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
2012
Open to Public Inspection
Name of the organization
FREE SPIRIT MINISTRIES OF NORTHERN MICHIGAN INC
Employer identification number
20-5124331
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
357
67,848
225,569
89,267
299,258
682,299
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......
494,758
606,931
420,222
456,038
319,649
2,297,598
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.
495,115
674,779
645,791
545,305
618,907
2,979,897
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
0
150,500
200,000
199,000
549,500
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
11,488
0
0
0
11,488
c
Add lines 7a and 7b..
0
11,488
150,500
200,000
199,000
560,988
8
Public support (Subtract line 7c from line 6.)
2,418,909
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
495,115
674,779
645,791
545,305
618,907
2,979,897
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
0
0
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
0
0
0
0
0
0
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.)
..
1,243
779
110
0
0
2,132
13
Total support. (Add lines 9, 10c, 11, and 12.)..
496,358
675,558
645,901
545,305
618,907
2,982,029
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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
81.120 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
84.110 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
0 %
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - MISC INCOME, COLUMN A - 1243, COLUMN B - 139, COLUMN C - 0, COLUMN D - 0, COLUMN E - , COLUMN F - 1382; DESCRIPTION - SALE OF INVENTORY, COLUMN A - 0, COLUMN B - 640, COLUMN C - 110, COLUMN D - 0, COLUMN E - 0, COLUMN F - 750;,
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000266
Software Version:
v2012.1.0
-
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
2012
Open to Public Inspection
Name of the organization
FREE SPIRIT MINISTRIES OF NORTHERN MICHIGAN INC
Employer identification number
20-5124331
Identifier
Return Reference
Explanation
Significant changes in program services
Form 990, Part III, Line 3
THE ORGANIZATION WILL NO LONGER BE RUNNING THE BIG TICKET FESTIVAL AND WILL BE WINDING DOWN ACTIVITIES.
GLEN CATT AND JEANNE CATT - FAMILY RELATIONSHIP, GLEN CATT AND KRISTI CATT - FAMILY RELATIONSHIP, JEANNE CATT AND KRISTI CATT - FAMILY RELATIONSHIP
Documentation of meetings held by committees of governing body
Form 990, Part VI, Section A, Line 8b
THE ORGANIZATION DOES NOT HAVE A SEPARATE COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY SO THIS QUESTION DOES NOT APPLY AND HAS BEEN ANSWERED 'NO' BASED ON THE IRS INSTRUCTIONS.
Review of form 990 by governing body
Form 990, Part VI, Section B, Line 11b
PRIOR TO FILING WITH THE IRS, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISORS AND EXECUTIVE DIRECTOR. THE COMPLETED FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR ADDITIONAL REVIEW PRIOR TO FILING THE RETURN WITH THE IRS.
Conflict of interest policy
Form 990, Part VI, Section B, Line 12c
AS PART OF THEIR POLICY, THE BOARD OF DIRECTORS AND EMPLOYEES OF FREE SPIRIT MINISTRIES ARE ENCOURAGED TO REPORT ANY CONFLICTS THEY MAY HAVE WITH THE ORGANIZATION ON AN ANNUAL BASIS. ANNUAL CONFLICT OF INTEREST QUESTIONAIRES ARE SENT OUT TO EACH BOARD MEMBER AND THE RESPONSES ARE REVIEWED BY THE OUTSIDE TAX ADVISORS.
PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIAL
FORM 990, PART VI, LINE 15A
THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. THE SALARY WAS DETERMINED USING COMPARABILITY DATA OF INDUSTRY PROFESSIONALS WORKING AT MEDIUM SIZE CHURCHES IN THE AREA. FORMAL DOCUMENTATION OF THIS PROCESS IN NOT INCLUDED IN THE BOARD MINUTES.
PROCESS USED TO DETERMINE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES
FORM 990, PART VI, LINE 15B
THE ORGANIZATION DOES NOT HAVE ANY OTHER OFFICERS OR KEY EMPLOYEES TO COMPENSATE, HOWEVER THE ORGANIZATION IS REQUIRED TO RESPOND "NO" TO THIS QUESTION IN ACCORDANCE WITH THE INSTRUCTIONS.
Governing documents, conflict of interest policy and financial statements available to the public
Form 990, Part VI, Section C, Line 19
NO DOCUMENTS AVAILABLE TO THE PUBLIC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.