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
DESERT MISSION NEIGHBORHOOD RENEWAL
Employer identification number
86-0746598
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.") ....
283,393
845,406
577,135
382,946
444,129
2,533,009
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..
283,393
845,406
577,135
382,946
444,129
2,533,009
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)..
513,226
6
Public Support. Subtract line 5 from line 4.
2,019,783
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..
283,393
845,406
577,135
382,946
444,129
2,533,009
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
15,380
4,288
205
13
0
19,886
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).
2,552,895
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
3,190,217
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
79.117 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
77.350 %
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
DESERT MISSION NEIGHBORHOOD RENEWAL
Employer identification number
86-0746598
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990, PART III, LINE 1
THE ORGANIZATION IS COMMITTED TO FACILITATING THE DEVELOPMENT OF COMMUNITY HOUSING AND BUSINESS IN THE NORTH VALLEY (THE VALLEY) OF PHOENIX, ARIZONA. THE ORGANIZATION'S LONG-RANGE PLAN INCLUDES GOALS AND OBJECTIVES TO TRANSFORM THE NORTH VALLEY INTO A UNIQUE AND ACTIVE COMMUNITY, TO TAKE ADVANTAGE OF ITS LOCATION AND GEOGRAPHIC ATTRIBUTES AND TO IMPROVE THE AREA'S ECONOMIC VALUE, RESIDENTIAL STABILITY, COMMERCIAL OPPORTUNITIES, AND THE SAFETY OF BUSINESSES AND RESIDENTS.
EXECUTIVE COMMITTEE
FORM 990, PART VI, LINE 1A
PURSUANT TO THE BYLAWS, THE BOARD MAY APPOINT AN EXECUTIVE COMMITTEE WHICH SHALL SERVE AT THE PLEASURE OF THE BOARD AND SHALL BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE CORPORATION AND ANY EXECUTIVE DIRECTOR APPOINTED OR EMPLOYED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE AUTHORITY TO ACT ONLY DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORDINARY BUSINESS AFFAIRS OF THE CORPORATION, EXCEPT THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE AUTHORITY TO: (1) APPOINT OFFICERS OF THE CORPORATION; (2) FILL VACANCIES ON THE BOARD; (3) AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THE BYLAWS; (4) OBLIGATE THE CORPORATION IN AN AMOUNT IN EXCESS OF FIVE THOUSAND DOLLARS; OR (5) APPROVE OF ANY PLAN OF MERGER OR CONSOLIDATION OF THE CORPORATION; ANY SALE, LEASE, MORTGAGE OR OTHER DISPOSITION OF THE CORPORATION; ANY DISSOLUTION OF THE CORPORATION; OR ANY FUNDAMENTAL CHANGE IN THE CHARACTER OR BUSINESS OF THE CORPORATION. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 PURSUANT TO THE BYLAWS, JOHN C. LINCOLN HEALTH NETWORK, AN ARIZONA NONPROFIT CORPORATION, IS THE SOLE CORPORATE MEMBER OF DESERT MISSION NEIGHBORHOOD RENEWAL.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS
FORM 990, PART VI, LINE 7A
PURSUANT TO THE BYLAWS, JOHN C. LINCOLN HEALTH NETWORK, THE SOLE CORPORATE MEMBER OF DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR), ELECTS ALL MEMBERS OF THE BOARD OF DIRECTORS OF DMNR.
DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS
FORM 990, PART VI, LINE 7B
PURSUANT TO THE BYLAWS, THE DESERT MISSION NEIGHBORHOOD RENEWAL (DMNR) BOARD OF DIRECTORS SHALL SUBMIT TO JOHN C. LINCOLN HEALTH NETWORK FOR ITS APPROVAL OR DISAPPROVAL ALL THE FOLLOWING: ANY PROPOSAL FOR THE MERGER, CONSOLIDATION OR DISSOLUTION OF DMNR; ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; THE PROPOSED OPERATING AND CAPITAL BUDGETS; ANY PROPOSED BORROWING WITH CERTAIN EXCEPTIONS; ANY PURCHASE, SALE, LEASE, EXCHANGE, DISPOSITION, ETC OF ANY ASSET IN EXCESS OF A CERTAIN DOLLAR VALUE; THE SELECTION OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL; ANY TRANSACTION IN WHICH A DIRECTOR OR OFFICER HAS A MATERIAL FINANCIAL INTEREST; ANY ACTIVITY THAT THE JOHN C. LINCOLN HEALTH NETWORK BOARD DETERMINES TO REPRESENT MAJOR TRANSACTION OR MAJOR POLICIES; AND ANY ACTIONS WHICH WILL CAUSE DMNR TO LOSE ITS TAX EXEMPT STATUS.
PROCESS TO REVIEW THE FORM 990
FORM 990, PART VI, LINE 11B
THE FORM 990 IS PREPARED BY A THIRD PARTY. THE FORM 990 GOES THROUGH A DETAILED REVIEW INTERNALLY BY THE CONTROLLER AND ASSISTANT CONTROLLER. ONCE THIS PROCESS IS COMPLETE THE RETURN IS REVIEWED BY THE CFO AND THE AUDIT COMMITTEE. ONCE THE RETURN HAS GONE THROUGH THIS REVIEW, THE FINAL FORM 990 WILL BE DISTRIBUTED VIA EMAIL TO EACH MEMBER OF THE BOARD OF DIRECTORS WITH A RECOMMENDATION TO FILE THE RETURN WITH THE IRS.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY
FORM 990, PART VI, LINE 12C
THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM IS SENT TO EVERY BOARD MEMBER, CORPORATE OFFICER, EXECUTIVE, AND KEY EMPLOYEE ON AN ANNUAL BASIS. THE INFORMATION FROM COMPLETED DISCLOSURE FORMS IS REVIEWED BY THE JOHN C. LINCOLN HEALTH NETWORK, A RELATED ENTITY (THE NETWORK), AUDIT COMMITTEE FOR PURPOSES OF DETERMINING INDEPENDENCE. ADDITIONALLY, THE NETWORK'S COMPLIANCE COMMITTEE REVIEWS ALL EMPLOYEE DISCLOSURES. A SUMMARY REPORT OF THE DISCLOSURES AND THE AUDIT COMMITTEE'S RECOMMENDATIONS RELATED TO INDEPENDENCE ARE SUBMITTED TO THE NETWORK BOARD FOR APPROVAL. THE CONFLICT OF INTEREST POLICY REQUIRES VOLUNTEERS AND STAFF TO SELF-REPORT CONFLICTS AT THE TIME THEY ARISE AND COMPLETE AN UPDATED DISCLOSURE FORM. DURING THE COURSE OF COMMITTEE OR BOARD MEETINGS, BOARD MEMBERS DISCLOSE ANY CONFLICTS RELATED TO THE AGENDA ITEM/DISCUSSION AND ABSTAIN FROM VOTING. WHENEVER APPROPRIATE, THE BOARD MEMBER WOULD BE EXCUSED FROM THE ROOM DURING DISCUSSION AND VOTING. IF A BOARD MEMBER IS INTERESTED IN CONDUCTING BUSINESS WITH THE NETWORK, THE CONFLICT OF INTEREST POLICY REQUIRES HIM OR HER TO INITIATE THAT PROCESS THROUGH THE NETWORK CEO AND NOT ANY OTHER EXECUTIVE OR EMPLOYEE.
PROCESS FOR COMPENSATION OF CEO, OTHER OFFICERS AND KEY EMPLOYEES
FORM 990, PART VI, LINES 15A AND 15B
THE CEO AND OTHER EXECUTIVES OF DESERT MISSION NEIGHBORHOOD RENEWAL ARE COMPENSATED BY THE JOHN C. LINCOLN HEALTH NETWORK, A RELATED ENTITY. THE JOHN C. LINCOLN HEALTH NETWORK (THE NETWORK) USES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT NETWORK DIRECTORS THAT OVERSEES ALL ASPECTS OF COMPENSATION PAID TO THE NETWORK CEO AND OTHER EXECUTIVES. ANNUALLY, THE COMMITTEE ASSESSES THE PERFORMANCE OF THE CEO AND RECOMMENDS TO THE NETWORK BOARD THE CEO'S COMPENSATION. ADDITIONALLY, THE COMMITTEE EVALUATES THE NETWORK'S COMPENSATION PHILOSOPHY AND ESTABLISHES PERMISSIBLE RANGES OF COMPENSATION FOR ALL EXECUTIVES WITHIN THE AFFILIATED HEALTH NETWORK. THE COMMITTEE ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT CONSULTANT WHO PROVIDES ADVICE BASED ON COMPENSATION SURVEYS OF ORGANIZATIONS WITH A SIMILAR SIZE AND SCOPE OF SERVICES TO JOHN C. LINCOLN HEALTH NETWORK. THE CONSULTANT PROVIDES A WRITTEN ATTESTATION OF INDEPENDENCE AND REPORTS ONLY TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE NETWORK BOARD OF DIRECTORS. THE NETWORK CEO IS NOT A MEMBER OF THIS COMMITTEE, BUT WILL BE CALLED ON TO ASSESS AND REPORT ON SENIOR EXECUTIVE PERFORMANCE.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC
FORM 990, PART VI, LINE 19
THE ORGANIZATION CONSIDERS REQUESTS FOR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY ON A CASE BY CASE BASIS.
HOURS DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART VII
RHONDA FORSYTH ALSO SERVES AS AN OFFICER AND BOARD MEMBER OF JOHN C. LINCOLN HEALTH NETWORK (JCLHN), JOHN C. LINCOLN HEALTH FOUNDATION (JCLHF), AND DESERT MISSION, INC. (DM). SHE DEVOTES 37 HOURS TO JCLHN, 1 HOUR TO JCLHF AND 1 HOUR TO DM. DAVID LAMPARTER ALSO SERVES AS AN OFFICER OF JOHN C. LINCOLN HEALTH NETWORK (JCLHN), JOHN C. LINCOLN HEALTH FOUNDATION (JCLHF), AND DESERT MISSION, INC. (DM). HE DEVOTES 37 HOURS TO JCLHN, 1 HOUR TO JCLHF AND 1 HOUR TO DM. CINDY HALLMAN ALSO SERVES AS A KEY EMPLOYEE OF JOHN C. LINCOLN HEALTH NETWORK (JCLHN) AND DESERT MISSION, INC. (DM). SHE DEVOTES 4 HOURS TO JCLHN AND 30 HOURS TO DM. SHEILA GERRY ALSO SERVES AS A KEY EMPLOYEE OF JOHN C. LINCOLN HEALTH NETWORK (JCLHN). SHE DEVOTES 39 HOURS TO JCLHN.
OTHER CHANGES IN NET ASSETS
FORM 990, PART XI, LINE 5
IMPAIRMENT OF INVENTORY (391,055)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.