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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CONVIVENTIA
Employer identification number
27-3347580
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
150,128
206,490
370,252
726,870
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.
150,128
206,490
370,252
726,870
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.)
726,870
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
150,128
206,490
370,252
726,870
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.)..
0
150,128
206,490
370,252
726,870
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CONVIVENTIA
Employer identification number
27-3347580
Return Reference
Explanation
Amended return infomation
990 PAGE 2CHANGE IN THE STATEMENT OF PROGRAM SERVICE ACOMPLISHMENTSCHANGES ON THE SCHEDULE ACHANGES ON THE SCHEDULE FEXPLANATION CHEANGES ON THE SCHEDULE O
Members or stockholder classes and rights Part VI line 6
1)ELIGIBILITYMEMBERSHIP IN THE ORGANIZATION SHALL CONSIST OF THOSE WHO FULLY SHARE ITS MISSION, GOALS AND CORE VALUES. THE FOLLOWING ARE ELIGIBLE TO BECOME MEMBERS OF CONVIVENTIA. - THOSE WHO ARE MEMBERS OF THE BOARD OF DIRECTORS OF CDA GROUP, IN COLOMBIA.- INDIVIDUALS OR NON-PROFIT ORGANIZATIONS WITH KNOWLEDGE AND EXPERTISE IN THE ORGANIZATIONS DIFFERENT FIELDS OF ACTION, WHO SHALL BE SELECTED ON THE BASIS OF ESTABLISHED RECORDS OF DISTINGUISHED SERVICE.(2)RIGHTS OF MEMBERS EACH MEMBER OF THE CORPORATION SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED BY THE BOARD OF DIRECTORS TO A VOTE AT A REGULAR OR SPECIAL MEMBERSHIP MEETING, EXCEPT TO THE EXTENT THAT THE VOTING RIGHTS ARE LIMITED OR DENIED BY THE CERTIFICATE OF FORMATION. NO MEMBER SHALL BE ENTITLED TO ANY DIVIDEND OR ANY PART OF THE INCOME OF THE CORPORATION OR TO SHARE IN THE DISTRIBUTION OF THE CORPORATE ASSETS UPON DISSOLUTION. THE BOARD OF DIRECTORS HAS THE DISCRETION TO DECIDE WHICH, IF ANY, MATTERS SHALL BE SUBMITTED TO THE MEMBERS FOR A VOTE, EXCEPT THAT THE FOLLOWING DECISIONS WILL ALWAYS BE SUBMITTED TO THE MEMBERSHIP FOR A VOTE: DISSOLUTION OF THE CORPORATION, MERGER OR CONSOLIDATION WITH HOW THE MEMBERSHIP CAN LEGALLY ACTTHE MEMBERSHIP MAY ACT ONLY AT A PROPERLY CALLED MEETING OF THE MEMBERSHIP WHERE A QUORUM IS PRESENT. AT SUCH A MEETING, A VOTE OF A MAJORITY OF THE MEMBERS IN ATTENDANCE SHALL BE AN ACT OF THE MEMBERSHIP, EXCEPT THAT A TWO-THIRDS MAJORITY OF THE MEMBERS IN ATTENDANCE SHALL BE REQUIRED FOR THE FOLLOWING: DISSOLUTION OF THE CORPORATION, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, SALE OF SUBSTANTIALLY ALL THE CORPORATIONS ASSETS, AND MOST AMENDMENTS TO THE CORPORATIONS CERTIFICATE OF FORMATION. THE ATTENDANCE OF FIFTY PERCENT (50%) MEMBERS SHALL CONSTITUTE A QUORUM FOR THE CONDUCT OF BUSINESS AT EITHER A REGULAR OR SPECIAL MEMBERSHIP MEETING REGULAR MEMBERSHIP MEETINGSTHE MEMBERSHIP SHALL MEET AT LEAST ONCE A YEAR DURING THE MONTH OF MARCH, AT A TIME DESIGNATED BY THE BOARD OF DIRECTORS, FOR THE PURPOSE OF TRANSACTING ANY BUSINESS THAT THE BOARD OF DIRECTORS MAY SUBMIT TO THE MEMBERS. REGULAR MEMBERSHIP MEETINGS SHALL TAKE PLACE AT 1400 BROADFIELD, SUITE 200, OFFICE 8, HOUSTON, TX 77084 ENROLLMENT OF MEMBERSTHE BOARD OF DIRECTORS SHALL ADOPT A MEMBERSHIP APPLICATION FORM. THE APPLICATION FORM SHALL REQUIRE THE NAME, ADDRESS, AND TELEPHONE NUMBER OF EACH APPLICANT. THERE SHALL BE A SPACE FOR THE SECRETARY TO SIGN CERTIFYING THAT THE SECRETARY BELIEVES THE APPLICANT TO BE ELIGIBLE FOR MEMBERSHIP. THE APPLICANT BECOMES A MEMBER UPON THE SECRETARYS SIGNATURE OF THE APPLICATION FORM. THE SECRETARY SHALL KEEP AN UP-TO-DATE MEMBERSHIP LIST.
Form 990 governing body review Part VI line 11
MEETING AND MINUTES FOR 990 REVIEW
Conflict of interest policy compliance Part VI line 12c
THE CONVIVENTIA BOARD CHAIR IS RESPONSIBLE FOR ENSURING THAT ALL BOARD MEMBERS ARE INFORMED AND COMPLY WITH ALL RELEVANT CONFLICT OF INTEREST RULES AND GUIDELINES. CONFLICTS OF INTEREST MAY ARISE FROM TIME TO TIME IN THE COURSE OF A BOARD MEMBER'S DIRECTORSHIP.IF POSSIBLE, UPON RECEIPT OF MEETING SUMMONS,THE BOARD MEMBER WHO BELIEVES THEY ARE/OR MAY BE IN A CONFLICT OF INTEREST SITUATION SHOULD BRING THIS TO THE ATTENTION OF THE BOARD CHAIR PRIOR TO THE BOARD MEETING. IF THE BOARD CHAIR IS UNABLE TO RESOLVE THE ISSUE, THE CHAIR WILL BRING THE SITUATION TO THE BOARD AS A WHOLE.
CEO executive director top management comp Part VI line 15a
ANNUALLY, AT THE BOARD OF DIRECTORS MEETING, THE PERFORMANCE RESULTS ACHIEVED BY THE MANAGEMENT ARE ANALYZED AND BASED ON COMPARATIVE STUDIES OF THE SECTOR AND THE SIZE AND NATURE OF THE ORGANIZATION, THE ANNUAL COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER MANAGEMENT OFFICIALS IS DETERMINED.
Governing documents etc available to public Part VI line 19
STORAGE IN MAIN OFFICE. AVAILABLE IF REQUESTED
Explanation of other changes in net assets or fund balances Part XI line 9
DEPRECIATION ADJUSTMENT
General explanation attachment
PRIMARY EXEMPT PURPOSE:THE ORGANIZATION WAS INCORPORATED IN OCTOBER OF 2010 TO BE AN EFFECTIVE AGENT IN THE FIGHT AGAINST POVERTY IN THE AMERICAS. THE RELIGIOUS, CHARITABLE, RELIEF AND EDUCATIONAL PURPOSE, CARRIED OUT THROUGH SUPPORTING THE DELIVERY OF SERVICES TO VULNERABLE COMMUNITTIES, PRESENTATIONS AROUND REGIONAL ISSUES, SEMINARS, TRAINING AND NETWORKING FOR AN INCREASED EFFECTIVENESS IN DEVELOPMENT AND RELIEF EFFORTS DONE BY GRASSROOTS ORGANIZATIONS, IN THE FIELDS OF EDUCATION, CHILD PROTECTION, BASIC NEEDS AND INCOME GENERATION, CONFORM THE ORGANIZATIONS EXEMPT PURPOSE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.