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
The Pearl Group Inc
Employer identification number
45-5530404
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
0 %
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.") .
226,802
226,802
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.
226,802
226,802
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.)
226,802
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...
226,802
226,802
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
6,361
6,361
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
6,361
6,361
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
4,000
4,000
13
Total support. (Add lines 9, 10c, 11, and 12.)..
237,163
237,163
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
0 %
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
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:
12000057
Software Version:
12.19.1011.1
-
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
The Pearl Group Inc
Employer identification number
45-5530404
Identifier
Return Reference
Explanation
Form 990, Part III, Line 4d Program Service Expenses 4,800, Grants and allocations 0, Revenue 0 The Closet is a gently used clothing store providing no cost season appropriate clothing for single parents and their children. 1000s of items of donated clothing are received, cleaned, sized, and displayed for participants to select from. Participants must sign up for access allowing for an informal needs assessment assuring that those in need are those served. 212 persons have been approved for a passport giving store access. The Closet program promotes self sufficiency by providing job appropriate clothing, social acceptance for school age children by providing in style season appropriate attire, and generally promotes greater self esteem to those in need of good clean stylish clothing. The Closet is staffed by 7-10 volunteers providing over 620 volunteer hours of service annually. All clothing is received from donations. The store facility operates in donated space rent free.
Form 990, Part III, Line 4d Program Service Expenses 9,140, Grants and allocations 0, Revenue 1,850 The Adopt A Pearl and Focus Pearl programs involve pairing single parent families with volunteer adults with the goal of promoting healthy relationships. These relationships are designed to grow into familial style friendships allowing for mentoring, listening, guidance, problem solving, respite outings, and familial type examples of self sufficiency. The Focused Pearl program is a pilot program wherein a select group of motivated single parents were interviewed and selected to receive a more intense level of guidance and assistance including job skills assessment and training, tuition reimbursement, tuition scholarships, child care assistance, and any other form of assistance needed to remove if possible any impediment to their achieving self sufficiency. Four persons have been involved in this pilot program. Initial results of this multi year project are encouraging with moderate success achieved to date with a full objective analysis of efforts and resulting success currently in process. Over 550 hours of volunteer time is provided annually by over 20 volunteers.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The Pearl Group, Inc. has been privileged to have over 150 volunteers contributing over 6800 service hours to the selected programs. These annual volunteer service hours have been valued at over 170,000. Contributions of clothing to The Closet is estimated to exceed 25,000 in value. Discounted and donated car parts used in the Car Care Clinic has been valued at over 10,000. 20 cars valued at over 24,000 were received as contributions to the Car Care Clinic. Facility usage given rent free for the organizations admin offices, The Closet and Car Care Clinics exceeds 24,000 in value annually. Software and professional services received have been valued at over 3,000 annually. The independent board of directors have contributed in excess of 1,200 hours of time. Food and beverages provided by hundreds of volunteers to the Single Moms dinners and mentoring programs exceeds 10,000 in value. It is estimated that the value of in-kind services and goods received exceeds 250,000 per annum.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The Pearl Group, Inc. employs one full time staff person who serves as the executive director. The staff compensation and benefits are provided through an independent employee leasing arrangement. These staff salary and benefit costs are reimbursed 100 by The Pearl Group, Inc. Full time staff persons are not eligible to serve on the independent Board of Directors. The Board of Directors are not allowed to have a business relationship with the organization. Full disclosure and Board of Director conflict of interest issues are addressed annually and by agreement are to be self reported monthly. No such conflict issues have been presented to date. Executive Director compensation is analyzed twice a year by the President and full Board of Directors to assure a consistent and fair level of compensation and benefits are paid commensurate with the industry and with assigned duties along with the organizations financial capability. A grant writer has been contracted with to assist in the preparation and solicitation of grants for a nominal monthly retainer of 250.
Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The Pearl Group, Inc. has not spent any money for fundraising aside from the grant writer retainer of 250 per month which by board discussion must pay for itself in results. 100 of the remaining contributed funds have been spent on direct programming or in support of the various programs offered. We will continue to seek funding in the form of contributions and grants. Primary volunteer fundraising efforts have been provided to The Pearl Group, Inc. by president Hal Bagley and vice-president Scott Owen and secondarily by the remaining board members. The Board has an annual planning and programming assessment retreat whereby existing programs are vigorously evaluated for results, possible improvement, structural efficiencies, and needs assessment. New programs are considered. Budgets are established. Program goals are set and / or revised as deemed necessary by the Board to achieve success at desired cost levels. Responsibility for programming efforts and actions are discussed and assigned. The financial records are maintained at no cost by a certified public accountant.
Form 990 Part VI Line 11b The Pearl Group, Inc. Board of Directors receives an advance copy of the 990 for review. Comments are solicited and a review by each Board member is assigned. Each Board member is asked to vote on acceptance of the 990.
Form 990 Part VI Section C Line 19 The Pearl Group, Inc. makes non-discrimination, donor gift and contribution acceptance, conflict of interest, and compensation assessment and determination policies available to the public upon request. A copy of the 990 is to be made available upon request as well.
Form 990 Part VI Line 12 a,b,c The Board adopted at inception of the organization a conflict of interest and full disclosure policy which is reviewed annually. Each Board member must sign off attesting to compliance with the policy and full disclosure. No issues of conflict or non disclosure have been noted to date.
Form 990 Part VI Section B Line 15a and b The Pearl Group, Inc. has only one staff person who is our full time CEO and executive director. This staff person was recruited nationally, was one of several considered, is paid consistent with other non-profit personel with like kind qualifications, experience, and duties. Compensation is reviewed by the Board of Directors at regular intervals to assure that a fair compensation package is being paid. The executive director is not eligible to serve on the independent board of directors. No independent board member is allowed to serve as a paid staff member.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.