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
2010
Open to Public Inspection
Name of the organization
KENTUCKY DOMESTIC VIOLENCE ASSOCIATION
Employer identification number
61-1110432
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(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—2010.
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—2009.
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—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
8,176,400
8,591,074
8,581,387
8,957,283
9,764,959
44,071,103
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......
6,228
6,228
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
8,176,400
8,597,302
8,581,387
8,957,283
9,764,959
44,077,331
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
44,077,331
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
8,176,400
8,597,302
8,581,387
8,957,283
9,764,959
44,077,331
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
20,496
25,078
7,844
4,886
6,150
64,454
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
20,496
25,078
7,844
4,886
6,150
64,454
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.)
70,455
80,078
113,724
115,873
163,121
543,251
13
Total support (Add lines 9, 10c, 11 and 12.).
8,267,351
8,702,458
8,702,955
9,078,042
9,934,230
44,685,036
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 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
98.640 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
98.800 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.140 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
0.200 %
19a
33 1/3% support tests—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2010
Additional Data
Software ID:
10000105
Software Version:
2010v3.2
-
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
2010
Open to Public Inspection
Name of the organization
KENTUCKY DOMESTIC VIOLENCE ASSOCIATION
Employer identification number
61-1110432
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
REQUEST OF PUBLIC RECORDS ARE DESCRIBED IN THE KENTUCKY DOMESTIC VIOLENCE ASSOCIATION'S ACCOUNTING AND POLICIES PROECEDURES MANUAL
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
BOARD MEMBERS RETIRE TO EXECUTIVE SESSION TO DISCUSSS SALARIES OF KEY PERSONNEL
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
FORM 990 WILL BE REVEIWED BY FINANCE ADMINISTRATOR/EXECUTIVE DIRECTOR BEFORE SUBMITTED TO INTERNAL REVENUE SERVICE.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: US DEPARTMENT OF HEALTH AND HUMAN SERVICES (GRANT #855)THIS FUNDING IS A SUBAWARD FROM THE KENTUCKY ASSOCIATION FOR COMMUNITY ACTION, INC. THE FUNDS ARE TO EXPAND THE WORK OF KENTUCKY DOMESTIC VIOLENCE ASSOCIATION'S EXISTING TAX PREPARATION CAMPAIGN. OTHER PROGRAM SERVICES 5: US DEPARTMENT OF HEALTH AND HUMAN SERVICE (GRANT #881)THESE FUNDS ARE PASSED THROUGH PCADV. THIS AWARD IS TO BE USED TO ASSIST PARTICIPANTS WITH ECONOMIC EMPOWERMENT OBJECTIVES. OTHER PROGRAM SERVICES 6: KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES (GRANT #414)THIS FUNDING IS A CONTRACT WITH THE CABINET FOR HEALTH AND FAMILY SERVICES OF THE STATE OF KENTUCKY. THE PURPOSE OF THIS CONTRACT IS TO PROVIDE SERVICES TO INDIVIDUALS WHO ARE VICTIMS OF DOMESTIC VIOLENCE THROUGH SUBCONTRACTS WITH THE PRIMARY SERVICE PROVIDERS OF EACH AREA DEVELOPMENT DISTRICT. OTHER PROGRAM SERVICES 7: AMERICORPS (GRANT #871)THESE FUNDS ARE FOR DIRECT PROJECT SUPPORT TO PROVIDE AMERICORPS MEMBERS FOR PLACEMENT IN KENTUCKY DOMESTIC VIOLENCE ASSOCIATION'S DOMESTIC VIOLENCE PROGRAMS. THE FUNDS PROVIDE FOR OVERALL SUPERVISION AND CONTINUING DEVELOPMENT TRAINING. OTHER PROGRAM SERVICES 8: US DEPARTMENT OF JUSTICE (GRANTS #707 AND #708)THESE FUNDS ARE THE STATE COALITION GRANT MONEY RECEIVED DIRECTLY AND AUTHORIZED BY VIOLENCE AGAINST WOMEN ACT FOR THE PURPOSE OF COORDINATING STATE VICTIM SERVICE ACTIVITIES, AND COLLABORATING AND COORDINATING WITH FEDERAL, STATE AND LOCAL ENTITIES ENGAGED IN VIOLENCE AGAINST WOMEN ACTIVITIES. OTHER PROGRAM SERVICES 9: US DEPARTMENT OF JUSTICE (GRANT #872)THIS GRANT IS TO PROVIDE GRANTEES WITH THE EXPERTISE AND SUPPORT THEY NEED TO DEVELOP AND IMPLEMENT SUCCESSFUL STATE, LOCAL, TRIBAL, AND CAMPUS PROJECTS, INCREASE VICTIM SAFETY, AND BOLSTER OFFENDER ACCOUNTABILITY. OTHER PROGRAM SERVICES 10: US DEPARTMENT OF JUSTICE (GRANTS #806 AND #827)THESE FUNDS ARE USED TO HELP DOMESTIC VIOLENCE VICTIMS BECOME ASSET-OWNING MEMBER OF SOCIETY THROUGH PARTICIPATION IN AN INDEPENDENT DEVELOPMENT ACCOUNT. OTHER PROGRAM SERVICES 11: US DEPARTMENT OF JUSTICE (GRANT #846)THE OFFICE ON VIOLENCE AGAINST WOMEN RECOVERY ACT GRANTS TO STATE SEXUAL ASSAULT AND DOMESTIC VIOLENCE COALITIONS PROGRAM IS FUNDED BY THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. THE OVERALL PURPOSE OF THIS GRANT IS TO CREATE A NEW POSITION TO PROVIDE TECHNICAL ASSISTANCE TO DOMESTIC VIOLENCE IN THE COMMONWEALTH OF KENTUCKY WHO ARE MEMBERS OF THE STATE COALITION AND SERVE ALL AREA DEVELOPMENT DISTRICTS IN THE STATE; TO UPGRADE THE KENTUCKY DOMESTIC VIOLENCE DATABASES AND WEBSITES; TO EXPAND COLLABORATION WITH MEMBER PROGRAMS THROUGH A STATEWIDE PREVENTION PROGRAM; AND TO CONDUCT AN ANNUAL STATEWIDE SEXUAL ASSAULT AND DOMESTIC VIOLENCE CONFERENCE. OTHER PROGRAM SERVICES 12: US DEPARTMENT OF JUSTICE (GRANT #879)THE OFFICE OF VIOLENCE AGAINST WOMEN RECOVERY ACT GRANTS TO STATE SEXUAL ASSAULT AND DOMESTIC VIOLENCE COALITIONS PROGRAM FUNDED BY THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. THE OVERALL PURPOSE OF THIS GRANT IS TO PROVIDE TECHNICAL ASSISTANCE AND TRAINING TO MEMBER PROGRAMS FOCUSING ON THE RESPONSIBILITIES OF SHELTER PROGRAMS TO PROVIDE ACCESSIBLE SERVICES, REDUCE BARRIERS AND IDENTIFY STRATEGIES TO ENSURE ACCESS TO SERVICES TO WOMEN THAT ARE DEAF AND/OR HARD OF HEARING. OTHER PROGRAM SERVICES 13: US DEPARTMENT OF JUSTICE (GRANT #880)TO PROVIDE TRAINING FOR PROSECUTORS AT OUR ANNUAL CONFERENCE IN DEALING WITH BATTERED WOMEN ACCUSED OF CRIMES. OTHER PROGRAM SERVICES 14: US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) (GRANT #858)THIS FUNDING IS A PASS THROUGH GRANT FROM HUD AND SUBGRANTED THROUGH THE KENTUCKY HOUSING CORPORATION. THE PURPOSE OF THIS GRANT IS TO INCREASE THE TECHNICAL SUPPORT TO DOMESTIC VIOLENCE ADVOCATES AND TO PROVIDE FINANCIAL ASSISTANCE TO SURVIVORS OF DOMESTIC VIOLENCE. OTHER PROGRAM SERVICES 15: CORPORATION FOR NATIONAL AND COMMUNITY SERVICE (GRANTS #853 AND #874)THESE FUNDS ARE FOR DIRECT PROJECT SUPPORT TO PROVIDE AMERICORPS*VISTA MEMBERS FOR PLACEMENT IN KENTUCKY DOMESTIC VIOLENCE ASSOCIATION'S DOMESTIC VIOLENCE PROGRAMS. THE FUNDS PROVIDE FOR OVERALL SUPERVISION AND CONTINUING DEVELOPMENT TRAINING. ALSO,CORPORATION FOR NATIONAL AND COMMUNITY SERVICE PROVIDES DIRECT ASSISTANCE TO THE VOLUNTEERS AND KENTUCKY DOMESTIC VIOLENCE ASSOCIATION PROVIDES A COST-SHARE. OTHER PROGRAM SERVICES 16: US DEPARTMENT OF TREASURY (GRANT #873)THIS FUNDING IS A DIRECT GRANT FROM THEIRS DESIGNED TO PROMOTE AND SUPPORT FREE TAX PREPARATION SERVICE FOR THE UNDERSERVED LOW INCOME POPULATIONS, WHICH INCLUDES THE ELDERLY, DISABLED, LIMITED ENGLISH PROFICIENT, NON-URBAN AND NATIVE AMERICAN TAXPAYERS. OTHER PROGRAM SERVICES 17: HOMELESS AND HOUSING COALITION OF KENTUCKY (GRANT #829)THE AWARD FUNDS KENTUCKY DOMESTIC VIOLENCE ASSOCIATION'S EFFORTS TO DEVELOP PERMANENT SUPPORTIVE HOUSING IN DISTRESSED APPALACHIAN COUNTIES AND THE QUALIFIED MISSISSIPPI DELTA COUNTIES. OTHER PROGRAM SERVICES 18: ECONOMIC JUSTICE POOL (GRANT #837)POOL OF FUNDING FOR ECONOMIC EMPOWERMENT ACTIVITIES. OTHER PROGRAM SERVICES 19: CITI (GRANT #848)THIS AWARD FUNDS DOMESTIC VIOLENCE COALITIONS TO CONDUCT STATEWIDE MINI-SUMMITS TO DEVELOP DOMESTIC VIOLENCE PREVENTION APPROACHES, STRATEGIES AND ACTION PLANS. OTHER PROGRAM SERVICES 20: KENTUCKY HOUSING CORP ADMINISTRATIVE (GRANT #849)THIS AWARD FUNDS ADMINISTRATIVE COSTS AND STAFF SUPPORT FOR KENTUCKY DOMESTIC VIOLENCE ASSOCIATION'S SCATTERED TAX CREDIT PROJECT WHICH IS TO PROVIDE SAFE, DECENT, AFFORDABLE HOUSING FOR LOW AND MODERATE INCOME PERSONS AND FAMILIES IN KENTUCKY. OTHER PROGRAM SERVICES 21: ALLSTATE (GRANT #850)THIS AWARD IS TO BE USED FOR CLIENT ASSET BUILDING OBJECTIVES IN COORDINATION WITH OTHER ALLSTATE GRANTS. OTHER PROGRAM SERVICES 22: STEELE REESE (GRANT #852)THIS AWARD FUNDS THE ECONOMIC EMPOWERMENT PROJECT SELF SUFFICIENCY COORDINATOR FOR EASTERN KENTUCKY INCLUDING TRAVEL ASSOCIATED WITH THE TAX CREDIT AND IDA PROJECTS AND SALARY. OTHER PROGRAM SERVICES 23: CFED (GRANT #854)THIS AWARD IS FOR TRAVEL AND SALARY IN RELATION TO STRENGTHEN AND BUILD THE COALITION INCLUDING BUT NOT LIMITED EDUCATIONAL TRAININGS, PEER LEARNING EVENTS AND EVALUATIONS. OTHER PROGRAM SERVICES 24: CAR IDA (GRANT #856)THESE FUNDS ARE USED TO HELP DOMESTIC VIOLENCE VICTIMS BECOME ASSET OWNING MEMBRS OF SOCIETY THROUGH PARTICIPATION IN AN INDEPENDENT DEVELOPMENT ACCOUNT FOR PURCHASE OF INDIVIDUAL TRANSPORTATION. OTHER PROGRAM SERVICES 25: VERIZON (GRANT #857)THIS AWARD IS TO BE USED TO ASSIST PARTICIPANTS WITH ECONOMIC EMPOWERMENT OBJECTIVES. OTHER PROGRAM SERVICES 26: TOYOTA (GRANT #863)THIS AWARD IS FOR SUPPORT BOTH INDIRECTLY AND DIRECTLY TRAVEL AND SALARY TO FURTHER THE KENTUCKY ASSETS SUCCESS INSTITUTE. PROVIDING ACCESS TO FREE TAX PREPARATION, FINANCIAL EDUCATION, IDAs, CARS IDAs, AND EMERGENCY FUNDS FOR LOW TO MODERATE INCOME FAMILIES. OTHER PROGRAM SERVICES 27: DELTA PREP (GRANT #864)THIS AWARD IS PASSED THROUGH BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO IMPROVE DOMESTIC VIOLENCE COALITIONS' ABILITIES TO ADDRESS FIRST TIME PERPETRATION AND VICTIMIZATION OF INTIMATE PARTNER VIOLENCE. OTHER PROGRAM SERVICES 28: ALLSTATE CURRICULUM GRANT (GRANT #865)THIS AWARD FUNDS THE UTILIZATION OF ALLSTATE'S CURRICULUM IN KENTUCKY DOMESTIC VIOLENCE ASSOCIATION'S FINANCIAL EDUCATION PROGRAM THAT INVOLVES EDUCATION OF IDA PARTICIPANTS. OTHER PROGRAM SERVICES 29: KENTUCKY CRIME VICTIM FUND (GRANT #867)TO PROVIDE EMERGENCY FUNDING TO VICTIMS OF DOMESTIC VIOLENCE. OTHER PROGRAM SERVICES 30: MARY REYNOLDS BABCOCK (GRANT #868)THIS GRANT WILL COVER A PORTIONS OF THE SALARIES OF OUR EASTERN KENTUCKY ECONOMIC JUSTICE COORDINATOR WHO IS THE PROJECT DIRECTOR THAT WILL BE SUPERVISING THEIR WORK. THE GRANT WILL ALSO PAY FOR THEIR TRAVEL IN EASTERN KENTUCKY AND CREDIT REPORTS FOR PARTICIPANTS WHO RECEIVE FINANCIAL EDUCATION AND ONE ON ONE CREDIT COUNSELING IN ORDER TO ASSIST IN MOVING VICTIMS OF DOMESTIC VIOLENCE OUT OF A CONDITION OF POVERTY. OTHER PROGRAM SERVICES 31: ALLSTATE CAR IDA (GRANT #878)THESE FUNDS ARE USED TO HELP DOMESTIC VIOLENCE VICTIMS BECOME ASSETS OWNING MEMBERS OF SOCIETY THROUGH PARTICIPATION IN AN INDEPENDENT DEVELOPMENT ACCOUNTS FOR PURCHASE OF INDIVIDUAL TRANSPORTATION. OTHER PROGRAM SERVICES 32: VICTIM SURVIVOR FUNDINTEREST FORM CONTRACT CHECKING USED TO FUND EMERGENCY NEEDS OF DOMESTIC VIOLENCE VICTIMS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.