Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NORTH CAROLINA COMMUNITY DEVELOPMENT INITIATIVE CAPITAL INC
Employer identification number
56-2142717
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
241,351
251,858
848,809
1,302,377
1,168,313
3,812,708
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
241,351
251,858
848,809
1,302,377
1,168,313
3,812,708
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
3,812,708
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
241,351
251,858
848,809
1,302,377
1,168,313
3,812,708
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
171,619
165,465
227,542
219,670
784,296
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
13,868
348
14,216
11
Total support (Add lines 7 through 10).
4,611,220
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
33,110
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
82.680 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
81.730 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NORTH CAROLINA COMMUNITY DEVELOPMENT INITIATIVE CAPITAL INC
Employer identification number
56-2142717
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
NORTH CAROLINA COMMUNITY DEVELOPMENT INITIATIVE CAPITAL, INC. IS A STATEWIDE PUBLIC-PRIVATE PARTNERSHIP THAT PROVIDES LEADERSHIP AND CAPITAL INVESTMENT TO HIGH-PERFORMANCE COMMUNITY DEVELOPMENT CORPORATIONS (CDCS) AS WELL AS OTHER COMMUNITY BASED ECONOMIC DEVELOPMENT ENDEAVORS, (I.E. SOCIAL ENTERPRISES) TO IMPROVE THE WELL BEING AND QUALITY OF LIFE FOR PEOPLE IN LOW RESOURCE COMMUNITIES.
ADDITIONAL INFORMATION
FORM 990
PART IV, LINE 28C - CERTAIN BOARD MEMBERS OF THIS ORGANIZATION ARE ALSO BOARD MEMBERS OF THE RELATED ORGANIZATION NORTH CAROLINA COMMUNITY DEVELOPMENT INITIATIVE, INC., EIN: 56-1845590 AND WHOSE RESPECTIVE BUSINESSES OR ORGANIZATIONS WITH WHICH THEY HOLD EXECUTIVE POSITIONS WERE PARTY TO BUSINESS TRANSACTIONS WITH THE CONSOLIDATED TAX EXEMPT GROUP. THESE TRANSACTIONS ARE LISTED IN DETAIL ON THE SCH. L DISCLOSURES INCLUDED ON THE 12/31/10 FORM 990 OF THE RELATED ORGANIZATION. IT IS THE POSITION OF BOTH ORGANIZATIONS THAT THESE BUSINESS TRANSACTIONS WERE CONDUCTED AT "ARMS-LENGTH" AND IN THE NORMAL COURSE OF BUSINESS. GENERAL INFORMATION PERTAINING TO THE CONSOLIDATED GROUP POLICIES: WITH RESPECT TO THE POLICIES AND PROCEDURE DISCLOSURES HEREIN, THE ORGANIZATION ADHERES TO THE FORMAL POLICIES ADOPTED BY IT'S AFFILIATE ORGANIZATION, NCCDI, IN ALL MATERIAL RESPECTS.
ADDITIONAL INFORMATION
FORM 990, PART VI
LINE 13 - WHISTLEBLOWER POLICY THE WHISTLEBLOWER, ELECTRONIC COMMUNICATIONS, DOCUMENT RETENTION, CONFIDENTIALITY AND CONFLICT OF INTEREST POLICIES ARE DISTRIBUTED AND DISCUSSED WITH EACH EMPLOYEE UPON HIRE. THE EMPLOYEE READS AND SIGNS THE POLICIES. COPIES OF THE SIGNED POLICIES ARE KEPT IN THE EMPLOYEE'S PERSONNEL FILE AND A COPY IS PROVIDED TO THE EMPLOYEE.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
AT A FULL BOARD MEETING, THE FORM 990 IS REVIEWED WITH THE CHIEF FINANCIAL OFFICER. INQUIRIES REGARDING THE FORM 990 ARE DISCUSSED WITH THE OUTSIDE ACCOUNTANTS PRIOR TO FILING THE RETURN.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ON AN ANNUAL BASIS, THE CONFLICT OF INTEREST POLICY WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS. THERE WILL BE A FULL EXPLANATION OF THE POLICY FOLLOWED BY A DISCUSSION OF WHAT ITEMS COULD CONSTITUTE A CONFLICT OF INTEREST. ALL IN ATTENDANCE WILL BE ASKED IF THEY HAVE OR KNOW OF A CONFLICT OF INTEREST. IF YES, THAT MEMBER WILL BE ASKED TO RECUSE THEMSELVES FROM THE DISCUSSION AND THE VOTE. THE CHIEF EXECUTIVE OFFICER WILL FOLLOW UP WITH ANY BOARD MEMBER NOT IN ATTENDANCE. ALL DISCUSSION WILL BE DOCUMENTED IN THE MINUTES.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
ON AN ANNUAL BASIS, THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER ARE EVALUATED BY THE PERSONNEL AND EXECUTIVE COMMITTEES OF THE BOARD OF DIRECTORS. THE PERSONNEL AND EXECUTIVE COMMITTEES MEET WITH THE CHIEF EXECUTIVE OFFICER TO REVIEW THE YEAR'S ACTIVITIES AND THEN FURTHER DISCUSSION IS HELD IN A CLOSED SESSION (WITHOUT THE PRESENCE OF THE CHIEF EXECUTIVE OFFICER) TO DETERMINE WHETHER A SALARY ADJUSTMENT IS MERITED. PRIOR TO THE MEETING WITH THE CHIEF EXECUTIVE OFFICER, THE FISCAL DEPARTMENT PROVIDES THE PERSONNEL COMMITTEE WITH A COPY OF THE MOST RECENT SALARY SCHEDULE AND RELEVANT MARKET DATA (COMPENSATION RESEARCH REPORT) TO ENSURE THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS COMPARABLE TO OTHER SIMILAR ORGANIZATIONS. AFTER THE EVALUATION, THE PERSONNEL AND EXECUTIVE COMMITTEES REPORT TO THE FULL BOARD AND THIS REPORT IS DOCUMENTED IN THE MINUTES OF THE MEETING.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
ON AN ANNUAL BASIS, THE PERFORMANCE AND COMPENSATION OF THE STAFF IS EVALUATED BY THE CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER MEETS WITH THE STAFF, INDIVIDUALLY TO REVIEW THE YEAR'S ACTIVITIES AND DISCUSS GOALS. PRIOR TO THE MEETING, THE FISCAL DEPARTMENT PROVIDES THE CHIEF EXECUTIVE OFFICER WITH A COPY OF THE MOST RECENT STAFF SALARY SCHEDULE AND RELEVANT MARKET DATA (COMPENSATION RESEARCH REPORT) TO ENSURE STAFF COMPENSATION IS COMPARABLE TO OTHER SIMILAR ORGANIZATIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
ADDITIONAL INFORMATION
FORM 990, PART VII
SECTION A - OFFICER, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES THE COMPENSATION REPORT ON PART VII, COLUMN (E) ARE AMOUNTS REPORTED TO THE IRS ON THE EMPLOYEE'S W-2 FROM THE ORGANIZATION'S AFFILIATE, NCCDI. THERE ARE NO AMOUNTS REPORTED IN COLUMN (D), "DIRECT" REPORTABLE COMPENSATION FROM THE ORGANIZATION. HOWEVER, THERE ARE AMOUNTS REPORTED AS OFFICER COMPENSATION EXPENSE ON PART IX, LINE 5. THE AMOUNTS REPORTED ON PART IX REFLECT THE ORGANIZATION'S SHARE OF ALLOCATED SALARIES BETWEEN THE ORGANIZATION AND IT'S AFFILIATE, NCCDI. ALL SALARIES ARE PAID THROUGH NCCDI AND THEREFORE REPORTED ON THE EMPLOYEE'S NCCDI FORM W-2. THE ORGANIZATION ITSELF DOES NOT PAY SALARIES AND THEREFORE DOES NOT PROVIDE ANY FORMS W-2. SEE SCHEDULE R FOR DETAILS. LILLIAN ALEXANDER IS NO LONGER AN EMPLOYEE WITH THE ORGANIZATION, HOWEVER, SHE DID RECEIVE A SEVERANCE PAYMENT FROM THE ORGANIZATION IN 2010.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.