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
CROSSROADS RHODE ISLAND
Employer identification number
05-0259094
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.") ....
5,737,189
5,058,455
6,077,241
5,387,985
6,726,463
28,987,333
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..
675,096
675,096
675,096
675,096
58,000
2,758,384
4
Total. Add lines 1 through 3..
6,412,285
5,733,551
6,752,337
6,063,081
6,784,463
31,745,717
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.
31,745,717
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..
6,412,285
5,733,551
6,752,337
6,063,081
6,784,463
31,745,717
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
49,353
4,437
5,789
2,052
818
62,449
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..
249,149
251,342
248,498
326,589
1,075,578
11
Total support (Add lines 7 through 10).
32,883,744
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
5,744,755
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
96.540 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
97.360 %
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
CROSSROADS RHODE ISLAND
Employer identification number
05-0259094
Identifier
Return Reference
Explanation
CHANGES IN PROGRAM SERVICES
FORM 990, PART III, LINE 3
DURING 2010, AS AUTHORIZED BY THE BOARD OF DIRECTORS, CROSSROADS RI DISCONTINUED THE OPERATIONS OF THE COPY CENTER PROGRAM DUE TO RECURRING OPERATING LOSSES. LOSSES FROM DISCONTINUED OPERATIONS CONSISTED OF THE FOLLOWING DURING 2010 AND 2009, RESPECTIVELY: $(297,359) AND $(219,140).
FORM 990, PART VI, SECTION A, LINE 2
TWO BOARD MEMBERS, JAMES MASTORS AND EDWARD SHORE, FORMED A FOR-PROFIT REALTY BUSINESS TITLED CR REALTY ASSOCIATES, LLC DURING 2010. CR REALTY ASSOCIATES, LLC PURCHASED TWO PROPERTIES LOCATED IN PROVIDENCE, RI. THE PROPERTIES WERE PURCHASED WITH THE INTENT TO BE UTILIZED BY CROSSROADS RI IN ITS HOUSING PROGRAM. OWNERSHIP OF THESE PROPERTIES IS EXPECTED TO BE TURNED OVER TO CROSSROADS RI IN THE NEAR FUTURE.
FORM 990, PART VI, SECTION A, LINE 7A
DURING THE ANNUAL MEETING, MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED. THE BOARD OF DIRECTORS SHALL CONSIST OF AT LEAST 15, AND NO MORE THAN 36 MEMBERS. DIRECTORS ELECTED TO SERVE ON THE BOARD FOR THE FIRST TIME ARE ELECTED FOR A TERM OF THREE YEARS AND UNTIL THEIR SUCCESSORS ARE CHOSEN AND QUALIFY. DIRECTORS WHO HAVE SERVED A FULL THREE YEAR TERM MAY BE RE-ELECTED TO SERVE FOR TWO ADDITIONAL THREE YEAR TERMS.
FORM 990, PART VI, SECTION B, LINE 11
MEMBERS OF THE ORGANIZATION'S AUDIT COMMITTEE REVIEWED THE FORM 990 PRIOR TO FILING AND RECOMMENDED TO THE BOARD TO ACCEPT THE FORM AS COMPLETED. THE FORM 990 WAS PROVIDED TO EACH DIRECTOR VIA E-MAIL PRIOR TO FILING. EACH DIRECTOR THEN CONFIRMED RECEIPT BY E-MAIL.
FORM 990, PART VI, SECTION B, LINE 12C
EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; B) HAS READ AND UNDERSTANDS THE POLICY; C) HAS AGREED TO COMPLY WITH THE POLICY, AND; D)UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THESE REVIEWS SHALL AT A MINIMUM INCLUDE THE FOLLOWING SUBJECTS: A) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON A COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING; B) WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OF PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15
A: THE PROCESS OF DETERMINING THE EXECUTIVE DIRECTOR'S SALARY IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. THE COMMITTEE CONSISTS OF FIVE BOARD MEMBERS AND TWO-THIRDS OF THE MEMBERS PRESENT WILL CONSTITUTE A QUORUM. THE COMMITTEE DIRECTS ADMINISTRATION TO OBTAIN, REVIEW AND ASSIMILATE COMPARABLE COMPENSATION DATA WITH RESPECT TO THE PRESIDENT/CEO AND KEY EXECUTIVE OFFICERS NO LESS THAN TWELVE MONTHS OR NO MORE THAN TWENTY-FOUR MONTHS. ANNUALLY, THE COMMITTEE WILL REVIEW AND RECOMMEND TO THE BOARD CORPORATE GOALS AND OBJECTIVES FOR THE PRESIDENT/CEO AT THE END OF EACH YEAR, EVALUATE THE PERFORMANCE AGAINST THESE GOALS, AND RECOMMEND TO THE BOARD ANY SALARY ACTION BE TAKEN. 15B: THE COMPENSATION COMMITTEE DELEGATES TO THE PRESIDENT THE GOAL SETTING, EVALUATION, AND ANY SALARY RECOMMENDATIONS FOR THE KEY EXECUTIVES/OFFICERS OF THE ORGANIZATION AND WILL HAVE THE RESPONSIBILITY OF REVIEWING AND APPROVING THESE SALARY ACTIONS.
FORM 990, PART VI, SECTION C, LINE 19
DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
PRIOR PERIOD ADJUSTMENTS: -17,378.
FORM 990, PART XII, LINE 2C:
THE ORGANIZATION'S AUDIT/FINANCE COMMITTEE SHALL HAVE SUPERVISION, ON BEHALF OF THE BOARD, OF ALL MATTERS RELATING TO THE OPERATING FUNDS OF THE CORPORATION. IT SHALL MAINTAIN A CONTINUOUS AND OVERALL REVIEW OF INCOME AND EXPENDITURES AND SHALL MAKE RECOMMENDATIONS TO THE BOARD RELATING THERETO. THE COMMITTEE SHALL (I) RECOMMEND, FROM TIME TO TIME, AS TO ANY MATTER PERTAINING TO THE FINANCIAL CONDITION OF THE CORPORATION INCLUDING INTERNAL AUDIT PROCEDURES AND PRACTICES; (II) RECOMMEND THE FIRM OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS ENGAGED BY THE CORPORATION FOR THE ANNUAL AUDIT; (III) CONSULT FROM TIME TO TIME WITH THE SELECTED FIRM WITH REGARD TO THE ADEQUACY OF INTERNAL CONTROLS; AND (IV) REVIEW WITH THE INDEPENDENT AUDITORS THE PROPOSED REPORT OF THE AUDIT AND ACCOMPANYING MANAGEMENT LETTER.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.