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
STREETLIGHT MISSION INC
Employer identification number
26-2221180
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.") ....
149,904
220,057
410,473
627,369
743,703
2,151,506
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
149,904
220,057
410,473
627,369
743,703
2,151,506
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)..
173,692
6
Public support. Subtract line 5 from line 4.
1,977,814
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..
149,904
220,057
410,473
627,369
743,703
2,151,506
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1,480
797
415
165
2,857
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).
2,154,363
12
Gross receipts from related activities, etc. (see instructions)
..................
12
4,778
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.") .
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
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
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
STREETLIGHT MISSION INC
Employer identification number
26-2221180
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
STREETLIGHT MISSION IS A NOT FOR PROFIT (501C3) FAITH BASED COMMUNITY OUTREACH CENTER LOCATED IN ELIZABETH, NEW JERSEY SERVING MEN, WOMEN AND CHILDREN OF UNION COUNTY WHO STRUGGLE WITH POVERTY, MENTAL ILLNESS, SUBSTANCE ABUSE AND MOST OF ALL HOPELESSNESS. STREETLIGHT BEGINS BY PROVIDING PEOPLE WITH BASIC LIFE NEEDS SUCH AS FOOD, CLOTHING, AND HOUSING. WITH THEIR BASIC LIFE NEEDS PROVIDED FOR, IT IS STREETLIGHT'S HOPE THAT OUR GUESTS WILL SEEK HELP WITH MORE DIFFICULT PROBLEMS THROUGH STREETLIGHT'S RECOVERY MENTORING SERVICES. WE HELP PEOPLE ACCESS DRUG AND ALCOHOL TREATMENT AND OTHER MEDICAL SERVICES. WE HOST A CHRISTIAN 12 STEP RECOVERY MEETING AS WELL AS NUMEROUS DRUG FREE FUN ACTIVITIES. WITH THE HELP OF THE NEW JERSEY SOCIAL INNOVATION INSTITUTE, A COLLABORATIVE OF RUTGERS BUSINESS SCHOOL, PSEG, AND THE NJ DEPARTMENT OF LABOR, WE WILL ESTABLISH A JOBS CREATION AND TRAINING INITIATIVE BY STARTING A SMALL BUSINESS CALLED STREETLIGHT RESALE. STREETLIGHT MISSION WORKS TO ACTIVATE INDIVIDUALS, ORGANIZATIONS, CHURCHES, BUSINESSES AND THE GOVERNMENT TO ASSIST IN PROVIDING SERVICES AND RESOURCES TO CARE FOR THOSE IN NEED. WE REALIZE THAT TO HELP THOSE IN NEED WE MUST PARTNER WITH OTHER AGENCIES THROUGHOUT THE COMMUNITY, COUNTY AND REGION. WE HAVE HELPED FOUND THREE COALITIONS: BRIDGE TO RECOVERY -UNION COUNTY, THE RESCUE ALLIANCE OF NEW YORK CITY AND THE COMMUNITY FOOD COALITION OF UNION COUNTY TO INCREASE AVAILABLE FOOD TO FAMILIES IN NEED IN UNION COUNTY. THE COMING YEAR WILL PROVIDE EXCITING OPPORTUNITIES AS WE PURCHASE AND RENOVATE A NEW HOME FOR THE MISSION, DEVELOP A SOCIAL ENTREPRENEURSHIP, AND HELP THOUSANDS OF PEOPLE IN THEIR TIME OF NEED. STREETLIGHT RECOGNIZES THAT AT SOME TIME IN OUR LIVES WE ALL NEED SOME HELP. STREETLIGHT'S GOAL IS TO HELP EACH PERSON CHOOSE STEPS THAT LEAD TO WHOLENESS, ENABLING THEM TO BECOME PRODUCTIVE MEMBERS OF THEIR FAMILIES AND THE COMMUNITY. AT STREETLIGHT EVERYONE IS WELCOME STREETLIGHT MISSION WILL NOT DENY ANYONE ACCESS TO SERVICES BECAUSE OF THEIR BELIEFS, RACE, RELIGION OR SEXUAL PREFERENCE.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
10 FULL-TIME VOLUNTEERS. PART-TIME VOLUNTEERS INCLUDE ONE TIME EVENTS AND REPEAT VOLUNTEERS ON A FAIRLY REGULAR BASIS. APPROXIMATELY 100 OF THE 500 VOLUNTEERS DONATE THEIR TIME REGULARLY.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
DONATED SERVICES RECEIVED WERE USED FOR THE FOLLOWING: - CONSTRUCTION IN PROGRESS LOCATED IN ELIZABETH, NEW JERSEY, TOTALED 33,547. - ADMINISTRATIVE SUPPORT TOTALED 4,457.
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
KAREN YUSCHAK PAUL YUSCHAK PRESIDENT FORMER CHAIR SPOUSES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF THE FORM 990 IS REVIEWED BY THE PRESIDENT OF THE ORGANIZATION AND THE FINANCE COMMITTEE OF THE BOARD PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER SHALL BE DISCLOSED TO THE OTHER MEMBERS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE CONFLICT OF INTEREST BECOMES A MATTER OF BOARD ACTION. ANY BOARD MEMBER HAVING A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST SHOULD NOT VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER AND HE SHOULD NOT BE COUNTED AS PART OF A QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING ADN THE QUORUM SITUATION.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE BOARD REVIEWS AND APPROVES THE SALARY OF THE PRESIDENT ANNUALLY.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
BOARD MEMBERS ARE NOT COMPENSATED FOR SERVICE ON THE BOARD. BOARD MEMBERS MAY BE REIMBURSED ONLY FOR OUT-OF-POCKET EXPENSES ACTUALLY INCURRED AND GIVEN PRIOR AUTHORIZATION BY A VOTE OF THE BOARD. ORIGINAL RECEIPTS MUST DOCUMENT CLAIMED EXPENSES. THE BOARD ALSO CONSIDERS THE IMPACT OF COMPENSATION OF OTHER EMPLOYEES VIA THE BUDGET PROPOSAL AND REVIEW PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 9
TO REFLECT THE DIFFERENCE BETWEEN CONSTRUCTION IN PROGRESS AMOUNT PER FINANCIAL STATEMENTS REPORT AND FORM 990 RESULTED FROM CAPITALIZED DONATED SERVICES OF 33,547.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.