Form990-EZ
Click to see attachment
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2010
Open to Public
Inspection
A
For the 2010 calendar year, or tax year beginning 01-01-2010, and ending 12-31-2010
B
Check if applicable:
C Name of organization
RENOVACION CONYUGAL INC
 
Number and street (or P. O. box, if mail is not delivered to street address)PO Box 146
  Room/suite
City or town, state or country, and ZIP + 4 Acworth, GA30101
D Employer identification number

35-2166123
E Telephone number

(678) 363-3079
F Group Exemption
Number. . bullet  
G Accounting method: Other (specify) bullet   H Check bulletI Website:bulletwww.renovacionconyugal.comJ Tax-Exempt status(check only one)—Click to see attachment(   ) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts; If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ.. . bullet $ 151,938
Part IRevenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) Check if the organization used Schedule O to respond to any question in this Part I . . . . . . . .
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received . . . . . . . . . 1 77,670
2 Program service revenue including government fees and contracts . . . . . . . 2 61,624
3 Membership dues and assessments . . . . . . . . . . . . . . 3 0
4 Investment income . . . . . . . . . . . . . . . . . . 4 0
5a Gross amount from sale of assets other than inventory . . . . 5a 0
b Less: cost or other basis and sales expenses . . 5b 0
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . . 5c 0
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) 6a 2,127
b Gross income from fundraising events (not including $ 10,517 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed $15,000) . . . . . . .
c Less: direct expenses from gaming and fundraising events . . . 6c 6,164
d Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c) 6d 6,480
7a Gross sales of inventory, less returns and allowances . . . . 7a 0
b Less: cost of goods sold . . . . . . . . . . 7b 0
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . . 7c 0
8 Other revenue (describe in Schedule O) . . . . . . . . . 8 0
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . . 9 145,774
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) . . . . . . . . 10 1,324
11 Benefits paid to or for members . . . . . . . . . . . . . . . 11 0
12 Salaries, other compensation, and employee benefits . . . . . . . . . . . 12 76,283
13 Professional fees and other payments to independent contractors . . . . . . . . 13 4,394
14 Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . 14 16,543
15 Printing, publications, postage, and shipping . . . . . . . . . . . . 15 10,769
16 Other expenses (describe in Schedule O) . . . . . . . . . . 16 35,235
17 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . 17 144,548
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . 18 1,226
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return) . . . . . . . . . . . 19 -3,446
20 Other changes in net assets or fund balances (explain in Schedule O) . . . . . . . 20 0
21 Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . Bullet 21 -2,220
Part IIBalance Sheets Check if the organization used Schedule O to respond to any question in this Part II. . . . . . . . .

(See the instructions for Part II.)(A) Beginning of year(B) End of year
22Cash, savings, and investments . . . . . . . . . .
2,740
22
153
23Land and buildings . . . . . . . . . . . . .
0
23
0
24Other assets (describe in Schedule O) . . . . . .
4,814
24
8,607
25Total assets . . . . . . . . . . . . . .
7,554
25
8,760
26
Total liabilities (describe in Schedule O) . . . . .
11,000
26
10,980
27Net assets or fund balances (line 27 of column (B) must agree with line 21) .
-3,446
27
-2,220
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2010)
Form 990-EZ (2010)
Page 2
Part IIIStatement of Program Service Accomplishments Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? Our mission is to strengthen, revitalize, and equip Latino families through educational workshops and support groups that improve their communication skills and relationship commitment, empowering participants to thrive and enjoy a healthy family environment. Mission is accomplished through programs in three major areas, couples, parenting and teens.
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Couples program - Includes a one day workshop (Taller de Parejas) in Spanish that teaches communication skills and problem solving techniques. Examines the level of commitment of the couple and helps them recognize patterns and traits that they received in their upbringing and how they affect their relationship. Clarifies ideas and misconceptions about their sexuality. Outcomes for this program were 95% reported improved communication skills, 88% reported increased commitment to the relationship, 92% reported improved skills for managing anger and frustration, 87% reported improved understanding of sexuality in the relationship. This outcomes were measured by pre and post evaluations and 3, 6 and 12 month follow-up interviews. On 2010, we prepared 10 of these workshops with a total of 588 participants. After every workshop support groups were established and led by a couple of trained volunteers. We prepared 1 Plenitud Matrimonial workshop for 30 couples that had already attended the "Taller de Parejas" workshop and had completed the support group. This program teaches specific communication techniques, works one-on-one with participants on problem-solving techniques and helps build intimacy. Our couples' program received $5,261 in donated goods, $1,750 in in-kind use of of facilities and 4,311 donated volunteer hours.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 28a 35,827
29 Our parenting program "Escuela Para Padres" is a series of classes that provide Latino parents with the necessary skills to make their job as parents easiers and give ideas on how to better fulfill their role. The program discusses the role of their native culture and upbringing in how they perceive their kids and their parenting style. Stresses the importance of recognizing kids as people that deserve respect and attention. Program explains ways to help kids to see themselves as valuable, promoting the development of a positive self-image. Establishes the importance of having clearly defined values and the most effective way to implementing discipline and control without verbal or physical violence. Teaches cooperation among family members and promotes the idea of leading kids to eventual self-regulation. A group of volunteer multi-disciplinary professionals present the program and donate 2,428 volunteer in-kind hours to make the program possible. On 2010, 10 parenting workshops were presented in particular through public schools. Services were provided to 307 parents. We also provided 12 individual parenting seminars (aside to regular classes) to expand the information provided, include additional topics and further parenting education. 343 parents participated of these seminars. Measured outcomes were 81% of parents were using the "I" message" to communicate with their kids, 87% of parents were showing affection to their kids and giving them unconditional positive strokes, 88% parents could view their kids as an individual person that deserve respect, 79% of parents reported that they were using new techniques to discipline their kids using physical or verbal and to manage anger and frustration when dealing with their kids. We received $1,340 in in-kind use of facilities and $2,650 in inkind goods.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 29a 26,854
30 Our teenagers' program (Renovacion Juvenil) is targeted to teens 13 to 18 years of age. The objective of the workshop is to provide them with tools that will prevent in this group drug and alcohol abuse, low self-esteem, participation in gangs, teen pregnancy. The program also helps them adapt to the reality of living in a dual-culture. They receive skills to improve their communication with their parents and develop positive leadership traits. A session is prepared for the teens' parents so that they are prepared to establish a better communication with their teens and they know where to look for help if they need assistance with family relationship issues. All activities are prepared and presented by Latino teens and young adults. Peer mentorship opportunities and counseling referrals are available. On 2010, we prepared 4 workshops with 365 teens in attendance. 373 people participated from the parents' program. A total of 8 support groups were formed, serving 112 teens. We also prepared leadership seminars so that the teens that we interested could gain new skills and leadership abilities. We supported the kids that attended the leadership seminars so that they could start volunteering in our program, their school, church and or community. By making sure that they put to work their newly gain talents, we encourage the formation and development of new positive young leaders for our Latino community. Our measured outcomes were, 81% of teens reported having a better relationship with their parents, 68% were showing new leadership skills, and 66% of teens were not using alcohol or drugs. Outcomes were measured by pre and post assessments and 6 and 12 month follow-ups. Volunteers donated 15,311 in-kind hours to make this program possible. We received $2,015 in in-kind use of facilities and $7,013 in inkind goods.
(Grants $ 32,500) If this amount includes foreign grants, check here ...MediumBullet		 30a 46,934
For the first time this year we started a new project "Taller de Padres e Hijos". This program is a one-day workshop for Latino parents and their teens ages 13 to 18. It complements and completes the experience of the "Renovacion Juvenil" program by giving teens and parents new skills to improve their communication and relationship. We prepared one of these programs with 48 teens and 32 parents attending. We will make this a permanent project for the organization and we will prepare logic models and outcome measurements to track success of the effort. Volunteers devoted 612 inkind hours to the program. It received $576 in inkind goods and $500 in inkind use of facilities.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 4,643
In Partnership with American Cancer Society, Renovacion Conyugal held one session of the program "Con Amor Aprendemos". This project is targeted towards Latino couples of all ages with the goal of teaching them about the Human Papiloma Virus and other sexually transmitted diseases. 16 people participated. Program received $300 in inkind donated facilities and $120 in inkind goods.
(Grants $ 1,720) If this amount includes foreign grants, check here ...MediumBullet		 1,746
In partnership with the organization "Partnership Against Domestic Violence" we presented the seminar "Domestic Violence 101 for Religious and Community Leaders". This program teaches best practices to serve Latino victims of domestic violence. We presented 1 of these seminars. 21 people participated. Volunteers devoted 45 inkind hours to the program. The program received $150 in inkind space donation and $150 in donated goods.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 578
31 Other program services (describe in Schedule O) . . . . . . . . . . . .
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a) . . . . . . . . . bullet 32 116,582
Part IVList of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV . . . . . . . .
(a) Name and address (b) Title and average
hours per week
devoted to position		 (c) Compensation
(If not paid,
enter -0-.) 		(d) Contributions to
employee benefit plans &
deferred compensation		 (e) Expense
account and
other allowances
Dr Jose O Rodriguez MD
3230 Hobson Ridge Trail
Acworth,GA30101
 Chairman of the Board4 0 0 0
Maria Capalleja
135 Jilstone Ct
Johns Creek,GA30097
 Treasurer2.5 0 0 0
Gisela Cordova MS
4788 Pastry Lane
Acworth,GA30101
 Secretary1.5 0 0 0
Nicky Lopez
1418 Sisters Ct
Lawrencevile,GA30043
 Development Director20 9,205 0 0
Maria Malca
591 Cherokee St
Marietta,GA30043
 Chairman Marketing Committee2 0 0 0
Oscar Arango
1831 Dorset Trace Circle
Lawrenceville,GA30045
 Chairman Volunteers Committee4 0 0 0
Sandra Fantauzzi
PO Box 146
Acworth,GA30101
 Chairman Education Committee1 0 0 0
Carlos Lecaros
435 Suwanee East Dr
Lawrenceville,GA30043
 Chairman Events Committee2.5 0 0 0
Michael C UrbinaPabon
436 Druid Oaks NE
Atlanta,GA30329
 Governance Committee Chairman4 0 0 0
Ivelisse Ruperto
2982 Gala Trail
Snelville,GA30039
 Community Representative1.5 0 0 0
Rosa Gomez
249 Picketts Trace
Acworth,GA30101
 Administrative Assistant20 11,679 0 0
Belisa Urbina
54 Mt Vernon Ridge
Dallas,GA30132
 Executive Director45 34,865 0 4,500
Form 990-EZ (2010)
Form 990-EZ (2010)
Page 3
Part VOther Information(Note the statement requirements in the instructions for Part V.)YesNo Check if the organization used Schedule O to respond to any question in this Part V . . . .
33
Did the organization engage in any activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ..............
33
Yes
 
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the change on Schedule O (see instructions). ...................
34
Yes
 
35
If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, explain in Schedule O why the organization did not report the income on Form 990-T. ........................
a
Did the organization have unrelated business gross income of $1,000 or more or was it a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements?
35a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year? (see instructions) ........
35b
 
 
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N .............
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
0
b
Did the organization file Form 1120-POL for this year? ...............
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
38a
Yes
 
b
If “Yes,” complete Schedule L, Part II and enter the total amount involved Click to see attachment.
38b
9,600
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9 ......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities ....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet0 ; section 4912 bullet0 ; section 4955 bullet0
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I. Click to see attachment....
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ..bullet0
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization ...................bullet0
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T. .................
40e
 
No
41List the states with which a copy of this return is filed. bulletGA
42aThe organization's books are in care of bulletRenovacion Conyugal - Belisa Urbina Telephone no. bullet (678) 363-3079
Located at bullet4606 Main St Suite C
Acworth,GA ZIP + 4bullet30101
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes,” enter the name of the foreign country: bullet  
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside of the U.S.?
42c
 
No
If “Yes,” enter the name of the foreign country: bullet  
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year . . . bullet43
 
44a
Did the organization maintain any donor advised funds? If "Yes", Form 990 must be completed instead of
Yes
No
Form 990-EZ.. . . . . . . . . . . . . . . . . . . .
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If ‘Yes,’ Form 990 must be completed instead of Form990-EZ. . . . . . . . .
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year? . . . . . . .
44c
 
No
d
If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If ‘No,’ provide an explanation in Schedule O. . . . . . . . .
44d
 
 
45
Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. . . . . . . . .
45
 
No
45a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. .
45a
 
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I. . . . . . . . . .
46
 
No
Form 990-EZ (2010)
Form 990-EZ (2010)
Page 4
Part VI
Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b and 52. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . .
Yes
No
47
Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II . . . .
47
 
No
48
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . .
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization? . . . .
49a
 
No
b
If "Yes," was the related organization a section 527 organization? . . . . . . . . .
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each employee paid more than $100,000 (b) Title and average
hours per week
devoted to position		 (c) Compensation
 (d) Contributions to
employee benefit plans &
deferred compensation		 (e) Expense
account and
other allowances
NONE
50(f)
Total number of other employees paid over $100,000 . . . . . . . . . . . . . bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
NONE
51(d)
Total number of other independent contractors each receiving over $100,000 . . . . . . . bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ....................
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(See instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2010)

Additional Data


Software ID: 10000077
Software Version: v1.00

Form 990-EZ, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
RENOVACION CONYUGAL INC
 
Employer identification number

35-2166123
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
f
g
(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
(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.") ....            
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..            
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.            
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..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
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..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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.") . 11,263 41,122 65,855 75,909 79,797 273,946
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...... 43,888 36,976 36,802 48,166 61,624 227,456
3 Gross receipts from activities that are not an unrelated trade or business under section 513.. 0 0 0 0 0 0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... 0 0 0 0 0 0
5 The value of services or facilities furnished by a governmental unit to the organization without charge.. 0 0 0 0 1,000 1,000
6 Total. Add lines 1 through 5. 55,151 78,098 102,657 124,075 142,421 502,402
7a Amounts included on lines 1, 2, and 3 received from disqualified persons... 0 0 0 0 0 0
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. 0 0 0   10,860 10,860
c Add lines 7a and 7b.. 0 0 0 0 10,860 10,860
8 Public Support (Subtract line 7c from line 6.)           491,542
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... 55,151 78,098 102,657 124,075 142,421 502,402
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 0 0 0   0 0
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. 0 0 0   0 0
c Add lines 10a and 10b. 0 0 0 0 0 0
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. 0 0 0   0 0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 0 0 0   0 0
13 Total support (Add lines 9, 10c, 11 and 12.). 55,151 78,098 102,657 124,075 142,421 502,402
14
Section C. Computation of Public Support Percentage
15
15
97.838 %
16
16
100 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
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: 10000077
Software Version: v1.00
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
RENOVACION CONYUGAL INC
 
Employer identification number

35-2166123
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
RENOVACION CONYUGAL INC
  		Employer identification number

35-2166123
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
RENOVACION CONYUGAL INC
  		Employer identification number

35-2166123
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
RENOVACION CONYUGAL INC
  		Employer identification number

35-2166123
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID: 10000077
Software Version: v1.00
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
RENOVACION CONYUGAL INC
 
Employer identification number

35-2166123
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
(1) Belisa M Urbina
Help with organization's cash flow 		X   12,000 9,600   No Yes   Yes  
Total ...............Small Bullet $ 9,600
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000077
Software Version: v1.00




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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
RENOVACION CONYUGAL INC
 
Employer identification number

35-2166123
Identifier Return Reference Explanation
F99Z_P01_S00_L10 Form 990-EZ, Part I, Line 10 $1,324 were used to pay for registration of participants that could not pay for the program registration fees. We don't deny services to anybody because the inability to pay for program fees.
F99Z_P01_S00_L16 Form 990-EZ, Part I, Line 16 $28 were paid for background checks for volunteers of youth events. $14,291 were paid in meals for events participants. $8,564.00 were spent in marketing efforts and participation in community fairs. $3,406 in other office materials expenses. $663 were paid in memberships to professional organizations. $3,072 were paid for lodging and mileage reimbursement for volunteers related to program activities.$4,663 were paid for volunteers training and events. $548 were spent in paying airline tickets for 2 presenters for one of our workshops.
F99Z_P02_S00_L24 Form 990-EZ, Part II, Line 24 $1,199 in new furniture and equipment in $3,610 in furniture and equipment and $3,798 in accounts receivable
F99Z_P02_S00_L26 Form 990-EZ, Part II, Line 26 $1,380 in credit card debt and $9,600 in loans.
F99Z_P05_S00_L33 Form 990-EZ, Part V, Line 33 The organization started a new program "Taller de Padres e Hijos" and started preparing "Cultural and Lingusitic Proficiency" seminars to teach other providers in the community best practices in serving Latino youth and families. Organization also partnered with the American Cancer Society and Partnership Against Domestic Violence to provide two educational programs: "Con Amor Aprendemos" and "Domestic Violence 101".
F99Z_P05_S00_L34 Form 990-EZ, Part V, Line 34 Two different law offices donated their time to review the organization's by laws and articles of incorporation. Both documents were amended and articles of incorporation were re-filed with the Georgia State Department as required.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000077
Software Version: v1.00