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.") .... | 9,717 | 11,709 | 19,314 | 28,547 | 45,112 | 114,399 |
| 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 | 9,717 | 11,709 | 19,314 | 28,547 | 45,112 | 114,399 |
| 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. | 114,399 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 9,717 | 11,709 | 19,314 | 28,547 | 45,112 | 114,399 |
| 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). | 114,399 | |||||






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.) | 114,399 | |||||
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.).. | ||||||




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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
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| PART VI, LINE 19 | ALL MATERIALS ARE AVAILABLE ON REQUEST. |
| FORM 990 PAGE 1, LINE F | PRINCIPAL OFFICER NAME ROBERT CLINKSCALES 300 SUNSET DRIVE HERTFORD NC 27944 |
| FORM 990 PAGE 1 PART I | BARNABAS HOUSE OF NORTHEASTERN NORTH CAROLINA INC. IS OPERATING AS A RESIDENTAL FAITH BASED MINISTRY THAT WILL EXIST PRIMARILY TO PROVIDE A STRUCTURED TRANSITIONAL PROGRAM FOR THOSE RELEASED FROM PENAL INSTITUTIONS IN THE ALBEMARLE AREA. THIS MINISTRY WILL OFFER RESIDENTS THE BASIC NECESSITIES SUCH AS FOOD, CLOTHING, SHELTER AND JOB LOCATION ASSISTANCE, WHILE SIMULTANEOUSLY PROVIDING A SHORT TERM PROGRAM TO ASSIST THEM IN THE DEVELOPMENT OF SKILLS AND THE THE ACQUISITION OF RECOURCES WITH THE GOAL OF REDUCING THE POSSIBILITY OF RECIDIVISM. |
| FORM 990 PAGE 2 PART III | BARNABAS HOUSE OF NORTHEASTERN NORTH CAROLINA INC IS OPERATING AS A RESIDENTIAL FAITH BASED MINISTRY THAT WILL EXIST PRIMARILY TO PROVIDE A STRUCTURED TRANSITIONAL PROGRAM FOR THOSE RELEASED FROM PENAL INSTITUTIONS IN THE ALBEMARLE AREA. THIS MINISTRY WILL OFFER RESIDENTS THE BASIC NECESSITIES OF LIFE, SUCH AS FOOD, CLOTHING, AND SHELTER, WHILE SIMULTANEOUSLY PROVIDING A SHORT TERM PROGRAM TO ASSIST THEM IN THE DEVELOPMENT OF SKILLS AND THE ACQUISITION OF RESOURCES WITH A GOAL OF REDUCING THE POSSIBILITY OF RECIDIVISM. |
| FORM 990 PAGE 2 PART III | BARNABAS HOUSE OF NORTHEASTERN NORTH CAROLINA, INC SERVED ON AVERAGE 5 TO 6 CANDIDATES OVER THE COURSE OF THE YEAR. THE HOUSE ALSO WAS ABLE TO HIRE A FULL TIME LIVE-IN HOUSE MANAGER THIS PAST YEAR. THE PROGRAM IS GAINING GROUND IN BEING RECOGNIZED AS A POSITIVE ALTERNATIVE FOR INMATES THAT ARE BEING RELEASE IN THE ALBEMARLE AREA. |
| FORM 990 PAGE 6 PART VI SECTION C LINE 20 | THE BARNABAS HOUSE OF NORTHEASTERN NORTH CAROLINA'S BOOKS ARE IN THE CARE OF H & R BLOCK BUSINESS SERVICES DEPARTMENT 515 W EHRINGHAUS STREET ELIZABETH CITY, NC 27909 252-338-2157, 252-338-2992 (FAX) |
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