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
HOUSING FIRST HOUSING DEVELOPMENT C/O PATHWAYS TO HOUSING INC
Employer identification number
13-4135572
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.") .
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......
121,066
116,336
113,583
112,924
111,048
574,957
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.
121,066
116,336
113,583
112,924
111,048
574,957
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..
0
8
Public Support (Subtract line 7c from line 6.)
574,957
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...
121,066
116,336
113,583
112,924
111,048
574,957
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
418
36
7
15
476
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
418
36
7
15
476
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.)
1,981
4,300
6,281
13
Total support (Add lines 9, 10c, 11 and 12.).
121,066
116,754
115,600
117,231
111,063
581,714
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
98.840 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
98.910 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.080 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
0.070 %
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:
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
2010
Open to Public Inspection
Name of the organization
HOUSING FIRST HOUSING DEVELOPMENT C/O PATHWAYS TO HOUSING INC
Employer identification number
13-4135572
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 3
A RELATED PARTY, PATHWAYS TO HOUSING NY, INC., PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6
THE SOLE MEMBER OF THE ORGANIZATION IS PATHWAYS TO HOUSING, INC.
FORM 990, PART VI, SECTION A, LINE 7A
THE SOLE MEMBER OF THE ORGANIZATION HAS THE ABILITY TO ELECT THE BOARD OF DIRECTORS AT THE ANNUAL MEETING. NEWLY CREATED DIRECTORSHIPS AND VACANCIES AMONG THE DIRECTORS FOR ANY REASON MAY BE FILLED BY THE MEMBER. ANY DIRECTOR CAN BE REMOVED AT ANY TIME WITH OR WITHOUT CAUSE BY A VOTE OF THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B
ANY AMENDMENTS TO THE BY-LAWS THAT INSERTS OR DELETES A SUPER MAJORITY QUORUM OR VOTING REQUIREMENT FOR MEETINGS OF DIRECTORS, MUST BE APPROVED BY AN AFFIRMATIVE VOTE OF THE MEMBER. THE BY-LAWS MAY BE AMENDED OR REPEALED BY AN AFFIRMATIVE VOTE OF THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 8A
THE ORGANIZATION DOES NOT KEEP MINUTES OF ITS MEETINGS. ALL MATTERS REALTED TO THE COMPANY ARE INCLUDED IN THE MINUTES OF PATHWAYS TO HOUSING, A RELATED ENTITY.
FORM 990, PART VI, SECTION A, LINE 8B
THERE ARE NO COMMITTEES IN PLACE THAT CAN ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11
HOUSING FIRST HOUSING DEVELOPMENT FUND CORPORATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12C
ALL BOARD MEMBERS AND OFFICERS OF HOUSING FIRST ARE EXPECTED TO OBSERVE THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY IN THEIR CONDUCT. THIS MEANS FOLLOWING A BASIC CODE OF ETHICAL BEHAVIOR AND OUR POLICIES ON CONFIDENTIAL INFORMATION. EXCEPT WHEN SPECIFICALLY APPROVED BY THE OFFICERS, BOARD MEMBERS MAY NOT SEEK, ACCEPT, OFFER, OR GIVE, DIRECTLY OR INDIRECTLY, ANY PAYMENTS, LOANS, SERVICES, ENTERTAINMENT, TRAVEL, OR GIFTS FROM OR TO ANY INDIVIDUAL OR BUSINESS, OR FROM ANY AGENT OF ANY INDIVIDUAL OR BUSINESS, THAT DOES BUSINESS WITH OR MAY DO BUSINESS WITH HOUSING FIRST. ITEMS OF NOMINAL VALUE THAT ARE OFFERED ONLY AS A COMMON COURTESY DO NOT VIOLATE THIS RULE, BUT MUST BE REPORTED IN WRITING TO MANAGEMENT. ALL DECISIONS BY BOARD MEMBERS IN THE COURSE OF THEIR JOBS MUST BE MADE ON THE SOLE BASIS OF WHAT IS IN HOUSING FIRST'S BEST INTERESTS, WITHOUT FAVOR OR PREFERENCE TO THIRD PARTIES OR PERSONAL CONSIDERATIONS. NOT ONLY BOARD MEMBERS, BUT ALSO THEIR SPOUSES, PARENTS, CHILDREN, AND SIBLINGS MUST BE FREE OF THE CONFLICTING INTERESTS. IF A CONTEMPLATED OUTSIDE INTEREST OR ACTIVITY, OR A NEWLY DISCOVERED SITUATION, HAS THE POSSIBILITY OF PRESENTING A CONFLICT OF INTEREST UNDER THIS POLICY, BOARD MEMBER MUST SEEK PRIOR APPROVAL FROM HOUSING FIRST BEFORE PROCEEDING. BOARD MEMBERS AND OFFICERS MUST COMPLETE A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED AND REVIEWED A COPY OF THE CONFLICT OF INTEREST POLICY, AND THEY HAVE DISCLOSED ANY POTENTIAL CONFLICTS TO THE BEST OF THEIR KNOWLEDGE.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.
FORM 990, PART VII, SECTION A
SAM TSEMBERIS, PRESIDENT SPENDS AN AVERAGE OF ONE HOUR PER WEEK ON THE FILING ORGANIZATION AND END HOMELESSNESS. IN ADDITION, HE SPENDS AN AVERAGE OF 34 HOURS PER WEEK ON PATHWAYS TO HOUSING NY, INC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.