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
THE SISTERS SERVANTS OF MARY MINISTERS OF THE SICK INC
Employer identification number
51-0228720
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.") ....
212,566
352,374
232,347
245,734
241,558
1,284,579
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
212,566
352,374
232,347
245,734
241,558
1,284,579
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)..
35,033
6
Public support. Subtract line 5 from line 4.
1,249,546
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..
212,566
352,374
232,347
245,734
241,558
1,284,579
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9,889
20,086
21,432
23,768
19,726
94,901
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
12,459
12,459
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11,859
9,739
5,783
2,362
2,766
32,509
11
Total support (Add lines 7 through 10).
1,424,448
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
87.720 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
87.180 %
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.") .
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) 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.)..
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
THE SISTERS SERVANTS OF MARY MINISTERS OF THE SICK INC
Employer identification number
51-0228720
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
EVERY SISTER IN GOOD STANDING OF SAID RELIGIOUS SOCIETY, SISTERHOOD OR ORDER KNOWN AS THE SISTERS SERVANTS OF MARY, NURSES OF THE SICK, WHO SHALL HAVE REGULARLY MADE HER FIRST VOWS IN ACCORDANCE WITH THE LAWS, CANON RULES, REGULATIONS AND DISCIPLINE OF THE ROMAN CATHOLIC CHURCH AND THE CONSTITUTIONS, RULES, REGULATIONS AND DISCIPLINE OF SAID SOCIETY, SISTERHOOD OR ORDER, AND WHO IS NOW OR AT ANY TIME HEREAFTER MAY BE A MEMBER OF THE PARTICULAR FOUNDATION, HOUSE COMMUNITY OR ORGANIZATION OF SAID SOCIETY, SISTERHOOD OR ORDER AT THE BRONX, BOROUGH OF THE BRONX, CITY AND STATE OF NEW YORK., WHILE AND AS LONG AS SHE MAY BE SO A MEMBER OF SAID PARTICULAR FOUNDATION, HOUSE, COMMUNITY OR ORGANIZATION, SHALL BE A MEMBER OF THE CORPORATION. NO PERSON SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION OR SHALL REMAIN THEREOF UNLESS, IN ACCORDANCE WITH THE AFORESAID LAWS, CANONS, CONSTITUTIONS, RULES, REGULATIONS AND DISCIPLINE, SHE BE SUCH A SISTER IN GOOD STANDING OF SUCH RELIGIOUS SOCIETY, SISTERHOOD OR ORDER AND A MEMBER OF SUCH PARTICULAR FOUNDATION, HOUSE, COMMUNITY OR ORGANIZATION HEREOF.
FORM 990, PART VI, SECTION A, LINE 7A
EVERY SISTER IN GOOD STANDING OF SAID RELIGIOUS SOCIETY, SISTERHOOD OR ORDER KNOWN AS THE SISTERS SERVANTS OF MARY, NURSES OF THE SICK, WHO SHALL HAVE REGULARLY MADE HER FIRST VOWS IN ACCORDANCE WITH THE LAWS, CANON RULES, REGULATIONS AND DISCIPLINE OF THE ROMAN CATHOLIC CHURCH AND THE CONSTITUTIONS, RULES, REGULATIONS AND DISCIPLINE OF SAID SOCIETY, SISTERHOOD OR ORDER, AND WHO IS NOW OR AT ANY TIME HEREAFTER MAY BE A MEMBER OF THE PARTICULAR FOUNDATION, HOUSE COMMUNITY OR ORGANIZATION OF SAID SOCIETY, SISTERHOOD OR ORDER AT THE BRONX, CITY AND STATE OF NEW YORK, WHILE AS LONG AS SHEW MAY BE SO A MEMBER OF SAID PARTICULAR FOUNDATION, HOUSE, COMMUNITY OR ORGANIZATION, SHALL BE A MEMBER OF THE CORPORATION. NO PERSON SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE CORPORATION OR SHALL REMAIN THEREOF UNLESS, IN ACCORDANCE WITH THE AFORESAID LAWS, CANONS, CONSTITUTIONS, RULES, REGULATIONS AND DISCIPLINE, SHE BE SUCH A SISTER IN GOOD STANDING OF SUCH RELIGIOUS SOCIETY, SISTERHOOD OR ORDER AND A MEMBER OF SUCH PARTICULAR FOUNDATION, HOUSE, COMMUNITY OR ORGANIZATION HEREOF.
FORM 990, PART VI, SECTION A, LINE 7B
THE BYLAWS MAY BE AMENDED AT ANY REGULAR GENERAL MEETING OF THE MEMBERS OF THE CORPORATION OR AT A SPECIAL MEETING CALLED FOR THE PURPOSE, THE CALL TO DESIGNATE THE POSED AMENDMENT OR AMENDMENTS.
FORM 990, PART VI, SECTION A, LINE 8B
THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS PREPARED BY THE OUTSIDE AUDITORS AND PAPER COPIES OF THE RETURN ARE GIVEN TO THE OFFICERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. WHEN ALL ISSUES HAVE BEEN RESOLVED, THE FINAL DRAFT IS APPROVED BY THE OFFICERS, SIGNED AND FILED IN A TIMELY MANNER.
FORM 990, PART VI, SECTION B, LINE 12C
IMMEDIATELY UPON ELECTION TO THE BOARD, ALL DIRECTORS SHALL DISCLOSE ANY RELEVANT INTEREST WHICH MAY POSE CONFLICT OF INTEREST QUESTIONS. DISCLOSURE SHALL INCLUDE ANY INTEREST, FINANCIAL OR OTHERWISE, IN ANY CORPORATION, ORGANIZATION, OR PARTNERSHIP WHICH PROVIDES PROFESSIONAL OR OTHER SERVICES TO THE ORGANIZATION. WHEN ANY MATTER COMES BEFORE THE BOARD OR ANY COMMITTEE OF THE BOARD IN WHICH A DIRECTOR HAS AN INTEREST, THAT INTEREST SHALL BE IMMEDIATELY DISCLOSED TO THE BOARD OR COMMITTEE. UPON ANY CHANGE IN INTEREST STATUS, A DIRECTOR IS REQUIRED TO UPDATE HIS/HER DISCLOSURE PRIOR TO VOTING AT SUBSEQUENT MEETING OF THE BOARD. IF A CONFLICT OF INTEREST SHOULD ARISE THE INDIVIDUAL INVOLVED WOULD RECUSE THEMSELF FROM PARTICIPATING IN THE DISCUSSION AND SUBSEQUENT VOTE ON THE TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION'S FORM 1023 IS AVAILABLE FOR INSPECTION UPON WRITTEN REQUEST DURING NORMAL BUSINESS HOURS. THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION ON THE WEBSITE OF THE OFFICE OF THE ATTORNEY GENERAL OF THE STATE OF NY AND ON THE WEBSITE WWW.GUIDESTAR.ORG. IN ADDITION, FORM 990 IS ALSO AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S BUSINESS ADDRESS DURING NORMAL BUSINESS HOURS.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST DURING NORMAL BUSINESS HOURS.
FORM 990, PART XII, LINE 2C
THE SISTERS SERVANTS OF MARY MINISTERS BOARD ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT AUDITOR. THE POLICY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS HAS NOT CHANGED SINCE LAST YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.