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
BLUES BABE FOUNDATION
Employer identification number
55-0805127
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.") ....
129,140
1,925
177,508
184,655
59,315
552,543
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
129,140
1,925
177,508
184,655
59,315
552,543
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)..
53,398
6
Public support. Subtract line 5 from line 4.
499,145
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..
129,140
1,925
177,508
184,655
59,315
552,543
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).
552,543
12
Gross receipts from related activities, etc. (see instructions)
..................
12
280
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
90.340 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
97.890 %
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.") .
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.)
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...
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.)..
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
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
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:
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
2012
Open to Public Inspection
Name of the organization
BLUES BABE FOUNDATION
Employer identification number
55-0805127
Identifier
Return Reference
Explanation
OTHER REVENUE
FORM 990-EZ, PART I, LINE 8
REIMBURSED EXPENSES 280 TOTAL 280
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
FROM TRIAL BALANCE PUBLIC RELATIONS 520 CLOTHING 695 PROGRAM SUPPLIES 90 BANK SERVICE CHARGES 290 LIABILITY INSURANCE 2,213 DIRECTORS & OFFICERS 1,303 INTERNET SERVICES 757 MAINTENANCE 3,483 POSTAGE AND DELIVERY 59 1099/INDEPENDENT CONTRACT 10,431 PROCESSING FEES 1,938 CAMP INTERNS 5,200 OFFICE EXPENSE 2,317 PROGRAM EXPENSE 21,904 ADVERTISING & PROMOTIONS 251 TELEPHONE 3,377 CHARITABLE CONTRIBUTIONS 600 BUILDING REPAIRS 2,595 MEALS 774 FUEL 75 PARKING 9 CAMP JS TRAVEL 3,460 EXPENSES NON-INVESTMENT DEPRECIATION 4,452 TOTAL 66,793
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
FURNTITURE AND EQUIPMENT 8,666 8,666 COMPUTER EQUIPMENT 6,504 6,504 LEASHOLD IMPROVEMENTS 1,650 1,650 ACCUMULATED DEPRECIATION 0 0 LESS ACCUMULATED DEPRECIATION 2,226 6,677 TOTAL 14,594 10,143
PRIMARY EXEMPT PURPOSE
FORM 990-EZ, PART III
THE ORGANIZATION IS COMMITTED TO ASSISTING STUDENTS IN UNDERSERVED COMMUNITIES BY PROVIDING OPPORTUNITIES THAT PROMOTE AND CULTIVATE A MINDSET OF LEADERSHIP AND ACADEMIC EXCELLENCE. THE ORGANIZATION'S SERVICES ARE GEARED TOWARDS STUDENTS, AGES 9-21 IN NORTH PHILADELPHIA, PA AND CAMDEN, NJ.
FIRST ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 28
CAMP JILL SCOTT: MANY CHILDREN WILL NEVER EXPLORE THE WORLD BEYOND THE PARAMETERS OF THEIR NEIGHBORHOODS AS A RESULT OF ECONOMIC BARRIERS, SOCIAL/FAMILIAL/CULTURAL UPBRINGING, AND LACK OF TRANSPORTATION. CAMP JILL SCOTT ENSURES THAT STUDENTS FROM ALL WALKS OF LIFE COME TO UNDERSTAND THE JOYS OF NATURE. THE FREE ONE-WEEK DAY CAMP FOR STUDENTS FROM PHILADELPHIA BETWEEN THE AGES OF 9 AND 14 PROVIDES ART, MUSIC, SWIMMING, ROCK WALL CLIMBING, SCAVENGER HUNTS, FIELD GAMES AND LEADERSHIP DEVELOPMENT. THE CAMP ALSO PROVIDES SUMMER EMPLOYMENT TO HIGH SCHOOL AND COLLEGE STUDENTS, FOLLOWING PEER-TO-PEER MENTORING AND SKILLS DEVELOPMENT TRAINING WORKSHOPS. APPROXIMATELY 80 YOUTH ARE SERVED ANNUALLY THROUGH CAMP JILL SCOTT CLEAN UP YOUR NEIGHBORHOOD: THE CLEAN UP YOUR NEIGHBORHOOD PROGRAM PROVIDES A COMMUNAL PRIDE AND WORKS TO IMPROVE THE QUALITY OF LIFE FOR STUDENTS. THE PROGRAM INCLUDES COMMUNITY CLEAN-UP DRIVES WITH TRASH AND GRAFFITI REMOVAL, THE CREATION OF GARDENS, AND LITTER FREE TRAINING. OUR "CLEAN UP" PARTNERS INCLUDE KEEP PHILADELPHIA BEAUTIFUL, COMMUNITIES IN SCHOOL, PHILADELPHIA FREEDOM SCHOOLS, AFRICAN AMERICAN UNITED FUND, CECIL B MOORE RECREATION CENTER, AND REYBURN PARK NEIGHBORWOODS. OVER 100 VOLUNTEERS HAVE DONATED THEIR TIME TO THIS BEATIFICATION PROJECT. MUSIC IN THE CLASSROOMS: A BIG PART OF MUSIC IS HAVING AN OPPORTUNITY TO STUDY AND PLAY AT AN EARLY AGE. THE BLUES BABE FOUNDATION TEAMS UP WITH ORGANIZATIONS TO HELP PROVIDE MUSIC (INSTRUMENTATION, HISTORY, THEORY, RECORDING, PRODUCTION, AND BUSINESS) IN NORTH PHILADELPHIA ELEMENTARY SCHOOLS. IN 2011 A PILOT OF 40 STUDENTS IN THE 4TH GRADE AT PEIRCE ELEMENTARY SCHOOL ENJOYED A HANDS-ON MUSIC EXPLORATION PROGRAM AT THEIR SCHOOL. COLLEGE BOUND WORKSHOPS: THERE ARE MANY STEPS BETWEEN COLLEGE ACCESS AND COLLEGE COMPLETION. THE FOUNDATION OFFERS A SERIES OF FREE WORKSHOPS TO NORTH PHILADELPHIA COLLEGE BOUND STUDENTS AND PARENTS SEEKING INFORMATION. THE WORKSHOPS ADDRESS FINANCIAL AID, SELECTING THE RIGHT COLLEGE AND MAJOR, GOAL SETTING, STUDY HABITS, AND PREPARING FOR THE TRANSITION TO COLLEGE LIFE. BLUES BABE FOUNDATION SCHOLARSHIPS: FINANCIAL SUPPORT IS PROVIDED TO STUDENTS IN NEED THROUGH THEIR SCHOOLS. IN THE SPRING OF 2003, THE FOUNDATION MADE A DONATION OF OVER 60,000 TO THE GRADUATING CLASS OF THE CREATIVE ARTS HIGH SCHOOL IN CAMDEN, NEW JERSEY. ADDITIONAL SCHOLARSHIPS HAVE BEEN DISBURSED BY THE FOUNDATION TO ELIGIBLE STUDENTS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.