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
PENNYRILE ALLIED COMMUNITY SERVICES INC
Employer identification number
61-0862133
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.") ....
19,388,258
19,438,163
18,752,023
17,927,572
12,078,278
87,584,294
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
19,388,258
19,438,163
18,752,023
17,927,572
12,078,278
87,584,294
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)..
55,826,758
6
Public support. Subtract line 5 from line 4.
31,757,536
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..
19,388,258
19,438,163
18,752,023
17,927,572
12,078,278
87,584,294
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).
87,584,294
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
36.260 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
22.380 %
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
PENNYRILE ALLIED COMMUNITY SERVICES INC
Employer identification number
61-0862133
Identifier
Return Reference
Explanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
LOW INCOME HEAT ENERGY ASSISTANCE PROGRAM - PROVIDES PAYMENTS TO LOW INCOME FAMILIES TO ASSIST WITH HOME ENERGY COSTS. 1,627,781 CSBG - PROVIDES SERVICES AND PROGRAMS THAT ADDRESS THE NEEDS OF LOW-INCOME CONSUMERS THROUGH A NETWORK OF OTHER NEIGHBORHOOD BASED ORGANIZATIONS FOR THE REDUCTION OF POVERTY, THE VITALIZATION OF LOW-INCOME COMMUNITIES AND THE EMPOWERMENT OF THESE FAMILIES TO BECOME FULLY SELF-SUFFICIENT. 603,301 LIHEAP-WEATHERIZATION - PROVIDES ASSISTANCE IN THE ACHIEVEMENT OF A MORE HELPFUL DWELLING ENVIORNMNET AND MAXIMUM ENERGY CONSERVATION FOR LOW-INCOME CLIENTS. 154,809 WEATHERIZATION - PROVIDES ASSISTANCE IN THE ACHIEVEMENT OF A MORE HELPFUL DWELLING ENVIORNMNET AND MAXIMUM ENERGY CONSERVATION FOR LOW-INCOME CLIENTS. 175,477 WEATHERIZATION ARRA - 2,500 SECTION 5309,5310, 5311, 5316, 5317 AND RTAP PROVIDED FUNDS FOR THE TRANSPORTATION FACILITY, VEHICHLES, EQUIPMENT, AND ADDITIONAL FUNDS FOR THE HUMAN SERVICE TRANSPORTION PROGRAM. 339,039 FAMILY PRESERVATION, FAMILY REUNIFICATION, DIVERSION, AND TANF - PROVIDES CRISIS INTERVENTION FOR CHILDREN BEING REMOVED FROM THEIR HOMES. 1,587,555 RSVP - RECRUITS INDIVIDUALS AGES FIFTY-FIVE AND OLDER TO VOLUNTEER IN NON- PROFIT AND/OR PUBLIC AGENCIES. 114,710 EFSP - PROVIDES RENT AND UTILITIES TO INDIVIDUALS WHO ARE IN EMERGENCY NEED. 14,154 CCC - A SUPERVISED VISITATION PROGRAM AND AN INTENSIVE IN HOME SERVICE FOR CHILDREN. 279,655 VARIOUS AND NON FEDERAL - 526,755 TOTAL 5,425,736
ELECTION OF MEMBERS AND THEIR RIGHTS
FORM 990, PAGE 6, PART VI, LINE 7A
BOARD MEMBERS ARE COMPRISED OF 1/3 FROM PUBLIC OFFICIALS, 1/3 FROM THE PRIVATE SECTOR AND 1/3 FROM THE LOW INCOME SECTOR. OFFICERS ARE ELECTED ANNUALLY.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
NO REVIEW WAS OR WILL BE CONDUCTED.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
COMPENSATION OF EXECUTIVE DIRECTOR IS APPROVED BY CHAIRMAN OF THE BOARD. OTHER TOP MANAGEMENT SALARIES ARE APPROVED BY EXECUTIVE DIRECTOR. COMPARABLE SALARIES ARE OBTAINED AND UTILIZED IN THIS PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
NO DOCUMENTS AVAILABLE TO THE PUBLIC
OTHER EXPENSES
FORM 990, PART IX, LINE 24E
INSURANCE 298,519 0 0 FOOD 292,916 0 0 SUPPLIES 194,473 0 0 TRANSPORTATION COSTS 180,937 0 0 MINOR EQUIPMENT/FUEL 159,070 0 0 EQUIPMENT MAINTENANCE 149,617 0 0 MATERIALS 99,047 0 0 OTHER - M & G 0 74,853 0 AUDIT 55,291 0 0 CONTRACT LABOR 39,020 0 0 REPAIRS - M & G 0 36,125 0 TRAINING & TECHNICAL ASSI 0 31,426 0 ADVERTISING 17,995 0 0 SUPPLIES - M & G 0 16,317 0 INSURANCE - M & G 0 15,200 0 POSTAGE 9,121 0 0 PROGRAM SUPPORT 8,064 0 0 POSTAGE - M & G 0 6,492 0 AUDIT - M & G 0 2,190 0 PRIVATE AUTO TRANSPORTATI 1,482 0 0
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
BOOK / TAX DEPRECIATION DIFFERENCE 1
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 9
RECLASSIFICATIONS / ADJUSTMENTS 29,629 RECLASSIFICATIONS / ADJUSTMENTS 0 ASSETS RELEASED FROM RESTRICTION 0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.