TY 2012 Form 990

- TIN:

Form990

Department of the Treasury
Internal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2012

Open to Public Inspection

A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

CName of organization
LA PLATA YOUTH SERVICES INC

Doing Business As

Number and street (or P.O. box if mail is not delivered to street address)
2301 MAIN AVE

Room/suite

City or town, state or country, and ZIP + 4
DURANGO, CO81301

D Employer identification number

84-1265550

E Telephone number

G Gross receipts $ 202,466

F Name and address of principal officer:
TODD RISBERG BOARD PRESIDENT
2301 MAIN AVE
DURANGO,CO81301

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.LPYS.ORG

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1994

M State of legal domicile: CO

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: TO PREVENT YOUTH FROM ENTERING AND FURTHER PENETRATING THE JUVENILE JUSTICE SYSTEM, WHILE HOLDING PARAMOUNT THE SAFETY OF THE PUBLIC. WE BUILD ON THE UNIQUE STRENGTHS OF EACH ADOLESCENT AND FOCUS ON POSITIVE YOUTH DEVELOPMENT.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	6
6	Total number of volunteers (estimate if necessary) .............	6	23
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	199,851	198,828
9	Program service revenue (Part VIII, line 2g) .........	2,749	675
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	158	129
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	485	2,834
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	203,243	202,466
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	151,249	128,740
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 18,414
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	40,256	57,363
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	191,505	186,103
19	Revenue less expenses. Subtract line 18 from line 12.......	11,738	16,363
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	150,650	168,307
21	Total liabilities (Part X, line 26).............	12,580	13,874
22	Net assets or fund balances. Subtract line 21 from line 20.....	138,070	154,433

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ............YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2012)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III ...............

Briefly describe the organization’s mission: TO PREVENT YOUTH FROM ENTERING AND FURTHER PENETRATING THE JUVENILE JUSTICE SYSTEM, WHILE HOLDING PARAMOUNT THE SAFETY OF THE PUBLIC. WE BUILD ON THE UNIQUE STRENGTHS OF EACH ADOLESCENT AND FOCUS ON POSITIVE YOUTH DEVELOPMENT.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ...................... Yes No

If “Yes,” describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................ Yes No

If “Yes,” describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 133,163 including grants of $ ) (Revenue $ 675 )
	LA PLATA YOUTH SERVICES (LPYS) WAS FOUNDED IN 1994 TO PROVIDE A CONTINUUM OF SERVICES TO AT-RISK YOUTH AND THEIR FAMILIES INCLUDING COMMUNITY-BASED PREVENTION, EARLY INTERVENTION, AND CRISIS INTERVENTION SERVICES. LPYS PROMOTES POSITIVE YOUTH DEVELOPMENT AND ENCOURAGES COMMUNITY ENGAGEMENT AMONG YOUTH AT RISK OF BECOMING INVOLVED IN THE CRIMINAL JUSTICE SYSTEM. ADDITIONALLY, WE WORK TO REDUCE RECIDIVISM, SUBSTANCE USE, OUT-OF-HOME PLACEMENT, TRUANCY, AND ACADEMIC FAILURE. AT LPYS, YOUTH ARE SUPPORTED, COACHED, AND MONITORED IN A VARIETY OF WAYS WITH THE GOAL OF PROVIDING COMMUNITY ACCOUNTABILITY WHILE BUILDING SKILLS TO SUPPORT HEALTHY BEHAVIORS AND SCHOOL SUCCESS. SINCE 2001, LPYS HAS BEEN DESIGNATED AS THE SINGLE POINT OF ENTRY FOR ALL YOUTH CRIMINAL DIVERSION PROGRAMS IN LA PLATA COUNTY. YOUTH ARE REFERRED TO LPYS BY THE COURTS, LAW ENFORCEMENT, AND THE SCHOOLS IN LIEU OF HAVING CRIMINAL CHARGES FILED AGAINST THEM FOR MISDEMEANORS, PETTY OFFENSES, AND HABITUAL TRUANCY. A CONTRACTUAL AGREEMENT IS PUT IN PLACE ONCE AN INTAKE ASSESSMENT IS COMPLETED AND AN INDIVIDUALIZED PLAN IS DEVELOPED. CASE MANAGERS (ALSO REFERRED TO AS YOUTH ADVOCATES) PROVIDE ASSESSMENT, SUPERVISION, USEFUL PUBLIC SERVICE SUPPORT, SCHOOL AND HOME VISITS, CRISIS MANAGEMENT, AS WELL AS REFERRAL AND RESOURCE NETWORKING. YOUTH ARE ASKED TO ENGAGE IN ACTIVITIES INCLUDING LIFE-SKILL BUILDING, PARENT COACHING, COUNSELING, AND TUTORING AS PART OF THEIR CONTRACT. IN ADDITION, RESTORATIVE JUSTICE CAN BE SUGGESTED, WHICH INCLUDES FAMILY AND VICTIM-OFFENDER MEDIATION, RESTITUTION, AND COMMUNITY SERVICE. REFERRALS TO OTHER COMMUNITY AGENCIES ARE MADE AS APPROPRIATE. PROGRAM SERVICES FOR EACH YOUTH USUALLY LAST FROM THREE TO SIX MONTHS. LPYS' PROGRAMS FOCUS ON THE INTERESTS, STRENGTHS, RISK FACTORS, AND INDIVIDUAL NEEDS OF EACH ADOLESCENT TO INSTILL A SENSE OF ACCOUNTABILITY AND SELF-WORTH. WE BELIEVE IN RESTORING A YOUTH'S COMMUNITY CONNECTIONS THROUGH MEANINGFUL COMMUNITY SERVICE, STRUCTURED FAMILY SUPPORT, AND COLLABORATION WITH VOLUNTEERS AND LIKE-MINDED ORGANIZATIONS IN LA PLATA COUNTY. PROFESSIONAL STAFF PROVIDES SERVICES TO YOUTH WHILE WORKING CLOSELY WITH THEIR FAMILIES, SCHOOL EMPLOYEES, LAW ENFORCEMENT, AND VICTIMS WHEN APPROPRIATE. IN FISCAL YEAR 2013, LPYS SERVED 130 YOUTH BETWEEN THE AGES OF 7 TO 17 AND THEIR FAMILIES WHO PROVIDED OVER 900 HOURS OF COMMUNITY SERVICE AND RELATED ACTIVITIES. LPYS PROGRAM SUCCESS RATE IS DEFINED AS COMPLETION OF ALL REQUIREMENTS OF THE CLIENT CONTRACT. OF THE 130 NEW YOUTH SERVED THIS YEAR, 110 (OR 85%) OF THEM MET ALL REQUIREMENTS OF THEIR CONTRACTS. THIS IS NEARLY A 100% INCREASE IN THE NUMBER OF NEW YOUTH SERVED IN COMPARISON TO THE PRIOR YEAR, AND IS THE HIGHEST NUMBER OF YOUTH SERVED BY OUR AGENCY IN THE LAST 6 YEARS. THIS INCREASE IN YOUTH SERVED IS THE RESULT OF NEW TARGETED EFFORTS TO RECRUIT AND INVOLVE AREA YOUTH IN ALTERNATIVE CRIMINAL JUSTICE PROGRAMS. IN FISCAL YEAR 2013, LPYS FORMED NEW PARTNERSHIPS WITH THE DURANGO MUNICIPAL AND CITY COURTS AND WITH DURANGO SCHOOL DISTRICT 9-R. LPYS NOW WORKS WITH THE DURANGO MUNICIPAL COURT TO SERVE AS THEIR PRIMARY REFERRAL SOURCE FOR YOUTH INVOLVED IN MUNICIPAL ORDINANCE VIOLATIONS THAT ARE NOT TRAFFIC RELATED AND PARTNERS WITH THE CITY COURT TO WORK WITH YOUTH IN EXCHANGE FOR DIFFERED PROSECUTIONS. IF YOUTH ARE SUCCESSFUL IN COMPLETING THEIR CONTRACTS AT LPYS, THEY CAN BE RELIEVED FROM FORMAL COURT PROCESSES. ALSO, LPYS WORKS CLOSELY WITH DURANGO SCHOOL DISTRICT 9-R TO INCREASE SERVICES TO STUDENTS AT RISK OF SCHOOL FAILURE. THIS HAS MEANT A SUBSTANTIAL INCREASE IN THE NUMBER OF YOUTH REFERRED WITH SCHOOL-RELATED ATTENDANCE AND BEHAVIOR ISSUES. ASSESSMENT: LPYS' PROGRAMS AND SERVICES ARE DRIVEN BY AND MONITORED THROUGH OUR ASSESSMENT PROCESS. EVERY LPYS CLIENT PARTICIPATES IN THE ASSESSMENT. LPYS USES THE "INSIGHT TO IMPACT 360" ASSESSMENT TOOL, CREATED BY YOUTH ZONE IN COLORADO SPRINGS, TO ASSESS RISK AND THEN GUIDE POSITIVE GROWTH IN FIVE AREAS: ALCOHOL, TOBACCO AND OTHER DRUGS; OPTIMISM AND PROBLEM SOLVING; SCHOOL AND COMMUNITY INVOLVEMENT; DELINQUENCY AND AGGRESSION; AND SELF- DEPRECATION. THE "INSIGHT TO IMPACT" ASSESSMENT IS A THREE PART PROCESS: INTAKE, PROGRESS, AND COMPLETION. "INTAKE" IS THE INITIAL ASSESSMENT OF RISK AREAS, RELATIONSHIPS, PERSONALITY, HOBBIES, ETC. THE "PROGRESS ASSESSMENT" IS CONTINUOUS ON HOW THEY PROGRESS ON THE PROGRAMS AND OBLIGATIONS AS LAID OUT IN THEIR CONTRACT. THE "COMPLETION ASSESSMENT" INDICATES THE OVERALL ACHIEVEMENT OF COMPLETING THEIR CONTRACT REQUIREMENTS, AND SHOWS ANY IMPROVEMENTS IN THE DEFINED RISK AREAS. THE CONTRACT DEVELOPED BETWEEN THE YOUTH AND CASE MANAGER INCLUDES A CLIENT- SPECIFIC PLAN TO GUIDE POSITIVE GROWTH IN EACH RISK AREA. THE PROGRAMS AND SERVICES WE OFFER TO YOUTH AND THEIR FAMILIES AS PART OF THEIR CONTRACT INCLUDE: 1. ADVOCACY PROGRAM: OUR MENTORSHIP PROGRAM IS DESIGNED FOR YOUTH WE SERVE AND COLLEGE STUDENTS AT FORT LEWIS COLLEGE. LPYS MATCHES ADVOCATES AND YOUTH BASED ON SHARED INTERESTS OR BACKGROUNDS. ADVOCATES PROVIDE SUPPORT IN SOCIAL AND ACADEMIC DEVELOPMENT THROUGH TUTORING, RECREATIONAL ACTIVITIES, COMMUNITY SERVICE, EATING LUNCH TOGETHER OR EVEN JUST HANGING OUT. OUR GOAL WITH THE MENTORING PROGRAM IS TO PROVIDE ADEQUATE SUPPORT AND RELATIONSHIPS TO YOUTH IN NEED. THESE PRO-SOCIAL RELATIONSHIPS HELP YOUTH OVERCOME NEGATIVE FORCES AND PROMOTE HEALTHY DEVELOPMENT. OFTEN YOUTH WHO GET INVOLVED IN THE CRIMINAL JUSTICE SYSTEM OR CRIME DO NOT HAVE HEALTHY FAMILY, COMMUNITY OR ADULT RELATIONSHIPS. YOUTH ARE INCREASINGLY BECOMING INVOLVED WITH DRUGS/ALCOHOL, CRIME, RISKY BEHAVIOR, AND GANGS. DATA SHOW THAT HIGH SCHOOL STUDENTS ARE LESS LIKELY TO DROP OUT OF SCHOOL IF THEY HAVE AN ADVOCATE. 2. BULLYING AWARENESS GROUP: THE LPYS BULLYING AWARENESS GROUP IS DESIGNED TO HELP YOUTH IN LA PLATA COUNTY UNDERSTAND REASONS WHY BULLYING IS SUCH A PERVASIVE ISSUE AND DEVELOP THE TOOLS TO COMBAT BULLYING IN A CONSTRUCTIVE NON-VIOLENT WAY. MUCH OF THE RESEARCH ON BULLYING PREVENTION EMPHASIZES PEER SUPPORT AS AN INTEGRAL PART TO BULLYING PREVENTION. BY EQUIPPING YOUTH WITH THE KNOWLEDGE NEEDED TO CHALLENGE BULLYING PREJUDICE AND OPPRESSION, WE CAN INCREASE THE OVERALL SAFETY OF SCHOOLS AND YOUTH ENVIRONMENTS AS A WHOLE. 3. GETTING REAL ABOUT MARIJUANA (GRAM): GRAM IS AN EVIDENCE BASED PROGRAM THAT IS PART EDUCATIONAL AND PART COGNITIVE BEHAVIORAL THERAPY (CBT). GRAM CONSISTS OF FIVE SEPARATE GROUP SESSIONS THAT ARE NINETY MINUTES EACH FOLLOWED BY ONE TO TWO INDIVIDUAL SESSIONS OF MOTIVATIONAL INTERVIEWING (MI). THIS GROUP IS BASED ON HARM REDUCTION RATHER THAN ABSTINENCE FROM MARIJUANA USE. CONTENT COVERED INCLUDES AMENDMENT 64 AND MEDICAL MARIJUANA, PSYCHOLOGICAL AND PHYSICAL EFFECTS, PERCEIVED USE BY TEENS COMPARED TO ACTUAL USE, CRAVINGS, PEER PRESSURE, PROBLEM SOLVING, EMOTIONAL AWARENESS AND ENHANCING SOCIAL SUPPORT. 4. PARENTING GROUPS: LA PLATA YOUTH SERVICES IS BUILDING THE CAPACITY TO ASSIST PARENTS OF AT-RISK YOUTH. WE CURRENTLY WORK WITH A PARENTING COACH AND PLAY THERAPIST TO ASSIST WITH PARENT SUPPORT. WE DIRECTLY REFER PARENTS FOR ANY CONCERNS THEY MAY HAVE WITH THEIR CHILDREN OR WITH PARENTING. THERE IS CURRENTLY A FREE PARENTING GROUP THAT MEETS ONCE A MONTH. THIS GROUP IS INTENDED TO PROVIDE SUPPORT AMONG PARENTS ON ANY ASPECT OF PARENTING AND IS NOT EXCLUSIVE TO PARENTS WORKING WITH LA PLATA YOUTH SERVICES. 5. RESTORATIVE JUSTICE (RJ): LPYS' RESTORATIVE JUSTICE (RJ) PROGRAM IS A PROGRAM DESIGNED TO STRENGTHEN RELATIONSHIPS BETWEEN YOUTH AND COMMUNITY BY REPAIRING HARM FROM CONFLICT SITUATIONS. LPYS FACILITATES RJ CONFERENCES AND CIRCLES WHICH WHEN SUCCESSFUL RESULT IN A RESTITUTION CONTRACT AGREED UPON BY ALL PARTIES AND, UPON COMPLETION, RESULTS IN VICTIMS SATISFIED WITH THE OUTCOME. RJ CAN SIGNIFICANTLY AID IN THE HEALING PROCESS, LEAD TO RESTITUTION FOR THE VICTIM, AND IMPROVE COMMUNITY SUPPORT AND COHESION. RJ MUST BE NAVIGATED PROPERLY AND WITH DEVOTED TIME TO THE CONFLICT AND INSIGHT INTO THE ROOTS OF THE PROBLEM. WHEN THE NEEDS OF ALL PEOPLE INVOLVED (VICTIM, COMMUNITY, AND OFFENDER) ARE ADDRESSED AND DISCUSSED, THEN GOALS ARE MADE TO MEET THOSE NEEDS WITH A CORRESPONDING EFFORT TO COMMENCE RESTITUTION. 6. TRUANCY: LPYS COLLABORATES WITH DURANGO SCHOOL DISTRICT 9-R TO HELP YOUTH WITH HABITUAL TRUANCY ISSUES BY LEADING THE COUNTY-WIDE COMMUNITY MULTI-AGENCY REVIEW TEAM OR SMART TO PROVIDE WRAP-AROUND CARE TO COMPLEX NEED YOUTH AND THEIR FAMILIES AND ADDRESS THE UNDERLYING FACTORS CONTRIBUTING TO SCHOOL ATTENDANCE ISSUES. 7. TUTORING: FOR YOUTH WHO HAVE INDICATED CHALLENGES AT SCHOOL OR WITH ACADEMIC PERFORMANCE, LPYS OFFERS FREE ACADEMIC TUTORING TO PROVIDE ADDITIONAL SUPPORT. TUTORS ARE AVAILABLE TO WORK WITH YOU IN THE AREAS OF MATH, SCIENCE AND READING FOR YOUTH IN NEED. 8. USEFUL PUBLIC SERVICE: OFTEN, WHEN A YOUTH IS ASKED, "HOW CAN YOU MAKE THINGS RIGHT?" THE ANSWER IS SOME FORM OF USEFUL PUBLIC SERVICE. THIS LEVEL OF COMMUNITY ENGAGEMENT IS A POWERFUL OPPORTUNITY FOR YOUTH TO GAIN LIFE SK

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses133,163

Form 990 (2012)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

........................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I Click to see attachment

........................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II Click to see attachment

...

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment

....................

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV Click to see attachment

..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V Click to see attachment

......

Yes

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI. Click to see attachment

...................

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII Click to see attachment

.......

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII Click to see attachment

.......

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX Click to see attachment

............

11d

Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X Click to see attachment

11e

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X Click to see attachment

.........................

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment

.................

12a

Yes

Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

12b

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....

14a

Did the organization maintain an office, employees, or agents outside of the United States?.....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................

20a

Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....

20a

If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Form 990 (2012)

Page 4

Part IV

Checklist of Required Schedules (continued)

Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...

Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........

Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J.......................

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................

24c

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................

25b

Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........

Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................

28a

A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................

28b

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...

28c

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...

35b

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2012)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule O contains a response to any question in this Part V ...............

Yes

Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................

If "Yes," enter the name of the foreign country: MediumBullet

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?..........

Did the organization make a distribution to a donor, donor advisor, or related person?.......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2012)

Page 6

Part VI

Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response to any question in this Part VI ...............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year .....................

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent ...................

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Other officers or key employees of the organization ................

15b

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBullet

KAREN ROBERTS2301 MAIN AVENUEDURANGOCO81301 (970) 385-4440

Form 990 (2012)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response to any question in this Part VII ...............

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) TODD RISBERG........................................................................ PRESIDENT	2.00 .......................	X	X	0	0	0
(2) NILES BRUNO........................................................................ VICE PRESIDE	2.00 .......................	X	X	0	0	0
(3) LEZLIE MAYER........................................................................ TREASURER	2.00 .......................	X	X	0	0	0
(4) JOE MCINTYRE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(5) JAMES SPRATLEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(6) SHERRI DUGDALE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(7) JACKIE OROS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(8) AMY KENDZORSKI........................................................................ DIRECTOR (FO	1.00 .......................	X		0	0	0
(9) JAY J WOOD........................................................................ EXEC DIR (FO	40.00 .......................		X	45,000	0	9,030
(10) STEVE BRITTAIN........................................................................ EXEC DIR (NO	40.00 .......................		X	0	0	0
(11) CHRISTINE IMING........................................................................ BOOKKEEPER (	20.00 .......................		X	0	0	0

Form 990 (2012)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)						(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	45,000	9,030

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization

Form 990 (2012)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response to any question in this Part VIII ..............

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		16,683
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		165,945

f	All other contributions, gifts, grants, and similar amounts not included above1f		16,200

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			198,828
			Business Code
2a	PROGRAM SERVICES		541380	675	675
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			675
3	Investment income (including dividends, interest, and other similar amounts).......			129			129
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	OTHER INCOME			2,834	2,834
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,834
12	Total revenue. See Instructions......			202,466	3,509		129

Form 990 (2012)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	58,698	29,717	18,175	10,806
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	48,595	47,920		675
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	228	168	34	26
9	Other employee benefits .......	12,856	11,219	976	661
10	Payroll taxes ...........	8,363	6,185	1,236	942
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	3,554		3,554
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	17,139	12,675	1,135	3,329
12	Advertising and promotion ....	755	558	112	85
13	Office expenses .......	14,921	11,480	2,184	1,257
14	Information technology ......	6,332	5,832	284	216
15	Royalties ..
16	Occupancy ...........	2,702	1,998	400	304
17	Travel ............	4,253	4,253
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	999	739	147	113
23	Insurance ..............	6,289		6,289
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	INSTRUCTION/SUPERVISION	419	419
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	186,103	133,163	34,526	18,414
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2012)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			41,208	1	32,469
2	Savings and temporary cash investments .........			64,431	2	64,560
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			33,591	4	62,595
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ..........			3,744	9	2,691
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	28,560
b	Less: accumulated depreciation .....	10b	22,568	7,676	10c	5,992
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 34)......			150,650	16	168,307
17	Accounts payable and accrued expenses .........			12,580	17	13,874
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................				25
26	Total liabilities. Add lines 17 through 25.........			12,580	26	13,874
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			138,070	27	154,433
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			138,070	33	154,433
34	Total liabilities and net assets/fund balances ........			150,650	34	168,307

Form 990 (2012)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI ...............

Total revenue (must equal Part VIII, column (A), line 12) ............

202,466

Total expenses (must equal Part IX, column (A), line 25) ............

186,103

Revenue less expenses. Subtract line 2 from line 1 ..............

16,363

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..

138,070

Net unrealized gains (losses) on investments ...............

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))

154,433

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII ..............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?

If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits

Form 990 (2012)

Form 990, Special Condition Description:

Special Condition Description

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

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. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

LA PLATA YOUTH SERVICES INC

Employer identification number

84-1265550

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

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).

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 ..................................................

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

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


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

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.") ....	242,956	225,412	217,923	199,851	198,828	1,084,970
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..	21,763	21,600	21,600	21,600	21,600	108,163
4	Total. Add lines 1 through 3	264,719	247,012	239,523	221,451	220,428	1,193,133
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.						1,193,133

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..	264,719	247,012	239,523	221,451	220,428	1,193,133
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	337	134	159	158	129	917
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).						1,194,050

Gross receipts from related activities, etc. (see instructions) ..................

8,088

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........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

99.920 %

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

56.960 %

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 ....................... right arrow

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 ..................... right arrow

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 ..................................................... right arrow

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 ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

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.)..

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............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

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 ........ right arrow

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 ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

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 B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

LA PLATA YOUTH SERVICES INC

Employer identification number

84-1265550

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization LA PLATA YOUTH SERVICES INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization LA PLATA YOUTH SERVICES INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
LA PLATA YOUTH SERVICES INC

Employer identification number

84-1265550

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

LA PLATA YOUTH SERVICES INC

Employer identification number

84-1265550

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	10,943	1,325	1,374	3,290
b	Contributions ........		10,000	500
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	-10,943	-382	-549	-1,916
f	Administrative expenses ....
g	End of year balance ......		10,943	1,325	1,374

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............	7,467	1,725	5,742
d	Equipment ................	21,093	20,843	250
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				5,992

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	231,866
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b	29,400
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	29,400
3	Subtract line 2e from line 1.....................			3	202,466
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................			4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	202,466

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........			1	215,503
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	29,400
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e	29,400
3	Subtract line 2e from line 1.....................			3	186,103
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	186,103

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	TEMPORARILY RESTRICTED NET ASSETS ARE SPENT IN ACCORDANCE WITH DONORS' RESTRICTIONS.
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C) (3). ACCORDINGLY, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN PROVIDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) IS SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER FILING.

Schedule D (Form 990) 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.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

LA PLATA YOUTH SERVICES INC

Employer identification number

84-1265550

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	TO PREVENT YOUTH FROM ENTERING AND FURTHER PENETRATING THE JUVENILE JUSTICE SYSTEM, WHILE HOLDING PARAMOUNT THE SAFETY OF THE PUBLIC. WE BUILD ON THE UNIQUE STRENGTHS OF EACH ADOLESCENT AND FOCUS ON POSITIVE YOUTH DEVELOPMENT.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	OUR VOLUNTEERS PERFORM MEDIATION BETWEEN BOTH VICTIMS OF CRIME AND CHILDREN WHO HAVE COMMITTED THOSE CRIMES AS WELL AS COMMUNITY CONFERENCES TO RESOLVE COMMUNITY ISSUES. WE ALSO UTILIZE VOLUNTEERS TO CONDUCT TUTORING, GED PREPARATION, AND ONLINE EDUCATIONAL ASSISTANCE. THE LPYS BOARD OF DIRECTORS IS ALSO A VOLUNTARY BOARD THAT REVIEWS THE FINANCIALS, PROGRAM POLICY, AND PROVIDES OVERSIGHT OF THE EXECUTIVE DIRECTOR.
FIRST ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4A	COUNTY. YOUTH ARE REFERRED TO LPYS BY THE COURTS, LAW ENFORCEMENT, AND THE SCHOOLS IN LIEU OF HAVING CRIMINAL CHARGES FILED AGAINST THEM FOR MISDEMEANORS, PETTY OFFENSES, AND HABITUAL TRUANCY. A CONTRACTUAL AGREEMENT IS PUT IN PLACE ONCE AN INTAKE ASSESSMENT IS COMPLETED AND AN INDIVIDUALIZED PLAN IS DEVELOPED. CASE MANAGERS (ALSO REFERRED TO AS YOUTH ADVOCATES) PROVIDE ASSESSMENT, SUPERVISION, USEFUL PUBLIC SERVICE SUPPORT, SCHOOL AND HOME VISITS, CRISIS MANAGEMENT, AS WELL AS REFERRAL AND RESOURCE NETWORKING. YOUTH ARE ASKED TO ENGAGE IN ACTIVITIES INCLUDING LIFE-SKILL BUILDING, PARENT COACHING, COUNSELING, AND TUTORING AS PART OF THEIR CONTRACT. IN ADDITION, RESTORATIVE JUSTICE CAN BE SUGGESTED, WHICH INCLUDES FAMILY AND VICTIM-OFFENDER MEDIATION, RESTITUTION, AND COMMUNITY SERVICE. REFERRALS TO OTHER COMMUNITY AGENCIES ARE MADE AS APPROPRIATE. PROGRAM SERVICES FOR EACH YOUTH USUALLY LAST FROM THREE TO SIX MONTHS. LPYS' PROGRAMS FOCUS ON THE INTERESTS, STRENGTHS, RISK FACTORS, AND INDIVIDUAL NEEDS OF EACH ADOLESCENT TO INSTILL A SENSE OF ACCOUNTABILITY AND SELF-WORTH. WE BELIEVE IN RESTORING A YOUTH'S COMMUNITY CONNECTIONS THROUGH MEANINGFUL COMMUNITY SERVICE, STRUCTURED FAMILY SUPPORT, AND COLLABORATION WITH VOLUNTEERS AND LIKE-MINDED ORGANIZATIONS IN LA PLATA COUNTY. PROFESSIONAL STAFF PROVIDES SERVICES TO YOUTH WHILE WORKING CLOSELY WITH THEIR FAMILIES, SCHOOL EMPLOYEES, LAW ENFORCEMENT, AND VICTIMS WHEN APPROPRIATE. IN FISCAL YEAR 2013, LPYS SERVED 130 YOUTH BETWEEN THE AGES OF 7 TO 17 AND THEIR FAMILIES WHO PROVIDED OVER 900 HOURS OF COMMUNITY SERVICE AND RELATED ACTIVITIES. LPYS PROGRAM SUCCESS RATE IS DEFINED AS COMPLETION OF ALL REQUIREMENTS OF THE CLIENT CONTRACT. OF THE 130 NEW YOUTH SERVED THIS YEAR, 110 (OR 85%) OF THEM MET ALL REQUIREMENTS OF THEIR CONTRACTS. THIS IS NEARLY A 100% INCREASE IN THE NUMBER OF NEW YOUTH SERVED IN COMPARISON TO THE PRIOR YEAR, AND IS THE HIGHEST NUMBER OF YOUTH SERVED BY OUR AGENCY IN THE LAST 6 YEARS. THIS INCREASE IN YOUTH SERVED IS THE RESULT OF NEW TARGETED EFFORTS TO RECRUIT AND INVOLVE AREA YOUTH IN ALTERNATIVE CRIMINAL JUSTICE PROGRAMS. IN FISCAL YEAR 2013, LPYS FORMED NEW PARTNERSHIPS WITH THE DURANGO MUNICIPAL AND CITY COURTS AND WITH DURANGO SCHOOL DISTRICT 9-R. LPYS NOW WORKS WITH THE DURANGO MUNICIPAL COURT TO SERVE AS THEIR PRIMARY REFERRAL SOURCE FOR YOUTH INVOLVED IN MUNICIPAL ORDINANCE VIOLATIONS THAT ARE NOT TRAFFIC RELATED AND PARTNERS WITH THE CITY COURT TO WORK WITH YOUTH IN EXCHANGE FOR DIFFERED PROSECUTIONS. IF YOUTH ARE SUCCESSFUL IN COMPLETING THEIR CONTRACTS AT LPYS, THEY CAN BE RELIEVED FROM FORMAL COURT PROCESSES. ALSO, LPYS WORKS CLOSELY WITH DURANGO SCHOOL DISTRICT 9-R TO INCREASE SERVICES TO STUDENTS AT RISK OF SCHOOL FAILURE. THIS HAS MEANT A SUBSTANTIAL INCREASE IN THE NUMBER OF YOUTH REFERRED WITH SCHOOL-RELATED ATTENDANCE AND BEHAVIOR ISSUES. ASSESSMENT: LPYS' PROGRAMS AND SERVICES ARE DRIVEN BY AND MONITORED THROUGH OUR ASSESSMENT PROCESS. EVERY LPYS CLIENT PARTICIPATES IN THE ASSESSMENT. LPYS USES THE "INSIGHT TO IMPACT 360" ASSESSMENT TOOL, CREATED BY YOUTH ZONE IN COLORADO SPRINGS, TO ASSESS RISK AND THEN GUIDE POSITIVE GROWTH IN FIVE AREAS: ALCOHOL, TOBACCO AND OTHER DRUGS; OPTIMISM AND PROBLEM SOLVING; SCHOOL AND COMMUNITY INVOLVEMENT; DELINQUENCY AND AGGRESSION; AND SELF- DEPRECATION. THE "INSIGHT TO IMPACT" ASSESSMENT IS A THREE PART PROCESS: INTAKE, PROGRESS, AND COMPLETION. "INTAKE" IS THE INITIAL ASSESSMENT OF RISK AREAS, RELATIONSHIPS, PERSONALITY, HOBBIES, ETC. THE "PROGRESS ASSESSMENT" IS CONTINUOUS ON HOW THEY PROGRESS ON THE PROGRAMS AND OBLIGATIONS AS LAID OUT IN THEIR CONTRACT. THE "COMPLETION ASSESSMENT" INDICATES THE OVERALL ACHIEVEMENT OF COMPLETING THEIR CONTRACT REQUIREMENTS, AND SHOWS ANY IMPROVEMENTS IN THE DEFINED RISK AREAS. THE CONTRACT DEVELOPED BETWEEN THE YOUTH AND CASE MANAGER INCLUDES A CLIENT- SPECIFIC PLAN TO GUIDE POSITIVE GROWTH IN EACH RISK AREA. THE PROGRAMS AND SERVICES WE OFFER TO YOUTH AND THEIR FAMILIES AS PART OF THEIR CONTRACT INCLUDE: 1. ADVOCACY PROGRAM: OUR MENTORSHIP PROGRAM IS DESIGNED FOR YOUTH WE SERVE AND COLLEGE STUDENTS AT FORT LEWIS COLLEGE. LPYS MATCHES ADVOCATES AND YOUTH BASED ON SHARED INTERESTS OR BACKGROUNDS. ADVOCATES PROVIDE SUPPORT IN SOCIAL AND ACADEMIC DEVELOPMENT THROUGH TUTORING, RECREATIONAL ACTIVITIES, COMMUNITY SERVICE, EATING LUNCH TOGETHER OR EVEN JUST HANGING OUT. OUR GOAL WITH THE MENTORING PROGRAM IS TO PROVIDE ADEQUATE SUPPORT AND RELATIONSHIPS TO YOUTH IN NEED. THESE PRO-SOCIAL RELATIONSHIPS HELP YOUTH OVERCOME NEGATIVE FORCES AND PROMOTE HEALTHY DEVELOPMENT. OFTEN YOUTH WHO GET INVOLVED IN THE CRIMINAL JUSTICE SYSTEM OR CRIME DO NOT HAVE HEALTHY FAMILY, COMMUNITY OR ADULT RELATIONSHIPS. YOUTH ARE INCREASINGLY BECOMING INVOLVED WITH DRUGS/ALCOHOL, CRIME, RISKY BEHAVIOR, AND GANGS. DATA SHOW THAT HIGH SCHOOL STUDENTS ARE LESS LIKELY TO DROP OUT OF SCHOOL IF THEY HAVE AN ADVOCATE. 2. BULLYING AWARENESS GROUP: THE LPYS BULLYING AWARENESS GROUP IS DESIGNED TO HELP YOUTH IN LA PLATA COUNTY UNDERSTAND REASONS WHY BULLYING IS SUCH A PERVASIVE ISSUE AND DEVELOP THE TOOLS TO COMBAT BULLYING IN A CONSTRUCTIVE NON-VIOLENT WAY. MUCH OF THE RESEARCH ON BULLYING PREVENTION EMPHASIZES PEER SUPPORT AS AN INTEGRAL PART TO BULLYING PREVENTION. BY EQUIPPING YOUTH WITH THE KNOWLEDGE NEEDED TO CHALLENGE BULLYING PREJUDICE AND OPPRESSION, WE CAN INCREASE THE OVERALL SAFETY OF SCHOOLS AND YOUTH ENVIRONMENTS AS A WHOLE. 3. GETTING REAL ABOUT MARIJUANA (GRAM): GRAM IS AN EVIDENCE BASED PROGRAM THAT IS PART EDUCATIONAL AND PART COGNITIVE BEHAVIORAL THERAPY (CBT). GRAM CONSISTS OF FIVE SEPARATE GROUP SESSIONS THAT ARE NINETY MINUTES EACH FOLLOWED BY ONE TO TWO INDIVIDUAL SESSIONS OF MOTIVATIONAL INTERVIEWING (MI). THIS GROUP IS BASED ON HARM REDUCTION RATHER THAN ABSTINENCE FROM MARIJUANA USE. CONTENT COVERED INCLUDES AMENDMENT 64 AND MEDICAL MARIJUANA, PSYCHOLOGICAL AND PHYSICAL EFFECTS, PERCEIVED USE BY TEENS COMPARED TO ACTUAL USE, CRAVINGS, PEER PRESSURE, PROBLEM SOLVING, EMOTIONAL AWARENESS AND ENHANCING SOCIAL SUPPORT. 4. PARENTING GROUPS: LA PLATA YOUTH SERVICES IS BUILDING THE CAPACITY TO ASSIST PARENTS OF AT-RISK YOUTH. WE CURRENTLY WORK WITH A PARENTING COACH AND PLAY THERAPIST TO ASSIST WITH PARENT SUPPORT. WE DIRECTLY REFER PARENTS FOR ANY CONCERNS THEY MAY HAVE WITH THEIR CHILDREN OR WITH PARENTING. THERE IS CURRENTLY A FREE PARENTING GROUP THAT MEETS ONCE A MONTH. THIS GROUP IS INTENDED TO PROVIDE SUPPORT AMONG PARENTS ON ANY ASPECT OF PARENTING AND IS NOT EXCLUSIVE TO PARENTS WORKING WITH LA PLATA YOUTH SERVICES. 5. RESTORATIVE JUSTICE (RJ): LPYS' RESTORATIVE JUSTICE (RJ) PROGRAM IS A PROGRAM DESIGNED TO STRENGTHEN RELATIONSHIPS BETWEEN YOUTH AND COMMUNITY BY REPAIRING HARM FROM CONFLICT SITUATIONS. LPYS FACILITATES RJ CONFERENCES AND CIRCLES WHICH WHEN SUCCESSFUL RESULT IN A RESTITUTION CONTRACT AGREED UPON BY ALL PARTIES AND, UPON COMPLETION, RESULTS IN VICTIMS SATISFIED WITH THE OUTCOME. RJ CAN SIGNIFICANTLY AID IN THE HEALING PROCESS, LEAD TO RESTITUTION FOR THE VICTIM, AND IMPROVE COMMUNITY SUPPORT AND COHESION. RJ MUST BE NAVIGATED PROPERLY AND WITH DEVOTED TIME TO THE CONFLICT AND INSIGHT INTO THE ROOTS OF THE PROBLEM. WHEN THE NEEDS OF ALL PEOPLE INVOLVED (VICTIM, COMMUNITY, AND OFFENDER) ARE ADDRESSED AND DISCUSSED, THEN GOALS ARE MADE TO MEET THOSE NEEDS WITH A CORRESPONDING EFFORT TO COMMENCE RESTITUTION. 6. TRUANCY: LPYS COLLABORATES WITH DURANGO SCHOOL DISTRICT 9-R TO HELP YOUTH WITH HABITUAL TRUANCY ISSUES BY LEADING THE COUNTY-WIDE COMMUNITY MULTI-AGENCY REVIEW TEAM OR SMART TO PROVIDE WRAP-AROUND CARE TO COMPLEX NEED YOUTH AND THEIR FAMILIES AND ADDRESS THE UNDERLYING FACTORS CONTRIBUTING TO SCHOOL ATTENDANCE ISSUES. 7. TUTORING: FOR YOUTH WHO HAVE INDICATED CHALLENGES AT SCHOOL OR WITH ACADEMIC PERFORMANCE, LPYS OFFERS FREE ACADEMIC TUTORING TO PROVIDE ADDITIONAL SUPPORT. TUTORS ARE AVAILABLE TO WORK WITH YOU IN THE AREAS OF MATH, SCIENCE AND READING FOR YOUTH IN NEED. 8. USEFUL PUBLIC SERVICE: OFTEN, WHEN A YOUTH IS ASKED, "HOW CAN YOU MAKE THINGS RIGHT?" THE ANSWER IS SOME FORM OF USEFUL PUBLIC SERVICE. THIS LEVEL OF COMMUNITY ENGAGEMENT IS A POWERFUL OPPORTUNITY FOR YOUTH TO GAIN LIFE SKILLS AND FEEL EMPOWERED TO IMPROVE THEMSELVES AND THEIR SURROUNDINGS. IN PLACEMENT, WE STRIVE TO KNOW WHAT EACH YOUTH LIKES TO DO, WHAT THEY WANT TO DO, AND HOW THEY CAN PARTICIPATE IN THE COMMUNITY IN A WAY THAT IS MEANINGFUL TO BOTH THE YOUTH AND THE SERVICE SITE. EXAMPLES OF SERVICES PROVIDED BY YOUTH INCLUDE DOING ARTS AND CRAFTS WITH ELDERS AT A LOCAL NURSING HOME, PLAYING WITH PRE-SCHOOL CHILDREN IN HEAD START, HELPING AT THE HUMANE SOCIETY, CARING FOR SPECIAL NEEDS CHILDREN IN RESPITE CARE, COOKING MEALS FOR HOMELESS PEOPLE, AND WORKING WITH HORSES IN A THERAPEUTIC PROGRAM.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	APPROXIMATELY ONE MONTH PRIOR TO FILING, THE LPYS FINANCE COMMITTEE REVIEWS THE FORM 990 AND MAKES EDITS AND SUGGESTIONS TO THE INCLUDED INFORMATION FOR MODIFICATION. THE REVISED DRAFT IS THEN PROVIDED TO THE LPYS BOARD OF DIRECTORS FOR REVIEW BEFORE FILING. COMMENTS AND CORRECTIONS ARE STRONGLY ENCOURAGED.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE CONFLICT OF INTEREST POLICY REQUIRES OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE POLICY AND DISCLOSURE FORM IS DISTRIBUTED TO AND COLLECTED FROM ALL NEW STAFF AT TIME OF HIRE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE PROVIDED UPON WRITTEN REQUEST TO LA PLATA YOUTH SERVICES, 2301 MAIN, DURANGO COLORADO, 81301.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

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