STRATEGY STUDIO / PUBLIC DATA EXPLORER

FAMILY SUPPORTIVE HOUSING INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FAMILY SUPPORTIVE HOUSING INC (EIN 77-0106237)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-02-15
IRS object ID
201340469349302824
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-02-15T20:26:53-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN263939360EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOMAN ACCOUNTING GROUP INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line130 UNION AVENUE SUITE 210AddressLine1
CityCAMPBELLCity
StateCAState
ZIP Code95008ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770106237EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY SUPPORTIVE HOUSING INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone4089268885Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1692 N KING RDAddressLine1
CitySAN JOSECity
StateCAState
ZIP Code95133ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBETH LEARYName
TitleEXECUTIVE DIRECTORTitle
Phone4089268885Phone
Date Signed2013-02-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYNDA R BOMAN CPAName
PTINP00135429PTIN
Phone4088662004Phone
Date Prepared2013-02-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonBETH LEARYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1692 N KING RDAddressLine1
CitySAN JOSECity
StateCAState
ZIP Code95133ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11170774GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FAMILYSUPPORTIVEHOUSING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES TEMPORARY SHELTER AND SUPPORTIVE SERVICES FOR HOMELESS FAMILIES IN SANTA CLARA COUNTYActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees58TotalNbrEmployees
Total Nbr Volunteers5824TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2338778ContributionsGrantsPriorYear
Contributions Grants Current Year10974313ContributionsGrantsCurrentYear
Program Service Revenue Prior Year93819ProgramServiceRevenuePriorYear
Program Service Revenue CY96969ProgramServiceRevenueCY
Investment Income Prior Year359933InvestmentIncomePriorYear
Investment Income Current Year1142InvestmentIncomeCurrentYear
Other Revenue Prior Year37132OtherRevenuePriorYear
Other Revenue Current Year87449OtherRevenueCurrentYear
Total Revenue Prior Year2829662TotalRevenuePriorYear
Total Revenue Current Year11159873TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1173444SalariesEtcPriorYear
Salaries Etc Current Year1196824SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year241256TotalFundrsngExpCurrentYear
Other Expense Prior Year1007230OtherExpensePriorYear
Other Expenses Current Year1042117OtherExpensesCurrentYear
Total Expenses Prior Year2180674TotalExpensesPriorYear
Total Expenses Current Year2238941TotalExpensesCurrentYear
Revenues Less Expenses Prior Year648988RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8920932RevenuesLessExpensesCY
Total Assets BOY12088650TotalAssetsBOY
Total Assets EOY14410284TotalAssetsEOY
Total Liabilities BOY6656323TotalLiabilitiesBOY
Total Liabilities EOY157825TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5432327NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14252459NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION PROVIDES TEMPORARY SHELTER AND SUPPORTIVE SERVICES FOR HOMELESS FAMILIES IN SANTA CLARA COUNTY TO EMPOWER FAMILIES TO MOVE OUT OF HOMELESSNESS TO INDEPENDENT, SELF-SUFFICIENT LIVING IN OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1139626Expense
Revenue45810Revenue
DescriptionTHE ORGANIZATION PROVIDES FAMILIES WITH A PRIVATE ROOM AND THREE MEALS A DAY FOR 90 DAYS AT THEIR LOCATION. CASE AND HEALTH CARE MANAGEMENT SERVICES ARE PROVIDED TO FAMILIES AND AN INDIVIDUAL FAMILY PLAN IS DESIGNED TO MEET THE SPECIFIC NEEDS OF EACH FAMILY. FAMILIES RECEIVE COUNSELING A MINIMUM OF ONCE A WEEK IN ORDER TO IDENTIFY NEEDS, FOCUS ON GOALS, AND TO GAIN ACCESS TO COMMUNITY SERVICES. CASE MANAGEMENT SERVICES ARE AVAILABLE TO THE FAMILIES AFTER LEAVING THE SHELTER. ANNUALLY, APPROXIMATELY 1,500 VOLUNTEERS PREPARE MEALS, PROVIDE HOMEWORK SUPPORT FOR STUDENTS, AND SPONSOR MONTHLY BIRTHDAY PARTIES AND HOLIDAY CELEBRATIONS FOR THE FAMILIES. A WEEK LONG OVERNIGHT CAMP AND DAY CAMP ARE PROVIDED TO THE CHILDREN AT THE SHELTER DURING THE SUMMER MONTHS. THE DAY CAMPS ARE PROVIDED THROUGH COLLABORATION WITH SAN JOSE STATE UNIVERSITY OCCUPATIONAL THERAPY STUDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense598213Expense
Revenue62356Revenue
DescriptionTHE TRANSITIONAL HOUSING PROGRAM PROVIDES HOUSING AND SUPPORTIVE SERVICES FOR UP TO TWENTY FAMILIES IN SCATTERED SITES THROUGHOUT SANTA CLARA COUNTY. FAMILIES PAY 30% OF INCOME WHILE THEY ARE IN THE PROGRAM. WHEN THE SUBSIDY ENDS AFTER A YEAR, FAMILIES ARE ABLE TO RETAIN THEIR UNITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense70003Expense
DescriptionVOYAGER CHILD DEVELOPMENT PROGRAM OFFERS ON-SITE PRE-SCHOOL FOR CHILDREN AGES INFANT TO 5 YEARS. AGE APPROPRIATE ACTIVITES ARE PROVIDED IN A SAFE AND NURTURING ENVIRONMENT BY TRAINED STAFF AND VOLUNTEERS.Description
FieldValueIRS element (for citing)
Total Program Service Expense1807842TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees58NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BETH LEARYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4089268885TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1692 N KING ROADAddressLine1
CitySAN JOSECity
StateCAState
ZIP Code95133ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
REGAN SENKARIK
BOD CHAIRMAN10.00X000
CANDACE CAPOGROSSI
VICE CHAIRMAN10.00X000
BRIAN MARTIN
SECRETARY10.00X000
ANN LINDAHL
TREASURER10.00X000
BRUCE NOEL
BOD MEMBERSHIP5.00X000
KENDALL PRICE
PHYSICAL PLANT COM. CHAIR5.00X000
STEVE BECERRA
DIRECTOR5.00X000
STACEY HENDLER ROSS
DIRECTOR5.00X000
MICHAEL KOVACS
DIRECTOR5.00X000
JO SCHWEIZER
DIRECTOR5.00X000
BILL SIEGLE
DIRECTOR5.00X000
LAURIE KELM
DIRECTOR5.00X000
BETH LEARY
INTERIM EXECUTIVE DIRECTOR - 7/2/1240.006099700X
PATRICIA CROWDER
EXECUTIVE DIRECTOR - THROUGH 7/25/1240.0010982301870X
FieldValueIRS element (for citing)
Total Reportable Comp From Org170820TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1870TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CORE GENERAL CONTRACTOR INC
470 SOUTH MARKET STREETSAN JOSECA95113CONSTRUCTION5610057
CHARITIES HOUSING
1400 PARKMOOR AVENUE SUITE 190SAN JOSECA95126CONSTRUCTION MGMT120000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events63235FundraisingEvents
Government Grants9825319GovernmentGrants
All Other Contributions1085759AllOtherContributions
Noncash Contributions173927NoncashContributions
Total Contributions10974313TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM FEESDescription
Business Code624100BusinessCode
Total Revenue Column96969TotalRevenueColumn
Related Or Exempt Function Income96969RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue96969TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1142TotalRevenueColumn
Exclusion$1,142ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events87153GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events63235CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses10901FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column76252TotalRevenueColumn
Exclusion$76,252ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code624100BusinessCode
Total Revenue Column11197TotalRevenueColumn
Related Or Exempt Function Income11197RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue11197TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11159873TotalRevenueColumn
Related Or Exempt Function Income108166RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$77,394ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total11176Total
Management And General5588ManagementAndGeneral
Fundraising5588Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total948949Total
Program Services721078ProgramServices
Management And General102964ManagementAndGeneral
Fundraising124907Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total144845Total
Program Services106535ProgramServices
Management And General16038ManagementAndGeneral
Fundraising22272Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total91854Total
Program Services67559ProgramServices
Management And General10171ManagementAndGeneral
Fundraising14124Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36151Total
Management And General36151ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total50791Total
Program Services15366ProgramServices
Fundraising35425Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15362Total
Program Services8044ProgramServices
Management And General4814ManagementAndGeneral
Fundraising2504Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total99189Total
Program Services76430ProgramServices
Management And General5720ManagementAndGeneral
Fundraising17039Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total104201Total
Program Services93781ProgramServices
Management And General5210ManagementAndGeneral
Fundraising5210Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total25316Total
Program Services22784ProgramServices
Management And General1266ManagementAndGeneral
Fundraising1266Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
APARTMENT RENT - THP315453315453
FOOD153834153834
TRANSITIONAL HOUSING PR142581142581
SMALL EQUIPMENT EXPENSE3787437723151

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total61365Total
Program Services46674ProgramServices
Management And General1770ManagementAndGeneral
Fundraising12921Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2238941Total
Program Services1807842ProgramServices
Management And General189843ManagementAndGeneral
Fundraising241256Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3628395BOY
EOY42166EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY258854BOY
EOY1015656EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY164653BOY
EOY145564EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8164BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY233061BOY
EOY30005EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13382533LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec229746LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33319BOY
EOY13152787EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7762204BOY
EOY24106EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12088650BOY
EOY14410284EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY935725BOY
EOY143952EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5709595BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11003BOY
EOY13873EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6656323BOY
EOY157825EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3885207BOY
EOY13255782EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1547120BOY
EOY996677EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5432327BOY
EOY14252459EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12088650BOY
EOY14410284EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8920932ReconcilationRevenueExpenses
Reconcilation Other Changes-100800ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2152551CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3667381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2368669CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2338778CurrentTaxYearMinus1Year
Current Tax Year10974313CurrentTaxYear
Total21501692Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2152551CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3667381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2368669CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2338778CurrentTaxYearMinus1Year
Current Tax Year10974313CurrentTaxYear
Total21501692Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total936612AmountsSubstContributorsTotal
Public Support Total17020565080PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125087CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years107838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14769CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4155CurrentTaxYearMinus1Year
Current Tax Year1142CurrentTaxYear
Total252991Total
FieldValueIRS element (for citing)
Total Support21754683TotalSupport
Gross Receipts From Admissions Etc640579GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.94530PublicSupportPertcentage170
Public Support Pertcent Prior Year0.73070PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1729952OtherCostOrOtherBasis
Book Value1729952BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11368706OtherCostOrOtherBasis
Depreciation81260Depreciation
Book Value11287446BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis83709OtherCostOrOtherBasis
Depreciation71492Depreciation
Book Value12217BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis200166OtherCostOrOtherBasis
Depreciation76994Depreciation
Book Value123172BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13152787TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTENANT SECURITY DEPOSITSDescription
Amount$13,873Amount
FieldValueIRS element (for citing)
Total Of Amounts13873TotalOfAmounts
Total Revenue11159873TotalRevenue
Total Expenses2238941TotalExpenses
Excess Or Deficit For Year8920932ExcessOrDeficitForYear
Donated Services And Facilities-100800DonatedServicesAndFacilities
Total Adjustments-100800TotalAdjustments
Excess Or Deficit Per FS8820132ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11159873TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11159873RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011159873TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2339741TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities100800DonatedServicesUseOfFacilities
Expenses Not Rptd F990100800ExpensesNotRptdF990
Expenses Subtotal2238941ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902238941TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationGENERALLY ACCEPTED ACCOUNTING PRINCIPLES PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ORGANIZATION IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN BY THE ORGANIZATION IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SOUP KITCHENNameOfEvent1
Gross Receipts Event1106403GrossReceiptsEvent1
Charitable Contributions Event119250CharitableContributionsEvent1
Gross Revenue Event187153GrossRevenueEvent1
Non Cash Prizes Event14623NonCashPrizesEvent1
Rent Facility Costs Event11313RentFacilityCostsEvent1
Food And Beverage Event11118FoodAndBeverageEvent1
Other Direct Expenses Event13591OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event243985GrossReceiptsEvent2
Charitable Contributions Event243985CharitableContributionsEvent2
Gross Receipts Total150388GrossReceiptsTotal
Charitable Contributions Total63235CharitableContributionsTotal
Gross Revenue Total Events87153GrossRevenueTotalEvents
Non Cash Prizes Total Events4623NonCashPrizesTotalEvents
Rent Facility Costs Total Events1313RentFacilityCostsTotalEvents
Food And Beverage Total Events1118FoodAndBeverageTotalEvents
Other Direct Expenses Total Events3591OtherDirectExpensesTotalEvents
Direct Expense Summary Events10645DirectExpenseSummaryEvents
Net Income Summary76508NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonPATRICIA CROWDERNamePerson
Base Compensation Filing Org109823BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org1870NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org111693TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions898NumberOfContributions
Noncash Contribs Rptd F99089507NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XPROGRAM SUPPLIES104262360FMV
XSHELTER MAINTENANCE SUPPLIES17322060FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 2009 INFORMATION RETURNS WERE REVIEWED BY THE AUDIT COMMITTEE PRIOR TO FILING. COPIES OF THE RETURNS WERE PROVIDED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST FORMS ARE COMPLETED AND REVIEWED ANNUALLY.
IN 2008 A SPECIAL COMMITTEE CONSISTING OF THE FINANCE COMMITTEE AND A FORMER BOARD MEMBER WITH HR EXPERIENCE MET TO REVIEW ED COMPENSATION. A REPORT WAS PURCHASED FROM GUIDESTAR WHICH COMPARED THE ORGANIZATION'S COMPENSATION (BOTH CASH SALARY AND TOTAL COMPENSATION) WITH 22 ORGANIZATIONS (NATION-WIDE) OF COMPARABLE MISSION AND SIZE. BASED ON THE EXECUTIVE DIRECTOR'S PERFORMANCE, THE JOB COMPLEXITY AND THE FACT THAT OUR TOTAL COMPENSATION WAS WITHIN THE RANGE OF THESE COMPARABLE ORGANIZATIONS, IT WAS CONCLUDED THAT THE EXECUTIVE DIRECTOR'S COMPENSATION WAS APPROPRIATE. IN 2010 A MODEST INCREASE WAS APPROVED FOR ALL EMPLOYEES. NOW THAT A NEW EXECUTIVE DIRECTOR HAS BEEN HIRED, THE BOARD IS PLANNING TO PERFORM A MORE REGULAR REVIEW OF EXECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PAGE 10, LINE 23DURING THE FISCAL YEAR, THE ORGANIZATION HAD FIVE LOANS RELATED TO THE NEW BUIDLING PROJECT THAT WERE CONVERTED TO CONDITIONAL GRANTS, RESULTING IN A REDUCTION IN NOTES PAYABLE.NOTES PAYABLE
FORM 990, PART XI, LINE 5:DONATED SERVICES AND USE OF FACILITIES: -100,800.CHANGES IN NET ASSETS OR FUND BALANCES: