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
PARTNERS IN HOPE INCORPORATED
Employer identification number
31-1305869
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.") .
201,910
210,969
210,526
246,446
211,720
1,081,571
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......
304
484
358
356
1,502
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.
201,910
211,273
211,010
246,804
212,076
1,083,073
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.)
1,083,073
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...
201,910
211,273
211,010
246,804
212,076
1,083,073
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,409
484
358
356
2,607
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
1,409
484
358
356
2,607
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.)..
203,319
211,273
211,494
247,162
212,432
1,085,680
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
99.760 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
99.650 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
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
PARTNERS IN HOPE INCORPORATED
Employer identification number
31-1305869
Identifier
Return Reference
Explanation
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
CLUB. IN 2012, 95 FAMILIES WITH 221 CHILDREN PARTICIPATED IN THE CHRISTMAS SHOPPE.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
CAREGIVERS PROVIDES SUPPORT THROUGH TRANSPORTATION AND FRIENDLY VISITS FOR ELDERLY RESIDENTS OF TROY. CLIENTS CALL IN AND LEAVE A MESSAGE REQUESTING TRANSPORTATION. THE REQUEST IS MATCHED TO A VOLUNTEER DRIVER THAT WILL PROVIDE TRANSPORTATION TO DOCTOR'S APPOINTMENTS AND SHOPPING TRIPS. WE ALSO PROVIDE FRIENDLY VISITS WHERE VOLUNTEERS SPEND TIME ONE ON ONE WITH CAREGIVER CLIENTS IN THEIR HOME TALKING TO THEM AND GETTING TO KNOW THEM AS INDIVIDUALS. CAREGIVERS ALSO PROVIDES OPPORTUNITIES ONCE A MONTH FOR CLIENTS TO COME TOGETHER SO THEY CAN HAVE SOME TIME TO SOCIALIZE WITH ONE ANOTHER. IN 2012, VOLUNTEERS MADE 301 TRIPS TO VARIOUS MEDICAL AND OTHER APPOINTMENTS DRIVING A TOTAL OF 5,059 MILES. CHRISTIAN AUTO REPAIR (C.A.R.) PROVIDES MINOR PREVENTATIVE CAR REPAIRS FOR LOW INCOME FAMILIES LIVING IN TROY. PREVENTIVE REPAIRS INCLUDE OIL CHANGES, MINOR TUNE-UPS AND BRAKES. BY HELPING THE CLIENT WITH THIS RESOURCE AND KNOWLEDGE OF HOW PREVENTIVE REPAIRS CAN HELP TO MAINTAIN THEIR CAR, CLIENTS ARE ABLE TO HAVE RELIABLE TRANSPORTATION TO EITHER OBTAIN OR MAINTAIN EMPLOYMENT. C.A.R. IS PROVIDED ONCE A MONTH AT TROY FORD. ALL THE MECHANICS ARE VOLUNTEERS AND WORK ON APPROXIMATELY 4-5 CARS A MONTH. THE CLIENTS ARE RESPONSIBLE TO PAY HALF THE COST OF THE PARTS AND THERE IS NO CHARGE FOR THE LABOR. IN 2012, 20 CARS WERE REPAIRED. IN JULY 2012 PARTNERS IN HOPE BEGAN THE DEVELOPMENT FOR A NEW JOBS READINESS PROGRAM CALLED JOBS FOR LIFE. JOBS FOR LIFE IS A NATIONAL PROGRAM THAT EQUIP CHRIST-CENTERED ORGANIZATIONS THROUGH THE DISTRIBUTION OF BIBLICALLY-BASED TOOLS AND MATERIALS TO PREPARE INDIVIDUALS FOR WORK AND LIFE. THIS CURRICULUM IS BEING USED IN 39 STATES AND AT 300 SEPARATE LOCATIONS. THE CURRICULUM WILL EQUIP CLIENTS WITH CORE WORK READINESS SKILLS, HELP THEM LEARN HOW TO PRESENT THEIR "60 SECOND COMMERCIAL" TO PROMOTE THEMSELVES, DEVELOP VOCATIONAL PLANS, RESUME BUILDING, AND EFFECTIVE INTERVIEWING SKILLS. THE CLIENT WILL BE MATCHED WITH A CHAMPION (COMMUNITY VOLUNTEER) FOR SIX MONTHS TO A YEAR TO HELP ENSURE JOB RETENTION AND CAREER GROWTH. JOBS FOR LIFE IS A DIRECT OUTGROWTH FROM CLIENT REQUESTS WE WERE HEARING IN OUR OTHER MINISTRIES. PARTNERS IN HOPE WILL BE STARTING THE JOBS FOR LIFE CLASSES IN FEBRUARY 2013 AND THEY WILL RUN FOR THREE WEEKS MONDAY THROUGH FRIDAY FROM 9:00 A.M. - 12:00 P.M. OUR GOAL IS TO OFFER 6 - 8 CLASSES IN 2013.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF THE FORM 990 IS PROVIDE TO THE BOARD MEMBERS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
A COPY IS IN KEPT IN THE FRONT OF EACH BOARD MEMBERS BOOK, WHICH IS USED AT EACH MEETING.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
IN ACCORDANCE WITH THE POLICIES AND PROCEDURES.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
IN ACCORDANCE WITH THE POLICIES AND PROCEDURES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.