Civic Intelligence

Blank Forms Inc.

990 • Fiscal year 2021 • EIN 81-1440050

Jan 01, 2021 to Dec 31, 2021 • Filed on Oct 24, 2022

468 Grand Ave 3DBrooklyn, NY 11238

(347) 463-6316

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

79th percentile

0.29x

Higher debt load relative to assets than 79% of similar nonprofits.

2021 filings • NTEE A • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

74th percentile

0.26x

Higher debt load relative to revenue than 74% of similar nonprofits.

2021 filings • NTEE A • $500k-$1M nonprofits • Source year 2021

Net Margin

24th percentile

-3.4%

Higher net margin than 24% of similar nonprofits.

2021 filings • NTEE A • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

84th percentile

$85,247

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 10.4% of source-year revenue.

2021 filings • NTEE A • $500k-$1M nonprofits • Source year 2021

Asset Growth

4th percentile

-24%

Faster asset growth than 4% of similar nonprofits.

2021 filings • NTEE A • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

17th percentile

-31%

Faster revenue growth than 17% of similar nonprofits.

2021 filings • NTEE A • $500k-$1M nonprofits • Annualized from 2020 to 2021

Assets

Down

$731,285

Down $232,335 (-24%) from 2020

Net Assets

Down

$516,054

Down $27,254 (-5.0%) from 2020

Liabilities

Down

$215,231

Down $205,081 (-49%) from 2020

Revenue

Down

$819,547

Down $370,086 (-31%) from 2020

Expenses

Up

$847,239

Up $78,741 (+10%) from 2020

Net Income

Down

-$27,692

Down $448,827 (-107%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2016: $42,311Liabilities 2016: $7,5942016Assets 2017: $41,484Liabilities 2017: $24,924Net Assets 2017: $16,5602017Assets 2018: $124,748Liabilities 2018: $47,828Net Assets 2018: $76,9202018Assets 2019: $222,873Liabilities 2019: $99,965Net Assets 2019: $122,9082019Assets 2020: $963,620Liabilities 2020: $420,312Net Assets 2020: $543,3082020Assets 2021: $731,285Liabilities 2021: $215,231Net Assets 2021: $516,0542021Assets 2022: $671,568Liabilities 2022: $310,495Net Assets 2022: $361,0732022Assets 2023: $1,396,627Liabilities 2023: $274,991Net Assets 2023: $1,121,6362023Assets 2024: $1,020,351Liabilities 2024: $241,495Net Assets 2024: $778,8562024

Highlighted filing

2021

Assets$731,285
Liabilities$215,231
Net Assets$516,054

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MRevenue 2016: $166,734Expenses 2016: $132,017Net Income 2016: $34,7172016Revenue 2017: $260,311Expenses 2017: $278,468Net Income 2017: -$18,1572017Revenue 2018: $539,723Expenses 2018: $479,363Net Income 2018: $60,3602018Revenue 2019: $556,524Expenses 2019: $509,967Net Income 2019: $46,5572019Revenue 2020: $1,189,633Expenses 2020: $768,498Net Income 2020: $421,1352020Revenue 2021: $819,547Expenses 2021: $847,239Net Income 2021: -$27,6922021Revenue 2022: $924,688Expenses 2022: $1,079,655Net Income 2022: -$154,9672022Revenue 2023: $1,843,738Expenses 2023: $1,082,463Net Income 2023: $761,2752023Revenue 2024: $813,495Expenses 2024: $1,155,900Net Income 2024: -$342,4052024

Highlighted filing

2021

Revenue$819,547
Expenses$847,239
Net Income-$27,692
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Oct 24, 2022
Return Version
2021v4.0
Gross Receipts
$984,889
Mission and Program Overview

Mission

Blank Forms is a curatorial platform dedicated to the presentation and preservation of time-based performance practices.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$158,203$196,475▲ $38,272
Prepaid Expenses and Deferred Charges$83,060$113,430▲ $30,370
Inventories for Sale or Use$69,548$108,702▲ $39,154
Accounts Receivable$41,114$106,799▲ $65,685
Cash and Non-Interest-Bearing Accounts$432,259$96,491▼ $335,768
Land, Buildings, and Equipment, Net$26,402$53,336▲ $26,934
Savings and Temporary Cash Investments$150,034$50,077▼ $99,957
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$963,620$731,285▼ $232,335
Other Assets Total$3,000$5,975▲ $2,975
Liabilities
Mortgage Notes Payable Secured by Investment Property$150,000$150,000→ $0
Accounts Payable and Accrued Expenses$248,728$45,895▼ $202,833
Deferred Revenue$21,584$19,336▼ $2,248
Total Liabilities$420,312$215,231▼ $205,081
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$351,336$405,434▲ $54,098
Net Assets With Donor Restrictions$191,972$110,620▼ $81,352
Total Net Assets Fund Balance$543,308$516,054▼ $27,254
Total Liabilities and Net Assets / Fund Balance$963,620$731,285▼ $232,335

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$50,433$24,590$75,023
Leasehold Improvements$2,903$4,253$7,156
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Lawrence KumpfArtistic DirectorFT$85,247$85,247

Board Members and Trustees

NameTitle
David GrubbsBoard Chair
Robert LeeBoard ViceChair
Alexander LauDirector
Andros Zins BrowneDirector
Hannah HoffmanDirector
Jacques VidalDirector
Joe GrimmDirector
Josiah McElhenyDirector
Marina RosenfeldDirector
Nadia BerensteinDirector
Moriah EvansSecretary
Margo SommaTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Kai AlthoffArtistic97 Brooklyn Ave 6A, Brooklyn, NY 11216$172,500
Revenue and Support

Revenue Composition

Contributions and Grants
$578,690
Program Service Revenue
$42,361
Investment Income
$240
Other Revenue
$198,256
All Other Contributions
$286,554
Change in Net Assets
$-27,692

Audited Revenue Reconciliation

Revenue per Audited Statements
$819,547
Revenue Not Reported on Form 990
$438
Total Revenue per Audited Statements
$819,985
Total Revenue per Form 990
$819,547
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$535,722
Salaries, Compensation, and Employee Benefits$311,517
Total Fundraising Expense$155,991
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$160,472$15,428$8,615$184,515
Other Salaries and Wages$98,552$15,381$68,968$182,901
Current Officers, Directors, Trustees, and Key Employees$45,144$12,312$24,624$82,080
Occupancy$41,150$6,202$20,962$68,314
Office Expenses$30,662$13,241$8,884$52,787
Travel$41,221$1,325-$42,546
Other Employee Benefits$13,329$2,568$8,682$24,579
Payroll Taxes$11,907$2,295$7,755$21,957
Depreciation Depletion$15,655--$15,655
Advertising$11,096--$11,096
Insurance$4,316$925$925$6,166
Fees for Services Accounting$4,200$900$900$6,000
Other Expenses$1,640$4,596$762$4,596
Royalties$813--$813
Total Functional Expenses$604,158$87,090$155,991$847,239

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$847,239
Total Expenses per Audited Statements$847,239
Total Expenses per Form 990$847,239
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$29,099
Fundraising Gross Income$29,099
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Benefit$151,925$29,099$14,533$14,566
Total Events$151,925$29,099$29,099-
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

Form 990 is reviewed by management and provided to all trustees prior to submission.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

The conflict of interest policy is reviewed at the annual board meeting with potential conflicts discussed.

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

The board reviews the compensation of top management which is based on industry comparisons from similarly sized and structured organizations and industry compensation reports.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

No documents available to the public.

Filing and Contact Details

Filer

Filer Name
Blank Forms Inc
EIN
81-1440050
Phone
3474636316
Address
468 GRAND AVE 3D, BROOKLYN, NY 11238

Signing Officer

Name
Lawrence Kumpf
Title
Artistic Director
Signed
2022-10-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lawrence Kumpf
Formed
2016
Legal Domicile
Ny
Voting Board Members
13
Independent Board Members
12
Employees
6
Volunteers
3

Preparer

Firm
Mary G Sormeley CPA
Address
560 Day Ave, Ridgefield, NJ 07657
Preparer
Mary G Sormeley
Phone
2018328922
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Increases

Gain on exchange rate = $438

Financial Statement Notes

Part X : FIN48 Footnote

Management has evaluated all income tax positions and concluded that no disclosures relating to uncertain tax positions are required in the financial statements.

Part XI, Line 2D: Other revenue amounts included in F/S but not included on form 990

Gain on exchange rate $438

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IRS990/Form990PartVIISectionAGrp/PersonNm0Lawrence Kumpf
IRS990/Form990PartVIISectionAGrp/PersonNm1David Grubbs
IRS990/Form990PartVIISectionAGrp/PersonNm2Robert Lee
IRS990/Form990PartVIISectionAGrp/PersonNm3Nadia Berenstein
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IRS990/Form990PartVIISectionAGrp/PersonNm5Alexander Lau
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IRS990/Form990PartVIISectionAGrp/PersonNm8Joe Grimm
IRS990/Form990PartVIISectionAGrp/PersonNm9Moriah Evans
IRS990/Form990PartVIISectionAGrp/PersonNm10Jacques Vidal
IRS990/Form990PartVIISectionAGrp/PersonNm11Andros Zins Browne
IRS990/Form990PartVIISectionAGrp/PersonNm12Hannah Hoffman
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Artistic Dir.
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board ViceChair
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Secretary
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