Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| 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.") .... | 579,997 | 605,082 | 680,326 | 789,968 | 925,361 | 3,580,734 |
| 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.. | 579,997 | 605,082 | 680,326 | 789,968 | 925,361 | 3,580,734 |
| 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. | 3,580,734 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 579,997 | 605,082 | 680,326 | 789,968 | 925,361 | 3,580,734 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,947 | 2,526 | 2,033 | 1,390 | 535 | 10,431 |
| 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.. | 7,463 | 8,798 | 9,971 | 5,941 | 5,514 | 37,687 |
| 11 | Total support (Add lines 7 through 10). | 3,628,852 | |||||






| 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.) | ||||||
| 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.). | ||||||




| Facts And Circumstances Test |
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| Part II Line 10 Subsidized rent homeless facilities |
| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI | 11a and b | The organizations accountant, executive director and Treasurer reviews the 990, before it is filed. |
| Form 990 Part VI | 12c | Each officer, director and key employee is annually given a copy of the conflict of interest policy, along with a reminder of the importance of this policy. |
| Form 990 Part VI | 15a | Compensation of the executive director is evaluated and authorized by the Board of Directors as part of the evaluation and approval of the annual operating budget. |
| Form 990 Part VI | 15b | The executive director provides each employee with a written evaluation and one-on-one evaluation on an annual basis. |
| Form 990 Part VI | 19 | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990 Part I | 8 | Contributions and grants for FY 2012 includes 427,477 received for the homeless shelter expansion project approved by the Board of Directors in FY 2011, in response to increasing demand for homeless services in DeKalb County. The expansion project was completed in Novemenber 2011, and has increased the shelter capacity from 72 to 102 beds. |
| Form 990 Part II | An annual event, Night by Night that consists of mailing to all donors in the organizations donor files asking that they provide for one or more nights of lodging for a homeless person. The cost of one nights lodging is estimated to be 20 a person. The work for the event is done by the organizations staff. | |
| Form 990 Part II | An annual fundraiser-special events-is carried out by volunteers at Northern Illinois University. A simple meal is provided along with a pottery bowl for those making the donation. | |
| Form 990 Part XI | 5 | Prior period adjustment. The DCEO grant for FY 2011 was for the period April 1, 2010 through March 31, 2011. The terms of the renewal grant for FY 2012 were unknown at the time of the FY 2011 audit. An accounts receivable was recorded as of June 30, 2011. When the renewal grant was written it established a beginning date of July 1, 2011, skipping the 4th quarter of FY 2011 and leaving it unfunded. The account receivable had to be written off, resulting in a prior period adjustment. |
| Form 990 Part VI Section B Line 11a and b The organizations accountant, executive director and Treasurer reviews the 990, before it is filed. Form 990 Part VI Section B Line 12c Each officer, director and key employee is annually given a copy of the conflict of interest policy, along with a reminder of the importance of this policy. Form 990 Part VI Section B Line 15a Compensation of the executive director is evaluated and authorized by the Board of Directors as part of the evaluation and approval of the annual operating budget. Form 990 Part VI Section B Line 15b The executive director provides each employee with a written evaluation and one-on-one evaluation on an annual basis. Form 990 Part VI Section C Line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990 Part I Line 8 Contributions and grants for FY 2012 includes 427,477 received for the homeless shelter expansion project approved by the Board of Directors in FY 2011, in response to increasing demand for homeless services in DeKalb County. The expansion project was completed in Novemenber 2011, and has increased the shelter capacity from 72 to 102 beds. Form 990 Part II Section G An annual event, Night by Night that consists of mailing to all donors in the organizations donor files asking that they provide for one or more nights of lodging for a homeless person. The cost of one nights lodging is estimated to be 20 a person. The work for the event is done by the organizations staff. Form 990 Part II Section G An annual fundraiser-special events-is carried out by volunteers at Northern Illinois University. A simple meal is provided along with a pottery bowl for those making the donation. Form 990 Part XI Line 5 Prior period adjustment. The DCEO grant for FY 2011 was for the period April 1, 2010 through March 31, 2011. The terms of the renewal grant for FY 2012 were unknown at the time of the FY 2011 audit. An accounts receivable was recorded as of June 30, 2011. When the renewal grant was written it established a beginning date of July 1, 2011, skipping the 4th quarter of FY 2011 and leaving it unfunded. The account receivable had to be written off, resulting in a prior period adjustment. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |