Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 242,955 | 238,202 | 211,604 | 187,889 | 250,184 | 1,130,834 |
| 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.. | 242,955 | 238,202 | 211,604 | 187,889 | 250,184 | 1,130,834 |
| 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. | 1,130,834 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 242,955 | 238,202 | 211,604 | 187,889 | 250,184 | 1,130,834 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 15 | 15 | ||||
| 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). | 1,130,849 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI | 6 | Governing Body and Management Membership Organizations or individuals in the state of Georgia with an interest in homelessness issues are eligible for general membership. |
| Form 990 Part VI | 7a | Twelve members of the Board shall represent the interest of each of the twelve regions as defined by Georgia Department of Commuity Affairs 2002. Each Local Coalition in a region may nominate one representative for consideration for Board membership to the Nominating/Membership committee. If there is no coalition in a region, nominations will be accepted from general members of that region. The Nominating/Membership committee will evaluate each nominee and present him or her to the general membership at the annual meeting of the general membership. General membership in each region will elect who will represent their region. There are five at-large members representing statewide interests. All Local Coalitions and general members may nomminate representatives for consideration for Board membership to the Nominating/Membership committee. The Nominating/Membership committee evaluate |
| Form 990 Part VI | 7a | cont each nominee and present him or her to the general membership at the annual meeting of the general membership. General membership from all regions will elect the at-large seats on the Board of Directors. |
| Form 990 Part VI | 7b | Governance decisions are subject to approval by members during the annual meeting held in September. |
| Form 990 Part VI | 12b | Organizations small size facilitates personal knowledge of conflicts of interest. Limited budget and financial resources limits opportunities for material conflicts of interest to arise. |
| Form 990 Part VI | 12c | Executive Director monitors for conflicts among staff and among board members. Independent CPA serving as treasurer monitors Executive Director. |
| Form 990 Part VI | 15a and b | Compensation Board is made up of executives from around the state that are actively involved in outreach, coordination or advocacy for the homeless. They are active in their own organizations and have personal knowledge of compensation packages from around the state. The Board is nominated by the organization members, not the staff. They are independent of the staff and make recommendations regarding compensation at periodic board meetings. |
| Form 990 Part VI | 19 | Forms are available upon request and from Guidestar.org. |
| Form 990 Part III | 2 | New Service QESST - training and certification program designed to ensure quality care for the homeless in shelters throughout Georgia. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 74,583, Grants and allocations 0, Revenue 150,354 all other program services, including toll free hotline and educational services |
| Form 990, Part III, Line 4d Program Service Expenses 74,583, Grants and allocations 0, Revenue 150,354 all other program services, including toll free hotline and educational services Form 990 Part VI Section A Line 6 Governing Body and Management Membership Organizations or individuals in the state of Georgia with an interest in homelessness issues are eligible for general membership. Form 990 Part VI Section A Line 7a Twelve members of the Board shall represent the interest of each of the twelve regions as defined by Georgia Department of Commuity Affairs 2002. Each Local Coalition in a region may nominate one representative for consideration for Board membership to the Nominating/Membership committee. If there is no coalition in a region, nominations will be accepted from general members of that region. The Nominating/Membership committee will evaluate each nominee and present him or her to the general membership at the annual meeting of the general membership. General membership in each region will elect who will represent their region. There are five at-large members representing statewide interests. All Local Coalitions and general members may nomminate representatives for consideration for Board membership to the Nominating/Membership committee. The Nominating/Membership committee evaluate Form 990 Part VI Section A Line 7a cont each nominee and present him or her to the general membership at the annual meeting of the general membership. General membership from all regions will elect the at-large seats on the Board of Directors. Form 990 Part VI Section A Line 7b Governance decisions are subject to approval by members during the annual meeting held in September. Form 990 Part VI Section B Line 12b Organizations small size facilitates personal knowledge of conflicts of interest. Limited budget and financial resources limits opportunities for material conflicts of interest to arise. Form 990 Part VI Section B Line 12c Executive Director monitors for conflicts among staff and among board members. Independent CPA serving as treasurer monitors Executive Director. Form 990 Part VI Section B Line 15a and b Compensation Board is made up of executives from around the state that are actively involved in outreach, coordination or advocacy for the homeless. They are active in their own organizations and have personal knowledge of compensation packages from around the state. The Board is nominated by the organization members, not the staff. They are independent of the staff and make recommendations regarding compensation at periodic board meetings. Form 990 Part VI Section C Line 19 Forms are available upon request and from Guidestar.org. Form 990 Part III Line 2 New Service QESST - training and certification program designed to ensure quality care for the homeless in shelters throughout Georgia. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |