Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MODEL CITIES OF ST PAUL INC
Employer identification number
41-1687873
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,757,462
1,544,924
1,370,405
1,422,988
1,013,382
7,109,161
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
1,757,462
1,544,924
1,370,405
1,422,988
1,013,382
7,109,161
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.
7,109,161
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
1,757,462
1,544,924
1,370,405
1,422,988
1,013,382
7,109,161
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
3,228
2,366
2,441
2,029
516
10,580
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.)..
2,479
11,503
60,840
91,617
67,310
233,749
11
Total support (Add lines 7 through 10).
7,353,490
12
Gross receipts from related activities, etc. (see instructions)
..................
12
3,043,213
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
96.680 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
97.420 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MODEL CITIES OF ST PAUL INC
Employer identification number
41-1687873
Return Reference
Explanation
FORM 990, PART III, LINE 1
MODEL CITIES OF ST. PAUL, INC. CARRIES OUT THE COMPREHENSIVE HUMAN SERVICES THAT INCLUDE CHILDREN'S MENTAL HEALTH CASE MANAGEMENT, HOME-BASED CRISIS INTERVENTION THERAPY AND SUPPORTIVE HOUSING SERVICES. MODEL CITIES FAMILIES FIRST NO. 1, LLC IS A LIMITED LIABILITY CORPORATION CREATED IN 2002 TO PROVIDE AFFORDABLE HOUSING FOR HOMELESS FAMILIES WITH CHILDREN.
FORM 990, PART VI, SECTION B, LINE 11
UPON RECEIPT OF THE FORM 990 FROM THE CPA FIRM, MANAGEMENT AND STAFF WILL REVIEW THE CONTENTS FOR ACCURACY AND COMPLETENESS. THE REPORT WILL THEN BE SENT TO THE BOARD VIA E-MAIL SO EACH MEMBER WILL HAVE TIME TO REVIEW PRIOR TO BOARD MEETING. THEY HAVE THE OPPORTUNITY TO SUBMIT QUESTIONS TO STAFF PRIOR TO THE MEETING. AT THE BOARD MEETING THE CEO WILL ADDRESS THE DISCUSSION OF THE FORM 990 AND ACCOUNTING STAFF WILL BE PRESENT TO ANSWER ANY QUESTIONS IF NEEDED. THE BOARD WILL THEN VOTE TO APPROVE AND ACCEPT THE REPORT FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12C
GOVERNANCE POLICY GB-23 ON ETHICAL CONDUCT STATES A CONFLICT OF INTEREST POLICY SHALL CONTAIN STANDARDS AND CODES OF CONDUCT WHICH ENSURE THAT BOARD DIRECTORS, BOARD CONSULTANTS, CONTRACTORS, STAFF OR VOLUNTEERS ARE NOT IN A POSITION OF CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT OF INTEREST AND DO NOT USE THE AGENCY RELATIONSHIP FOR PERSONAL GAIN. A DISCLOSURE QUESTIONNAIRE IS REQUIRED OF EACH INDIVIDUAL COVERED BY THE POLICY ANNUALLY AND THE FORM IS REVIEWED BY THE CEO TO DETERMINE WHO HAD OR WILL HAVE THE POTENTIAL TO BE INVOLVED IN AN ACTIVITY THAT MIGHT BE INTERPRETED AS A POSSIBLE CONFLICT OF INTEREST. NO BOARD MEMBER, STAFF PERSON, CONSULTANT OR VOLUNTEER SHALL HAVE DIRECT OR INDIRECT FINANCIAL INTEREST IN THE ASSETS, LEASES, BUSINESS TRANSACTIONS, OR PROFESSIONAL SERVICES OF THE AGENCY, EXCEPT AS EXPRESSLY DEFINED IN THE BY-LAWS. THIS DOES NOT PRECLUDE THE BOARD FROM RECRUITING AND ELECTING BOARD MEMBERS WHO ARE VENDORS OR SERVICE PROVIDERS OF THE AGENCY. THE POLICY GOES ON TO SAY THAT NO DIRECTOR SHALL BE THE BLOOD RELATIVE OF THE FIRST ORDER TO ANY AGENCY STAFF PERSON. BOARD MEMBERS CANNOT RECEIVE HONORARIA FOR WORK ON BEHALF OF THE AGENCY, EXCEPT AS SPECIFIED IN THE BY-LAWS. NEITHER THE BOARD MEMBERS, NOR THEIR FAMILY MEMBERS, SHALL BE ENTITLED TO PREFERENTIAL TREATMENT FOR SERVICES. AT ANY TIME WHEN A CONFLICT OF INTEREST EXISTS, THE BOARD DIRECTOR, VOLUNTEER, OR CONSULTANT IS TO DISCLOSE THE RELATIONSHIP AND CANNOT PARTICIPATE IN ANY VOTE OR DECISION TAKEN WITH RESPECT TO SUCH TRANSACTIONS OR SERVICES. SIMILAR RULES APPLY TO STAFF. STAFF SIGNS OFF ON THE EMPLOYEE HANDBOOK THAT STATES NO EMPLOYEE CAN PARTICIPATE IN THE RECRUITMENT, INTERVIEWING, HIRING, OR SUPERVISION OF A RELATIVE. NO TRANSFER OF PROPERTY OR LENDING OF MONEY IS ALLOWED BETWEEN THE AGENCY AND BOARD OFFICERS, DIRECTORS OR STAFF. ALL EMPLOYEES SHALL DISCLOSE ANY CONFLICT OF INTEREST REGARDING HIS/HER WORK, AND SHALL REFRAIN FROM ENGAGING IN ACTIVITIES WHICH MAY BE PERCEIVED AS BEING A CONFLICT OF INTEREST. ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 15
A COMPARABLE WAGE STUDY IS PERFORMED TO IDENTIFY THE AGENCY'S COMPARABILITY WITH MARKET WAGES AND BENEFITS WITH OTHER SIMILAR NON-PROFIT AGENCIES. FINAL WAGES ARE INFLUENCED BY FUNDS AVAILABLE. THE WAGE STUDY IS PRESENTED TO THE BOARD ALONG WITH MODEL CITIES PAY RANGES. THE BOARD DETERMINES THE COMPENSATION FOR THE CEO BASED ON THIS STUDY. FOR ALL OTHER STAFF, THE OFFICE MANAGER PRESENTS A COMPARABLE WAGE STUDY TO THE CEO FOR REVIEW AND APPROVAL. A LISTING OF ALL JOB TITLES, CURRENT WAGE RANGES, MARKET RANGES, AND RECOMMENDED REVISIONS ARE INCLUDED IN THIS FINAL STUDY. IF APPROVED, THE CHIEF EXECUTIVE OFFICER PRESENTS THE FINAL STUDY TO THE BOARD OF DIRECTORS FOR THEIR ADOPTION. THESE COMPARABLE WAGE STUDIES WERE DONE FOR ALL OFFICERS AND EMPLOYEES IN JANUARY 2013 WITH THE WAGE RANGES ESTABLISHED BECOMING EFFECTIVE JANUARY 2014.
FORM 990, PART VI, SECTION C, LINE 19
MODEL CITIES INCLUDES ITS YEAR-END FINANCIAL INFORMATION IN AN ANNUAL REPORT AND THE DISTRIBUTION INCLUDES APPROXIMATELY 1,000 NAMES AND INCLUDES FUNDERS, DONORS, ORGANIZATIONS, PUBLIC OFFICIALS, ETC. THE AUDITED FINANCIAL REPORT IS DISTRIBUTED TO FUNDERS AND SPECIFIC STAKEHOLDERS. THE ORGANIZATION ALSO FILES THE FORM 990 AND FINANCIAL AUDIT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE WHERE SUMMARY INFORMATION IS POSTED. THE ORGANIZATION'S GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.