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
TEEN PREGNANCY PREVENTION INC
Employer identification number
58-1833152
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.") ....
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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—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.") .
144,980
143,211
145,562
153,653
171,085
758,491
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.
144,980
143,211
145,562
153,653
171,085
758,491
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.
6,250
6,250
c
Add lines 7a and 7b..
6,250
6,250
8
Public Support (Subtract line 7c from line 6.)
752,241
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...
144,980
143,211
145,562
153,653
171,085
758,491
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
606
967
665
156
147
2,541
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
606
967
665
156
147
2,541
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.).
145,586
144,178
146,227
153,809
171,232
761,032
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
98.840 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
97.930 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
0 %
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
TEEN PREGNANCY PREVENTION INC
Employer identification number
58-1833152
Identifier
Return Reference
Explanation
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
EXPENSES OFFICE 1,069 TRAVEL 2,293 CONFERENCES/MEETINGS 1,345 INSURANCE 4,385 SMARTGIRLS PROGRAM EXP 31 P&P SUPPORT GROUPS 181 100 WOMEN CAMPAIGN 549 FOOD FOR THOUGHT EXPENSES 1,844 KIDS ON THE BLOCK/BTIO 357 BANK/CREDIT CARD CHARGES 177 LICENSES & FEES 163 VOLUNTEER EXPENSES 1,125 TELEPHONE & INTERNET 1,569 9TH GRADE EDUCATION PROG 6,861 NON-INVESTMENT DEPRECIATION 2,328 TOTAL 24,277
9TH GRADE CLASSROOM-BASED EDUCATION - THIS IS A NEW PROGRAM OFFERED IN 2011, FUNDED BY A GRANT FROM THE GOVERNOR'S OFFICE FOR CHILDREN AND FAMILIES. IT IS A 10-SESSION CLASSROOM-BASED MODEL UTILIZING THE CHOOSING THE BEST JOURNEY CURRICULUM. IT IS CURRENTLY OFFERED TO ALL GAINESVILLE CITY, HALL COUNTY, AND LAKEVIEW ACADEMY 9TH GRADE STUDENTS. THE PROGRAM IS DESIGNED TO ENCOURAGE HEALTHY AND SAFE RELATIONSHIPS AND RESPONSIBLE DECISION MAKING AMONG TEENS. CHOOSING THE BEST JOURNEY EMPOWERS YOUNG PEOPLE TO MAKE SAFE AND POSITIVE CHOICES. LESSONS THAT ARE COVERED INCLUDE: SETTING GOALS, MAKING THE BEST DECISIONS, AVOIDING PREGNANCY, AVOIDING STDS, DEVELOPING THE BEST RELATIONSHIPS, CHOOSING ABSTINENCE UNTIL MARRIAGE, OVERCOMING THE PRESSURE AND BEING ASSERTIVE.DURING 2011, TEEN PREGNANCY PREVENTION, INC. SERVED 766 PARTICIPANTS IN THIS PROGRAM.
SECOND ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 29
PREGNANT & PARENTING SUPPORT & EDUCATION - THIS IS A WEEKLY SUPPORT GROUP FOR MIDDLE AND HIGH SCHOOL GIRLS WHO ARE PREGNANT OR ALREADY HAVE CHILDREN. THESE GROUPS ARE DESIGNED TO ENCOURAGE THE STUDENTS TO COMPLETE HIGH SCHOOL, REDUCE SUBSEQUENT PREGNANCIES, ENSURE HEALTHY PREGNANCIES AND BABIES, IMPROVE PARENTING SKILLS AND REDUCE EARLY CHILDHOOD ABUSE.DURING 2011, TEEN PREGNANCY PREVENTION, INC. SERVED 127 PARTICIPANTS IN THE PREGNANT & PARENTING SUPPORT AND EDUCATION PROGRAM.
THIRD ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 30
SMARTGIRLS - THIS IS AN ABSTINENCE-BASED EDUCATION GROUP OFFERED TO ALL HALL COUNTY MIDDLE AND HIGH SCHOOLS AND LAKEVIEW ACADEMY. THESE GROUPS MEET WEEKLY FOR ONE SEMESTER, SERVING 7 TO 10 GIRLS AT A TIME. THESE GROUPS PROVIDE YOUNG WOMEN WITH THE SKILLS NEEDED TO OVERCOME NEGATIVE PEER PRESSURE, THE TOOLS TO PROTECT THEMSELVES FROM THOSE WHO WISH TO EXPLOIT THEM (OFTEN THESE YOUNG WOMEN ARE IN RELATIONSHIPS WITH MEN AT LEAST FOUR YEARS OLDER THAN THEY) AND THE ESTEEM TO VIEW THEIR FUTURE POTENTIAL ACCURATELY. DURING 2011, TEEN PREGNANCY PREVENTION, INC. CONDUCTED 259 SESSIONS AND SERVED 169 PARTICIPANTS IN THE SMARTGIRLS PROGRAM.
ALL OTHER ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 31
KIDS ON THE BLOCK/BABY THINK IT OVER - THE KIDS ON THE BLOCK PROGRAM IS A PUPPET DRAMA FOR SIXTH GRADERS THAT ENCOURAGES KIDS TO ASK QUESTIONS AFTER WATCHING A SKIT PUT ON ABOUT A COMMON, REAL-LIFE DILEMMA INVOLVING TEEN SEX. BABY THINK IT OVER IS A 10-POUND INFANT SIMULATOR DESIGNED TO PROVIDE TEENS WITH THE OPPORTUNITY TO ADDRESS THE CHALLENGES AND REALITIES OF BEING A TEEN PARENT. TEEN PREGNANCY PREVENTION, INC. OWNS ELEVEN OF THESE DOLLS. THIS EXCITING AND INNOVATIVE PROGRAM IS A FAVORITE AMONG STUDENTS. DURING 2011, TEEN PREGNANCY PREVENTION, INC. CONDUCTED 10 SESSIONS OF KIDS ON THE BLOCK, SERVING 1,696 PARTICIPANTS. THERE WERE 56 PARTICIPANTS IN THE BABY THINK IT OVER PROGRAM DURING 2011.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.