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
2010
Open to Public Inspection
Name of the organization
ADVENTIST COMMUNITY SERVICES OF GREATER WASHINGTON INC
Employer identification number
02-0592766
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(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—2010.
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—2009.
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—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
127,505
137,993
152,070
251,892
351,699
1,021,159
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......
4,374
2,235
36,287
46,083
158,985
247,964
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
131,879
140,228
188,357
297,975
510,684
1,269,123
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
1,269,123
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
131,879
140,228
188,357
297,975
510,684
1,269,123
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
13,448
21
1,000
28,938
43,407
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
13,448
21
1,000
28,938
43,407
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.)
0
13
Total support (Add lines 9, 10c, 11 and 12.).
145,327
140,249
188,357
298,975
539,622
1,312,530
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 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
96.690 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
97.450 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
3.310 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
2.550 %
19a
33 1/3% support tests—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2010
Additional Data
Software ID:
10000105
Software Version:
2010v3.2
-
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
2010
Open to Public Inspection
Name of the organization
ADVENTIST COMMUNITY SERVICES OF GREATER WASHINGTON INC
Employer identification number
02-0592766
Identifier
Return Reference
Explanation
PRIOD PERIOD ADJUSTMENTS WERE RECORDED IN THE AUDITED FINANCIAL STATEMENTS AT AND FOR THE YEAR ENDED DECEMBER 31, 2010 IN THE AMOUNT OF $84,439. THESE CONSISTED OF:Sch. L.line Vehicles- net of depreciation at 12-31-09 was overstated by $ 28,830.19; It was determined that this vehicle had been disposed of several years ago. Sch L line Vehicles - net of accumulated depreciation at 12-31-09 was overstated by $7,220.00 because depreciation expense had not been recorded for 4 years. Sch. L line Leasehold Improvements - net of accumulated amortization at 12-31-09 was overstated by $13,596.58 because amortization expenses had not been recorded for 4 years.Sch. L line Furniture & Fixtures net of accumulated depreciation at 12-31-09 was overstated by $6,985.00 because depreciation expense was not recorded for 4 years.Sch. L. line Other Equipment - net of accumulated depreciation at 12-31-09 was overstated by $5,643.12 because depreciation expense was not recorded for 4 years.Sch. L. line Accounts Receivable - net of allowance for uncollectible accounts at 12-31-09 was overstated by $9,879.99Sch. L. line Accounts Receivable - net of allowance for uncollectible accounts at 12-31-09 was overstated by $1,000.00 as made apparent by written confirmation.Sch L. line Accounts Receivable - net of allowance for uncollectible accounts at 12-31-09 was understated by $1,530.00 as made apparent by written confirmation. Sch. L. line Accounts Receivable - net of allowance for uncollectible accounts at 12-31-09 was overstated by $3,002.42 as made apparent by written confirmation.Sch. L line Loans Payable at 12-31-09 was understated by $7,750 and as a result 2009 revenue had been overstated.Schedule L line Accounts Payable at 12-31-09 was understated by $4,334.20.Net Assets at 12-31-09 were also overstated by $10,077.81
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
The governing documents, conflict of interest policy and financial statements are made available to the public upon receipt of a written request sent to the ACSGW Eexecutive Director. The annual report is posted to the ACSGW website.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
at the first quarterly meeting of the board of trustees (all ACSGW Officers are on the board), the members are required to disclose any real or perceived conflicts of interest and they are required to sign a conflict of interest form, which is kept in a permanent file at ACSGW. The Executive Director is responsible for the same procedure to be followed by key employees at the first monthly staff meeting of each year.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
The Form 990 is reviewed first by the Executive Director before its filing with the Internal Revenue Service, Department of Treasury.
Form 990, Part VI, Line 7a
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body
Individual Seventh-day Adventist Church member can propose individuals to board membership.At annual meeting, representatives from Seveneth-day Churches and Seveneth-day Conferences can elect representatives to the boartd of trustees.
Form 990, Part VI, Line 6
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder
Seven Seventh-day Adventist Churches are members
Client Note 5 - PART IXSTATEMENT OF FUNCTIONAL EXPENSESLINE 14 - INFORMATION TECHNOLOGYTHIS CONSISTS OF COMPUTERS AND COMPUTER EQUIPMENT, WHICH ACSGW RECEIVEDAS CONTRIBUTIONS.ACSGW THEN REFURBISHED AND UPGRADED THESE COMPUTERS USING DONATED SERVICES,WHICH WERE NOT INCLUDED IN THE AMOUNT ON LINE 14, PART IX.ACSGW THEN INSTALLED A NUMBER OF SOFTWARE PROGRAMS ON THE COMPUTERS WHICHWERE THEN GIVEN AWAY TO SOME SDA CHURCHES (MANY OF WHICH GAVE THEM TO LOWINCOME INDIVIDUALS AND FAMILIES , OTHER NOT-FOR-PROFIT ORGANIZATIONS ANDLOW-INCOME INDIVIDUALS AND FAMILIES. IN THIS SITUATION, ACSGW OWNED THECOMPUTERS AND COMPUTER EQUIPMENT BEFORE GIVING THEM AWAy.IN ADDITION ACWGS HELPED OTHER NOT-FOR-PROFIT ORGANIZATIONS BY REFURBISHINGAND UPGRADING COMPUTER EQUIPMENT AND INSTALLING A NUMBER OF SOFTWAREPROGRAMS ON THESE REFURBISHED AND UPGRADED COMPUTERS. IN THIS SITUATION,ACSGW NEVER OWNED THE COMPUTERS AND COMPUTER EQUIPMENT BUT SIMPLY PROVIDEDA BENEFIT TO THE OTHER NOT-FOR-PROFIT ORGANIZATIONS.FOR MORE INFORMATION LOOK AT PART III, ITEM 4(a)
Client Note 4 - SCHEDULE MITEM 25 14 A Open MultiCore with usb mouse, keyboad and CRT monitorwith an estimated fair market value per item of $500 werecontributed by Archbishop John Carrol High School during2010 for a total contrinution of $7,000.300 Dell Optiplex GX280 with usb mouse, keyboard and CRTmonitor with an estimated fair market value per item of $175 were contributed by Montgomery County Public SchoolSystem during 2010 for a total contribution of $52,500.SOFTWARE was installed on 475 computers at an estimatedfair market value of $200 (two hundred dollars) per computerfor a total of $95,000. These computers were returnedto their NPO's. SOFTWARE was installed on 70 computersat an estimated fair market value of $200 (two hundreddollars) per computer for a total of $14,000. Thesecomputers were given to several SDA churches.SOFTWARE was installed on 42 computers at an estimatedfair market value of $200 (two hundred dollars) percomputer for a total of $ 8,400. These computers wereretained by ACSGW for its own use.SOFTWARE was installed on 202 computers at an estimatedfair market value of $100 (one hundred dollars) per computerfor a total of $20,200. These computers were given tolow-income individuals and families. Total software contributed to ACSGW was $137,600 during 2010.
Client Note 3 - PART XILINE 8 ... OTHERTHE $174,397 IS SIMPLY THE LISTING OF ITEMS MAKING UP PART XILINE 5 ... DONATED SERVICES AND FACILITIES PLUS $2 FOR ROUNDING
Client Note 2 - 2010 FORM 990PART III - PROGRAM SERVICE ACCOMPLISHMENTSLINE 4cTHE SWIMMING POOL PROGRAMSWIMMING POOOL PROGRAM PROVIDED RECREATION IN FITNESS OPPORTUNITIESFOR LOW-INCOME INDIVIDUALS AND FAMILIES. ..IT ALSO PROVIDED FOR SWIMMING LESSONS FOR CHILDREN AND YOUTH IN ANEFFORT TO DRECREASE THE DROWNING FATALITIES IN THE REGION. ..EDUCATIONAL PROGRAMS AT THE SWIMMING POOL INCLUDE BASIC, INTERMEDIATEAND ADVANCED SWIMMING CLASSES, KAYAK SAFETY TRAINING AND SCUBADIVING SAFETY TRAINING...HEALTH PROGRAMS AT THE SWIMMING POOL INCLUDE WATER AEROBICS IN SHALLOWWATER AND IN DEEP WATER AS WELL AS LAP SWIMMING DURING MOST OPEN HOURS...CHARITABLE PROGRAMS AT THE SWIMMING POOL TO ENCOURAGE PARTICIPATIONINCLUDE:DISCOUNTED SWIM SESSIONS FOR ELEMENTARY SCHOOL CHILDRENDURING THE SCHOOL DAY,DISCOUNTED SWIM TIME FOR CITY RECREATIONDEPARTMENT PROGRAMS,DISCOUNTED RATES FOR LOW-INCOME ADULTS, SENIORSAND CHILDREN, FREE ADMISSION TO CHILDREN OF LOW-INCOME FAMILIESFOR GENERAL SWIMMING, FREE ENROLLMENT IN STROKE AND TURN CLASSESFOR A LIMITED NUMBER OF LOW-INCOME CHILDREN, SPECIAL DISCOUNTPROGRAM FOR NON-ENGLISH SPEAKING LOW-INCOME RESIDENTS Participation (one user on one day) By Program:General Admission Swimming by cash payment or pool pass 3,431Water Aerobics (H2O Fitness) 1,165Swim Lessons (various providers) 922Stroke and Turn Training 1,005Competitive Swim Club (Best Times Swim Club) 1,929PTA Morning Swim Club (PBES PTA) 193Kayak Practice (Canoe Cruisers Assoc. 174Scuba Diving (NOAA) 30Piney Branch Elementary School Physical Education Class 5,544Takoma Park Recreation Swim 123Daycare Swim (Morgan Day Care) 198Montgomery County Public School System Teachers and Children with no money 150---------------------------------------------------------------- Total Participant Days 14,864TOTAL GAAP EXPENSES OF THE SWIMMING POOL PROGRAM WERE $145,593.TOTAL FORM 990 PROGRAM SERVICES EXPENSES OF THE SWIMMING POOL PROGRAM WERE $143,202.THE REVENUE OF THE SWIMMING POOL WAS $152,697.
Client Note 1 - Breakdown by program with description the $134,115 program service expense reported on Form 990, Part III, Line 4-cCOMPUTER AND SOFTWARE TRAINING:IN THE A+ CLASSES, 30 STUDENTS WERE TRAINED IN THE USE OF CURRENT COMPUTERHARDWARE AND SOFTWARE WITH THE GOALS OF ACQUIRING MUCH HANDS-ON-EXPERIENCEAND THE ABILITY TO TAKE AND PASS THE NATIONAL IT CERTIFICATION EXAMS. 24 STUDENTS TOOK THE INTRODUCTION TO COMPUTERS COURSE. 24 STUDENTS TOOK THE MICROSOFT AND OFFICE SPREADSHEET COURSETOTAL GAAP EXPENSES OF THE COMPUTER AND SOFTWARE TRAINING WERE $89,621......................................................................$89,621LESS DONATED USE OF FACILITY IN THE AMOUNT OF $10,846 AND LESS DONATEDSERVICES IN THE AMOUNT OF $52,392 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $26,383CLOTHING ASSISTANCE: DONATED CLOTHING IS MADE AVAILABLE TO NEEDY LOW-INCOME INDIVIDUALS ANDFAMILIES. THESE CLOTHING ALLOCATIONS ARE DETERMINED UNDER THE SAMEREQUIREMENTS AS FOR FOOD. CLOTHING CAN ONLY BE RECEIVED EVERY 90 DAYS.APPROXIMATELY 3,500 CLIENTS RECEIVED CLOTHING ASSISTANCE. THE TOTALGAAP EXPENSES OF THE CLOTHING ASSISTANCE PROGRAM WERE $41,050......................................................................$41,050LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 10,309 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 2,250 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 28,491FOOD ASSISTANCE:THE FOOD PANTRY PROGRAM PROVIDES FOOD ASSISTANCE TO NEEDY FAMILIESIN MONTGOMERY COUNTY. FOOD ALLOCATION IS GIVEN ONCE EVERY 30 DAYS TOTHOSE WHO QUALIFY FINANCIALLY AND LIVE IN MONTGOMERY COUNTY. INDIVIDUALS MUST FILL OUT AN INTAKE FORM PROVIDING FINANCIAL ELIGIBILTYAND PERTINENT EMPLOYMENT AND FAMILY INFORMATION. THE DEMAND FOR FOODASSISTANCE INCREASED SUBSTANTIALLY IN 2010 AT THE SAME TIME THAT FOODPRICES WERE BEGINNING TO GO HIGHER. ACSGW HELPED APPROXIMATELY 10,000INDIVIDUALS IN 2010. TOTAL GAAP EXPENSES OF THE FOOD ASSISTANCE PROGRAMWERE $36,692.....................................................................$36,692 LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 4,116 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 2,689 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 29,887ENGLISH AS A SECOND LANGUAGE AND GENERAL HIGH SCHOOL EDUCATION PROGRAM:THE EDUCATION PROGRAM PROVIDED GENERAL HIGH SCHOOL EDUCATION DIPLOMA(GED) CLASSES TO 24 ADULT STUDENTS. THE EDUCATION PROGRAM PROVIDEDENGLISH AS A SECOND LANGUAGE (ESOL) CLASSES TO 24 ADULTS. THESE ADULTSARE LOW INCOME COMMUNITY MEMBERS. THE PROGRAM ALSO PROVIDES WORKFORCE DEVELOPMENT TRAINING CLASSES. TOTAL GAAP EXPENSES OF THE ESOL AND GEDPROGRAM WERE $35,517 .............................................................................$35,517LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 1,196 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 31,013 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 3,308THANKSGIVING MEALS DISTRIBUTION: ACSGW DISTRIBUTED TURKEYS AND GROCERIES FOR THANKSGIVING DINNERSTO BE PREPARED BY LOW-INCOME INDIVIDUALS AND FAMILIES, WHO HAD TOREGISTER AND DOCUMENT THEIR INCOME LEVEL TO BE ELIGBLE TO PARTICIPATEIN THIS PROGRAM. ACSGW DISTRIBUTED APPROXIMATELY 1,000 GENEROUS FOODPACKAGES. TOTAL GAAP EXPENSE OF THE THANKSGIVING MEAL DISTRIBUTION WAS $21,038......................................................................$21,038LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 1,395 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 0 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 19,643EMERGENCY AID:THE EMERGENCY AID PROGRAM OFFERS RENT AND UTILITIES ASSISTANCE, EVICTION AND FORECLOSURE PREVENTION AND PRESCRIPTION DRUG ASSISTANCE TO LOW INCOME AND DISADVANTAGED COMMUNITY MEMBERS. RENT WAS PAID TOPREVENT EVICTION OF THE 3 DIFFERENT TAKOMA PARK RESIDENTS. TEMPORARYHOUSING WAS PAID FOR ONE PERSON, ONE MONTH'S HEALTH INSURANCE WASPAID TO PREVENT LOSS OF COVERAGE, TOTAL GAAP EXPENSES OF THE EMERGENCYASSISTANCE PROGRAM WERE ..$19,841....................................................................$19,821LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 2,522 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 3,244 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 14,055REFERRAL AID:REFERRALS FOR DENTAL, VISION, FOOD, CLOTHING AND SOME MEDICAL. THESE REFERRALS ARE BASED ON INCOME LEVELS. TOTAL GAAP EXPENSESOF THE REFERRAL PROGRAM WERE $8,709 ..............................................................................$8,709LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 1,047 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 0 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 7,662TAKOMA PARK, MD AID:COOPERATING WITH TAKOMA PARK, ONE TIME PER YEAR FINANCIAL ASSISTANCE, PRESCRIPTION AND TRANSPORTATION HELP IS GIVEN TO RESIDENCE OF TAKOMAPARK, MARYLAND, PROPER PAPERWORK AND RESIDENCY IN THE CITY OF TAKOMAPARK, MD ARE REQUIRED IN ORDER TO PROCESS EACH REQUEST. TOTAL GAAPEXPENSES OF THE TAKOMA PARK, MD AID PROGRAM WERE..$3,143..................................................................$3,143LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 91 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 439 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 2,613MONTGOMERY COUNTY, MD AID: IN COOPERATION WITH MONTGOMERY COUNTY, MORTGAGE AND RENT PAYMENTS AREMADE TO PREVENT EVICTIONS FOR LOW-INCOME FAMILIES LIVING IN CERTAINZIP CODES ASSIGNED TO ACSGW BY THE MONTGOMERY COUNTY. TOTAL GAAPEXPENSES OF THE MONTGOMERY COUNTY, MD AID PROGRAM WERE $2,441........................................................................$2,441LESS DONATED USE OF FACILITY IN THE AMOUNT OF $ 76 AND LESS DONATEDSERVICES IN THE AMOUNT OF $ 292 RESULTING IN TOTAL FORM 990 PROGRAMSERVICE EXPENSES OF $ 2,073THE TOTAL GAAP EXPENSES FOR THESE PROGRAM SERVICES WERE ........................................................................... $258,302THE TOTAL FORM 990 PROGRAM SERVICE EXPENSES ASSOCIATED WITH THESE PROGRAMSUNDER..4-C.................................................................$ 134,115
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.