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
HOMELESS PRENATAL PROGRAM INC
Employer identification number
94-3146280
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.") ....
3,966,079
4,556,983
4,381,855
4,841,645
5,423,083
23,169,645
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
3,966,079
4,556,983
4,381,855
4,841,645
5,423,083
23,169,645
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)..
121,282
6
Public Support. Subtract line 5 from line 4.
23,048,363
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..
3,966,079
4,556,983
4,381,855
4,841,645
5,423,083
23,169,645
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
5,322
5,474
4,519
396
564
16,275
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
0
11
Total support (Add lines 7 through 10).
23,185,920
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 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
99.410 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
97.730 %
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:
11000144
Software Version:
2011v1.5
-
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
HOMELESS PRENATAL PROGRAM INC
Employer identification number
94-3146280
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
APPLICABLE DOCUMENTS ARE AVAILABLE FOR REVIEW AT THE CORPORATE OFFICES DURING NORMAL BUSINESS HOURS.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THIS YEAR A COMMITTEE OF BOARD MEMBERS REVIEWED THE ED'S SALARY AND COMPARED IT TO OTHER ED SALARIES AT SOCIAL SERVICE NONPROFITS IN THE NORTHERN CALIFORNIA REGION. THIS WAS BASED ON A 2012 COMPENSATION AND SALARY SURVEY CONDUCTED BY NONPROFIT COMPENSATION ASSOCIATES AS WELL AS SALARIES OF OTHER EDS FUNDED BY A REGIONAL FOUNDATION.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
EACH BOARD MEMBER, OFFICER, STAFF MEMBER AND VOLUNTEER DISCLOSES INTERESTS THAT COULD GIVE RISE TO CONFLICTS AT THE BEGINNING OF HIS/HER TERM OF SERVICE OR EMPLOYMENT AND EACH YEAR THEREAFTER. THE FORMS ARE MONITORED AND MAINTAINED BY THE DEVELOPMENT MANAGER, OFFICE MANAGER AND VOLUNTEER COORDINATOR.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
TAX RETURNS ARE PREPARED BY THE OUTSIDE CPA,REVIEWED BY THE FINANCE DIRECTOR AND THEN PRESENTED TO THE EXECUTIVE DIRECTOR AND BOARD TREASURER FOR REVIEW AND PRESENTATION TO THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR THEN APPROVES THE TAX RETURNS FOR SIGNATURE AND SUBMISSION.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: Domestic Violence Services - This program provides case management and assistance to survivors to help them escape their batterers, find safe shelter, file police reports, obtain restraining orders and U-Visas as needed, and heal from the trauma of the abuse. Staff therapists provide psychotherapy for clients in crisis and those experiencing significant life stressors or trauma. Therapy is offered for clients individually and for parents with their children. OTHER PROGRAM SERVICES 5: Housing Assistance Program - HPP provides limited, short-time financial assistance (typically rental deposits) that helps families obtain and retain safe and permanent housing. Weekly workshops educate clients on the rights and responsibilities of renters. OTHER PROGRAM SERVICES 6: Substance Abuse Services and Dependency Drug Court - The San Francisco Dependency Drug Court (DDC) is a court-supervised treatment and parenting program for people with children involved in the dependency system. A collaborative justice program, the DDC is a partnership between Human Services Agency, the Department of Public Health, the City Attorney's Office, the panel of dependency attorneys, the Homeless Prenatal Program, and the Superior Court. The program received initial funding from the California Department of Alcohol and Drug Programs.HPP is also part of a city-wide Substance Abuse Services collaborative, serving as a link between the streets and drug treatment programs for pregnant and parenting mothers with substance abuse problems. OTHER PROGRAM SERVICES 7: Wellness Center - HPP offers prenatal classes, post-partum support groups, doula (birth coach) support, alternative health services (e.g., massage, yoga, and acupuncture), parenting workshops and group prenatal care designed to help pregnant women deliver and raise healthy babies. The Wellness Center also provides free cribs and strollers and training in their use. OTHER PROGRAM SERVICES 8: Auxiliary Services - As a Family Resource Center, HPP provides an abundance of integrated services that help families achieve long-term success. Family Case Managers (FCMs) anchor HPP's service delivery and build relationships with clients. FCMs work with clients to resolve crisis situations so that goals related to long-term self-sufficiency can be met. Other HPP support services include: The Childcare Center provides quality childcare for children while their parents participate in services. Trained in child development, Childcare Center staff facilitates age-appropriate activities for participants, with a recent emphasis on preparing younger children to be school ready. The Childcare Center also assists HPP clients with applications to the San Francisco Child Care Connection (SFC3) list for free high-quality pre-schools and subsidized day care. The Community Technology Center offers clients the opportunity to learn computer usage and literacy, establish email accounts, attend classes on Microsoft Office applications, conduct job and housing searches, and participate in online social networks, news, and media. HPP volunteers provide classes, as well as one-on-one and group tutoring; help with job searches and assistance in preparing resumes. Mental Health Services provide clients with individual, couples, dyadic (parent/child) and family psychotherapy. Enrichment Classes such as sewing, knitting, ESL (English as a Second Language) and art classes help clients learn valuable, therapeutic skills while their group format encourages community-building. Referrals and linkages to dozens of other social service agencies for services we cannot provide ourselves (e.g., substance abuse treatment programs, legal services). Case managers coordinate these referrals for clients as part of their overall plan for self-sufficiency. These agencies refer their clients to HPP to maximize the value of the services clients receive.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.