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
ADVOCATES OF LAKE COUNTY INC
Employer identification number
84-0912821
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.") ....
120,146
150,841
229,067
363,444
295,351
1,158,849
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
120,146
150,841
229,067
363,444
295,351
1,158,849
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)..
194,963
6
Public support. Subtract line 5 from line 4.
963,886
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..
120,146
150,841
229,067
363,444
295,351
1,158,849
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
12
268
67
166
77
590
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.)..
3,032
10,539
31,790
11,826
57,187
11
Total support (Add lines 7 through 10).
1,216,626
12
Gross receipts from related activities, etc. (see instructions)
..................
12
8,898
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
79.230 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
85.250 %
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
ADVOCATES OF LAKE COUNTY INC
Employer identification number
84-0912821
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
THE ADVOCATES OF LAKE COUNTY WILL ASSIST ANY VICTIM OF CRIME, VIOLENCE, OR OTHER TRAUMATIC EVENT, PRIMARILY VICTIMS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT. THE ADVOCATES WORK FOR POSITIVE SOCIAL CHANGE, SEEKING TO PROMOTE A SAFE AND HEALTHY COMMUNITY.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
IN 2012, 7 VOLUNTEERS SERVED AS BOARD MEMBERS; 3 AS HOT-LINE AND CRISIS INTERVENTION VOLUNTEERS; PLUS 65 VOLUNTEERS PROVIDED CONSTRUCTION ASSISTANCE ON VARIOUS SHELTER PROJECTS SUCH AS FENCING, FLOORING, PAINTING, ETC.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
IN 2012, OUR AGENCY ASSISTED 397 VICTIMS OF CRIME. OF THOSE, 323 WERE VICTIMS OF DOMESTIC VIOLENCE, 2 OF CHILD ABUSE, 33 OF SEXUAL ASSAULTS,7 OF STALKING, AND 1 SURVIVOR OF HOMICIDE. OF THOSE VICTIMS SERVED, 55 OF THEM WERE MONOLINGUAL SPANISH SPEAKING. THESE VICTIMS ACCESSED SERVICES OF CRISIS COUNSELING, SHELTER, INFORMATION AND REFERRALS, CRIMINAL JUSTICE SUPPORT, FINANCIAL ASSISTANCE, LEGAL ADVOCACY,VICTIMS COMPENSATION AND ASSISTANCE. OUR STAFF ASSISTED 22 VICTIMS IN FILING FOR A CIVIL PROTECTIVE ORDER. SINCE OPENING ALDER HOUSE IN NOVEMBER OF 2012, WE HAVE SHELTERED 31 VICTIMS OF CRIME AND 35 CHILDREN FOR A TOTAL OF 1,948 NIGHTS. OUR STAFF ASSISTED 22 VICTIMS IN FILING FOR A CIVIL PROTECTIVE ORDER. ADDITIONALLY, STAFF OR VOLUNTEERS RESPONDED TO 95 AFTER-HOUR CALLS FROM LAW ENFORCEMENT REQUESTING FOR ASSISTANCE IN WORKING WITH A VICTIM OF CRIME. --COURT ADVOCACY: ADVOCATES ATTEND COURT WITH VICTIMS FOR SUPPORT, GUIDANCE, AND TRANSLATION FOR OUR SPANISH CLIENTS. --REFERRAL AND INFORMATION: ASSIST VICTIMS WITH INFORMATION AND GUIDANCE REGARDING OTHER SERVICES AVAILABLE. THESE INCLUDE, BUT ARE NOT LIMITED TO, HEALTH AND HUMAN SERVICES, LEGAL AID, HOUSING ASSISTANCE, SHELTER, MENTAL HEALTH AGENCIES, WORK FORCE AND OTHER AGENCIES. --SUPPORT, TRANSLATION, AND ASSISTANCE WITH PAPER WORK: THESE INCLUDE, BUT ARE NOT LIMITED TO, VICTIM IMPACT STATEMENTS, PROTECTION ORDERS, HOUSING APPLICATIONS, JOB APPLICATIONS, FOOD STAMPS, AND LEGAL AID APPLICATIONS. --RESIDENTIAL SERVICES: OUR AGENCY RECENTLY OPENED ALDER HOUSE, A SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSUALT, AND STALKING. SERVICES AT THE ALDER HOUSE ARE PROVIDED TO VICTIMS AS A MEANS OF PROTECTING THEM FROM THE THREAT OF FURTHER ABUSE. RESIDENTS MAY STAY UP TO 120 DAYS WHILE THEY STABILIZE THEIR LIVING SITUATION. ALDER HOUSE CAN ACCOMMODATE 16 WOMEN AND CHILDREN AT ONE TIME. RESIDENTS ATTEND WEEKLY INDIVIDUAL COUNSELING SESSIONS, AS WELL AS SUPPORT GROUPS. ALDER HOUSE RESIDENTS ARE ASSISTED BY ADVOCATES TO DEVELOP SHORT- AND LONG-TERM PLANNING GOALS, SUCH AS SECURING EMPLOYMENT, FINANCIAL ASSISTANCE, AND SEEKING PERMANENT HOUSING. ADVOCATES WORK WITH THE CLIENTS IN IDENTIFYING OPTIONS AVAILABLE, WHILE CONNECTING THEM WITH OTHER AGENCY AND COMMUNITY SERVICES TO EMPOWER THEM TO SUCCEED. VICTIMS OF CRIME ARE ALSO GIVEN INFORMATION ON THEIR RIGHTS AND HOW TO ACCESS THEM --24-HOUR CRISIS LINE: PROVIDES SUPPORT, EDUCATION, CRISIS INTERVENTION, AND REFERRALS TO COMMUNITY RESOURCES. STAFF AND TRAINED VOLUNTEERS ALSO OFFER REFERRAL SERVICES TO COUNSELORS AND SOCIAL SERVICE AGENCIES. VICTIMS, ABUSERS, FAMILY, AND FRIENDS FIND A SUPPORTIVE INDIVIDUAL TO SPEAK WITH WHO IS EDUCATED ON DOMESTIC VIOLENCE ISSUES. OUR AGENCY RECEIVES REFERRALS FROM, BUT IS NOT LIMITED TO, THE POLICE DEPARTMENT, THE SHERIFF'S DEPARTMENT, THE HOSPITAL, THE LOCAL SCHOOL DISTRICT, THE DISTRICT ATTORNEY'S OFFICE, AND LOCAL PHYSICIANS. OUR AGENCY ENSURES THAT THESE VICTIMS ARE AWARE OF THEIR RIGHTS UNDER THE COLORADO VICTIM'S RIGHTS AMENDMENT AND HOW TO ACCESS THOSE RIGHTS. WE DO THIS BY VERBALLY TELLING THEM AND ALSO IN WRITING. OUR AGENCY SUPPLIES LOCAL LAW ENFORCEMENT AGENCIES WITH VICTIM'S RIGHTS BROCHURES THAT EXPLAIN THEIR RIGHTS AND HOW TO ACCESS THEM AS WELL AS OUR AGENCY AND OTHER AGENCIES' CONTACT INFORMATION. --TRAINING: THE OUTREACH/EDUCATION COORDINATOR CONTINUES TO TRAIN VOLUNTEERS AND STAFF, GIVE PRESENTATIONS TO THE COMMUNITY ON PROGRAMS OFFERED, AND GIVE PRESENTATIONS ON VIOLENCE PREVENTION. WE ALSO PROVIDE TRAINING TO LAW ENFORCEMENT OFFICERS ON OUR SERVICES AND THE COLORADO VICTIMS RIGHTS ACT. --BILINGUAL SERVICE: THE ADVOCATES PROVIDE SERVICES IN BOTH ENGLISH AND SPANISH. LAKE COUNTY HAS A LARGE HISPANIC/LATINO MONOLINGUAL, SPANISH- SPEAKING POPULATION. (SOME ESTIMATES ARE AS HIGH AS 40%.) THESE SERVICES ARE CRUCIAL TO OUR COMMUNITY. --EMERGENCY SUPPORT: THE ADVOCATES OF LAKE COUNTY ARE ON CALL 24/7 TO SUPPORT LAKE COUNTY'S EMERGENCY SERVICES ORGANIZATIONS IN CASE OF EMERGENCY, DISASTER, OR TRAGIC DEATH.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A DRAFT OF THE FORM 990 IS REVIEWED AND APPROVED BY THE FULL BOARD PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
BOARD AND EXECUTIVE STAFF ANNUALLY SIGN OFF ON A CONFLICT OF INTEREST POLICY.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE EXECUTIVE DIRECTOR'S ANNUAL SALARY, WITH NO PARTICIPATION BY THE EXECUTIVE DIRECTOR OR OTHER INTERESTED PERSONS. THE EXECUTIVE DIRECTOR'S SALARY IS ESTABLISHED USING COMPARABLE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR NONPROFITS; CONSIDERATION OF ROLES AND RESPONSIBILITIES OF THE EXECUTIVE DIRECTOR; AND COST OF LIVING DATA. COMPARABLE MARKET DATA IS OBTAINED FROM SALARY SURVEYS AND FORM 990S FILED BY COMPARABLE NOT-FOR- PROFIT ORGANIZATIONS. DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN EXECUTIVE COMMITTEE MEETING MINUTES. THE EXECUTIVE DIRECTOR ALSO RECEIVES REIMBURSEMENTS FOR ROUTINE, REASONABLE, AND DOCUMENTED EXPENSES INCURRED DURING THE YEAR UNDER AN ACCOUNTABLE PLAN. THE EXECUTIVE DIRECTOR TRAVELS THROUGHOUT OUR SERVICE AREA. THE ORGANIZATION HAS A TRAVEL POLICY THAT CAPS REIMBURSEMENT LEVELS AND REQUIRES LOW-BUDGET TRAVEL.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
A LINE ITEM BUDGET IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. THE BOARD APPROVES THE OVERALL SALARIES AND BENEFITS EXPENSES. DISCUSSIONS AND DECISIONS REGARDING THE BUDGET ARE DOCUMENTED IN BOARD MEETING MINUTES. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES THE SALARIES OF OTHER OFFICERS OR KEY EMPLOYEES, WITH NO PARTICIPATION BY THE INTERESTED PERSONS, IN ACCORDANCE WITH THE ANNUAL BUDGET APPROVED BY THE BOARD. THE EXECUTIVE DIRECTOR ESTABLISHES SALARIES USING COMPARABLE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR NONPROFITS; CONSIDERATION OF ROLES AND RESPONSIBILITIES OF THE OFFICER OR KEY EMPLOYEE; AND COST OF LIVING DATA. COMPARABLE MARKET DATA IS OBTAINED FROM SALARY SURVEYS AND FORM 990S FILED BY COMPARABLE NOT-FOR- PROFIT ORGANIZATIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
WE CONSIDER REQUESTS ON A CASE-BY-CASE BASIS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.