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
MICHIGAN PEACE TEAM INC
Employer identification number
38-3451273
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.") ....
110,260
124,678
206,738
157,121
165,601
764,398
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..
110,260
124,678
206,738
157,121
165,601
764,398
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.
764,398
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..
110,260
124,678
206,738
157,121
165,601
764,398
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
542
346
230
66
20
1,204
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).
765,602
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
23,560
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
99.840 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
99.820 %
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:
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.
ADRIAN DOMINICAN MICHIGAN PEACE TEAM SEEKS TO MAINTAIN OUR LONG-TERM PRESENCE IN PALESTINE/ISRAEL AND TO STABILIZE OUR PRESENCE IN JUAREZ, MEXICO OR A NEW INTERNATIONAL LOCATION AND ALSO TO RESPOND TO THE EVER-INCREASING REQUESTS FOR NONVIOLENCE TRAINING AND PEACE TEAMS WITHIN THE UNITED STATES. MICHIGAN PEACE TEAM WILL ACHIEVE THESE GOALS BY INCREASING THE NUMBER OF TRAINED NONVIOLENCE TRAINERS THUS INCREASING THE NUMBER OF WORKSHOPS OFFERED ANNUALLY AND MAXIMIZING THE POOL OF POTENTIAL PEACE TEAM PARTICIPANTS. WE ALSO NEED TO RECRUIT EXPERIENCED TEAM LEADERS TO ACCOMPANY TEAMS. WE REFER TO THESE AS "ANCHORS". MICHIGAN PEACE TEAM PRESENTED 37 NONVIOLENCE SKILLS TRAININGS IN 2011-2012. WE HAVE INCREASED OUR NUMBER OF BOTH NONVIOLENCE TRAINERS AS WELL AS INTERNATIONAL TEAM TRAINERS.
SECOND ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 29
PALESTINE/ISRAEL WE HAVE SECURED TWO ADDITIONAL ANCHORS AND IN DIALOGUE WITH OTHERS, BUT CONTINUE TO STRUGGLE TO FIND PEOPLE WHO CAN COMMIT TO THE PROGRAM OVER SEVERAL YEARS. WE INCREASED THE NUMBER OF AVAILABLE INTERNATIONAL TEAM TRAINERS TO NINE (ALSO INCREASING BASIC SKILLS TRAINERS). WE HAVE NOT BEEN ABLE TO SUSTAIN ONGOING TEAMS WITHOUT A GAP DURING 2011-2012 DUE TO A SHORTAGE OF PEOPLE ABLE TO MAKE LONG-TERM COMMITMENTS, OFTEN DUE TO PERSONAL ECONOMIC FACTORS. WE HAVE PLACED THREE SHORT-TERM INTERNATIONAL TEAMS DURING 2011-2012 WITH TWO ADDITIONAL TEAMS STILL TO DEPLOY. IN MAY 2012 WE WERE AWARDED BY THE "POPULAR COMMITTEE OF NABLUS" REGION, IN APPRECIATION FOR OUR WORK IN OUR HEADQUARTERS REGION OF PALESTINE. WE HAVE A FALL TEAM IN TRAINING NOW.
THIRD ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 30
SISTERS OF MERCY DURING THE 2011-2012 GRANT YEAR, WE WERE ABLE TO OFFER 37 NON-VIOLENCE SKILLS TRAININGS (OUR INITIAL GOAL FOR THE YEAR WAS 5) - RESULTING IN 550 PEOPLE TRAINED IN NONVIOLENCE SKILLS AND PREPARED TO PARTICIPATE IN PEACE TEAMS. ADDITIONALLY, THOUGH OUR INITIAL GOAL OF PRESENTATIONS WAS TARGETED FOR 50, IN THE END WE WERE ABLE TO OFFER 158 PRESENTATIONS - SOME QUITE LARGE, AND OTHERS VERY SMALL - THERBY REACHING APPROXIMATEDLY 12,153 PEOPLE WITH THE MESSAGE OF THE EFFICACY OF NONVIOLENCE. FINALLY, WE WERE ABLE TO FIELD THREE INTERNATIONAL PEACE TEAMS TO THE WEST BANK, AND ONE EMERGENCY PEACE TEAM TO PANAMA. ONE MORE THAN WHAT WE HAD AIMED FOR THIS YEAR. IT IS DIFFICULT TO ASCERTAIN HOW MANY PEOPLE THIS PEACE TEAM WORK HAS AFFECTED: NOT ONLY ARE THERE THE PEOPLE WE COME IN DIRECT CONTACT WITH AS WE ENGAGE IN THIRD-PARTY NONVIOLENT INTERVENTION WORK, BUT ALSO THOSE WHO ARE AFFECTED INDIRECTLY AS THEY READ OUR ARTICLES AND BLOG POSTINGS ABOUT THE IMPACT THIS WORK IS HAVING - FURTHER REINFORCING THE PRECEPT THAT "NONVIOLENCE WORKS".
ALL OTHER ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 31
MICHIGAN PEACE TEAM EMPOWERS PEOPLE TO ENGAGE IN ACTIVE NONVIOLENT PEACEMAKING. MICHIGAN PEACE TEAM WAS STARTED IN 1993, IN RESPONSE TO THE GROWING NEED FOR CIVILIAN PEACE-MAKERS BOTH IN THE U.S. AND ABROAD. WE OFFER NONVIOLENCE TRAINING WORKSHOPS AND PROVIDE OPPORTUNITIES TO JOIN PEACE TEAMS. WE SEEK A JUST WORLD GROUNDED IN NONVIOLENCE AND RESPECT FOR THE SACRED INTERCONNECTEDNESS OF ALL LIFE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.