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
Jamaica Outreach Program Inc
Employer identification number
20-8041251
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.") .
335,034
275,733
638,687
503,907
434,242
2,187,603
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......
0
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
335,034
275,733
638,687
503,907
434,242
2,187,603
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
80,288
9,923
172,475
129,934
126,726
519,346
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.
0
c
Add lines 7a and 7b..
80,288
9,923
172,475
129,934
126,726
519,346
8
Public support (Subtract line 7c from line 6.)
1,668,257
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...
335,034
275,733
638,687
503,907
434,242
2,187,603
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
6,307
2,274
1,738
1,058
901
12,278
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
6,307
2,274
1,738
1,058
901
12,278
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
21,200
30,547
24,441
5,409
7,913
89,510
13
Total support. (Add lines 9, 10c, 11, and 12.)..
362,541
308,554
664,866
510,374
443,056
2,289,391
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
72.870 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
76.860 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0.540 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
0.890 %
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
Part III, Line 12--Other income is from payments made by volunteers to cover their share of mission trip travel expenses, a donation in exchange for optical equipment and a donation in exchange for storage boxes.
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000229
Software Version:
2012v2.0
-
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
Jamaica Outreach Program Inc
Employer identification number
20-8041251
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
The organization makes its governing documents, conflict of interest policy and financial statements available to the public on its website www.jamaicaoutreach.org, on the Guidestar website, and on request.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
Each Officer and member of the Board shall annually execute a statement which affirms that such person has received a copy of the Conflict of Interest Policy; has read and understands it, and has complied with the policy, including the reporting of any potential conflicts of interest and/or has updated such information as to his or her personal financial interests as the Annual Conflict of Interest Disclosure Statement may require.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
The Treasurer distributed the entire draft of Form 990 and prepared a written report to the full Board of Directors. That report was verbally discussed and is noted in the minutes of the Board Meeting. All directors receive a copy of Form 990 and it is reviewed and discussed by all those present at a designated Board meeting prior to filing with the Internal Revenue Service.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: EducationFour schools were served this past year. There are 1500 children enrolled in the DuPont Primary School, 79 at African Martyrs of Uganda pre-school, 1,000 at St. Peter Claver and 780 at St. Benedicts Primary School. Scholarships for tuition, supplies, books, uniforms or lunch programs were funded for 15 students at St Pius X, 8 students at St. Peter Claver, 52 students at St. Benedict's and 34 students at St. Martin dePorres communities. A summer program was supported and two adult Skills Training Centers (cosmetology, cooking, sewing) serving 69 students were also supported. All these services to the poorest of the poor will inspire students to improve their quality of life and avoid inner city poverty, crime and drug problems in the future. OTHER PROGRAM SERVICES 5: St. Pius X CompoundOver the past 16 years, JOP has constructed medical facilities, a food pantry and improved other facilities on the grounds of St Pius X Church. The walled compound is a safe haven for the poor in Kingston's inner city. JOP supports the ongoing maintenance, repairs, utilities, security and administrative costs for these facilities. This compound is a valued community resource, giving hope to the indigent in that area. OTHER PROGRAM SERVICES 6: Optical CareIn 2 mission trips this past fiscal year, optical exams were completed on 877 patients, 625 pair of prescription eyeglasses were delivered, 71 cataract and 1 corneal transplant surgeries were performed. In addition, many patients were diagnosed with needing cataract surgery and or treatment for glaucoma. Amounts reported exclude in-kind optical professional services valued at $48,180. An extension of our program is a lab on the grounds of St Pius X, set up by an Ohio resident. Over the past 15 years, 37 optical trips have been made, seeing approximately 10,592 patients for eye exams and delivering over 8,255 pair of eyeglasses. OTHER PROGRAM SERVICES 7: DentalThe dental clinic at St. Pius X Church in Kingston, Jamaica is a new clinic. This past year, 2 mission trips were completed with 4 volunteer dentists, 7 assistants/hygienists and 3 lay people from the US. 417 dental patients were seen, including 155 cleanings, 45 extractions 73 fillings and many other treatments and referrals. OTHER PROGRAM SERVICES 8: Mission TripsSeven mission trips to Kingston were made this year, by 56 volunteers. Each major trip is typically 5 to 7 days and volunteers pay for their own airfare, local transportation, meals and lodging in a convent-hostel (Expenses totaling $6,375 are reported here and reimbursement from volunteers is reported as Other Revenue). Activities focus on medical, dental and optical care and assistance in repairs, administration, education and other needs. OTHER PROGRAM SERVICES 9: St. Martin de PorresSt. Martin de Porres is a rural community adopted as a sister parish by Blessed Pope John XXIII in Ft. Myers, FL. One mission trip was conducted this past year during which the poor were fed and some received optical exams. The statistics in our Education, Optical and Food-Goods programs include support to the poor in this community. OTHER PROGRAM SERVICES 10: SewingA volunteer sewing group of 7 ladies meets weekly in Naples, FL to sew clothing and uniforms for Jamaican infants, boys, and girls. This past year they donated 156 items of clothing
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.