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
ALASKA ADDICTION REHABILITATION SER SERVICES INC
Employer identification number
92-0065231
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.") ....
1,239,686
1,327,089
1,563,699
3,638,661
2,307,864
10,076,999
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..
1,239,686
1,327,089
1,563,699
3,638,661
2,307,864
10,076,999
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)..
2,364,643
6
Public Support. Subtract line 5 from line 4.
7,712,356
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..
1,239,686
1,327,089
1,563,699
3,638,661
2,307,864
10,076,999
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
739
739
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
27,065
1,800
28,865
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).
10,106,603
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
184,727
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
76.310 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
58.790 %
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.") .
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) 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.).
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
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
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
ALASKA ADDICTION REHABILITATION SER SERVICES INC
Employer identification number
92-0065231
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
PUBLIC AGENCIES AT NO COST TO THE AGENCY. OUR DIRECTOR SITS ON THE BOARD OF DIRECTORS FOR THE LOCAL BUS SYSTEM (MASCOT) AND WAS INVOLVED WITH THE DEVELOPMENT OF THIS NON-PROFIT AGENCY. OUR PROGRAM WAS THE FIRST PROGRAM IN THE STATE OF ALASKA TO BE CERTIFIED BY CARF ( A NATIONAL CERTIFYING ORGANIZATION): WE HAVE MAINTAINED THIS CERTIFICATION SINCE 1993.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
NUGEN'S RANCH IS A LONG-TERM (SIX MONTHS TO TWO YEARS) RESIDENTIAL CARE ALCOHOL AND DRUG ABUSE FACILITY WITH 25 BEDS FOR ADULT CHRONIC ALCOHOLIC, DRUG ABUSE, DUAL DIAGNOSED PERSONS WHO HAVE NOT BEEN ABLE TO STAY CLEAN AND SOBER. WE FOLLOW UP WITH ALL CLIENTS WHO LEAVE THE PROGRAM FOR ONE YEAR. OUR SUCCESS RATE VARIES BETWEEN 35 TO 75%. PROGRAM STAFF ARE INVOLVED WITH UNITED WAY'S 10 YEAR EFFORT TO REDUCE SUBSTANCE ABUSE FOR YOUTH IN THE MAT-SU BOROUGH. EACH OCTOBER, WE PROVIDE RED RIBBONS TO THE MAT-SU SCHOOL DISTRICT, LOCAL LAW ENFORCEMENT, AND OTHER PUBLIC AGENCIES AT NO COST TO THE AGENCY. OUR DIRECTOR SITS ON THE BOARD OF DIRECTORS FOR THE LOCAL BUS SYSTEM (MASCOT) AND WAS INVOLVED WITH THE DEVELOPMENT OF THIS NON-PROFIT AGENCY. OUR PROGRAM WAS THE FIRST PROGRAM IN THE STATE OF ALASKA TO BE CERTIFIED BY CARF ( A NATIONAL CERTIFYING ORGANIZATION): WE HAVE MAINTAINED THIS CERTIFICATION SINCE 1993.
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
KAREN NUGEN-LOGAN LEONARD NUGEN EXEC. DIRECT DIRECTOR LEONARD IS KAREN'S FATHER
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
NO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
NO DOCUMENTS AVAILABLE TO THE PUBLIC
OTHER EXPENSES
FORM 990, PART IX, LINE 24E
OTHER CONTRACT SERVICES 27,508 CG - FOOD CONTRIBUTED CLI 27,202 CG - ANIMAL SUPPLIES CONT 25,381 CONSULTANT 18,902 PROFESSIONAL LIAB INS 18,696 VEHICLE R&M, GAS 18,510 FIRE INSURANCE FACILITY 17,424 OFFICE EQUIPMENT R&M 12,487 VEHICLE REPAIR/ MAINT 10,000 SPECIAL EVENTS EXP 9,210 MOVING/EMINENT DOMAIN 8,452 CERTIFICATION 8,158 AUTO INSURANCE 7,674 HOUSEHOLD SUPPLIES 7,500 DIETICIAN 7,350 OFFICE SUPPLIES 6,500 ONGOING REPAIR/ MAINT. 6,000 LOCAL TELEPHONE 5,890 MEDICAL SUPPLIES 5,000 ADVERTISING 4,900 CG - PROF SERVICES CONTRI 4,406 OTHER FARM SUPPLIES 3,530 DUES & SUBSCRIPTIONS 3,188 FOOD SUPPLIES EXPENSE 3,031 OTHER MISC. EXPENSE 2,850 POSTAGE 2,800 LONG DISTANCE - TELEPHONE 2,000 STAFF EDUCATION & TRAININ 2,000 PROGRAM SUPPLIES 2,000 PROGRAM SUPPLIES 2,000 COLLECTION EXPENSE 1,584 CG - MISC SUPPLY / GOODS 1,573 BANK FEES 1,429 CRIMINAL HISTORIES 1,339 FOOD SUPPLIES EXPENSE 1,053 OFFICE SUPPLIES EXP 1,000 HOUSEHOLD SUPPLY EXP 1,000 OFFICE EQUIP R & M 1,000 GREENHOUSE SUPPLIES EXP. 963 HOUSEHOLD SUPPLIES EXP 945 CG-PRIZE/RAFFLE CONTRIBUT 673 ANIMAL SUPPLIES 526 VENDING MACHINE EXP 317 ADMINISTRATIVE & LEGAL EX 96 RAFFLE/PULL TABS EXPENSE 60 CG - HOUSEHOLD SUPPLY CON 47 TIE TO FS 0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.