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.
| (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 | |||||||||
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.") .... | 3,826,028 | 3,549,876 | 4,036,509 | 3,958,314 | 3,339,030 | 18,709,757 |
| 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.. | 376,184 | 376,184 | 752,368 | |||
| 4 | Total. Add lines 1 through 3 | 3,826,028 | 3,549,876 | 4,036,509 | 4,334,498 | 3,715,214 | 19,462,125 |
| 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).. | 170,986 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 19,291,139 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,826,028 | 3,549,876 | 4,036,509 | 4,334,498 | 3,715,214 | 19,462,125 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 36,446 | 18,463 | 7,295 | 9,187 | 8,961 | 80,352 |
| 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.).. | 52,959 | 41,991 | 101,599 | 69,365 | 33,079 | 298,993 |
| 11 | Total support (Add lines 7 through 10). | 19,841,470 | |||||






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 | 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) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART V, LINE 3B | UNRELATED INCOME WAS REPORTED ON THREE SEPARATE FORM 990-T'S UNDER THREE SEPARATE TAX ID NUMBERS FOR THREE AFFILIATED SENIOR CENTERS INCLUDED IN A GROUP RETURN AS FOLLOWS, NORTHSHORE SENIOR CENTER 91-1184432, WEST SEATTLE SENIOR CENTER 23-7155008, AND SOUTHEAST SENIOR CENTER 91-1156576. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS ARE ENTITLED TO A DISCOUNTED FEE FOR PROGRAMS AND CLASSES AT THE SENIOR CENTERS. THE MEMBERSHIP FEE IS NOMINAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | CERTAIN BOARD MEMBERS OF EACH CENTER ARE ELECTED BY MEMBERS OF THE CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11 | DRAFT 990 IS PRESENTED TO SENIOR SERVICES' BOARD OF DIRECTORS FOR APPROVAL. APPROVAL IS DOCUMENTED IN BOARD OF DIRECTORS (BOD) MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH EMPLOYEE SIGNS A CONFLICT OF INTEREST STATEMENT AT THE TIME OF HIRE AND SUBSEQUENTLY EVERY TWO YEARS. EACH SENIOR CENTER BOD HANDLES THE PROCESS DIFFERENTLY - SOME USE A STATEMENT DEVELOPED BY SENIOR SERVICES FOR ITS OWN BOARD MEMBERS AND SOME USE THEIR OWN INTERNALL DEVELOPED STATEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO'S PERFORMANCE IS EVALUATED BY THE BOD EVERY OTHER YEAR. AT THE END OF THAT PROCESS, HER COMPENSATION IS REVIEWED AND SALARY INCREASES, IF APPROPRIATE, ARE SCHEDULE FOR THE FOLLOWING JANUARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | AT THIS TIME, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. SENIOR SERVICES DOES MAKE AVAILABLE ITS ANNUAL REPORT WITH UNAUDITED FINANCIAL INFORMATION ON THE AGENCY'S WEBSITE (WWW.SENIORSERVICES.ORG) |
| FORM 990, PART IX, LINES 7-10: | ALL SALARIES, BENEFITS, AND PAYROLL TAXES REPORTED ON PART IX ARE PAID BY SENIOR SERVICES (AGENCY), EIN 91-0823767, AND REIMBURSED BY THE INDIVIDUAL CENTERS. |
| FORM 990, PART XI, LINE 9: | SEPARATION OF CENTRAL AREA SENIOR CENTER 17,926. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS OF THE AUDIT COMMITTEE FOR REVIEWING THE AUDITED FINANCIAL STATEMENTS HAS NOT CHANGED. |
| Software ID: | |
| Software Version: |
| Name | Address | EIN | Name control |
|---|---|---|---|
| SENIOR SERVICES - NORTHSHORE SENIOR CENTER |
10201 E RIVERSIDE DRIVE BOTHELL, WA 98011 |
91-1184432 |
SENI |
| SENIOR SERVICES - NORTHWEST SENIOR CENTER |
5429 32ND AVENUE NW SEATTLE, WA 98107 |
91-1156588 |
SENI |
| SENIOR SERVICES - WEST SEATTLE |
4217 SW OREGON STREET SEATTLE, WA 98116 |
23-7155008 |
SENI |
| SENIOR SERVICES - SOUTHEAST SEATTLE SENIOR CENTER |
4655 S HOLLY STREET SEATTLE, WA 98118 |
91-1156576 |
SENI |
| SENIOR SERVICES - SHORELINE-LAKE FOREST PARK SENIOR CENTER |
18560 1ST AVENUE NE 1 SEATTLE, WA 98155 |
91-1156587 |
SENI |
| SENIOR SERVICES - SNO-VALLEY SENIOR CENTER |
PO BOX 96 CARNATION, WA 98014 |
91-1156586 |
SENI |