate: Debt-financed property Not debt-financed property rental income or (loss) from personal property ger investment income i or (loss) from sales of assets other than inventory income or (loss) from special events . . . ss profit or (loss) from sales of inventory . . ger revenue: a )total. Add columns (b), (d), and (e) . . Part XV -B Line No. 13 Relationship of Activities to the Accomplishment of Exempt Purposes Explain below how each activity for which income is reported in column (e) of Part XV -A contributed importantly to the accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes). (See instructions.) Form 990 -PF (2023) Form 990 -PF (2023) Part XVI Page 13 Information Regarding Transfers to and Transactions and Relationships With Noncharitable Exempt Organizations 1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting foundation to a noncharitable exempt organization of: (1) Cash (2) Other assets b Other transactions: (1) Sales of assets to a noncharitable exempt organization (2) Purchases of assets from a noncharitable exempt organization (3) Rental of facilities, equipment, or other assets (4) Reimbursement arrangements (5) Loans or loan guarantees (6) Performance of services or membership or fundraising solicitations c Sharing of facilities, equipment, mailing lists, other assets, or paid employees d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received. No 1a(1) 1 a(2) 1b(1) V 1 b(2) 1 b(3) 1 b(4) 1 b(5) 1 b(6) 1c (a) Line no. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements 2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) (other than section 501(c)(3)) or in section 5279 ❑ Yes ❑✓ No b If "Yes," complete the following schedule. (a) Name of organization (b) Type of organization (c) Description of relationship Sign Here 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 taxpayer) is based on all information of which preparer has any knowledge. Alexa Smith Anderson 105/22/2024 President May the IRS discuss this return with the preparer shown below? See instructions. Signature of officer or trustee Date Title Eyes ]No Paid Preparer Use Only Print/Type preparer's name Preparer's signature Date Check if self-employed PTIN Firm's name Firm's EIN Firm's address Phone no. Form 990 -PF (2023) Other Professional Fees Schedule Page 14 Name of the organization FLING TOGETHER COLLECTIVE Employer identification number 92-2056739 Part I - Line 16(c) - Other Professional Fees Name of Expense Expense per Book Net Investment Adjusted Net Disbursement for Income Income Charitable Purposes instructor fees for community workshops $165 0 0 $165 Other Expenses Schedule Page 15 Name of the organization FLING TOGETHER COLLECTIVE Employer identification number 92-2056734 Part I - Line 23 - Other Expenses Description Expense Per Book Net Investment Income Adjusted Net Income Business Operating Expenses: CO Incorporation fees, domain name purchase, Form 1023 EZ fee, web host $746 0 0 Disbursement for CharitableP_urposes.. 0 Explanation Of Non Filing With Attorney General Statement Page 16 Name of the organization FLING TOGETHER COLLECTIVE Employer identification number 92-2056734 PART VI -A, Line 8 (b) - Explanation Explanation The foundation did not have at least $5,000 in assets at any time during the year. Form 8453 -TE Department of the Treasury Internal Revenue Service Tax Exempt Entity Declaration and Signature for Electronic Filing For calendar year 2023, or tax year beginning FEB 01 , 2023, and ending JAN 31 , 20 24 For use with Forms 990, 990 -EZ, 990 -PF, 990-T, 1120-POL, 4720, 8868, 5227, 5330, and 8038 -CP Go to www.irs.gov/Form8453TE for the latest information. OMB No. 1545-0047 0023 Name of filer FLING TOGETHER COLLECTIVE Part I EIN or SSN 92-2056734 Type of Return and Return Information Check the box for the type of return being filed with Form 8453 -TE and enter the applicable amount, if any, from the return. Form 8038 -CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line of the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). If you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. Form 990 check here . . ❑ b Total revenue, if any (Form 990, Part VIII, column (A), line 12) 1b is 2a 3a 4a 5a 6a 7a 8a 9a 10a Form 990 -EZ check here . Form 1120-POL check here Form 990 -PF check here . Form 8868 check here . . Form 990-T check here Form 4720 check here . Form 5227 check here . Form 5330 check here . . Form 8038 -CP check here ❑ b Total revenue, if any (Form 990 -EZ, line 9) ❑ b Total tax (Form 1120-POL, line 22) 2 b Tax based on investment income (Form 990 -PF, Part V, line 5) ❑ b Balance due (Form 8868, line 3c) ❑ b Total tax (Form 990-T, Part III, line 4) ❑ b Total tax (Form 4720, Part III, line 1) ❑ b FMV of assets at end of tax year (Form 5227, Item D) . . ❑ b Tax due (Form 5330, Part II, line 19) ❑ b Amount of credit payment requested (Form 8038 -CP, Part III, line 22) 2b 3b 4b 0 5b 6b 7b 8b 9b 10b Part II Declaration of Officer or Person Subject to Tax iia ❑ I authorize the U.S. Treasury and its designated Financial Agent to initiate an Automated Clearing House (ACH) electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. b ❑ If a copy of this return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I certify that I executed the electronic disclosure consent contained within this return allowing disclosure by the IRS of this Form 990/990 -EZ/ 990 -PF (as specifically identified in Part I above) to the selected state agency(ies). Under penalties of perjury, I declare that ❑✓ I am an officer of the above named entity or ❑ I am the person subject to tax with respect to (name of entity) FLING TOGETHER COLLECTIVE , (EIN) 92-2056734 and that I have examined a copy of the 2023 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. Sign Here Alen Smith Anderson 05/22/2024 Part III Signature of officer or person subject to tax President Date Title, if applicable Declaration of Electronic Return Originator (ERO) and Paid Preparer (see instructions) I declare that I have reviewed the above return and that the entries on Form 8453 -TE are complete and correct to the best of my knowledge. If I am only a collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The entity officer or person subject to tax will have signed this form before I submit the return. I will give a copy of all forms and information to be filed with the IRS to the officer or person subject to tax, and have followed all other requirements in Pub. 4163, Modernized a -File (MeF) Information for Authorized IRS e -file Providers for Business Returns. If I am also the Paid Preparer, under penalties of perjury I declare that I have examined the above return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. This Paid Preparer declaration is based on all information of which I have any knowledge. ERO's Use Only Date ERO's signature Check if also paid preparer Check if self- employed ❑ ERO's SSN or PTIN Firm's name (or yours if self-employed), address, and ZIP code EIN Phone no. Under penalties of perjury, I declare that I have examined the above return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer is based on all information of which the preparer has any knowledge. Paid Preparer Use Only Print/Type preparer's name Preparer's signature Date Check if self- employed ❑ PTIN Firm's name Firm's EIN Firm's address Phone no. For Privacy Act and Paperwork Reduction Act Notice, see back of form. Cat. No. 31574T Form 8453 -TE (2023)