efile Public Visual Render
ObjectId: 202133089349102023 - Submission: 2021-11-04
TIN: 31-1742284
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. 1545-0052
20
20
Open to Public Inspection
For calendar year 2020, or tax year beginning
01-01-2020
, and ending
12-31-2020
Name of foundation
MTA FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
1740 S CHUGACH WAY
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PALMER
,
AK
99645
A Employer identification number
31-1742284
B
Telephone number (see instructions)
(907) 745-3211
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
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 .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
140,112
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
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).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
270,907
2
Check
.............
3
Interest on savings and temporary cash investments
32
32
4
Dividends and interest from securities
...
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
b
Gross sales price for all assets on line 6a
7
Capital gain net income (from Part IV, line 2)
...
0
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
270,939
32
13
Compensation of officers, directors, trustees, etc.
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
4,830
0
3,605
b
Accounting fees (attach schedule)
.......
6,450
0
9,561
c
Other professional fees (attach schedule)
....
100
0
0
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)
.......
31,670
0
31,132
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
43,050
0
44,298
25
Contributions, gifts, grants paid
.......
184,100
169,100
26
Total expenses and disbursements.
Add lines 24 and 25
227,150
0
213,398
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
43,789
b
Net investment income
(if negative, enter -0-)
32
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2020)
Page 2
Form 990-PF (2020)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
60,718
17,689
17,689
2
Savings and temporary cash investments
.........
22,391
122,423
122,423
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
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
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)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
83,109
140,112
140,112
17
Accounts payable and accrued expenses
..........
4,311
17,525
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)
.........
4,311
17,525
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
78,798
122,587
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
0
0
29
Total net assets or fund balances
(see instructions)
.....
78,798
122,587
30
Total liabilities and net assets/fund balances
(see instructions)
.
83,109
140,112
Part III
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)
...............
1
78,798
2
Enter amount from Part I, line 27a
.....................
2
43,789
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
122,587
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
122,587
Form
990-PF
(2020)
Page 3
Form 990-PF (2020)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—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
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
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)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1
Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved
...........................
2
3
Reserved
...........................
3
4
Reserved
...........................
4
5
Reserved
...........................
5
6
Reserved
...........................
6
7
Reserved
...........................
7
8
Reserved
,..........................
8
Form
990-PF
(2020)
Page 4
Form 990-PF (2020)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Reserved
................................
1
0
c
All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
0
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
0
6
Credits/Payments:
a
2020 estimated tax payments and 2019 overpayment credited to 2020
6a
0
b
Exempt foreign organizations—tax withheld at source
......
6b
0
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
0
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
0
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2021 estimated tax
Refunded
11
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
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?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
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
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
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?
................
6
Yes
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 XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
AK
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
.
8b
No
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 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2020)
Page 5
Form 990-PF (2020)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
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
.............
11
No
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
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
WWW.MTA-TELCO.COM
14
The books are in care of
LAURIE BROWNING
Telephone no.
(907) 745-3211
Located at
1740 S CHUGACH ST
PALMER
AK
ZIP+4
99645
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
........
15
16
At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
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.
Yes
No
1a
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2020?
.............
1c
No
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 2020, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2020?
.............
Yes
No
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.)
..............
2b
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2020 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 Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2020.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
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 2020?
4b
No
Form
990-PF
(2020)
Page 6
Form 990-PF (2020)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
......
5b
No
Organizations relying on a current notice regarding disaster assistance check here
.........
c
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?
..........
Yes
No
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?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
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?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
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 during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, 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
LAMARR ANDERSON
DIRECTOR
1.00
0
0
0
1740 S CHUGACH ST
PALMER
,
AK
99645
ALEX HILLS
DIRECTOR
1.00
0
0
0
1740 S CHUGACH ST
PALMER
,
AK
99645
NICHOLAS J BEGICH
BOARD PRESIDENT
1.00
0
0
0
1740 S CHUGACH ST
PALMER
,
AK
99645
ROXANNA DE MAYBERRY
BOARD VICE PRESIDENT
1.00
0
0
0
1740 S CHUGACH ST
PALMER
,
AK
99645
CATHERINE FOSSELMAN
BOARD VICE PRESIDENT (THRU 11/20)
1.00
0
0
0
1740 S CHUGACH ST
PALMER
,
AK
99645
MICHAEL BURKE
BOARD SECRETARY/TREASURER
1.00
0
0
0
1740 S CHUGACH ST
PALMER
,
AK
99645
2
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
...................
0
Form
990-PF
(2020)
Page 7
Form 990-PF (2020)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
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
.............
0
Part IX-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
2
3
4
Part IX-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
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2020)
Page 8
Form 990-PF (2020)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
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
...................
1a
0
b
Average of monthly cash balances
.......................
1b
245,687
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
245,687
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
245,687
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
3,685
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
242,002
6
Minimum investment return.
Enter 5% of line 5
..................
6
12,100
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
12,100
2a
Tax on investment income for 2020 from Part VI, line 5
......
2a
b
Income tax for 2020. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
0
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
12,100
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
12,100
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
12,100
Part XII
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
..........
1a
213,398
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
213,398
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
213,398
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2020)
Page 9
Form 990-PF (2020)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2019
(c)
2019
(d)
2020
1
Distributable amount for 2020 from Part XI, line 7
12,100
2
Undistributed income, if any, as of the end of 2020:
a
Enter amount for 2019 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2020:
a
From 2015
......
b
From 2016
......
45,434
c
From 2017
......
54,562
d
From 2018
......
112,553
e
From 2019
......
144,541
f
Total
of lines 3a through e
........
357,090
4
Qualifying distributions for 2020 from Part
XII, line 4:
$
213,398
a
Applied to 2019, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2020 distributable amount
.....
12,100
e
Remaining amount distributed out of corpus
201,298
5
Excess distributions carryover applied to 2020.
0
0
(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
558,388
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
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
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2019. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2020. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2021
..........
0
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)
.......
0
8
Excess distributions carryover from 2015 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2021.
Subtract lines 7 and 8 from line 6a
......
558,388
10
Analysis of line 9:
a
Excess from 2016
....
45,434
b
Excess from 2017
....
54,562
c
Excess from 2018
....
112,553
d
Excess from 2019
....
144,541
e
Excess from 2020
....
201,298
Form
990-PF
(2020)
Page 10
Form 990-PF (2020)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2020, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2020
(b)
2019
(c)
2018
(d)
2017
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
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 X, 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
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
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 e-mail address of the person to whom applications should be addressed:
TRACY RESSLER
1740 S CHUGACH WAY
PALMER
,
AK
99645
(907) 761-2410
MTASCHOLARSHIP@MTA-TELCO.COM
b
The form in which applications should be submitted and information and materials they should include:
APPLICATION MUST BE SUBMITTED ELECTRONICALLY ALONG WITH SCHOOL TRANSCRIPT, LETTER OF REFERENCE, AND MTA MEMBER SIGNATURE.
c
Any submission deadlines:
APPLICATION AND SUPPORTIVE DOCUMENTATION MUST BE SUBMITTED ON OR BEFORE APRIL 10, 2020
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
A) APPLICANTS MUST BE AN ACTIVE MEMBER OF MTA, OR A DEPENDENT OF AN ACTIVE MTA MEMBER, WHO RESIDES IN MTA'S SERVICE AREA. B) APPLICANTS MAY BE GRADUATING SENIORS FROM A SECONDARY SCHOOL, OR A STUDENT ATTENDING OR PLANNING TO ATTEND A COLLEGE OR VOCATIONAL SCHOOL. C) AWARDS ARE FOR STUDENTS WHO WILL ATTEND AN ACCREDITED COLLEGE OR VOCATIONAL SCHOOL IN THE SUMMER OR FALL OF 2020, AND BE ENROLLED IN A COURSE OF STUDY THAT LEADS TO A DEGREE OR CERTIFICATION. D) INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. REFER TO THE CHECKLIST ON THIS APPLICATION FORM TO ENSURE THAT ALL COMPONENTS OF THE APPLICATION HAVE BEEN FULFILLED. E) ALL MATERIALS, INCLUDING APPLICATION, TRANSCRIPT, AND RECOMMENDATION LETTERS, MUST BE SUBMITTED TOGETHER.
Form
990-PF
(2020)
Page 11
Form 990-PF (2020)
Page
11
Part XV
Supplementary Information
(continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
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
ALASKA BRANCH INTERNATIONAL DYSLEXIA ASSOCIATION
1345 RUDAKOF CIR STE 104
ANCHORAGE
,
AK
99508
NONE
PC
IDA VIRTUAL CONFERENCE
2,000
ALASKA BUSINESS PROFESSIONALS OF AMERICA
PO BOX 870605
WASILLA
,
AK
99687
NONE
PC
AK BPA LEADERSHIP CONFERENCE
500
ALASKA BUSINESS WEEK
471 W 36TH AVE STE 200
ANCHORAGE
,
AK
99503
NONE
PC
ABW RUNS ONE-WEEK PROGRAMS TEACHING ALASKAN HIGH SCHOOL STUDENTS THE BASICS OF BUSINESS, LEADERSHIP AND ENTREPRENEURSHIP. COURSE CURRICULUM, STUDENT NAME BADGES, CAMP PROMOTIONAL MATERIALS AND BANNERS.
3,000
ALASKA SCIENCE & ENGINEERING FAIR
PO BOX 240222
ANCHORAGE
,
AK
99524
NONE
PC
SUPPORT EXECUTION OF THE FAIR AND CATEGORY WINNER PRIZES.
5,000
ALASKA VETERANS & PIONEER HOME PALMER
PO BOX 3349
PALMER
,
AK
99645
NONE
PC
ENCLOSE PAVILION WITH GLASS WINDOWS AND DOORS; COMPLETE SIDEWALK SO RESIDENTS CAN WALK SAFELY OUTSIDE BUILDING.
3,200
ALASKA WILD BIRD REHABILITATION CENTER
PO BOX 521317
BIG LAKE
,
AK
99652
NONE
PC
AK WILD BIRD TECH EXPENSES
600
ALZHEIMERS RESOURCE OF ALASKA
1750 ABBOTT ROAD
ANCHORAGE
,
AK
99507
NONE
PC
AMBLIN FOR ALZHEIMERS FUN WALK AND MISSION: POSSIBLE GALA AND SILENT AUCTION TO SUPPORT ALASKANS LIVING WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIA.
1,000
AMERICAN FOUNDATION FOR SUICIDE PREVENTION
2440 E TUDOR RD 191
ANCHORAGE
,
AK
99507
NONE
PC
VIRTUAL EVENTS
2,500
BATTLE DAWGS
PO BOX 965
WILLOW
,
AK
99688
NONE
PC
BATTLE DAWGS CAMP FOR VETS
500
CHUGIAK HIGH SCHOOL
PO BOX 771061
EAGLE RIVER
,
AK
99577
NONE
GOV
FOOTBALL BOOSTER GOLF TOURNAMENT AND WRESTLING BOOSTER
500
COLONY HIGH SCHOOL
9980 E BOGARD RD
PALMER
,
AK
99645
NONE
GOV
FOOTBALL BOOSTER
250
EAGLE RIVER LIONS
PO BOX 670490
EAGLE RIVER
,
AK
99577
NONE
PC
EQUIPMENT UPGRADES
1,000
FAMILY OUTREACH CENTER FOR UNDERSTANDING SPECIAL NEEDS INC (FOCUS)
11901 BUSINESS BLVD SUITE 200
EAGLE RIVER
,
AK
99577
NONE
PC
5K FUN RUN
550
GIRL SCOUTS OF ALAKSA
2000 W INTL AIRPORT RD STE C1
ANCHORAGE
,
AK
99502
NONE
PC
DIGITAL PLATFORM FOR VIRTUAL STEMAPALOOZA EVENT 02/2021
2,000
LAZY MOUNTAIN FOOTHILLS RUNNING CLUB
PO BOX 2593
PALMER
,
AK
99645
NONE
PC
CRAZY LAZY RACE - RAISE FUNDS FOR HIGH SCHOOL GIRLS ATHLETIC PROGRAMS IN THE VALLEY
500
LEMONADE DAY ALASKA
1815 BRAGAW ST STE 203
ANCHORAGE
,
AK
99508
NONE
PC
LEMONADE DAY
500
MAT SU AMATEUR HOCKEY
PO BOX 871880
WASILLA
,
AK
99687
NONE
GOV
STICK TIME FUNDRAISER -GIRLS TEAM
250
MAT SU BOYS & GIRLS CLUB
3700 E BOGARD RD
WASILLA
,
AK
99654
NONE
PC
ST. PATS IN THE MATS FUNDRAISER
250
MAT SU CAREER AND TECHNICAL HIGH SCHOOL
2472 N SEWARD MERIDIAN PKWY
WASILLA
,
AK
99654
NONE
GOV
FIRST TECH CHALLENGE ROBOTICS COMPETITION AND GRAD BLAST
1,250
MAT SU CENTRAL SCHOOL
600 E RAILROAD AVE SUITE 6
WASILLA
,
AK
99654
NONE
GOV
GRAD BLAST - POSITIVE AND MEMORABLE EXPERIENCE FOR GRADUATING CLASS
250
MAT SU FOOD BANK--CHRISTMAS FRIENDSHIP DINNER
501 E BOGARD RD
WASILLA
,
AK
99654
NONE
PC
CHRISTMAS FRIENDSHIP DINNER
2,000
MAT-SU SPECIAL SANTA PROGRAM
PO BOX 1664
PALMER
,
AK
99645
NONE
PC
SANTA DASH VIRTUAL 5K
2,500
PALMER AMATEUR HOCKEY ASSOCIATION
C/O MITES PO BOX 3912
PALMER
,
AK
99645
NONE
GOV
HOCKEY TOURNAMENT
250
PALMER HIGH SCHOOL
1170 E PALMER MOOSE DR
PALMER
,
AK
99645
NONE
GOV
BASKETBALL BOOSTER
250
PALMER KIWANIS
PO BOX 30
PALMER
,
AK
99645
NONE
PC
PURCHASE FLEECE TO MAKE BLANKETS FOR CHILDREN'S PLACE; PROVIDE DICTIONARIES FOR EVERY 3RD GRADER IN THE VALLEY.
500
REACH 907
777 N CRUSEY STE B109
WASILLA
,
AK
99654
NONE
PC
DONATION FOR ANNUAL FUNDRAISER
1,000
ROCKIN' HOCKEY MSBSD (PALMER HIGH SCHOOL)
1170 E PALMER MOOSE DR
PALMER
,
AK
99645
NONE
GOV
ROCKIN' HOCKEY TOURNAMENT
500
SALVATION ARMY
143 E 9TH AVE
ANCHORAGE
,
AK
99501
NONE
PC
DAY OF CARING KICK-OFF DAY
1,000
SCOTTY GOMEZ FOUNDATION
PO BOX 111294
ANCHORAGE
,
AK
99511
NONE
PC
POND HOCKEY TOURNAMENT
1,000
SPECIAL OLYMPICS ALASKA
3200 MOUNTAIN VIEW DR
ANCHORAGE
,
AK
99201
NONE
PC
VIRTUAL OLYMPIC EVENTS
250
STONE SOUP GROUP
307 E NORTHERN LIGHTS BLVD 100
ANCHORAGE
,
AK
99503
NONE
PC
2020 PARENT CONFERENCE
500
THE FALLEN OUTDOORS
2521 E MT VILLAGE DR STE B BOX 287
WASILLA
,
AK
99654
NONE
PC
SPRING BANQUET
1,000
WASILLA AREA SENIORS INC
1301 S CENTURY CIRCLE
WASILLA
,
AK
99654
NONE
PC
MEALS ON WHEELS VIRTUAL EVENT AND PIE-IT-FORWARD EVENT
5,000
WASILLA HIGH SCHOOL
701 E BOGARD RD
WASILLA
,
AK
99654
NONE
GOV
BASKETBALL BOOSTER
250
WILLOW AREA COMMUNITY ORGANIZATION
PO BOX 1027
WILLOW
,
AK
99688
NONE
PC
WILLOW WINTER CARNIVAL
1,500
PALMER MUSEUM OF HISTORY AND ART
PO BOX 1122
PALMER
,
AK
99645
NONE
PC
DEVELOP WEBSITE TO SHOWCASE EXTENSIVE COLLECTION OF HISTORICAL ARTIFACTS (PHOTOGRAPHS, CLOTHING, EQUIPMENT, ETC.).
10,000
UAA COLLEGE OF ENGINEERING
3211 PROVIDENCE DRIVE RM 236 ATTN
JAYNA COMBS
ANCHORAGE
,
AK
99508
NONE
PC
PROVIDE TWO ADDITIONAL WEEKS OF SUMMER ENGINEERING ACADEMIES CAMPS AT THE MAT-SU COLLEGE CAMPUS.
20,000
COLONY HIGH SCHOOL ROBOTICS
9550 E BOGARD RD ATTN BRIAN MEAD
PALMER
,
AK
99645
NONE
GOV
BUILD A WORLD-CLASS ROBOTICS AND ENGINEERING EDUCATION PROGRAM IN THE MAT-SU SCHOOLS TO PREPARE STUDENTS FOR COMPUTER SCIENCE OR ENGINEERING HIGHER EDUCATION.
15,000
TALKEETNA HISTORICAL SOCIETY & MUSEUM
PO BOX 76
TALKEETNA
,
AK
99676
NONE
PC
HIRE WEB DESIGNER TO CREATE A SITE THAT ADDS THEIR COLLECTION OF ARTIFACTS AND PHOTOS ONLINE, POST VIRTUAL EVENTS, DO 3D TOURS OF THE HISTORIC DISTRICT OF TALKEETNA AND PROVIDE AN ONLINE BOOKSTORE.
6,000
KAITLYN BARCELONA
3938 E DARRINGTON VILLAGE AVENUE
WASILLA
,
AK
99654
NONE
I
SCHOLARSHIP
5,000
GAVIN BLOCK
351 N LAUREN LANE
PALMER
,
AK
99645
NONE
I
SCHOLARSHIP
5,000
PIERCE BROOKS
3680 S SKY RANCH LOOP
PALMER
,
AK
99645
NONE
I
SCHOLARSHIP
5,000
BAILEY DITMER
3484 N ARABIAN LANE
PALMER
,
AK
99645
NONE
I
SCHOLARSHIP
2,500
DYLAN DUFFIELD
13136 N KINGS COURT
SUTTON
,
AK
99674
NONE
I
SCHOLARSHIP
5,000
LUCAS GRAUPMANN
PO BOX 672
TALKEETNA
,
AK
99676
NONE
I
SCHOLARSHIP
5,000
CHLOE HARTMAN
950 E MCADOO WAY
WASILLA
,
AK
99654
NONE
I
SCHOLARSHIP
5,000
BROOKLYN KOPSACK
8800 KILKENNY DRIVE
PALMER
,
AK
99645
NONE
I
SCHOLARSHIP
5,000
EMERSON MOSER
8775 E SNOWBIRD CIRCLE
PALMER
,
AK
99645
NONE
I
SCHOLARSHIP
5,000
VICTORIA NELSON
PO BOX 750742
FAIRBANKS
,
AK
99775
NONE
I
SCHOLARSHIP
5,000
ALEXANDER REBER
9650 ETOLIN CIRCLE
EAGLE RIVER
,
AK
99577
NONE
I
SCHOLARSHIP
5,000
JUDSON SCOTT
PO BOX 879413
WASILLA
,
AK
99687
NONE
I
SCHOLARSHIP
2,500
LILY SESSOM
1150 S COLONY WAY STE 3-363
PALMER
,
AK
99645
NONE
I
SCHOLARSHIP
5,000
EVA SEVERANCE
2521 E MOUNTAIN VILLAGE DR B293
WASILLA
,
AK
99654
NONE
I
SCHOLARSHIP
5,000
ELLA SMITH
3435 N DAISY PETAL CIRCLE
WASILLA
,
AK
99654
NONE
I
SCHOLARSHIP
5,000
CHELSEA SPAULDING
25016 THUNDERBIRD DRIVE
CHUGIAK
,
AK
99567
NONE
I
SCHOLARSHIP
5,000
Total
.................................
3a
169,100
b
Approved for future payment
MATANUSKA-SUSITNA BOROUGH SCHOOL DISTRICT
501 N GULKANA
ST PALMER
,
AK
99645
NONE
GOV
FACE SHIELD CONSTRUCTION TO INCLUDE VARIANTS TO IMPROVE COMFORT AND EFFECTIVENESS, UVC BOX CONSTRUCTION TO SAFELY SANITIZE TEXTBOOKS, LIBRARY BOOKS AND STUDENT HOMEWORK PAPERS; INSTALLATION OF CLASSROOM/OFFICE LEVEL MEDICAL GRADE INTEGRATED UVC AND HEPA FILTER AIR PURIFIERS; ADDITIONAL PROJECTS AS NEEDS ARISE PERTAINING TO COVID-19 MITIGATION; IE. HELPING SPORTS PROGRAMS TO BE COVID COMPLIANT AS THEY OPEN UP THEIR PROGRAMS, TO INCLUDE UVC BOXES FOR EQUIPMENT SANITATION (WATER BOTTLES, BALLS, ETC).
15,000
Total
.................................
3b
15,000
Form
990-PF
(2020)
Page 12
Form 990-PF (2020)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
32
4
Dividends and interest from securities
....
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
32
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
32
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-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
(2020)
Page 13
Form 990-PF (2020)
Page
13
Part XVII
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?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
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.
(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 527?
...........
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.
2021-11-04
May the IRS discuss this return
with the preparer shown below?
See instructions.
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
EMINA O CRESSWELL CPA
Preparer's Signature
Date
2021-11-04
Check if self-
employed
PTIN
P01217304
Firm's name
MOSS ADAMS LLP
Firm's EIN
91-0189318
Firm's address
601 W RIVERSIDE AVENUE STE 1800
SPOKANE
,
WA
99201
Phone no.
(509) 747-2600
Form
990-PF
(2020)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description