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
Robin Raina Foundation
Employer identification number
51-0497387
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.") ....
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
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.
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..
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).
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
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
2,004,091
1,585,791
926,000
97,678
150,000
4,763,560
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......
112,424
139,415
136,561
64,244
46,950
499,594
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
2,116,515
1,725,206
1,062,561
161,922
196,950
5,263,154
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
5,263,154
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...
2,116,515
1,725,206
1,062,561
161,922
196,950
5,263,154
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
5,109
3,289
7,095
41,296
56,789
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
16,282
16,282
c
Add lines 10a and 10b.
5,109
3,289
7,095
41,296
16,282
73,071
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
2,121,624
1,728,495
1,069,656
203,218
213,232
5,336,225
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
98.630 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
98.990 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
1.370 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.010 %
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
Robin Raina Foundation
Employer identification number
51-0497387
Return Reference
Explanation
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: CLOVES Syndrome Foundation is focused on improving the lives of CLOVES patients by funding Overgrowth and Vascular Anomaly research. The foundation is committed to raising public awareness and providing member support by offering educational literature and resources while also establishing support networks within the medical and overgrowth communities. CLOVES is an extremely rare progressive overgrowth disorder, affecting approximatley 100 people worldwide. The symptoms vary from mild soft-tissue tumors to Vascular Malformations encompassing the spine or internal organs. CLOVES Syndrome is s closely linked to other overgrowth disorders like M-CM (Macrocephaly-Capillary Malformation) Syndrome, Klippel-Trnaunay-Weber Syndrome, and Proteus Syndrome.This foundation was founded by Adrienne and Chris Blankenship to help improve the life of our daughter, Emaleigh, and other CLOVES patients by raising money for research of this extremely rare progressive disorder. Our foundation is committed to raising public awareness and providing member support by offering educational literature and resources while also establishing support networks within the medical and overgrowth communities..CLOVES syndrome has many symptoms and variations, the more we learn, the better the future will be for these patients, children, loved ones. This condition affects approximately 100 people worldwide.RRF donated $5,000 towards the cause of raising public awareness and providing member support by offering educational literature and resources while also establishing support networks within the medical and overgrowth communities. OTHER PROGRAM SERVICES 5: Marlowe and Jonaha Terry - Johanna and Marlow Terry are from Moulton, AL..Johanna and Marlow lost everything they owned because of the devastation caused by the tornadoes in July 2011.Johanna was preparing to leave to her native Guatemala the next day, so the family decided to go to lunch. She mentioned the hail and dark skies, which made them hurry up to get to the restaurant, but they never looked behind to see what was happening with their farm. Within minutes of leaving (probably in their rear view mirror), the tornado hit their farm, and leveled the chicken coops, destroyed their tractors, trucks, Johannas car was on top of the tractor almost 200 yards from its original parking, their windows were sucked out together with the frames, including the patio door, which opened a big enough door for the monster-storm to pull out all of their furniture and scatter it in pieces all around the house. They found pieces from 100 yards to a mile away from the house and some of it they cant even find.They certainly feel incredibly lucky to have survived. Their neighbors were not that lucky and perished in the storm, while sitting in their house.The storms subsided, but Johanna and Marlows saga was just beginning. They spent some nights in a shelter, then they found a trailer to put on the property so they stay there to prevent it from being looted, but the trailers AC unit broke. They had no insurance, and no debt, and when they applied for a grant from FEMA, they were turned down on the aforementioned grounds. So, thats when RRF heard their story and decided to reach out and help them.RRF gave them a check for $17,530.00 towards rebuilding their homes OTHER PROGRAM SERVICES 6: Dilli - Dilli is a documentary film commissioned by the RRF to raise awareness and funds for the cause of homes for the slum dwellers across the world. The film has won 23 awards in internationak film festivals as on date.Infrastructure development in any large city across the world means different things to different people today. What is perceived as infrastructure development in one persons eyes could be actually resulting in homelessness for another person. The film Dilli attempts to capture the stark comparison of the rampant progress and development of the megalopolis of Delhi vis--vis thousands who are left homeless while the whole city is modernized and revamped.In the year 2003, Delhi Government decided to host the 2010 Commonwealth Games. In the name of cleansing the city to show off the new prowess of the country, tens of thousands of slum homes along the banks of the Yamuna River were razed to the ground, in the name of safety and environment. Soon thereafter, Government sanctioned large projects like the Commonwealth games village for athletes, on the banks of the same Yamuna River.As an involved world citizen, who has always believed in the cause of the underprivileged, RRF felt something had to be done to provide a sense of identity to these dislodged slum dwellers who had been thrown away from the confines of the city into a slum area called Juggi Jhopri (JJ Colony) in Bawana. We decided to work on various fronts - to provide education, meals, medical care, clothing to the children of these slum dwellers; to provide vocational training to these people; and most importantly to provide 6000 free concrete homes to these slum dweller families. We came up with a project to do so and today have handed over 1454 free homes already.RRF approached Documentary film makers Sushmit Ghosh and Rintu Thomas with the idea of making this film. The thought was to provide a voice to these underprivileged people through the power of cinema. Both of them loved the idea and agreed to write and direct the film. From day one, we wanted the film story to be told directly by the real cast of the film the dislodged slum dwellers and the underprivileged faces that power the citys development today as laborers, workers, rickshaw pullers, masons, cobblers etc. The goal was to convey their story in their words from their lips. As these folks deal with the dismal civil conditions around them, they still manage to keep a smile on their faces and keep their families together. The goal was to let the film be the voice of these people who are still struggling to have an identity in the same city that they are building with their own hands.Rintu and Sushmit did a fantastic job of capturing the above in a very non-fictional and matter of fact manner without making the film treatment depressing for the viewer. RRF is proud of the end product that ensured that the world gets to see this film and hears the voices of the underprivileged of Delhi. This could happen in another city in another part of the world tomorrow!
Form 990, Part VI, Line 11b: Form 990 Review Process
No review was or will be conducted.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
No documents available to the public.
Other Changes In Net Assets Or Fund Balances - Other Decreases
UNREALIZED LOSS ON SECURITIES = -$305849
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.