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
Adams Mental Health Foundation Inc DBA Community Reach Center Foundation Inc
Employer identification number
74-2275552
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)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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
(1)
COMMUNITY REACH CENTER INC
840519618
03
Yes
Yes
Yes
0
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
Gross receipts from related activities, etc. (See instructions.)
..................
12
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
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
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
Adams Mental Health Foundation Inc DBA Community Reach Center Foundation Inc
Employer identification number
74-2275552
Identifier
Return Reference
Explanation
PART VI, QUESTION 11A
DESCRIBE PROCESS TO REVIEW 990
THE FORM 990 IS PREPARED BY A THIRD PARTY PREPARER WITH A DETAIL REVIEW BEING COMPLETED BY THE CONTROLLER AND CFO OF THE ORGANIZATION. A FINAL COPY OF THE FORM 990 IS THEN PRESENTED TO THE FINANCE COMMITTEE AND TO THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE IRS.
PART VI, QUESTION 12C
DESCRIBE HOW CONFLICT OF INTEREST POLICY IS MONITORED & ENFORCED
THE CONFLICT OF INTEREST POLICY IS MONITORED & ENFORCED BY A COMMUNITY REACH CENTER SYSTEMS, INC. CONCERNS ABOUT WHETHER THERE HAS BEEN A VIOLATION OF THE CONFLICT OF INTEREST POLICY GO DIRECTLY TO COMMUNITY REACH CENTER SYSTEMS, INC.'S CORPORATE COMPLIANCE OFFICER. THE CORPORATE COMPLIANCE OFFICER NOTIFIES THE DIRECTOR OF THE DIVISION THAT THE PERSON INVOLVED WORKS IN AND THE CHIEF OPERATIONS OFFICER OF THE POTENTIAL VIOLATION. THEN THE CORPORATE COMPLIANCE OFFICER CONDUCTS AN INVESTIGATION. THE FINDING OF THE INVESTIGATION ARE REPORTED TO THE DIRECTOR OF HR, THE CHIEF OPERATIONS OFFICER, AND THE DIVISION DIRECTOR WHO MEET TO DISCUSS WHAT, IF ANY, RESTRICTIONS NEED TO BE IMPOSED ON THE PERSON WITH THE CONFLICT OF INTEREST.
PART VI, QUESTION 15A
DESCRIBE PROCESS FOR DETERMINING COMPENSATION
THE CEO RECEIVES COMPENSATION FROM COMMUNITY REACH CENTER SYSTEMS, INC., A RELATED PARTY. ON AN ANNUAL BASIS, OUR HR DIRECTOR GOES THROUGH A PROCESS CALLED SALARY ADMINISTRATION. COMMUNITY REACH CENTER, ANOTHER RELATED PARTY, IS A MEMBER OF MOUNTAIN STATES EMPLOYERS COUNCIL. WE PARTICIPATE IN SALARY SURVEYS AND ARE ABLE TO ACCESS THE INFORMATION FROM OTHER NON-PROFITS TO COMPARE OUR SALARIES TO. THE CEO'S SALARY IS NEGOTIATED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF SYSTEMS LAST CONDUCTED A 360 DEGREE REVIEW OF CEO PAY IN JULY OF 2008.
PART VI, QUESTION 15B
DESCRIBE PROCESS FOR DETERMINING COMPENSATION
OTHER OFFICERS RECEIVES COMPENSATION FROM COMMUNITY REACH CENTER SYSTEMS, INC., A RELATED PARTY. ON AN ANNUAL BASIS, OUR HR DIRECTOR GOES THROUGH A PROCESS CALLED SALARY ADMINISTRATION. COMMUNITY REACH CENTER, ANOTHER RELATED PARTY, IS A MEMBER OF MOUNTAIN STATES EMPLOYERS COUNCIL. WE PARTICIPATE IN SALARY SURVEYS AND ARE ABLE TO ACCESS THE INFORMATION FROM OTHER NON-PROFITS TO COMPARE OUR SALARIES TO. ALL EXECUTIVE SALARIES ARE APPROVED BY THE CEO. OTHER EXECUTIVE COMPENSATION WAS LAST REVIEWED IN JULY OF 2008 BY DENISE TOMSICK, HR MANAGER OF SYSTEMS.
PART VI, QUESTION 19
DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC
THE CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
PART IX
MANAGEMENT FEES
THE FOUNDATION PAYS MANAGEMENT FEES TO COMMUNITY REACH CENTER SYSTEMS FOR A NUMBER OF SERVICES. COMMUNITY REACH CENTER SYSTEMS ITEMIZES THESE EXPENSES FOR THEIR AFFILIATES. THE ITEMIZED EXPENSES ARE REPORTED ON THE STATEMENT OF FUNCTIONAL EXPENSE BY THE EXPENSE TYPE. A PORTION OF THESE EXPENSES IS REPORTED AS MANAGEMENT FEES.
PART VII AND PART IX, LINE 5 & 7
SALARIES AND WAGES
THE CEO, COO AND CFO PROVIDE SERVICES FOR ENTITIES IN THE AFFILIATED GROUP. THEIR WAGES ARE PAID BY COMMUNITY CENTER SYSTEMS, INC. AND PART OF THE MANAGEMENT FEES PAID BY THE ENTITIES REFLECTS THE SERVICES OF THESE INDIVIDUALS. THE SERVICES WILL BE PROVIDED AS NEEDED AND WILL VARY THROUGHOUT THE YEAR AND ALSO YEAR TO YEAR. DUE TO THE VARIATION AN EXACT NUMBER OF HOURS OR DOLLAR AMOUNT OF THE SALARIES ALLOCABLE TO EACH ENTITY IS NOT READILY DETERMINABLE. A PORTION OF OFFICERS' SALARIES IS INCLUDED ON LINE 7 OF THE STATEMENT OF FUNCTIONAL EXPENSE, BUT THE AMOUNT CANNOT BE READILY DETERMINED TO DISCLOSE ON LINE 5.
PART VI, QUESTION 6, 7A, 7B
ORGANIZATION'S MEMBERS OR STOCKHOLDERS
COMMUNITY REACH SYSTEMS INC. IS THE SOLE MEMBER OF COMMUNITY REACH CENTER FOUNDATION, INC. COMMUNITY REACH SYSTEMS, INC. APPOINTS, REMOVES AND REPLACES THE MEMBERS OF THE BOARD OF DIRECTORS AND HAS THE SOLE AUTHORITY TO ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS.
PART XI, LINE 5
OTHER CHANGES IN NET ASSETS OR FUND BALANCES
UNREALIZED GAINS 792,481 TRANSFER FROM AFFILIATES 1,635,144
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:SHERYL BAIN TITLE:PRESIDENT HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:LIZ FUSELIER TITLE:TREASURER HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:MARGE GALLEGOS TITLE:DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:BRUCE VEZINA TITLE:DIRECTOR HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:MARY ANN WISEHART TITLE:SECRETARY HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:RICHARD DOUCET TITLE:CEO HOURS:32
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:EARL W LAW TITLE:CFO HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:SHELLY SPALDING TITLE:COO HOURS:36
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.