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
TEEN FACTOR INC
Employer identification number
51-0508684
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.") .
10,270
11,960
5,470
1,575
3,075
32,350
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.
10,270
11,960
5,470
1,575
3,075
32,350
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.)
32,350
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...
10,270
11,960
5,470
1,575
3,075
32,350
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
303
15
318
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
303
15
318
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.)..
10,573
11,975
5,470
1,575
3,075
32,668
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
99.030 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
94.470 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
1.000 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
2.000 %
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
TEEN FACTOR INC
Employer identification number
51-0508684
Identifier
Return Reference
Explanation
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
EXPENSES OFFICE SUPPLIES 377 INTERNET AND WEB HOSTING 245 WORKSHOP ATTENDEE FEE 335 INSURANCE 2,678 BANK SERVICE CHARGE 287 MEMBERSHIP DUES 506 NON-INVESTMENT DEPRECIATION 421 TOTAL 4,849
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
PREPAID EXPENSES AND DEFERRED CHARGES 60 45 HERMAN MILLER CHAIR 507 507 LESS ACCUMULATED DEPRECIATION 152 253 LCD PROJECTOR 604 604 LESS ACCUMULATED DEPRECIATION 604 604 COLOR PRINTER 1,018 1,018 LESS ACCUMULATED DEPRECIATION 1,018 1,018 PRINTER 315 315 LESS ACCUMULATED DEPRECIATION 315 315 GATEWAY FPD1975W 19IN 230 230 LESS ACCUMULATED DEPRECIATION 222 230 COMPUTER 1,069 1,069 LESS ACCUMULATED DEPRECIATION 160 374 QUICKBOOKS SOFTWARE 420 420 LESS ACCUMULATED DEPRECIATION 420 420 REAL WORLD SOFTWARE 168 168 LESS ACCUMULATED DEPRECIATION 168 168 HALLARYD PAINTING 0 136 LESS ACCUMULATED DEPRECIATION 0 11 SOFA 0 595 LESS ACCUMULATED DEPRECIATION 0 50 CHARIS (2) TRANSITIONAL 0 398 LESS ACCUMULATED DEPRECIATION 0 28 5 SHELF BOOKCASE 0 149 LESS ACCUMULATED DEPRECIATION 0 9 ORGANIZATIONAL COSTS 4,773 4,773 LESS ACCUMULATED AMORTIZATION 4,773 4,773 TRADEMARK 484 484 LESS ACCUMULATED AMORTIZATION 211 243 SECURITY DEPOSIT 0 1,000 TOTAL 1,605 3,415
OTHER LIABILITIES
FORM 990-EZ, PART II, LINE 26
ACCOUNTS PAYABLE AND ACCRUED EXPENSES 589 52
PRIMARY EXEMPT PURPOSE
FORM 990-EZ, PART III
TEEN FACTOR IS A PRIVATE, NONDENOMINATIONAL CHRISTIAN OUTREACH MINISTRY INCORPORATED IN THE STATE OF MARYLAND. FORMED IN 2004 AND BASED IN GAITHERSBURG, MARYLAND, THE ORGANIZATION IS COMMITTED TO REBUILDING THE LIVES OF TROUBLED TEENS IN OUR COMMUNITY BY PROVIDING THE FINEST TRAINING, TREATMENT, AND CARE AVAILABLE WITHIN A CHRISTIAN FRAMEWORK. IT IS ALSO DEDICATED TO BUILDING SUPPORTIVE FAMILY ENVIRONMENTS SO TEENS CAN BE REUNITED WITH THEIR FAMILIES. TEEN FACTOR EXISTS TO PROVIDE A SAFE, SECURE CHRISTIAN HAVEN FOR TEENS, AGES 13 THROUGH 17 IN DISTRESS SITUATIONS. WE ARE COMMITTED TO PROVIDING THE FINEST CHRISTIAN TRAINING AVAILABLE TO REBUILD THE LIVES OF TROUBLED TEENS. THE TF PROGRAM FOUNDATION IS BUILT UPON CHRISTIAN PRINCIPLED LIVING UNITED WITH A THREE-FOLD TREATMENT PROCESS, REVITALIZATION, RECONCILIATION, AND RENEWAL OF FAITH. TF PROVIDES RESIDENTIAL CARE FOR DEPENDENT AND NEEDY TEENS THAT REQUIRE PLACEMENT DUE TO DEATH, TRAGEDY, ABUSE, NEGLECT, OR OTHER UNSATISFACTORY FAMILY SITUATIONS. TEEN FACTOR EXISTS TO BRING WHOLENESS AND WELLNESS TO THE TEEN AND THEIR FAMILY.
FIRST ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 28
RESIDENTIAL YOUTH HOUSING PROGRAM: TEEN FACTOR IS A CHRISTIAN OUTREACH MINISTRY. OUR PROGRAM IS NOT UNIQUE IN ITS APPROACH TO TEEN/FAMILY RESTORATION. WE PROVIDE A CHRISTIAN ALTERNATIVE TO FAMILIES WHOSE TEENS NEED A SAFE PLACE TO GET THEIR LIVES BACK ON TRACK. THE ULTIMATE GOAL IS TO REUNITE TEEN AND FAMILY BY FACILITATING PROCESSES THAT PROMOTE A HEALTHY SUPPORTIVE FAMILY ENVIRONMENT. TEEN FACTORS APPROACH TO RESTORING TROUBLED ADOLESCENTS IS GROUNDED IN A POSITIVE TOTAL LIFESTYLE FOCUS INTENDED TO TREAT THE TEEN'S MIND, BODY AND SPIRIT.
SECOND ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 29
YOUTH LEADERSHIP TRAINING PROGRAM: TEEN FACTOR PROVIDES QUARTERLY TRAINING WORKSHOPS TO YOUTH PASTORS AND WORKERS WHERE WE HAVE THE OPPORTUNITY TO SHARE CONCEPTS, PRINCIPLES, AND APPROACHES THAT WE HAVE FOUND MOST HELPFUL-ALONG WITH INSIGHTS INTO THE NEEDS OF AT-RISK YOUTH THAT RECENT RESEARCH INDICATES ARE MOST CRUCIAL. WE WILL ALSO PROVIDE ADDITIONAL RESOURCES OFFERED BY OUR ORGANIZATION AND MANY OTHERS IN THE COMMUNITY. THE IDEAS AND TECHNIQUES PRESENTED WILL APPLY NOT ONLY WITH AT-RISK YOUTH BUT WITH TEENS, AND PRETEENS, WHO ARE ON THE EDGE OR ALREADY SPIRITUALLY GROUNDED.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.