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.") .... | 38,750 | 166,629 | 180,717 | 422,749 | 486,862 | 1,295,707 |
| 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.. | 38,750 | 166,629 | 180,717 | 422,749 | 486,862 | 1,295,707 |
| 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. | 1,295,707 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 38,750 | 166,629 | 180,717 | 422,749 | 486,862 | 1,295,707 |
| 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). | 1,295,707 | |||||






| 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.) | ||||||
| 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.). | ||||||




| 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 XII | Chief Operating Officer reviews financial statement with CPA each quarter. | |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 123,784, Grants and allocations 0, Revenue 127,500 EUDL grant Justice Grant Administration Major activities included 1 organizing, coordinating, conducting and planning for conference - EUDL Underage Drinking Conference, 2 holding youth Parent Meetings 3 held National Night Out event, 4 held eleven 11 Ward 8 Drug-Free Summer Youth EUDL Training Program sessions, and five 5 Drug Paraphernalia Community presentations. Activities entail planning the meetings, creating the agenda, contacting members to attend, contacted stakeholders to confirm as a presenter at their community meetings, contacting agencies to meet about the Drug Paraphernalia Law, contacting parents, and contacting coalition partners to ensure attendance. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 174,023, Grants and allocations 0, Revenue 157,500 The DC Prevention Center for Wards 7 8 is a collaborative venture with the Department of Health Addiction Prevention and Recovery Administration and the Ophelia Egypt Program Center of Planned Parenthood of Metropolitan Washington, Inc. The Wards 7 8 DCPC utilizes a public health, social development model to engage in population/community level prevention that utilizes three core functions to address priority risk factors and target outcomes 1 Community Education 2 Community Leadership and 3 Community Changes. Target participants are youth ages 8 to 18. Through our prevention networks, we engage in neighborhood level action planning and implementation that also focuses on specific populations e.g. youth, seniors, parents and specific community hubs e.g. recreation or community centers, schools, churches. Ultimately, the neighborhood and Ward level efforts of the four DC Prevention Centers will provide a sustainable infrastructure that will help the District strengthen substance abuse prevention efforts over the long-term. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 38,511, Grants and allocations 0, Revenue 50,000 The Strategic Prevention Framework State Incentive Grant SPF SIG program is one of SAMHSAs infrastructure grant programs. SAMHSAs infrastructure grants support an array of activities to help grantees build a solid foundation for delivering and sustaining effective substance abuse and/or mental health services. The SPF SIGs, in particular, provide funding to States, Territories, and federally recognized Tribes and Tribal organizations to implement SAMHSAs Strategic Prevention Framework in order to 1 prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking 2 reduce substance abuse-related problems in communities and 3 build prevention capacity and infrastructure at the State/Tribeal/Territory and community levels. |
| Form 990, Part III, Line 4d Program Service Expenses 123,784, Grants and allocations 0, Revenue 127,500 EUDL grant Justice Grant Administration Major activities included 1 organizing, coordinating, conducting and planning for conference - EUDL Underage Drinking Conference, 2 holding youth Parent Meetings 3 held National Night Out event, 4 held eleven 11 Ward 8 Drug-Free Summer Youth EUDL Training Program sessions, and five 5 Drug Paraphernalia Community presentations. Activities entail planning the meetings, creating the agenda, contacting members to attend, contacted stakeholders to confirm as a presenter at their community meetings, contacting agencies to meet about the Drug Paraphernalia Law, contacting parents, and contacting coalition partners to ensure attendance. Form 990, Part III, Line 4d Program Service Expenses 174,023, Grants and allocations 0, Revenue 157,500 The DC Prevention Center for Wards 7 8 is a collaborative venture with the Department of Health Addiction Prevention and Recovery Administration and the Ophelia Egypt Program Center of Planned Parenthood of Metropolitan Washington, Inc. The Wards 7 8 DCPC utilizes a public health, social development model to engage in population/community level prevention that utilizes three core functions to address priority risk factors and target outcomes 1 Community Education 2 Community Leadership and 3 Community Changes. Target participants are youth ages 8 to 18. Through our prevention networks, we engage in neighborhood level action planning and implementation that also focuses on specific populations e.g. youth, seniors, parents and specific community hubs e.g. recreation or community centers, schools, churches. Ultimately, the neighborhood and Ward level efforts of the four DC Prevention Centers will provide a sustainable infrastructure that will help the District strengthen substance abuse prevention efforts over the long-term. Form 990, Part III, Line 4d Program Service Expenses 38,511, Grants and allocations 0, Revenue 50,000 The Strategic Prevention Framework State Incentive Grant SPF SIG program is one of SAMHSAs infrastructure grant programs. SAMHSAs infrastructure grants support an array of activities to help grantees build a solid foundation for delivering and sustaining effective substance abuse and/or mental health services. The SPF SIGs, in particular, provide funding to States, Territories, and federally recognized Tribes and Tribal organizations to implement SAMHSAs Strategic Prevention Framework in order to 1 prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking 2 reduce substance abuse-related problems in communities and 3 build prevention capacity and infrastructure at the State/Tribeal/Territory and community levels. Form 990 Part XII Section 2C Chief Operating Officer reviews financial statement with CPA each quarter. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |