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
NORTHWEST ASSISTANCE MINISTRIES
Employer identification number
76-0088702
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.") ....
6,509,673
6,515,652
6,450,741
6,082,764
6,238,456
31,797,286
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
6,509,673
6,515,652
6,450,741
6,082,764
6,238,456
31,797,286
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)..
20,950
6
Public support. Subtract line 5 from line 4.
31,776,336
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..
6,509,673
6,515,652
6,450,741
6,082,764
6,238,456
31,797,286
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
34,681
37,491
36,530
26,769
33,796
169,267
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.)..
8,598
14,411
12,657
18,189
82,088
135,943
11
Total support (Add lines 7 through 10).
32,102,496
12
Gross receipts from related activities, etc. (see instructions)
..................
12
9,405,061
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
98.980 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
98.080 %
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.") .
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.)
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...
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.)..
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
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
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
NORTHWEST ASSISTANCE MINISTRIES
Employer identification number
76-0088702
Identifier
Return Reference
Explanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
NAM RECEIVES SUBSTANTIAL DONATIONS OF SERVICES FROM VOLUNTEER MEDICAL AND OTHER PROFESSIONALS. ADDITIONAL VOLUNTEER HOURS ARE DONATED TO FULFILL THE MANY ACTIVITES OF THE ORGANIZATION.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
245 HOUSEHOLD MEMBERS RECEIVED HELP WITH RENT OR MORTGAGE ASSISTANCE AND UTILITIES. THE JOANNE WATFORD NUTRITION CENTER PROVIDED GROCERIES FOR WELL-BALANCED FRESH, FROZEN AND NON-PERISHABLE MEALS TO 24,148 PEOPLE. THE NUTRITION CENTER ENABLES QUALIFYING CLIENTS TO SHOP FOR AND SELECT FOOD ITEMS BASED ON THE FAMILY'S NUTRITION NEEDS. AS PART OF THE SENIOR FOOD PROGRAM, 91 LOW INCOME SENIORS RECEIVED SUPPLEMENTAL GROCERIES EVERY MONTH.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
MEDICAL APPOINTMENTS IN THE AREA. A CONGREGATE MEAL SERVICE, THE 60+ CAFE, WAS IMPLEMENTED IN MARCH 2013. A TOTAL OF 3,054 MEALS WERE SERVED AND 440 RIDES WERE PROVIDED FOR SENIORS ACCESSING THE ONSITE MEAL SERVICE.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
THE FAMILY VIOLENCE CENTER (FVC) PROVIDED CRISIS INTERVENTION, SAFETY PLANNING, ADULT AND CHILDREN'S COUNSELING,EMERGENCY SHELTER, LEGAL ADVOCACY AND EDUCATION TO 15,979 INDIVIDUALS. THIS TOTAL INCLUDES 13,597 FVC HOTLINE CALLS FROM VICTIMS IN CRISIS OR INDIVIDUALS SEEKING ASSISTANCE. THE NEWLY REVISED YOUTH EDUCATION PROGRAM PRESENTED HEALTHY RELATIONSHIP WORKSHOPS, AND OTHER ANTI-VIOLENCE PROGRAMS TO 22,877 MIDDLE AND HIGH SCHOOL STUDENTS. 597,613 THE INTERFAITH HOSPITALITY NETWORK PROVIDED 2,947 SHELTER NIGHTS TO 62 ADULTS AND CHILDREN TRANSITIONING FROM HOMELESSNESS. FORTY-EIGHT (48) PERCENT OF THE FAMILIES MOVED TO STABLE HOUSING IN LESS THAN 30 DAYS, 47% MOVED TO STABLE HOUSING WITHIN 90 DAYS AND 5% MOVED AFTER 90 DAYS. NINETEEN (19)HOST CONGREGATIONS COMPLETED 17,017 VOLUNTEER HOURS TO ASSIST FAMILIES WITH SHELTER, MEALS AND ACTIVITIES FOR CHILDREN. 194,128 THROUGH THE LEARNING CENTER,OVER 205 STUDENTS WERE REGISTERED IN ADULT BASIC EDUCATION CLASSES INCLUDING; GED, ENGLISH AS A SECOND LANGUAGE, ENGLISH LITERACY, AND COMPUTER LITERACY TRAINING. IN THE EMPLOYMENT ASSISTANCE AREA 164 CLIENTS RECEIVED CAREER GUIDANCE INCLUDING; 108 JOB REFERRALS, 30 VOCATIONAL EDUCATION OPPORTUNITIES AND GRANTS AND 28 JOB PLACEMENTS. 171,753 THE RESALE SHOP PROVIDES LOW COST AND NO COST CLOTHING AND HOUSEHOLD ITEMS TO NAM'S CLIENTS AND SHOPPING ALTERNATIVES AND VOLUNTEER OPPORTUNITIES TO THE COMMUNITY IN GENERAL AND SUPPORT FOR OTHER PROGRAMS. 1,369,525
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
MANAGEMENT PERFORMS A DETAILED REVIEW PRIOR TO FILING. ALL VOTING MEMBERS OF THE BOARD ARE PROVIDED AN ELECTRONIC COPY OF THE RETURN PRIOR TO FILING, WITH MANAGEMENT AVAILABLE FOR QUESTIONS AND COMMENTS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ANNUAL WRITTEN ACKNOWLEDGEMENT OF CONFLICT OF INTEREST OBTAINED FROM ALL MEMBERS OF THE GOVERNING BODY.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
ANNUAL PERFORMANCE EVALUATION COMPLETED BY COMMITTEE OF THE GOVERNING BODY. COMMITTEE OF THE EXECUTIVE BOARD REVIEWS COMPENSATION PRACTICES AND TRENDS FOR SIMILAR ORGANIZATIONS AS WELL AS THE PERFORMANCE EVALUATION RESULTS TO SET THE CEO COMPENSATION.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
ANNUAL PERFORMANCE EVALUATION COMPLETED BY COMMITTEE OF THE GOVERNING BODY. COMMITTEE OF THE EXECUTIVE BOARD REVIEWS COMPENSATION PRACTICES AND TRENDS FOR SIMILAR ORGANIZATIONS AS WELL AS THE PERFORMANCE EVALUATION RESULTS TO SET THE CFO COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO MANAGEMENT.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
SPECIAL EVENT EXPENSES 145,541 SPECIAL EVENT EXPENSES -145,541
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.