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.") .... | 1,086,685 | 1,027,386 | 1,086,143 | 1,429,854 | 1,053,573 | 5,683,641 |
| 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.. | 1,086,685 | 1,027,386 | 1,086,143 | 1,429,854 | 1,053,573 | 5,683,641 |
| 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. | 5,683,641 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,086,685 | 1,027,386 | 1,086,143 | 1,429,854 | 1,053,573 | 5,683,641 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,392 | 708 | 669 | 499 | 311 | 3,579 |
| 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.. | 720 | 1,235 | 2,702 | 4,657 | ||
| 11 | Total support (Add lines 7 through 10). | 5,691,877 | |||||






| 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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| Part II Line 10 Miscellaneous income and reimbursed expenses |
| 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 | 11b | The Organization provides an electronic copy of the Form 990 to the Board of Directors prior to filing the final return. Additionally, the Form 990 is provided to the Board of Directors at a meeting for discussion or questions. |
| Form 990 Part VI | 12c | The Organization includes its conflict of interest policy in the Personnel Policies and Procedures Manual and requires employees, officers and directors to annually disclose any conflict of interest. If a conflict of interest occurs during the year, employees are required to notify management as soon as the conflict is known. The Executive Director monitors the Board of Directors meetings and employees for any required disclosure. |
| Form 990 Part VI | 15a | The Executive Directors compensation is annually reviewed and approved by the Board of Directors. The Board of Directors uses statistics and data on executive compensation in similar organizations as a basis for comparison when considering the level of compensation for the Executive Director. |
| Form 990 Part VI | 15b | The compensation of other officers or top executives in the Organization are annually reviewed and approved by the Executive Director and by the Board of Directors through the budget approval process. The Executive Director uses data and statistics of compensation in similar organizations as a basis for comparison when considering the level of compensation for other officers and executives. |
| Form 990 Part VI | 19 | The Organization makes all public documents Form 1023, Form 990s and any public governing documents available to the public upon request at the Organizations office during regular business hours. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 41,925, Grants and allocations 0, Revenue 68,695 Food Box Program - REN provides emergency food boxes to adult provider network organization case managers, transportation specialists, and recipients of public behavioral health services. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 197,278, Grants and allocations 0, Revenue 229,940 Health and Wellness - REN provides Health Wellness classes designed to support members who have chronic pain, stress management, and/or other physical health challenges. Members participate in Tai Chi, Qi Kong, and Mindful Meditation. Members also attend the Virginia G. Piper Sports Fitness Center three times a week for physical exercise in an environment designed to support people with physical limitations. This program provides a smoking cessation program available 2 - 5 times per week. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 7,956, Grants and allocations 0, Revenue 24,243 Target Programs - REN has developed Target Programs that meet the unique needs of specific member communities. Target Programs at REN include Hopes Door, Homeless Outreach, The Out Crowd and Advocacy. These programs are designed to provide peer-support to REN members who might need services that address specific barriers or challenges. Hopes Door provides members with one-on-one peer-support while creating a crisis diversion plan to help them negotiate challenges when life is unusually difficult. REN partners with Nova Safe Haven to provide Homeless Outreach peer-support services to members who are receiving assistance at the Human Resource Campus in downtown Phoenix. The Out Crowd is a program designed to provide peer-support services to members who identify as part of the GLBTQ Gay, lesbian, bisexual, transgender and questioning community. Advocacy provides one-on-one peer support services that help REN members get their needs met in the public behavioral health care system. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 23,448, Grants and allocations 0, Revenue 23,439 Arizona Transformation Statewide Consumer Network - ATSCN is a federally funded program that is designed to engage rural communities around the State of Arizona in the system transformation of their local behavioral health care delivery system. ATSCN is a two day forum hosted by a local peer-run agency and includes both service recipients and service providers in the training. |
| Form 990, Part III, Line 4d Program Service Expenses 41,925, Grants and allocations 0, Revenue 68,695 Food Box Program - REN provides emergency food boxes to adult provider network organization case managers, transportation specialists, and recipients of public behavioral health services. Form 990, Part III, Line 4d Program Service Expenses 197,278, Grants and allocations 0, Revenue 229,940 Health and Wellness - REN provides Health Wellness classes designed to support members who have chronic pain, stress management, and/or other physical health challenges. Members participate in Tai Chi, Qi Kong, and Mindful Meditation. Members also attend the Virginia G. Piper Sports Fitness Center three times a week for physical exercise in an environment designed to support people with physical limitations. This program provides a smoking cessation program available 2 - 5 times per week. Form 990, Part III, Line 4d Program Service Expenses 7,956, Grants and allocations 0, Revenue 24,243 Target Programs - REN has developed Target Programs that meet the unique needs of specific member communities. Target Programs at REN include Hopes Door, Homeless Outreach, The Out Crowd and Advocacy. These programs are designed to provide peer-support to REN members who might need services that address specific barriers or challenges. Hopes Door provides members with one-on-one peer-support while creating a crisis diversion plan to help them negotiate challenges when life is unusually difficult. REN partners with Nova Safe Haven to provide Homeless Outreach peer-support services to members who are receiving assistance at the Human Resource Campus in downtown Phoenix. The Out Crowd is a program designed to provide peer-support services to members who identify as part of the GLBTQ Gay, lesbian, bisexual, transgender and questioning community. Advocacy provides one-on-one peer support services that help REN members get their needs met in the public behavioral health care system. Form 990, Part III, Line 4d Program Service Expenses 23,448, Grants and allocations 0, Revenue 23,439 Arizona Transformation Statewide Consumer Network - ATSCN is a federally funded program that is designed to engage rural communities around the State of Arizona in the system transformation of their local behavioral health care delivery system. ATSCN is a two day forum hosted by a local peer-run agency and includes both service recipients and service providers in the training. Form 990 Part VI Section B Line 11b The Organization provides an electronic copy of the Form 990 to the Board of Directors prior to filing the final return. Additionally, the Form 990 is provided to the Board of Directors at a meeting for discussion or questions. Form 990 Part VI Section B Line 12c The Organization includes its conflict of interest policy in the Personnel Policies and Procedures Manual and requires employees, officers and directors to annually disclose any conflict of interest. If a conflict of interest occurs during the year, employees are required to notify management as soon as the conflict is known. The Executive Director monitors the Board of Directors meetings and employees for any required disclosure. Form 990 Part VI Section B Line 15a The Executive Directors compensation is annually reviewed and approved by the Board of Directors. The Board of Directors uses statistics and data on executive compensation in similar organizations as a basis for comparison when considering the level of compensation for the Executive Director. Form 990 Part VI Section B Line 15b The compensation of other officers or top executives in the Organization are annually reviewed and approved by the Executive Director and by the Board of Directors through the budget approval process. The Executive Director uses data and statistics of compensation in similar organizations as a basis for comparison when considering the level of compensation for other officers and executives. Form 990 Part VI Section C Line 19 The Organization makes all public documents Form 1023, Form 990s and any public governing documents available to the public upon request at the Organizations office during regular business hours. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |