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
INTEGRITY WORLDWIDE INC
Employer identification number
20-5429491
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.") ....
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 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.") .
197,018
209,335
140,451
206,322
208,060
961,186
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......
22,312
17,870
10,507
50,689
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.
197,018
209,335
162,763
224,192
218,567
1,011,875
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
115,724
119,765
84,465
72,054
111,238
503,246
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..
115,724
119,765
84,465
72,054
111,238
503,246
8
Public support (Subtract line 7c from line 6.)
508,629
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...
197,018
209,335
162,763
224,192
218,567
1,011,875
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.)..
197,018
209,335
162,763
224,192
218,567
1,011,875
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
50.270 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
53.450 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
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
INTEGRITY WORLDWIDE INC
Employer identification number
20-5429491
Identifier
Return Reference
Explanation
AMENDED RETURN EXPLANATION
FORM 990, PAGE 1, ITEM B
THE RETURN WAS ACCIDENTALLY ELECTRONICALLY FILED BEFORE INFORMATION WAS CORRECTLY ADJUSTED ON THE TAX RETURN. THE CHANGES ARE SUMMARIZED BELOW. PAGE 1 LINE 16B ORIGINALLY FILED -0- PAGE 1 LINE 16B AS AMENDED 17,437 PAGE 1 LINE 17 AS ORIGINALLY FILED 126,736 PAGE 1 LINE 17 AS AMENDED 123,883 PAGE 1 LINE 18 AS ORIGINALLY FILED 196,482 PAGE 1 LINE 18 AS AMENDED 193,629 PAGE 1 LINE 19 AS ORIGINALLY FILED 16,586 PAGE 1 LINE 19 AS AMENDED 19,439 PAGE 2 PART III QUESTION 2 AS ORIGINALLY FILED - NO PAGE 2 PART III QUESTION 2 AS AMENDED - YES PAGE 2 PART III LINE 4A AS ORIGINALLY FILED 44,328 PAGE 2 PART III LINE 4A AS AMENDED 70,613 PAGE 2 PART III LINE 4B AS ORIGINALLY FILED 20,895 PAGE 2 PART III LINE 4B AS AMENDED 33,264 PAGE 2 PART III LINE 4D AS ORIGINALLY FILED 31,963 PAGE 2 PART III LINE 4D AS AMENDED 32,304 PAGE 2 PART III LINE 4E AS ORIGINALLY FILED 104,922 PAGE 2 PART III LINE 4E AS AMENDED 143,917 PAGE 6 PART VI LINE 1B AS ORIGINALLY FILED - 6 PAGE 6 PART VI LINE 1B AS AMENDED - 7 PAGE 6 PART VI LINE 20 AS ORIGINALLY FILED - JAMES E. SIDDENS, CPA, PC 534 WASHINGTON STREET SELMA, AL 36703 334-875-2626 PAGE 6 PART VI LINE 20 AS AMENDED - DR. ALAN & AVEREE HICKS 1514 MOORES FERRY ROAD SELMA, AL 36701 334-418-4100 PAGE 10 PART IX LINE 7 COLUMN B AS ORIGINALLY FILED -0- PAGE 10 PART IX LINE 7 COLUMN B AS AMENDED 38,654 PAGE 10 PART IX LINE 7 COLUMN C AS ORGINALLY FILED 64,423 PAGE 10 PART IX LINE 7 COLUMN C AS AMENDED 9,663 PAGE 10 PART IX LINE 7 COLUMN D AS ORIGINALLY FILED -0- PAGE 10 PART IX LINE 7 COLUMN D AS AMENDED 16,106 PAGE 10 PART IX LINE 10 COLUMN B AS ORIGINALLY FILED -0- PAGE 10 PART IX LINE 10 COLUMN B AS AMENDED 3,194 PAGE 10 PART IX LINE 10 COLUMN C AS ORIGINALLY FILED 5,323 PAGE 10 PART IX LINE 10 COLUMN C AS AMENDED 798 PAGE 10 PART IX LINE 10 COLUMN C AS ORIGINALLY FILED -0- PAGE 10 PART IX LINE 10 COLUMN C AS AMENDED 1,331 PAGE 10 PART IX LINE 22 COLUMN B AS ORIGINALLY FILED 16,800 PAGE 10 PART IX LINE 22 COLUMN B AS AMENDED 13,947 PAGE 10 PART IX LINE 25 COLUMN A AS ORIGINALLY FILED 196,482 PAGE 10 PART IX LINE 25 COLUMN A AS AMENDED 193,629 PAGE 10 PART IX LINE 25 COLUMN B AS ORGINALLY FILED 104,922 PAGE 10 PART IX LINE 25 COLUMN B AS AMENDED 143,917 PAGE 10 PART IX LINE 25 COLUMN C AS ORIGINALLY FILED 91,560 PAGE 10 PART IX LINE 25 COLUMN C AS AMENDED 32,275 PAGE 10 PART IX LINE 25 COLUMN D AS ORIGINALLY FILED -0- PAGE 10 PART IX LINE 25 COLUMN D AS AMENDED 17,437 PAGE 12 PART XI LINE 9 AS ORIGINALLY FILED 2,853 PAGE 12 PART XI LINE 9 AS AMENDED -0- PAGE 2 SCHEDULE D PART VI LINE 1D COLUMN B AS ORIGINALLY FILED 8,120 PAGE 2 SCHEDULE D PART VI LINE 1D COLUMN B AS AMENDED 29,203 PAGE 2 SCHEDULE D PART VI LINE 1D COLUMN C AS ORIGINALLY FILED 7,831 PAGE 2 SCHEDULE D PART VI LINE 1D COLUMN C AS AMENDED 21,778 PAGE 2 SCHEDULE D PART VI LINE 1D COLUMN D AS ORIGINALLY FILED 289 PAGE 2 SCHEDULE D PART VI LINE 1D COLUMN D AS AMENDED 7,425 SCHEDULE O FORM 990, PART III, LINE 2 IS NOT REPORTED ON ORIGINALLY FILED RETURN. SCHEDULE O FORM 990, PART III, LINE 2 ON THE AMENDED RETURN DESCRIBES THE ORGANIZATIONS NEW PROGRAMS.
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR RELIGIOUS AND CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SPECIFICALLY, THE CORPORATION WILL PROMOTE THE GOSPEL OF JESUS CHRIST AS TAUGHT IN THE HOLY BIBLE.
ANY SIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON A PRIOR RETURN
FORM 990, PAGE 2, PART III, LINE 2
AN INTERNATIONAL CHRISTIAN MINISTRY COMMITTED TO SPREADING THE LOVE OF JESUS CHRIST TO THE OUTERMOST PARTS OF THE WORLD. EXPENSES INCURRED RELATED TO THE OPERATION OF THE MISSION CENTER IN AFRICA.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
PROVIDED MEDICINE AND FINANCIAL ASSISTANCE TO NEEDY PEOPLE OF THE LOCAL COMMUNITY IN AFRICA. PROVIDED MOSQUITO NETS, RICE SEED, MEDICINES AND OTHER SUPPLIES TO NEEDY PEOPLE OF AFRICA SUPPLEMENTING THE MISSIONARY AND MEDICAL ASSISTANCE TRIP DESCRIBED IN BOX 4B. ABOVE. REPAIRED AND CONSTRUCTED SCHOOLS IN AFICA AND PROVIDED SUPPLIES TO THE SHCOOLS.
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
DR. ALAN HICKS, SR. MRS. AVEREE HICKS, SR. PRESIDENT BOARD MEMBER SPOUSE DR. ALAN HICKS, SR. MR. ALAN HICKS, JR. PRESIDENT BOARD MEMBER SON DR. ALAN HICKS, SR. MR. EMERY HICKS PRESIDENT BOARD MEMBER SON DR. ALAN HICKS, SR. MRS. MAREIKE HICKS PRESIDENT EMPLOYEE DAUGHTER IN LAW
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
AFTER THE FORM 990 IS COMPLETED BY THE CORPORATION'S ACCOUNTANTS, A COPY IS PROVIDED TO THE PRESIDENT OF THE ORGANIZATION AND IS REVIEWED AND APPROVED BY HIM BEFORE FILING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO DISCLOSES FINANCIAL INFORMATION ON ITS WEBSITE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.