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
CARE FORWARD INC
Employer identification number
38-3862067
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
0 %
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.") .
655,686
655,686
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......
3,225
3,225
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.
658,911
658,911
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.)
658,911
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...
658,911
658,911
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
0
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
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.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
658,911
658,911
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
0 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
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
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
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000057
Software Version:
12.18.605.2
-
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
2012
Open to Public Inspection
Name of the organization
CARE FORWARD INC
Employer identification number
38-3862067
Identifier
Return Reference
Explanation
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The MAC program is a powerpoint of a story about a caterpillar named Mac. Mac starts using drugs which harm his development causing him to become a deformed Monarch butterfly. This compelling story is appropriate for older elementary students.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Brain Presentation is a powerpoint presentation designed to educate about brain function and development. Because the brain is not completely developed until mid to late 20s, the use of alcohol and illegal drugs can cause immeasurable damage to the young brain.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The Morris Brothers is an Emmy Award-winning program that we have brought to area schools druing Red Ribbon Week. The Morris Brothers deliver educational messages on character development, drug awareness, bullying and wellness in a high energy production using humor, skits, songs and audience participation.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Several times a year CARE sponsors luncheons for the community at large which includes educational leaders and staff, youth workers, parents and counselors. Past topics have included a Dallas Police Department narcotics officer, a local pediatrician moderating a teen panel on stress and University of Texas Students in Recovery panel. Our next community luncheon will feature Dr. Kristen Ohlenforst speaking on the effect of alcohol and drugs on GPA.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Each year, scholarships will be awarded to deserving Seniors who have demonstrated a commitment in their personal life to making positive choices regarding the use of alcohol and other drugs. These scholarships are for 1,000.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 CARE produces a calendar comprised of artwork from area school students and is distributed free of charge to families and businesses throughout the community in August. The artwork depicts the message of making good choices.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 CARE offers at home drug kits to families in our classes and community as a means of both preventing and detecting drug use.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The CARE lending library includes DVDs, books and audio tapes and may be utilized free of charge by anyone. Our hope is that those seeking help for problems with a child, parent, friend, spouse or an issue of their own will use our resources for support.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The CARE office frequently receives requests from area schools, churches, boy scout troops, etc for speakers. We are able to provide speakers who are experts in a variety of subjects to these groups.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 CARE makes confidential referrals for counselors, psychologists, psychiatrists, In patient treatment including Wilderness programs and Out patient treatment. We also make referral for assessments to determine what level of care is required.
Form 990 Part VI Section B Line 15b The Executive Director of CARE is the principal representative of CARE, and the person responsible for the efficient operation of CARE. Therefore, it is the desire of CARE to provide a fair yet reasonable and not excessive compensation for the Executive Director and all employees and consultants. The annual process for determining compensation is as follows The CARE Board shall annually evaluate the Executive Director on his/her performance, and ask for his/her input on matters of performance and compensation. The Executive Director will evaluate the staff at the same time and advise the Board of evaluations and recommended compensation increases. The Executive Committee will obtain research and information to make a recommendation to the full Board fro the compensation salary and benefits of the Executive Director based on a review of comparability data. This data may include the following Salary and benefit compensation studies by independent sources Written job offers for positions at similar organizations Documented telephone calls about similar positions at both nonprofit and for-profit organizations and Information obtained from the IRS 990 filings of similar organizations.
Form 990 Part VI Section B Line 11b The Executive Director shall ensure that tax payments and other government ordered payments are filed in a timely and accurate manner. The Executive Director, in consultation with the Treasurer of the Board, shall sign and certify that the IRS Form 990 is accurate and complete. The board shall receive a copy of the IRS Form 990 Annual tax filing within 30 days of its submission. Consistent with the requirements of the Internal Revenue Code and the regulations thereunder, copies of the organizaitons FORM 990 shall be made available, upon request, in a timely manner, and without charge, to any individuals who request it.
Form 990 Part VI Section C Line 19 All documents are presented upon request.
Form 990 Part VI Section B Line 12c The conflict of interest policy is recorded in the bylaws of the organization. Once a board member begins to serve, they are given a copy of the bylaws and it is requested that the member disclose any known conflict.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.