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
DALLAS LIFE INC
Employer identification number
75-1853520
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.") ....
795,641
666,565
723,632
602,304
822,468
3,610,610
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..
795,641
666,565
723,632
602,304
822,468
3,610,610
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)..
651,008
6
Public Support. Subtract line 5 from line 4.
2,959,602
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..
795,641
666,565
723,632
602,304
822,468
3,610,610
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
18,127
15,668
5,558
3,719
2,577
45,649
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..
152
-952
-2,067
-115
-68
-3,050
11
Total support (Add lines 7 through 10).
3,653,209
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
1,597,830
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
81.014 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
98.630 %
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.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DALLAS LIFE INC
Employer identification number
75-1853520
Identifier
Return Reference
Explanation
Program Service Accomplishments
FORM 990, PART III, LINES 4A-4C:
Program Service Accomplishment A - Center Program: Dallas Pregnancy Resource Center provided one-on-one, educational mentoring and classes, lay-counseling, emotional and spiritual support to 2827 unduplicated clients seen Monday through Thursday from 9:30am -5:30pm at all three locations, Monday and Thursday evenings from 5:30pm - 9pm at the Jupiter Center Location, Tuesday evenings from 5:30 - 9pm at the Greenville Ave. Center and bi-weekly on Saturday mornings from 9am - 1pm at our West Dallas Center. Sessions lasted about one and a half hours each and were supported by 4,731 volunteer hours valued at $88,607. 157 in-kind donations of clothing and material goods were valued at $11,934. The Gospel is often shared in our counseling sessions and volunteers often pray for the clients. We recorded 65 new professions of faith in Christ in 2011. Our objective is to educate women and their partners on fetal development and empower them through our support services to carry their babies to term and either parent them or place them for adoption. In 2011, 95% (1550) of our pregnant clients chose to carry their unborn children to term. Of the 454 abortion minded and at risk for abortion clients, we know of 338 clients (74%) who chose life for their unborn children. Our educational mentoring program is a 6-12+ week program aimed at moving our clients forward, preparing them for childbirth, parenting and equipping them with new life skills. We had 1173 individual one hour sessions with our educational program in 2011. Of those clients 87 participated in our four-week group prepared childbirth classes to prepare for the upcoming birth of their babies. Clients who participate in education earn in-kind goods for their nurseries and babies. Clinic Program: Provided medical care, 1031 sonograms were performed at our three medical clinics. there were 1911 visits to our clinics. 1620 pregnancy tests were performed by our nurses for Medicaid verification. Hours of operation are: Jupiter Center: Mondays and Thursdays: 10:30am - 9pm and Tuesdays and Wednesdays: 10:30am - 5:30pm, Greenville Ave. Center: Mondays and Wednesdays 10:30am - 5:30pm and Tuesdays 11am - 8pm. West Dallas Center: Tuesdays and Thursdays 10am- 3pm and bi-weekly on Saturdays from 9am - 1pm. Our medical care is oriented to women in unplanned pregnancies who need pregnancy confirmation, due date for delivery or may be considering an abortion. The clinic staff and nurse volunteers educate our clients regarding the fetal development of their babies through ultrasound technology as well as personal care during pregnancy. In the clinic nurses will check clients' blood pressure and weight and answer concerns they may have as well as consult on birth control. Our volunteer doctors review and confirm our clients' charts and meet with them regarding pregnancy concerns. Volunteer nurse, sonographer and physician hours amounted to 1,346 and were valued at $52,859. Public Awareness Program: - educated our community through three fundraising events and 33 speaking opportunities/community fairs/ministry tours on our services addressing more than 10,000 people. Our nurses educated students in science and health classrooms on fetal development. We held a Women's Brunch, fundraising dinner and golf tournament, all to raise money for and awareness about our organization. The volunteer hours provided were 800. Through our speaking opportunities and special trainings, we educated the public at large about our ministry and free services as well as: evangelism; fetal development; abortion; sexually transmitted diseases; and post abortion stress disorder.
PROCESS FOR REVIEWING THE FORM 990
FORM 990, PART VI, SECTION A, LINE 11:
The 990 is prepared by an independent tax preparer selected by the board. When a draft is ready each board member is given a copy to review. The tax preparer will come to a board meeting to present the 990 and answer questions regarding the draft and make changes, as necessary, and then the final draft is reviewed and approved by the entire board.
REGULAR AND CONSISTENT MONITORING OF THE POLICY
FORM 990, PART VI, SECTION B, LINE 12C
Each board member and staff member annually reads and signs a Conflict of Interest Policy. Should the possibilty of conflict arise, it is brought forward and noted in our board meetings.
PROCESS FOR DETERMINING COMPENSATION
FORM 990, PART VI, SECTION B, LINE 15
The Personnel Committee reviewed data from three independent sources regarding compensation for the level of position in this AREA of the country. They also conducted a performance review to determine the compensation and presented a written report and recommenation to the full board which voted upon the compensation for this position and documents THEIR DECISION.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC
FORM 990, PART VI, SECTION B, LINE 19
Governing documents, conflict of interest policy and financial statements are available on Another's website and Upon Request.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.