Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| 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. | 0 | |||||
| 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). | ||||||






| 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.") . | 190,844 | 163,183 | 192,263 | 530,191 | 483,062 | 1,559,543 |
| 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...... | 119,526 | 123,980 | 127,433 | 370,939 | ||
| 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. | 190,844 | 163,183 | 311,789 | 654,171 | 610,495 | 1,930,482 |
| 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.) | 1,930,482 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 190,844 | 163,183 | 311,789 | 654,171 | 610,495 | 1,930,482 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 696 | 1,134 | 1,073 | 1,111 | 1,011 | 5,025 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 696 | 1,134 | 1,073 | 1,111 | 1,011 | 5,025 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 191,540 | 164,317 | 312,862 | 655,282 | 611,506 | 1,935,507 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI | 11 | Once the 990 has been prepared, Management presents it to the Board of Directors for approval before it is filed with the IRS. |
| Form 990 Part VI | 12c | All Officers of the Organization review the conflict of interest policy on an annual basis. |
| Form 990 Part VI | 15 | The Governing Body reviews and approves the Organizations Executive Director and Key Employees salaries on an annual basis. |
| Form 990 Part VI | 19 | Governing Documents, Conflict of Interest Policy and other policies and procedures can be reviewed by all through the PA Association of Non-Profits PANO Policy and Procedure Manual. Financial Statements are available upon request and the 990 is on our website and Guidestar. |
| Form 990 Part XI | 5 | Other Changes in Net Assets equals 1,038 from Unrealized Investment Losses. |
| Form 990 | Program Service Accomplishments Tri-City Life Center proudly displays the Seal of Excellence awarded by PANO. The Standard of Excellence program is bestowed only on the most well-managed and responsibly governed non-profit organizations that have demonstrated continued compliance with 55 specific standards of excellence based on honesty, integrity, fairness, trust, responsibility and accountability. Tri-City Life Center was first awarded this seal of excellence in 2005 and recertified in 2008. | |
| Form 990 | We would like to share Tri-City Life Centers latest growth figures, comparing last fiscal years to this fiscal years. 16 increase in first-time clients using our services. 25 increase in client visits 3,209 to 3,999. 69 increase in clients attending various educational classes at the Center 2,087 to 3,532. 29 increase in baby furnishings distributed to families. 16 increase of referrals to other agencies. | |
| Form 990 | In October 2009, Tri-City Life Center started a 3-year Capital Expansion Campaign and is now in the third year of the Campaign. Most of the Organizations past income has come from faithful supporters and Real Alternatives Program Service Grant. | |
| Form 990 | 2011 Statistics Client contacts 3,999 New clients 318 Food, Clothing Diapers 13,058 Volunteer Hours 3,812 Furnishings 3,840 Referrals 285 In-Kind Donors 771. | |
| Form 990 | Outcomes of Parent Baby Programs Parents are provided with all the baby essentials for babys health and safety. Families are provided with the tools to lead a more positive lifestyle and have a healthy environment for themselves and their children. | |
| Form 990 | Outcome of Dads Program Dads are provided with knowledge on health matters, safety in the home, appropriate play with children, parenting skills and making informed decisions. | |
| Form 990 | Outcomes of Education and Counseling Program Education provides parents with new knowledge and improved parent and coping skills for a better quality of life. Confidential couseling helps families to deal effectively with many issues that arise in family life such as financial, relationships, grief and separation issues. | |
| Form 990 | Outcomes of Sexual Integrity Program Youth are educated on the risks of sexual promiscuity, STDs, pregnancy, emotional well being and death. Fifty percent of teens have said they chose abstinence after the presentations. | |
| Form 990 | Overall Metrics/Outcomes Fifty-Two percent of our clients have acquired jobs since coming to Tri-City Life Center. Thirty-eight percent of our clients no longer receive cash assistance. Ten percent of our clients were homeless all now have housing. Forty-two percent of our clients have applied for or are attaining higher education. One-hundred percent of our clients say they would refer family and friends to Tri-City Life Center Inc. | |
| Form 990 Part VI Section B Line 11 Once the 990 has been prepared, Management presents it to the Board of Directors for approval before it is filed with the IRS. Form 990 Part VI Section B Line 12c All Officers of the Organization review the conflict of interest policy on an annual basis. Form 990 Part VI Section B Line 15 The Governing Body reviews and approves the Organizations Executive Director and Key Employees salaries on an annual basis. Form 990 Part VI Section C Line 19 Governing Documents, Conflict of Interest Policy and other policies and procedures can be reviewed by all through the PA Association of Non-Profits PANO Policy and Procedure Manual. Financial Statements are available upon request and the 990 is on our website and Guidestar. Form 990 Part XI Line 5 Other Changes in Net Assets equals 1,038 from Unrealized Investment Losses. Form 990 Program Service Accomplishments Tri-City Life Center proudly displays the Seal of Excellence awarded by PANO. The Standard of Excellence program is bestowed only on the most well-managed and responsibly governed non-profit organizations that have demonstrated continued compliance with 55 specific standards of excellence based on honesty, integrity, fairness, trust, responsibility and accountability. Tri-City Life Center was first awarded this seal of excellence in 2005 and recertified in 2008. Form 990 We would like to share Tri-City Life Centers latest growth figures, comparing last fiscal years to this fiscal years. 16 increase in first-time clients using our services. 25 increase in client visits 3,209 to 3,999. 69 increase in clients attending various educational classes at the Center 2,087 to 3,532. 29 increase in baby furnishings distributed to families. 16 increase of referrals to other agencies. Form 990 In October 2009, Tri-City Life Center started a 3-year Capital Expansion Campaign and is now in the third year of the Campaign. Most of the Organizations past income has come from faithful supporters and Real Alternatives Program Service Grant. Form 990 2011 Statistics Client contacts 3,999 New clients 318 Food, Clothing Diapers 13,058 Volunteer Hours 3,812 Furnishings 3,840 Referrals 285 In-Kind Donors 771. Form 990 Outcomes of Parent Baby Programs Parents are provided with all the baby essentials for babys health and safety. Families are provided with the tools to lead a more positive lifestyle and have a healthy environment for themselves and their children. Form 990 Outcome of Dads Program Dads are provided with knowledge on health matters, safety in the home, appropriate play with children, parenting skills and making informed decisions. Form 990 Outcomes of Education and Counseling Program Education provides parents with new knowledge and improved parent and coping skills for a better quality of life. Confidential couseling helps families to deal effectively with many issues that arise in family life such as financial, relationships, grief and separation issues. Form 990 Outcomes of Sexual Integrity Program Youth are educated on the risks of sexual promiscuity, STDs, pregnancy, emotional well being and death. Fifty percent of teens have said they chose abstinence after the presentations. Form 990 Overall Metrics/Outcomes Fifty-Two percent of our clients have acquired jobs since coming to Tri-City Life Center. Thirty-eight percent of our clients no longer receive cash assistance. Ten percent of our clients were homeless all now have housing. Forty-two percent of our clients have applied for or are attaining higher education. One-hundred percent of our clients say they would refer family and friends to Tri-City Life Center Inc. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |