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
WHITTIER PREGNANCY CARE CLINIC
Employer identification number
95-4305452
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.") ....
286,699
363,895
321,650
339,705
445,036
1,756,985
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
286,699
363,895
321,650
339,705
445,036
1,756,985
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)..
0
6
Public support. Subtract line 5 from line 4.
1,756,985
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..
286,699
363,895
321,650
339,705
445,036
1,756,985
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
8,651
8,832
8,847
7,273
6,224
39,827
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
329
29
358
11
Total support (Add lines 7 through 10).
1,797,170
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
97.760 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
97.400 %
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:
13000170
Software Version:
2013v3.1
-
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
WHITTIER PREGNANCY CARE CLINIC
Employer identification number
95-4305452
Return Reference
Explanation
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: SUPPORT PROGRAMS - INCLUDING ABSTINENCE EDUCATION, POST ABORTION EDUCATION, AND STEPPING STONES PROGRAMS - ABSTINENCE EDUCATION IS PROVIDED TO THE COMMUNITY AS REQUESTED BY CLINIC PERSONNEL. POST ABORTION SERVICES INCLUDE SUPPORT GROUPS TO FACILITATE EMOTIONAL HEALING. STEPPING STONES IS A PROGRAM DESIGNED TO PROVIDE PARENTING INFORMATION AND RESOURCES TO WOMEN WHO CHOSE TO PARENT THEIR CHILD.
Form 990, Part VI, Line 11b: Form 990 Review Process
THE BOARD OF DIRECTORS MUST REVIEW THE ANNUAL FORM 990 INFORMATION TAX RETURN PRIOR TO FILING. A QUALIFIED AND AUTHORIZED PERSON SHALL COMPLETE THE ANNUAL FORM 990 INFORMATIONAL RETURN UNDER THE DIRECTION OF THE CHIEF FINANCIAL OFFICER. THE RETURN SHALL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER (PRESIDENT) AND CHIEF FINANCIAL OFFICER AND THEN PRESENTED TO ALL BOARD MEMBERS, AT A BOARD MEETING, PRIOR TO ITS FILING WITH THE IRS. THE CHIEF FINANCIAL OFFICER MAY REVIEW THE RETURN WITH THE BOARD. UPON APPROVAL BY THE BOARD OF DIRECTORS THE 990 RETURN SHALL BE FILED WITH THE IRS.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
THE COMPENSATION OF THE CEO (PRESIDENT) IS FIXED FROM TIME TO TIME BY RESOLUTION OF THE BOARD OF DIRECTORS. IN ALL CASES, ANY SALARIES RECEIVED BY OFFICERS OF THIS CORPORATION SHALL BE REASONABLE AND GIVEN IN RETURN FOR SERVICES ACTUALLY RENDERED THE CORPORATION WHICH RELATE TO THE PERFORMANCE OF THE CHARITABLE PURPOSES OF THIS CORPORATION. THE EXECUTIVE REVIEW COMMITTEE SHALL PROVIDE AN ANNUAL EVALUATION OF THE PRESIDENT USING THE EXECUTIVE PERFORMANCE EVALUATION IN THE NIFLA/COMPASS CARE OPTIMIZATION TOOL AND PROPOSING SALARY AND BENEFITS PACKAGE CHANGES ACCORDINGLY. THE ANNUAL REVIEW SHALL CONSIDER COMPARABILITY DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS, WHEN AVAILABLE AND APPLICABLE. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT IS MAINTAINED.THE COMPLETED ANNUAL REVIEW, ALONG WITH THE COMPENSATION CHANGES, SHALL BE PRESENTED TO THE FULL BOARD OF DIRECTORS FOR A VOTE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
THE CORPORATIONS FORM 1023 (APPLICATION FOR TAX-EXEMPT STATUS) AND FORMS 990 (INFORMATIONAL TAX RETURNS) SHALL BE MADE AVAILABLE FOR INSPECTION BY THE PUBLIC DURING NORMAL OFFICE HOURS FOR THREE YEARS FROM THEIR DATE OF FILING. THE NAMES AND ADDRESSES OF CONTRIBUTORS ON SCHEDULE B SHALL BE REDACTED IN THE FORM THAT IS MADE AVAILABLE TO THE PUBLIC. IF SOMEONE FROM THE PUBLIC REQUESTS A COPY OF FORM 990, THEY SHALL BE REFERRED TO WWW.QUIDESTAR.ORG WHERE THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER HAS CONFIRMED IT TO BE WIDELY DISTRIBUTED. OTHERWISE, COPIES WILL BE PROVIDED FOR A FEE OF $1.00 PER PAGE PLUS POSTAGE, IF ANY. THE CORPORATION SHALL MAKE THE ANNUAL FINANCIAL STATEMENTS AVAILABLE TO MEMBERS OF THE PUBLIC FOR INSPECTION NO LATER THAN (9)NINE MONTHS AFTER THE CLOSE OF THE FISCAL YEAR TO WHICH THE STATEMENTS RELATE.OTHER CORPORATE DOCUMENTS, SUCH AS BY-LAWS, MINUTES, FINANCIALS AND POLICIES AND PROCEDURES SHALL BE MAINTAINED AS INTERNAL DOCUMENTS AND SHALL NOT BE MADE AVAILABLE TO THE PUBLIC, UNLESS FOR A BUSINESS REASON.
FORM 990, PART I, LINE 6 - VOLUNTEERS
FOR THE 2013 YEAR THERE WERE APPROXIMATELY 55 VOLUNTEERS THAT DONATED THEIR TIME TO ASSIST THE ORGANIZATION WITH A VARIETY OF FUNCTIONS INCLUDING THE BOARD MEMBERS WITH THE BOARD MEETINGS AND PREPARATION, THE FUNDRAISING EVENTS - BOTH PLANNING AND EXECUTING, AND VOLUNTEERS WHO WORK IN THE CLINIC PERFORMING A VARIETY OF DUTIES SUCH AS THE MAILINGS AND GENERAL OFFICE ASSISTANCE. THIS INFORMATION WAS EXTRAPOLATED PRIMARILY FROM THE SIGN IN SHEETS AND THE DATABASE MAINTAINED BY THE ORGANIZATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.