Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
CROSSROADS FOR YOUTH
Employer identification number
38-1443363
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
661,670
403,021
282,127
333,696
371,634
2,052,148
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
661,670
403,021
282,127
333,696
371,634
2,052,148
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)..
211,571
6
Public support. Subtract line 5 from line 4.
1,840,577
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..
661,670
403,021
282,127
333,696
371,634
2,052,148
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
11,815
13,888
9,045
8,732
43,480
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.)..
7,900
18,820
17,225
37,425
81,370
11
Total support (Add lines 7 through 10).
2,176,998
12
Gross receipts from related activities, etc. (see instructions)
..................
12
3,146,459
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
84.550 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
85.060 %
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
CROSSROADS FOR YOUTH
Employer identification number
38-1443363
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
OUR MISSION: BELIEVING ALL YOUTH ARE AT RISK, CROSSROADS FOR YOUTH STRENGTHENS FAMILIES AND YOUTH WITH SKILLS AND TOOLS SO THEY BECOME VALUED CONTRIBUTORS IN THEIR COMMUNITIES. OUR VISION: CROSSROADS FOR YOUTH WILL BE RECOGNIZED AND UTILIZED AS THE PREMIER EXPERT WITH AT-RISK YOUTH. CROSSROADS FOR YOUTH IS A PRIVATE, NONPROFIT TREATMENT AGENCY THAT SERVES AT-RISK CHILDREN AND YOUTH. OVER 300 CHILDREN ARE SERVED ANNUALLY IN OUR INTEGRATED EDUCATIONAL AND VOCATIONAL CORE PROGRAM AND THROUGH OUR ADVENTURE CENTER. WE PROVIDE A SUPPORTIVE, POSITIVE, STRICTLY-SUPERVISED ENVIRONMNET WHERE KIDS LEARN SOCIAL AND LIFE SKILLS, PROBLEM SOLVING, RESPONSIBILITY, AND SELF-DISCIPLINE. FOR MORE INFORMATION, PLEASE VISIT OUR WEBSITE: WWW.CROSSROADSFORYOUTH.ORG
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
VOLUNTEERS ASSIST WITH MAINTENANCE PROJECTS, CLEANING PROJECTS, GARDENING PROJECTS, AND ARTS AND CRAFTS ACTIVITIES. VOLUNTEERS WHO WORK DIRECTLY WITH CHILDREN MUST PASS A BACKGROUND CHECK AND TB TEST. THE BOARD OF DIRECTORS ARE ALSO ALL VOLUNTEERS.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
CAMPUS AND OFF GROUNDS IN THE LOCAL COMMUNITY. THE DIRECT PROGRAM STAFF INCLUDES TREATMENT SPECIALISTS, THERAPISTS AND SITE SUPERVISORS. EVERY STUDENT ATTENDS AN ON-SITE SCHOOL. SOME STUDENTS ALSO HAVE THE OPPORTUNITY TO ATTEND THE LOCAL PUBLIC SCHOOL. THE USUAL LENGTH OF STAY IS FOUR TO TWELVE MONTHS.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
SESSIONS FOR CHILDREN ARE PROVIDED AS WELL AS SPECIALIZED FAMILY CAMPS. THESE SERVICES ARE PROVIDED PRIMARILY ON A BEAUTIFUL 320 ACRE CAMPUS WHERE VARIOUS CHALLENGE COURSE ACTIVITIES ARE AVAILABLE. THE CHALLENGE COURSE INCLUDES A CLIMBING TOWER AND HIGH AND LOW ROPES COURSES. THE DAY STUDENT PROGRAMS ARE SOLUTION FOCUSED AND TREATMENT ORIENTED. THE GOAL IS TO HELP EACH STUDENT MOVE TOWARD INTERNALIZING EFFECTIVE STRATEGIES FOR MAKING APPROPRIATE CHOICES. THE TREATMENT TEAM IS INTENTIONAL IN TEACHING SOCIAL SKILLS, PROBLEMS SOLVING SKILLS AND THE PROCESS OF RECOGNIZING ONE'S OWN NEEDS AS WELL AS THE ROLE OF OTHERS IN THE STUDENT'S LIFE. THROUGH TREATMENT, STUDENTS LEARN TO TAKE RESPONSIBILITY FOR THE OUTCOMES OF THEIR ACTIONS BOTH IN TERMS OF THEMSELVES AND OTHERS. PROGRAM COMPONENTS INCLUDE INDIVIDUAL FAMILY THERAPY, PROBLEM-SOLVING AND OTHER SPECIALIZED GROUPS, COMMUNITY SERVICE, ACADEMICS AND VOCATIONAL EDUCATION AND ACTIVITIES BOTH ON AND OFF GROUNDS OFFERED THROUGH OUR ADVENTURE CENTER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF THE DRAFT FORM 990 IS PRESENTED TO THE PRESIDENT AND CONTROLLER WHO FORWARD IT TO THE GOVERNING BOARD FOR REVIEW AND APPROVAL.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
IF A DIRECTOR, OFFICER OR EMPLOYEE KNOWS OR REASONABLY BELIEVES THAT HE OR SHE HAS SUCH A CONFLICT OF INTEREST, THAT PERSON REFRAINS FROM PARTICIPATING IN ANY WAY IN THE MATTER TO WHICH THE CONFLICT RELATES UNLESS AND UNTIL THE CONFLICT IS PROMPTLY AND FULLY DISCLOSED TO AN OFFICER OF THE CORPORATION AND THE MATTER IS APPROVED BY THE BOARD OF DIRECTORS BECAUSE THE GOOD, SERVICE OR OTHER ITEM WHICH IS THE SUBJECT OF ONE OR MORE TRANSACTIONS PRODUCING THE MATERIAL GAIN OR CONFLICT IS NOT AVAILABLE ELSEWHERE. THE SECRETARY, OR HIS OR HER DESIGNEE, DISTRIBUTES THIS POLICY ANNUALLY TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THE CORPORATION.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE PROCESS FOR CEO EVALUATION AND COMPENSATION IS THE SAME AS FOR THE AGENCY. THE BOARD CHAIR LEADS THE PROCESS, THE BOARD EXECUTIVE COMMITTEE REVIEWS THE EVALUATION AND THEN REPORTS ON THE EVALUATION TO THE BOARD AS WELL AS MAKING ANY RECOMMENDATIONS FOR COMPENSATION INCREASE. THE BOARD VOTES AND APPROVES ANY CHANGES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
FINANCIAL STATEMENTS AVAILABLE ONLINE, ALL OTHER DOCUMENTS AVAILABLE UPON REQUEST.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
DIRECT EXPENSES OF SPECIAL EVENTS 29,705 RECLASSIFICATION OF INVESTMENT FEES -726 DIRECT EXPENSES OF SPECIAL EVENTS -29,705 RECLASSIFICATION OF INVESTMENT FEES 726
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 9
UNREALIZED GAINS 0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.