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
2011
Open to Public Inspection
Name of the organization
COVENANT HOUSE WASHINGTON DC
Employer identification number
13-3537709
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 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 support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 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) 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.") ....
6,115,582
5,257,548
4,935,531
4,662,908
4,507,226
25,478,795
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..
6,115,582
5,257,548
4,935,531
4,662,908
4,507,226
25,478,795
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)..
194,921
6
Public Support. Subtract line 5 from line 4.
25,283,874
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
6,115,582
5,257,548
4,935,531
4,662,908
4,507,226
25,478,795
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
51,403
12,829
4,024
3,164
779
72,199
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..
38,676
2,676
2,600
61,082
14,573
119,607
11
Total support (Add lines 7 through 10).
25,670,601
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
1,756,035
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 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
98.494 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
98.953 %
16a
33 1/3% support test—2011.
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—2010.
If the organization did not check the 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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 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) 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.)
Section B. Total Support
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.).
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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or 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) 2011
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
2011
Open to Public Inspection
Name of the organization
COVENANT HOUSE WASHINGTON DC
Employer identification number
13-3537709
Identifier
Return Reference
Explanation
FORM 990, PART III
OTHER PROGRAM SERVICE DESCRIPTIONS
Outreach: Outreach as embodied by the Mobile Outreach Support Team (MOST), is often the first line of communication with young people who are in need of help. The Outreach team travels daily to schools, community centers, and neighborhoods throughout the region offering encouragement and emergency assistance to youth in crisis. Members of the Outreach team travel by van on the streets of DC and the close-in suburbs, letting disconnected youth know that by our presence, we care. Public Education Program: Covenant House Washington offers instruction in Adult Basic Education (ABE), General Education Development (GED), and college and Scholastic Aptitude TEST (SAT) skills. Using graphics, animation, and sound, the web-based adult literacy software allows learners to work at their own pace. Users can access instruction at any time, anywhere a computer with internet access is available. The software's interactive capabilities and immediate feedback component motivate the learner to want to succeed. Employment Development Program: Based on the results of the assessment process, youth identify employment and career options. They receive guidance and encouragement as they develop new skills through training, internships, and work-study activities. Once a youth is employed, whether full-time or part-time, a Placement and Retention Specialist helps them maintain employment.
FORM 990, PART VI
Line 6 - Corporate member: The sole corporate member of Covenant House Washington D.C. is its parent organization, Covenant House Inc. Line 7a - Rights of the Parent Organization: Covenant House Washington D.C.'s organizing documents have reserved certain rights to its parent organization, Covenant House Inc. Pursuant to the organizing documents, Covenant House Inc, has the right to appoint and remove the Directors, Chairman, Executive Director and other officers of the organization.
FORM 990, PART VI
LINE 10 - Covenant House Inc: Covenant House DC is, itself, an affiliate of Covenant House Inc. COVENANT HOUSE INC. IS THE LARGEST PRIVATELY-FUNDED AGENCY IN THE AMERICAS PROVIDING SHELTER AND OTHER SERVICES TO HOMELESS, RUNAWAY AND THROWAWAY YOUTH. INCORPORATED IN NEW YORK CITY IN 1972, COVENANT HOUSE INc. HAS FACILITIES IN 21 CITIES THROUGHOUT THE UNITED STATES, CANADA, GUATEMALA, HONDURAS, MEXICO AND NICARAGUA. COVENANT HOUSE INc. ALSO OPERATES 24-HOUR CRISIS HOTLINES IN THE UNITED STATES (COVENANT HOUSE NINELINE) AND MEXICO (ACERCATEL). IN ADDITION, COVENANT HOUSE INc. AND ITS MEMBER SITES ARE LEADING ADVOCATES ON BEHALF OF STREET YOUTH AT LOCAL, STATE, NATIONAL AND INTERNATIONAL LEVELS OF GOVERNMENT. COVENANT HOUSE INc. IS A MEMBER OF THE NON-GOVERNMENT ORGANIZATION (NGO) BOARD OF DIRECTORS OF UNICEF AND HAS TAKEN ON A PROMINENT ROLE IN THE CAMPAIGN FOR U.S. RATIFICATION OF THE CONVENTION ON THE RIGHTS OF THE CHILD (CRC.) COVENANT HOUSE INc. SITES ARE LOCATED IN ANCHORAGE, ATLANTA, ATLANTIC CITY, DETROIT, FORT LAUDERDALE, HOUSTON, GUATEMALA CITY, LOS ANGELES, MANAGUA, MEXICO CITY, NEWARK, NEW ORLEANS, NEW YORK, OAKLAND, ORLANDO, PHILADELPHIA, ST. LOUIS, TEGUCIGALPA, TORONTO, VANCOUVER AND WASHINGTON, D.C. IN ADDITION TO FOOD, SHELTER, CLOTHING AND IMMEDIATE CRISIS CARE, COVENANT HOUSE PROVIDES A VARIETY OF SERVICES TO HOMELESS, RUNAWAY AND THROWAWAY YOUTH INCLUDING MEDICAL CARE, EDUCATIONAL AND VOCATIONAL PROGRAMS, DRUG ABUSE TREATMENT AND PREVENTION PROGRAMS, LEGAL AID SERVICES, RECREATION PROGRAMS, MOTHER/CHILD PROGRAMS, TRANSITIONAL LIVING PROGRAMS, LIFE-SKILLS TRAINING AND STREET OUTREACH.
FORM 990, PART VI, LINE 11
Form 990 review process
Covenant House Washington, DC's Form 990 was prepared by a nationally renowned accounting firm in conjunction with the organization's financial department. A copy of the draft Form 990 was circulated to the full Board of Trustees for discussion and comment at the organization's meeting. Each Board Member was provided ample opportunity to comment on the information contained in the 990 prior to its electronic filing with the Internal Revenue Service.
FORM 990, PART VI, LINE 12
conflict of interest policy enforcement and monitoring
Each officer, director, trustee and key employee of Covenant House Washington, DC is required to annually disclose any conflicts of interest that arise by virtue of employment, board service, or position with the organization. The organization monitors compliance with its conflict of interest policy through an annual questionnaire/disclosure statement that is distributed to these individuals. Potential conflicts are investigated immediately.
FORM 990, PART VI, LINE 15
process for determining compensation
Compensation is determined by researching external published compensation surveys and guidelines. The final determination is based on the current prevailing levels of compensation of comparable organization and the relevant job descriptions.
FORM 990, PART VI, LINE 19
public disclosure of documents
The organization makes its Form 990 available to the public by retaining a copy at its place of business and on its website. The Form 990 is likewise published on the internet at www.guidestar.org. The organization's financial statements, governing documents and conflict of interest policy are not ordinarily made available to the public, but, if requested, will be provided at management's discretion.
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:KEVIN RYAN TITLE:PRESIDENT HOURS:40
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.