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
2011
Open to Public Inspection
Name of the organization
PERMIAN BASIN WOMENS RESOURCE CENTER INC
Employer identification number
75-1663590
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 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.") ....
721,354
542,539
539,948
775,234
982,242
3,561,317
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
721,354
542,539
539,948
775,234
982,242
3,561,317
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)..
0
6
Public Support. Subtract line 5 from line 4.
3,561,317
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
721,354
542,539
539,948
775,234
982,242
3,561,317
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
22,964
16,907
10,872
10,500
9,908
71,151
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
0
11
Total support (Add lines 7 through 10).
3,632,468
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
98.040 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
97.880 %
16a
33 1/3% support test—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 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.)
Section B. Total Support
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.).
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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011
Additional Data
Software ID:
11000144
Software Version:
2011v1.2
-
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
2011
Open to Public Inspection
Name of the organization
PERMIAN BASIN WOMENS RESOURCE CENTER INC
Employer identification number
75-1663590
Identifier
Return Reference
Explanation
FORM 990, PART I, LINE 1 - ORG SIG ACT
THE LIFE CENTER'S MOST SIGNIFICANT ACTIVITIES CENTER ON PREVENTION EDUCATION, INTERVENTION AND RESTORATION. PREVENTION EDUCATION OFFERS IN-DEPTH SEXUAL INTEGRITY EDUCATION PROGRAMS ABSOLUTELY FREE FOR GRADES 4-12. PREVENTION PROGRAMS WERE EXPANDED IN 2011 TO INCLUDE 4TH - 5TH GRADES. A WEBSITE HAS BEEN DEVELOPED, DESIGNED AND DEDICATED AS SUPPLEMENTAL PROGRAM SUPPORT. THE WEBSITE OFFERS AN OPPORTUNITY FOR STUDENT FEEDBACK, INTERACTION AND CONTINUED EDUCATION AS WELL AS TEACHER/PARENT EDUCATIONAL SUPPORT. THE EDUCATION PROGRAMS HAVE BEEN CONDUCTED, FREE OF CHARGE, AT PUBLIC AND PRIVATE SCHOOLS THROUGHOUT WEST TEXAS SINCE 1998. STUDENTS ARE EMPOWERED AND EQUIPPED STARTING IN GRADE 4 BY INTRODUCING HOW TO MAKE HEALTHY CHOICES IN RELATIONSHIPS. THESE FOUNDATIONAL CHARACTER BUILDING TOOLS ARE TAUGHT THROUGH INTERACTIVE GAMES, PERSONAL RESPONSIBILITY AND PARENT/GUARDIAN PARTICIPATION. THE 5TH-12TH GRADE PROGRAMS ARE MEDICALLY ACCURATE, FACT-DRIVEN AND CHARACTER BASED, MULTI-MEDIA PRESENTATIONS, UTILIZING INTERACTIVE LEARNING TECHNIQUES, EQUIPPING STUDENTS TO MAKE POSITIVE DECISIONS REGARDING THEIR SEXUAL HEALTH AND RELATIONSHIPS. THE PROGRAMS REACH OVER 28,000 STUDENTS YEARLY.INTERVENTION PROGRAMS OFFER COMPASSIONATE, CONFIDENTIAL CONSULTATIONS FOR WOMEN AND MEN FACING AN UNPLANNED PREGNANCY. A TRAINED ADVOCATE WILL HELP THE INDIVIDUAL OR COUPLE TO SEE THAT THERE ARE RESOURCES AVAILABLE TO SUPPORT A LIFE-AFFIRMING CHOICE THROUGH PREGNANCY AND BEYOND. ALL SERVICES AND EDUCATIONAL CLASSES ARE FREE OF CHARGE TO THE CLIENT. THE SERVICES INCLUDE: PREGNANCY TESTING, STI/STD CONSULTATION AND TESTING REFERRALS, BASE-LINE HEALTH INFORMATION, LIMITED OBSTETRICAL ULTRASOUND SCAN, PRENATAL PREGNANCY AND PARENTING CLASSES, LIFE-SKILLS COACHING, NUTRITION EDUCATION, CONSULTATIONS WITH A REGISTERED NURSE, BABY CARE ITEMS TO CLIENTS THROUGHOUT PREGNANCY, ADOPTION INFORMATION AND REFERRALS.THE RESTORATION PROGRAM ENCOURAGES, EQUIPS AND RESTORES LIVES. PRACTICAL EDUCATIONAL TOOLS ARE COMBINED WITH SPIRITUAL SUPPORT BASED ON BIBLICAL PRINCIPLES IN CLASSES AND SUPPORT PROGRAMS. INDIVIDUALS AND THEIR FAMILIES CAN FIND UNDERSTANDING, HOPE, AND A PLAN FOR THE ROAD AHEAD THROUGH THESE PROGRAMS. MATERIALS ARE PROVIDED FREE OF CHARGE FOR ALL RESTORATION PROGRAMS.
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
THE STAFF UPHOLDS THE GUIDELINES OF THE CONFLICT OF INTEREST POLICY. STAFF EVALUATIONS AND REVIEWS ARE PERFORMED ANNUALLY. HOWEVER, IT IS MANAGEMENTS PRACTICE TO CONDUCT REGULAR DEPARTMENTAL MEETINGS AND INDIVIDUAL COACHING ON A REGULAR BASIS IN ORDER TO MAINTAIN EXCELLENT WORK ETHIC AND EDUCATION. IF A CONFLICT SHOULD ARISE, THE MATTER WOULD BE REVIEWED AND DISCUSSED IMMEDIATELY. BOARD MEMBERSHIP REVIEWS ARE CONDUCTED YEARLY ON AN "IN GOOD CONSCIENCE" BASIS.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
THE BOARD RECEIVES A COPY OF THE FORM 990 EITHER ELECTRONICALLY AND/OR BY MAIL IF THE FORM 990 IS NOT AVAILABLE AT THE MONTHLY BOARD MEETING. THE FORM 990 IS REVIEWED AND VOTED ON FOR APPROVAL AS NEAR TO THE FILING OF THE FORM 990 AS POSSIBLE.
Form 990, Part VI, Line 2
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et
BOARD CHAIRMAN AND EXECUTIVE DIRECTOR ARE HUSBAND AND WIFE
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.