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
CAMP EXTREME D/B/A PROJECT EXTREME
Employer identification number
36-4428246
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.") ....
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
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 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
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.") .
998,329
1,088,439
1,012,955
1,178,479
1,065,910
5,344,112
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......
154,021
173,408
135,415
60,486
57,015
580,345
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.
1,152,350
1,261,847
1,148,370
1,238,965
1,122,925
5,924,457
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
60,000
165,000
405,468
549,711
1,180,179
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..
60,000
165,000
405,468
549,711
1,180,179
8
Public Support (Subtract line 7c from line 6.)
4,744,278
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...
1,152,350
1,261,847
1,148,370
1,238,965
1,122,925
5,924,457
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
4
4
99
50
157
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
4
4
99
50
157
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.).
1,152,354
1,261,851
1,148,469
1,239,015
1,122,925
5,924,614
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
80.080 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
79.860 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
0 %
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:
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
2011
Open to Public Inspection
Name of the organization
CAMP EXTREME D/B/A PROJECT EXTREME
Employer identification number
36-4428246
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
PROJECT EXTREME PROVIDES INNOVATIVE PROGRAMMING AND SOLUTIONS FOR TEENS IN -NEED, THEIR FAMILIES AND COMMUNITIES. PROJECT EXTREME USES A COMBINATION OF EXPERIENTIAL AND INTELLECTUAL LEARNING OPPORTUNITIES TO PROVIDE THE SOCIAL, EDUCATIONAL AND EMOTIONAL SUPPORT OUR TEENS IN NEED REQUIRE AND BENEFIT FROM. PROJECT EXTREME'S LAYERED ARRAY OF YEAR-ROUND PROGRAMS ARE DESIGNED AS LIFE-CHANGING INTERVENTIONS TO ASSIST TEENS BREAK THE CYCLE OF THEIR ANTI SOCIAL, SOMETIMES DANGEROUS, SELF-DESTRUCTIVE BEHAVIOR. PROJECT EXTREME HOSTS A BROAD ARRAY OF SHORT AND LONGER DURATION PROGRAMS DESIGNED TO ASSIST TEENS IN NEED AND THEIR FAMILIES IN ADDRESSING AND OVERCOMING THE VARIOUS CHALLENGES THEY ARE FACING BY PROVIDING THEM WITH: SOCIAL SUPPORT,, LIFE-SKILLS TRAINING, POSITIVE /HEALTHY ENVIRONMENT, SELF ESTEEM AND SELF WORTH DEVELOPMENT, FUN AND SAFE ACTIVITIES. EACH OF THE PROGRAMS IN THE PROJECT EXTREME PORTFOLIO HAS BEEN DESIGNED BY A MULTIDISCIPLINARY TEAM OF PROFESSIONALS TO ENSURE MAXIMUM THERAPEUTIC, FUN, SOCIAL, AND POSITIVE OUTCOMES. ALL PROJECT EXTREME PROGRAMS UNDERGO CONTINUOUS EVALUATION AND ASSESSMENT IN AN EFFORT TO CONSTANTLY PROVIDE THE MOST EFFECTIVE, UNIQUE AND RELEVANT PROGRAMMING FOR TODAY'S TEENS. MANY TEENS ARE IN NEED OF IMPROVING THEIR SELF ESTEEM AND/OR ARE HAVING DIFFICULTY FINDING THEIR PLACE. THE CHALLENGES, THRILLS AND STIMULATION PROVIDED BY OUR THERAPEUTIC PROGRAMS AND OTHER ACTIVITIES PROVIDE A SAFE, POSITIVE AND EXHILARATING ALTERNATIVE TO THE NEGATIVE OPTIONS AVAILABLE IN TODAY'S TEEN SOCIETY. OUR PROGRAMS TRANSFORM LIVES BY HELPING TEENS MOVE AWAY FROM DESTRUCTIVE BEHAVIOR, BUILD SELF-CONFIDENCE AND MAKE BETTER CHOICES. MOST OFTEN, THE NEW OUTLOOK AND SKILL SETS ENABLE TEENS TO RECONNECT WITH THEIR FAMILY AND TO THE COMMUNITY. PROJECT EXTREME PROGRAMS ARE DESIGNED TO: INTERRUPT THE PARTICIPANT'S NEGATIVE BEHAVIOR `PATTERNS, EDUCATE AND CREATE OPPORTUNITIES FOR `HEALTHY DECISION MAKING/CHOICES', ENHANCE FEELINGS OF SELF WORTH, FOSTER INTROSPECTION, IMPROVE SOCIAL AND FAMILIAL RELATIONSHIPS, AND IDENTIFY KEY ISSUES DYNAMIC PROCESSING SESSIONS AND LEARNING GROUPS REINFORCE THE LESSONS THE STUDENTS ARE LEARNING EXPERIENTIALLY. PROJECT EXTREME'S SUCCESS RESULTS IN TEENS HAVING MORE HONEST COMMUNICATION WITH PARENTS, BETTER SOCIAL SKILLS, AND THE ABILITY TO ACCEPT RESPONSIBILITY FOR POSITIVE ACTIONS WITHIN THEIR PEER CULTURE. PROJECT EXTREME HAS FOUR CORE PRINCIPALS. STRENGTHS- BASED PERSPECTIVE, SKILLS BUILDING, INDIVIDUALIZED CARE, AND LONG-TERM FOLLOW UP. A STRENGTHS-BASED PERSPECTIVE IS ESSENTIAL IN WORKING AND CONNECTING WITH TEENS. RESEARCH HAS SUPPORTED THE IDEA THAT RECOGNIZING A TEEN'S STRENGTH CONTRIBUTES TO BUILDING THEIR SELF-ESTEEM, RESULTING IN A DEFINED SELF WORTH. THROUGH POSITIVE REINFORCEMENT, SUCH AS CONGRATULATING A TEEN AFTER COMPLETING A DIFFICULT OUTDOOR TASK OR RECOGNIZING ACTS OF KINDNESS, THE BUILDING BLOCKS ARE LAID TO CREATING A TRUSTING RELATIONSHIP WITH THE TEEN. SKILLS BUILDING, CONTRIBUTES GREATLY TO A TEEN'S ABILITY TO LEARN HOW TO COPE, COMMUNICATE AND FUNCTION IN THEIR EVERYDAY LIFE WITH PEERS AND FAMILY. WITHIN A FRAMEWORK OF FUN ACTIVITIES, PROJECT EXTREME INTEGRATES LIFE-LEARNABLE LESSONS, AND TEACHES APPROPRIATE VERBAL AND NON-VERBAL COMMUNICATION STYLES RESULTING IN IMPROVEMENTS IN SOCIAL CUES AND INTERACTIONS. TEENS BEGIN TO INTEGRATE WHAT THEY ARE BEING TAUGHT IN THIS SAFE ENVIRONMENT, THAT GENERALIZE TO THEIR EVERYDAY LIVES. A ONE TO ONE PARTICIPANT/STAFF RATIO, IS ESSENTIAL TO THE SUCCESS OF OUR PROGRAMS. ON A DAILY BASIS, TEENS MAY EXPERIENCE ANXIETIES, PRESSURES AND FEELINGS OF LONELINESS. HAVING THE OPPORTUNITY TO REACH OUT TO A MENTOR, WITH WHOM THE TEEN HAS FORMED A CLOSE AND TRUSTING RELATIONSHIP, CAN BE THE SINGLE MOST IMPORTANT TOOL IN PREVENTING THE TEEN FROM MAKING INAPPROPRIATE AND AT TIMES RISKY DECISIONS. REAL, MEANINGFUL AND LONG TERM FOLLOW UP AND IS REFLECTED BY THE REQUIREMENT THAT STAFF SIGN A SOCIAL CONTRACT TO MAINTAIN CONTACT WITH TEENS THROUGHOUT ADOLESCENCE AND INTO ADULTHOOD. THIS LONG-TERM COMMITMENT SENDS A LOUD AND CLEAR MESSAGE TO THE TEEN AND THEIR FAMILY THAT PROJECT EXTREME IS NOT A SHORT TERM SOLUTION, BUT RATHER A LONGER TERM LIFETIME SUPPORT. PROJECT EXTREME PROGRAMS INCLUDE CAMP EXTREME FOR BOYS, CAMP EXTREME FOR GIRLS, WEEKEND RETREATS, HOLIDAY PROGRAMS, INFORMATION & REFERRALS, COMMUNITY AWARENESS, AND MORE. CAMP EXTREME, IS A SUMMER OUTDOOR ADVENTURE EXPERIENCE, SERVICING TEENS AGES 13 THROUGH 18. COMBINING RIGOROUS EXPERIENTIAL TECHNIQUES AND TEACHINGS, CAMPERS PARTICIPATE IN NUMEROUS AND DIVERSE OUTDOOR EXPERIENCES DEVELOPING SELF- CONFIDENCE, TEAMWORK SKILLS AND RESPECT FOR OTHERS AND THEMSELVES. CAMP EXTREME IS A WARM, FUN, NURTURING AND SUPPORTIVE ENVIRONMENT DEVELOPED TO OVERCOME DESTRUCTIVE PATTERNS AND OPTIMIZE POSITIVE MODELING OF BEHAVIORS AND SOCIAL INTERACTIONS. DUE TO THE CHALLENGES THESE TEENS ARE GRAPPLING WITH, CAMP EXTREME ARE SINGLE GENDER EXPERIENCES. EACH DAY IS HIGHLY STRUCTURED WITH FOLLOW UP DISCUSSIONS ENABLING THE TEENS TO LEARN LESSONS AND DEVELOP LEADERSHIP SKILLS THROUGH PEER TO PEER INTERACTION UNDER THE GUIDANCE OF TRAINED PROFESSIONALS. THESE EXPERIENCES HELP TEENS REALIZE THEIR FULL POTENTIAL AND ENABLE THEM TO COPE BETTER AND LIVE A HEALTHIER LIFE AFTER CAMP EXTREME. DISCUSSIONS ARE SPECIFICALLY TAILORED TO EACH GROUP AND THE IDENTIFIED ISSUES. SAMPLE SESSIONS MAY FOCUS ON RELIGIOUS FRUSTRATIONS, GROUP CAMARADERIE, AND DAILY OBSTACLES. A SAMPLE WEEK DAY ALSO CONSISTS OF FAMILY STYLE MEAL PREPARATION AND LEARNING GROUPS. THE SHABBAT SCHEDULE DIFFERS WITH MEALS AMONGST OTHER COMMUNITIES, SYNAGOGUE ATTENDANCE, GROUP DISCUSSIONS, AND CIRCLE GAMES DAILY STAFF MEETINGS ENSURE THAT EACH PARTICIPANT IS RECEIVING APPROPRIATE CARE AND GUIDANCE. WEEKEND RETREATS PROVIDE TEENS WITH A RESPITE FROM THEIR CURRENT ENVIRONMENT. RETREATS ARE ALSO AN OPPORTUNITY TO EMPOWER TEENS TO LEARN AND DEVELOP SKILLS TO OVERCOME CHALLENGES AND DIFFICULTIES IN THEIR DAILY LIFE. IN ADDITION TO GROUP SESSIONS, AND A THERAPEUTIC APPROACH, RECREATIONAL ACTIVITIES SUCH AS SKIING, SNOWBOARDING, PAINTBALL AND ROPES COURSES ARE INCLUDED. LOCATED IN UPSTATE NEW YORK, PROJECT EXTREME'S RETREAT CENTER OFFERS AN OPPORTUNITY FOR PAST PARTICIPANTS TO RECONNECT WITH COUNSELORS AND CAMPERS, AND RECLAIM A TASTE OF SUMMER YEAR ROUND. WEEKEND RETREATS ARE AN EFFECTIVE FOLLOW UP TOOL TO PRIOR PROGRAMS AND ARE INTEGRAL TO OUR ABILITY TO REINFORCE PAST GOALS AGREED TO BY OUR TEENAGE PARTICIPANTS. FOR NEW PARTICIPANTS, WEEKEND RETREATS PROVIDE AN OPPORTUNITY TO BE INTRODUCED TO PROJECT EXTREME PROGRAMS, BECOME INTEGRATED INTO THE GROUP'S CULTURE, AND EXPERIENCE THE WARM, INVITING AND SUPPORTIVE PROJECT EXTREME FAMILY. MONTHLY WEEKEND RETREATS ALLOW SCHOOLS, PARENTS AND COMMUNITIES THE ABILITY TO REFER PARTICIPANTS PROVIDING THEM WITH A REAL TIME INTERVENTION.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
TREATMENT FACILITY, AND A TRANSITION PROGRAM, WE ARE ABLE TO PROVIDE A SAFE AND NURTURING ENVIRONMENT FOR OUR STUDENTS, GIVING THEM THE SUPPORT AND TOOLS NECESSARY TO THRIVE. MGA EXISTS IN THE HEART OF THE QUAINT COMMUNITY OF BRICELYN, MINNESOTA. OUR LOCATION PROVIDES THE PERFECT BALANCE OF SAFE AND COMFORTABLE SURROUNDINGS WITH ACTIVE, INVOLVED COMMUNITY LIVING. MGA IS A WARM AND INVITING PROGRAM WHERE GIRLS ARE MADE TO FEEL WELCOME, INCLUDED, AND APPRECIATED. WE STRIVE TO PROVIDE A PROGRAM THAT ALLOWS GIRLS TO EXPERIENCE FREEDOM, TOGETHERNESS, SAFETY, AND INDEPENDENCE. A NURTURING COMMUNITY IS CRITICAL TO HELPING TEEN GIRLS FEEL IMMEDIATELY SAFE AND CARED FOR, SO THAT SHE CAN ADJUST QUICKLY TO TREATMENT AND GET ON WITH THE WORK OF HEALING. MGA CULTIVATES A NURTURING COMMUNITY BY PROVIDING APPROPRIATE STRUCTURE AND LOTS OF ACTIVITY, ENCOURAGING CONNECTION WITH STAFF AND OTHER STUDENTS, AND BALANCING THERAPY, SCHOOL, AND FUN.
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
ARON Y WEINBERG AVROHOM MEIR WEINBERG PRESIDENT SECTY FATHER AND SON ARON Y WEINBERG MOSHE WEINBERG PRESIDENT VP FATHER AND SON
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A DRAFT COPY OF THE 990 WAS PROVIDED TO THE OFFICERS BEFORE FILING
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
CONFLICTS, IF ANY, ARE TO BE PRESENTED TO OUTSIDE LEGAL COUNSEL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
UPON REQUEST, THE REQUEST WILL BE EVALUATED. IF DEEMED APPROPRIATE, THE DOCUMENTS WILL BE MADE AVAILABLE TO THE REQUESTOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.