Civic Intelligence

Form a Vision

EIN 81-0983325 • 501(c)3 • Kent, WA

Revoked990-N Coverage

Profile

To cultivate leadership with upper level college students to make a positive contribution to the communities they serve

Revocation date: May 15, 2022

325 South WashingtonKent, WA 98032

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2017

Net Margin

5th percentile

-325%

Higher net margin than 5% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2017

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2017

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

$9,214

No earlier filing loaded for comparison.

Liabilities

-

No earlier filing loaded for comparison.

Net Assets

$9,214

No earlier filing loaded for comparison.

Operations
Liabilities / RevenueScore unavailableNet Margin5th percentile

Revenue

$1,000

No earlier filing loaded for comparison.

Expenses

$4,247

No earlier filing loaded for comparison.

Net Income

-$3,247

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset GrowthScore unavailable

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10K$5.0K$0Assets 2017: $9,214Net Assets 2017: $9,2142017

Highlighted filing

2017

Assets$9,214
Liabilities-
Net Assets$9,214
Open 2017 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0K$4.0K$2.0K$0-$2.0K-$4.0KRevenue 2017: $1,000Expenses 2017: $4,247Net Income 2017: -$3,2472017

Highlighted filing

2017

Revenue$1,000
Expenses$4,247
Net Income-$3,247
Open 2017 Filing

Filings

Most recent year

2017 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$9,214
Liabilities
-
Net assets
$9,214
Revenue
$1,000
Expenses
$4,247
Net income
-$3,247
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017Detailed filing. Detailed filing data is available for this year.$9,214$9,214$1,000$4,247$3,247
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Feb 12, 2020
Return Version
2017v2.3
Gross Receipts
$1,000
Mission and Program Overview

Mission

To cultivate leadership with upper level college students to make a positive contribution to the communities they serve

Program Services

DescriptionGrantsExpenses
PROVIDED A SCHOLARSHIP TO STUDENT WHO WAS EXEMPLEMARY IN COMMUNITY SERVICE PROVIDED TUTORING FOR AFTER SCHOOL PROGRAM IN UNDER SERVED COMMUNITY-$1,000
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
MARILEE SCARBOUGHDirector-$0--
LARRY REYMANNDirector-$0--
FRED STEHPHENSDirector-$0--
Filing and Contact Details

Filer

Filer Name
Form a Vision
EIN
81-0983325
Phone
2063966105
Address
325 SOUTH WASHINGTON, KENT, WA 98032

Signing Officer

Name
Janet Stephens
Title
Director
Phone
2063966105
Signed
2020-02-12
Discuss with paid preparer
No

Preparer

Firm
Hrb Tax Group Inc
Address
8154 LA MESA BLVD, LA MESA, CA 91942
Preparer
Richard Russell
Phone
6194644240
Supplemental Narrative

Additional Explanations

Part I Line 10

“Student scholarhip for college education”

Part I Line 15

“PO BOX - $294”

Part I Line 15

“Printing and postage - $120”

Part I Line 16

“TRAVEL - $1368”

Part I Line 16

“PHONE - $600”

Part I Line 16

“MEALS - $195”

Part I Line 16

“FAX - $25”

Part I Line 16

“OFFICE SUPPLIES - $645”

Reasonable Cause for Not Filing 2017 on Time

“Organization was still working to put action plans together to fulfill their tax exempt purpose. 990n was not filed due to lack of knowedge it was necessary with small amount of income. Organization was advised to wait until an offical notice to file was received.”

Raw XML Appendix129 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0JANET STEPHENS
IRS990EZ/BooksInCareOfDetail/PhoneNum02063966105
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0325 WASHINGTON AVE S
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine2Txt0UNIT 61
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Kent
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd098032
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt012461
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt09214
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt01000
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-3247
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt012461
IRS990EZ/Form990TotalAssetsGrp/EOYAmt09214
IRS990EZ/FundraisingGrossIncomeAmt00
IRS990EZ/GrantsAndSimilarAmountsPaidAmt01000
IRS990EZ/GrossReceiptsAmt01000
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt012461
IRS990EZ/NetAssetsOrFundBalancesEOYAmt09214
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt012461
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt09214
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt04.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt14.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt24.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0MARILEE SCARBOUGH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1LARRY REYMANN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2FRED STEHPHENS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2DIRECTOR
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherExpensesTotalAmt02833
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0TO CULTIVATE LEADERSHIP WITH UPPER LEVEL COLLEGE STUDENTS TO MAKE A POSITIVE CONTRIBUTION TO THE COMMUNITIES THEY SERVE
IRS990EZ/PrintingPublicationsPostageAmt0414
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0PROVIDED A SCHOLARSHIP TO STUDENT WHO WAS EXEMPLEMARY IN COMMUNITY SERVICE PROVIDED TUTORING FOR AFTER SCHOOL PROGRAM IN UNDER SERVED COMMUNITY
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt01000
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt04247
IRS990EZ/TotalProgramServiceExpensesAmt01000
IRS990EZ/TotalRevenueAmt01000
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt01000
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt01000
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt01000
IRS990ScheduleA/Total509Grp/TotalAmt01000
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt01000
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0STUDENT SCHOLARHIP FOR COLLEGE EDUCATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PO BOX - $294
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PRINTING AND POSTAGE - $120
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3TRAVEL - $1368
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4PHONE - $600
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5MEALS - $195
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6FAX - $25
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7OFFICE SUPPLIES - $645
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8ORGANIZATION WAS STILL WORKING TO PUT ACTION PLANS TOGETHER TO FULFILL THEIR TAX EXEMPT PURPOSE. 990N WAS NOT FILED DUE TO LACK OF KNOWEDGE IT WAS NECESSARY WITH SMALL AMOUNT OF INCOME. ORGANIZATION WAS ADVISED TO WAIT UNTIL AN OFFICAL NOTICE TO FILE WAS RECEIVED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I LINE 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2PART I LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART I LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4PART I LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5PART I LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6PART I LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7PART I LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8REASONABLE CAUSE FOR NOT FILING 2017 ON TIME
ReasonableCauseExplanation/ExplanationTxt0IN 2017 ORGANIZATION WAS STILL WORKING TO PUT ACTION PLANS TOGETHER TO FULFILL THEIR TAX EXEMPT PURPOSE. INCOME WAS SMALL THEREFORE DUE TO LACK OF COMPLETE KNOWLEDGE IT WAS NOT UNDERSTOOD THE NEED FILE ANNUAL FORM 990 RETURNS UNTIL A NOTICE WAS RECEIVED FROM THE IRS. 990N WAS FILED FOR 2016 AND 2018. ORGANIZATION IS REQUESTING FIRST TIME ABATEMENT OF LATE FILING PENALTIES FOR 2017 AS THEY ARE OTHERWISE CURRENT. WHEN SEEKING PROFESSIONAL ADVICE, ORGANIZATION WAS ADVISED TO WAIT UNTIL A NOTICE WAS RECEIVED.
ReturnHeader/BuildTS02020-09-23 17:36:50Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0JANET STEPHENS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02063966105
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-02-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FORM A VISION
ReturnHeader/Filer/BusinessNameControlTxt0FORM
ReturnHeader/Filer/EIN0810983325
ReturnHeader/Filer/PhoneNum02063966105
ReturnHeader/Filer/USAddress/AddressLine1Txt0325 SOUTH WASHINGTON
ReturnHeader/Filer/USAddress/CityNm0KENT
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098032
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0C564D97EB49E877AF518A0BC82CD699F9E28C8A8
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0C564D97EB49E877AF518A0BC82CD699F9E28C8A8
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt070.166.89.244
ReturnHeader/FilingSecurityInformation/IPDt02020-03-09
ReturnHeader/FilingSecurityInformation/IPTm012:00:04
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0431871840
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HRB TAX GROUP INC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt08154 LA MESA BLVD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LA MESA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd091942
ReturnHeader/PreparerPersonGrp/PhoneNum06194644240
ReturnHeader/PreparerPersonGrp/PreparationDt02020-03-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Richard Russell
ReturnHeader/ReturnTs02020-03-09T16:45:39Z
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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