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
AMERICAN INDIAN FAMILY CENTER
Employer identification number
41-1841352
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.") ....
1,102,952
115,466
219,943
307,324
202,951
1,948,636
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
1,102,952
115,466
219,943
307,324
202,951
1,948,636
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)..
85,608
6
Public support. Subtract line 5 from line 4.
1,863,028
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..
1,102,952
115,466
219,943
307,324
202,951
1,948,636
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
26,647
17,201
-467
231
143
43,755
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).
1,992,391
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,031,609
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
93.510 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
93.280 %
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
AMERICAN INDIAN FAMILY CENTER
Employer identification number
41-1841352
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
THE WAKANYEJA KIN WAKAN PI (OUR CHILDREN ARE SACRED) PROGRAM (OCSP) IS DESIGNED TO SUPPORT TO FAMILIES AFFECTED BY FETAL ALCOHOL SPRECTRUM DISORDERS BY FOCUSING EFFORTS TO REDUCE THE NUMBER OF NEW ALCOHOL AND DRUG AFFECTED BIRTHS, IMPROVE PARENTING KNOWLEDGE AND SKILLS, INCREASE USE OF FORMAL AND INFORMAL SUPPORT NETWORKS AVAILABLE TO THEM, CREATE A COMMUNITY DRIVEN STRATEGY WHICH REFLECTS THE NEEDS, ASSETS AND CULTURE OF OUR COMMUNITY. THE PROGRAM PROVIDES RECOVERY SUPPORT SERVICES AND INTERVENTION SUPPORT. THE OCSP ACTIVITIES INCLUDE FAMILY SUPPORT AND CARE COORDINATION, PARENTING CLASSES AND SUPPORT GROUPS, COMMUNITY AWARENESS AND EDUCATION. FAMILY SERVICES: THE FAMILY SERVICES ARE COMPRISED OF MULTIPLE PROGRAMS AND SERVICES. THE TWIN CITIES HEALTHY START (TCHS) PROGRAM HAS BEEN PROVIDING SERVICES AND SUPPORT SINCE 2000 AND IS ONE OF THE LONGEST RUNNING PROGRAMS OF THE AIFC. TCHS IS DESIGNED TO ADDRESS THE HIGH INCIDENCE OF INFANT MORTALITY IN THE AMERICAN INDIAN COMMUNITY BY PROVIDING OUTREACH, RISK ASSESSMENT AND CARE COORDINATION, AND HEALTH EDUCATION. TCHS ACTIVITIES INCLUDE MOTHER'S CIRCLE, PRENATAL AND CHILDBIRTH EDUCATION CLASSES, PARENTING CLASSES, COMMUNITY BABY SHOWERS, AND NEW BORN VISITS. THE MEDICINE WHEEL COLLABORATIVE (MWC) IS DESIGNED TO PREVENT CHILD ABUSE AND NEGLECT AND TO HELP FAMILIES HAVE STRONG RELATIONSHIPS AND CONNECTIONS IN THE COMMUNITY. THIS IS A FORMAL COLLABORATIVE WITH AIN DAH YUNG AND THE ST. PAUL PUBLIC SCHOOLS INDIAN EDUCATION PROGRAM. THE MWC ACTIVITIES CONTINUE TO INCLUDE PARENTING EDUCATION, GROUP AND CULTURAL SUPPORT, DEVELOPING FAMILY GOALS AND ACTION PLANS, AND REFERRALS FOR MORE SPECIALIZED NEEDS. SERVICES AND ACTIVITIES TO FAMILIES ARE PROVIDED MULTIPLE TIMES AND ARE REPORTED AS UNDUPLICATED FAMILIES. THE WOUNSPE WAWOKIYA (LAKOTA FOR SERVICE LEARNING) YOUTH PROGRAM IS A NEWLY DESIGNED YOUTH PROGRAM. DURING THE PAST YEAR, DURING THE STRATEGIC PLANNING PROCES, THE YOUTH PROGRAMMING WAS REFINED TO ESTABLISH A NEW SERVICE LEARNING FOCUS. THE OMBI' AYAA ANISHINABE ININIIWUG (RISE UP ORIGINAL MAN) PROGRAM (OAAIP) IS A NEW PROGRAM THAT WAS LAUNCHED DURING THE PAST YEAR AS A PART OF THE EAST METRO DIABETES COLLABORATIVE. THE PROGRAM IS DESIGNED TO ENGAGE AMERICAN INDIAN MEN AND FATHERS AS LEADERS IN THEIR FAMILY AND COMMUNITY TO PREVENT AND ADDRESS DIABETES. THE PROGRAM PROVIDES CULTURALLY SPECIFIC SUPPORT AND EDUCATION TO AMERICAN INDIAN FAMILIES IN RAMSEY COUNTY. THE OAAIP ACTIVITIES INCLUDE A WEEKLY EDUCATION AND SUPPORT GROUP, MONTHLY CULTURAL TEACHINGS, AND ACCESS TO TRADITIONALLY SUPPORTIVE ACTIVITIES.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
EMPLOYMENT. THE YOUTHLEAD PROJECT IS DESIGNED TO ASSIST YOUTH AGES 16-22 WITH BUILDING SKILLS TO IMPROVE THEIR ABILITIES TO BECOME SELF-SUFFICIENT. THE YOUTHLEAD PROJECT WAS LAUNCHED IN MARCH 2011 UNDER A COLLABORATIVE EFFORT WITH HMONG AMERICAN PARTNERSHIP.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE ORGANIZATION'S FINANCE COMMITTEE APPROVES A DRAFT OF THE FORM 990 BEFORE IT IS FORWARDED TO THE ORGANIZATION'S BOARD MEMBERS FOR THEIR REVIEW AND APPROVAL.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
AT THE START OF THE FISCAL YEAR EVERY BOARD MEMBER IS GIVEN A CONFLICT OF INTEREST DISCLOSURE FORM TO COMPLETE. IF A REAL OR PRECEIVED CONFLICT EXISTS IT WILL BE DEALT WITH ON A CASE BY CASE BASIS.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE ORGANIZATION CONSULTS THE MINNESOTA COUNCIL OF NON PROFITS ANNUAL COMPENSATION SURVEY TO DETERMINE COMMUNITY COMPENSATION RATE RANGES FOR THESE POSITIONS.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THE ORGANIZATION CONSULTS THE MINNESOTA COUNCIL OF NON PROFITS ANNUAL COMPENSATION SURVEY TO DETERMINE COMMUNITY COMPENSATION RATE RANGES FOR THESE POSITIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.