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 ACCESS NETWORK INC
Employer identification number
57-0958723
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.") ....
662,449
953,776
1,357,291
869,222
1,331,176
5,173,914
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
662,449
953,776
1,357,291
869,222
1,331,176
5,173,914
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.
5,173,914
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..
662,449
953,776
1,357,291
869,222
1,331,176
5,173,914
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
261
138
154
88
641
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).
5,174,555
12
Gross receipts from related activities, etc. (see instructions)
..................
12
8,268
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
99.990 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.980 %
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
THE ACCESS NETWORK INC
Employer identification number
57-0958723
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
ACCESS' MISSION, "EMPOWERING COMMUNITIES TO ACCESS A HEALTHY LIFE STYLE THROUGH EDUCATION AND SUPPORTIVE SERVICES", PROVIDING CASE MANAGEMENT AND PREVENTION INTERVENTIONS TO PERSONS AT-RISK OF, WITH, OR AFFECTED BY HIV/AIDS AND OTHER STDS AND HOMELESS PERSONS OR THOSE AT RISK OF BEING HOMELESS.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
IS DEFINED IN TWO WAYS: FIRST BY CLIENTS REMAINING HEALTHY AND NOT DEVELOPING OPPORTUNISTIC INFECTIONS THAT CATEGORIZE AIDS, AND SECOND BY PREVENTING THE TRANSMISSION OF HIV TO OTHERS. ACCORDING TO THE DECEMBER, 2008 SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL (DHEC) HIV-STD SURVEILLANCE REPORT, BEAUFORT COUNTY'S HIV+ PERSONS ACCOUNT FOR 47% (506 PERSONS) OF THE TOTAL CASES IN THE REGION; COLLETON COUNTY 24% (255), HAMPTON COUNTY 14% (153). JASPER COUNTY'S HIV+ PERSONS ACCOUNT FOR 14% (153 PERSONS) OF THE TOTAL CASES IN THE REGION. OF THOSE 73% (686 PERSONS) HAVE DEVELOPED AIDS, AND OF THOSE, 31% (330 PERSONS) HAVE DIED. WITH THE PERSISTENT STIGMA AND DISCRIMINATION ASSOCIATED WITH HIV AND AIDS AND THE FEELINGS OF DEPRESSION, SHAME AND ISOLATION THAT ACCOMPANY PERSONS LIVING WITH THE DISEASE, MANY DO NOT EVEN SEEK TREATMENT UNTIL THE ONSET OF AIDS. AN HIV POSITIVE PERSON AND HIS/HER FAMILY ARE FACED WITH THE ADDITIONAL ECONOMIC IMPACT OF DEALING WITH A CATASTROPHIC ILLNESS. ALTHOUGH DRUGS USED IN COMBINATION, HAVE BEEN EFFECTIVE IN TREATMENT THE COST OF THESE DRUGS CAN DEPLETE A FAMILY BUDGET BY 20,000+ A YEAR. THIS DOES NOT ACCOUNT FOR PRESCRIPTIONS TO PREVENT AND/OR TREAT OPPORTUNISTIC INFECTIONS WHICH CAN BEFALL AN HIV-POSITIVE PERSON ANY TIME. A PRIORITY OF HIV CASE MANAGEMENT IS TO ENSURE CLIENTS HAVE ACCESS TO MEDICAL CARE AND MEDICATIONS. ONE FULL-TIME STAFF PERSON HAS BEEN DESIGNATED AS A BENEFITS SPECIALIST WHO RESEARCHES MEDICATION ASSISTANCE OPPORTUNITIES, ASSISTING BOTH CASE MANAGERS, AND CLIENTS. EVEN THEN, IN MOST CASES, THE PRESCRIPTION MEDICATION ASSISTANCE MAY ONLY BE FOR 90 DAYS, SO STAFF IS CONSTANTLY REVIEWING ALTERNATIVE OPTIONS FOR CLIENTS. ACCESS IS A MEMBER OF THE S.C. HIV/AIDS CARE CRISIS NETWORK, CREATED TO MOBILIZE A STATE-WIDE ADVOCACY EFFORT BRINGING ATTENTION AND EDUCATION TO THE SOUTH CAROLINA LEGISLATURE AND MEDIA CONCERNING THE ENORMOUS ECONOMIC IMPACT HIV/AIDS HAS ON THE STATE RESOURCES.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
OF THE BROAD RIVER. THE PRIORITY POPULATIONS THAT ARE SERVED BY OUR HIV PREVENTION PROGRAMS AS DEFINED BY THE NATIONAL CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) ARE: HIV POSITIVE PERSONS AND AFRICAN AMERICAN MEN AND WOMEN BETWEEN THE AGES OF 25-44: THE CDC HAS ESTIMATED THAT FOR EVERY KNOWN HIV INFECTION, THERE COULD BE AN ADDITIONAL UNKNOWN. POTENTIALLY, THE SERVICE REGION COULD HAVE AN UNIDENTIFIED POPULATION OF 1000 MORE HIV POSITIVE PERSONS, HENCE THE NEED FOR CONTINUOUS TESTING. PRIMARY TARGET POPULATIONS RECEIVE THE FOLLOWING HIV PREVENTION PROGRAMS: COMMUNITY BASED TESTING & COUNSELING (FOR HIV+ PERSONS WHO ARE UNAWARE OF THEIR STATUS), INDIVIDUAL & GROUP LEVEL INTERVENTIONS, AND HEALTH COMMUNICATION/PUBLIC INFORMATION INTERVENTIONS. TO DATE ACCESS' HAS SERVED MORE THAN 650 HIV POSITIVE PERSONS, AND TESTED MORE THAN 1500 PERSONS IN THE PAST FIVE YEARS. OF THOSE, 290 ARE CONSIDERED ACTIVE CLIENTS. "OUR PEOPLE PERISH", FAITH-BASED INITIATIVE FOCUSES ON BUILDING CAPACITY WITHIN FAITH-BASED ORGANIZATIONS TO INCORPORATE REPRODUCTIVE HEALTH EDUCATION, COMMUNICATION SKILLS, STIGMA, CONDOM NEGOTIATION, HETEROSEXUAL RISK BEHAVIORS, DENIAL OF RISK, SELF-ESTEEM, AND MESSAGES ABOUT HEALTH SEXUAL RELATIONSHIPS IN THE SCOPE OF OVERALL HEALTH AND WELLNESS. THE HAMPTON ADOLESCENT PREGNANCY PREVENTION INITIATIVE (HAPPI) FOUNDED IN 1999 IS TO PLAN, ORGANIZE AND DELIVER ADOLESCENT PREGNANCY PREVENTION INTERVENTIONS TO TARGETED AT-RISK POPULATIONS IN HAMPTON COUNTY IN ORDER TO REDUCE THE INCIDENCE OF ADOLESCENT PREGNANCIES. A MAJOR MEASURABLE ACCOMPLISHMENT OF THE COUNCIL IS THE ACTUAL NUMBER OF ADOLESCENT BIRTHS CONSISTENTLY DECLINED AND THERE HAVE BEEN SIGNIFICANTLY LESS TOTAL PREGNANCIES SINCE 2002 THRU 2006 A 35.1% DECREASE HOWEVER RECENT STATISTICS SHOWS AN INCREASE IN TOTAL CASES FROM 2006 THRU 2008 IT WAS ESTIMATED THAT THERE WAS 43 TEEN PREGNANCIES IN HAMPTON COUNTY 10 BEING REPEATS. HAMPTON COUNTY RANKS 36 OUT OF 46 COUNTIES IN ACTUAL TEEN BIRTHS. "SHEAR DEVOTION" AND "CONDOM TRAILS" COMMUNITY INITIATIVES SUPPORT BEAUTY AND BARBER SHOPS PROVIDING TECHNICAL ASSISTANCE TO SHOP OWNERS AND STYLISTS ON HIV/STD PREVENTION EDUCATION.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
(ISLAND PACKET-OUR VIEW OPINION 1/13/08). THE PROGRAM PROVIDES SUBSIDIZED HOUSING OPPORTUNITIES FOR ELIGIBLE CLIENTS. THE CLIENT AND COMMUNITY CASE MANAGER FORMULATE A HOUSING SERVICE PLAN, MEET REGULARLY, AND WITH REFERRALS AND SUPPORT FROM OTHER PROVIDERS, MONITOR PROGRESS AND MAKE ADJUSTMENTS TO THE PLAN. THE GOAL OF THE PROGRAM IS TO BUILD THE CLIENTS CAPACITY TO SELF MANAGE AND ACHIEVE SELF SUFFICIENCY. IN 2006, A STATEWIDE SURVEY COUNTED 28 HOMELESS PEOPLE REGIONALLY. DURING 2008, ACCESS SERVED 39 ACTIVE CLIENTS AND MADE 139 REFERRALS TO OTHER COMMUNITY RESOURCES.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE TREASURER PROVIDES A COPY OF THE COMPILED YEAR END FINANCIAL STATEMENT AND COMPLETED FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. FOLLOWING DISCUSSIONS AND UPON BOARD ACCEPTANCE FORM 990 IS SIGNED BY THE BOARD PRESIDENT AND TRANSMITTED TO IRS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ANY POTENTIAL CONFLICT IS ADDRESSED AT THE REGULARLY
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
UPON WRITTEN REQUEST VIA US POSTAL SERVICE OR BY APPOINTMENT AT CORPORATE OFFICE
OTHER EXPENSES
FORM 990, PART IX, LINE 24E
EQUIP. RENTAL 24,337 484 0 LIVING SUPPORT - UTILITIE 23,099 0 0 SUPPLIES 10,778 830 0 MISCELLANEOUS 8,142 1,998 650 BLDG. MAINT.- HOUSING 9,717 0 0 TEMPORARY HELP 9,575 125 0 LIVING SUPPORT - HOUSEHOL 7,925 0 0 DENTAL 7,912 0 0 HLTH INSURANCE - CLIENT A 7,447 0 0 LIVING SUPPORT - TRANSPOR 5,765 0 0 MEDICAL VISITS 4,930 0 0 MENTAL HEALTH & COUNSELIN 4,560 0 0 LIVING SUPPORT - OTHER FO 2,467 0 0 LAB WORK 2,398 0 0 LIVING SUPPORT - FOOD BAN 1,750 0 0 MEMBERSHIP DUES 965 172 409 COMMUNITY RELATIONS 0 0 1,393 MISCELLANEOUS MEDICAL 341 0 0 BANK SERVICE CHARGES 2 337 0 LIVING SUPPORT - PERSONAL 229 0 0 MISCELLANEOUS LIVING SUPP 72 0 0 MEDICAL SUPPLIES 18 0 0
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 9
ADJUSTMENTS MADE AFTER 2011 TAX RETURN FILED AND ADJUSTMENTS MADE AS REQUIRED BY AUDITOR.
REASON FOR NOT UNDERGOING REQUIRED AUDIT
FORM 990, PAGE 12, PART XII, LINE 3B
2012 AUDIT HAS NOT BEEN COMPLETED AT TIME OF TAX RETURN FILING
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.