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
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OMAHA INC
Employer identification number
47-0376612
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
3,341,535
3,392,109
3,194,784
3,237,326
5,079,292
18,245,046
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......
10,032,803
10,432,033
10,830,728
11,108,396
11,880,381
54,284,341
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
11,265
7,236
12,831
31,332
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.
13,374,338
13,824,142
14,036,777
14,352,958
16,972,504
72,560,719
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
65,070
29,671
27,605
11,430
19,279
153,055
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.
57,831
126,184
86,296
127,235
125,264
522,810
c
Add lines 7a and 7b..
122,901
155,855
113,901
138,665
144,543
675,865
8
Public support (Subtract line 7c from line 6.)
71,884,854
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...
13,374,338
13,824,142
14,036,777
14,352,958
16,972,504
72,560,719
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
111,718
104,932
100,843
123,696
126,016
567,205
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
111,718
104,932
100,843
123,696
126,016
567,205
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.)..
13,486,056
13,929,074
14,137,620
14,476,654
17,098,520
73,127,924
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
98.300 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.190 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.780 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.810 %
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
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OMAHA INC
Employer identification number
47-0376612
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
A COPY OF THE FORM 990 AND RELATED SCHEDULES WILL BE MADE AVAILABLE TO THE BOARD MEMBERS ELECTRONICALLY FOR REVIEW PRIOR TO IT BEING FILED WITH THE IRS. FURTHERMORE, IT WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR, JOHN J. GRIFFITH, AND THE FINANCE DIRECTOR, THERESA ROSS.
FORM 990, PART VI, SECTION B, LINE 12C
ALL BOARD MEMBERS ARE GIVEN A CONFLICT OF INTEREST POLICY TO SIGN AT THE BEGINNING OF EACH YEAR. THEY ARE FURTHER REQUESTED TO UPDATE THE BOARD OF ANY CONFLICT SITUATIONS THAT MAY ARISE DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15
THE REBUTTABLE PRESUMPTION POLICY IS ENFORCED AND FOLLOWED. SALARIES ARE REVIEWED ANNUALLY AND COMPARED TO MARKET DATA.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:
FORGIVENESS OF DEBT TO OMAHA CAMPUS FOR HOPE -525,000.
FORM 990, PART XII, LINE 2C:
THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART XI, LINE 9:
THE OMAHA CAMPUS FOR HOPE IS A BEHAVIORAL HEALTH CENTER PROVIDING SUBSTANCE ABUSE TREATMENT SERVICES TO THE POOR. GOVERNMENT AGENCIES PROVIDING FUNDING FOR ITS CONSTRUCTION INCLUDED: THE STATE OF NEBRASKA, THE CITY OF OMAHA, THE U.S. DEPARTMENT OF VETERANS AFFAIRS, AND THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. CERTAIN RESTRICTIONS WERE PLACED ON THE USE OF THE LAND AND FACILITIES CONSTRUCTED WITH THESE FUNDS. CATHOLIC CHARITIES AGREED TO A 10-YEAR COVENANT MAINTAINING THE PROPERTY FOR HUMAN SERVICES. UNDER THE TERMS OF THE VETERANS ADMINISTRATION GRANT, CATHOLIC CHARITIES AGREED TO PROVIDE SERVICES TO HOMELESS VETERANS. THE NEBRASKA INVESTMENT FINANCE AUTHORITY PROVIDED LOW-INCOME HOUSING TAX CREDITS TO CONSTRUCT THE RESIDENTIAL SINGLE ROOM OCCUPANCY UNITS AT THE CAMPUS. THE RESIDENTIAL FACILITIES WERE OWNED BY THE OMAHA CAMPUS FOR HOPE APARTMENTS, LLC (OCH, LLC), IN WHICH INTERIM HOLDINGS, LLC, AND CATHOLIC CHARITIES WERE CO-MANAGING MEMBERS. UNDER AGREEMENTS IN PLACE, CATHOLIC CHARITIES OPERATED AND MANAGED THE RESIDENTIAL FACILITIES. UNDER THE TERMS OF THE TAX CREDIT PROGRAM, CATHOLIC CHARITIES AGREED TO MAINTAIN STRICT ADMISSION CRITERIA, PROVIDING HOUSING ONLY TO THOSE PERSONS WHO MEET THE ELIGIBILITY REQUIREMENTS. ON NOVEMBER 8, 2013, OCH, LLC WAS DISSOLVED AND CATHOLIC CHARITIES ASSUMED THE ASSETS AND LIABILITIES THROUGH A BUSINESS COMBINATION. AS A RESULT OF THE COMBINATION, CATHOLIC CHARITIES WILL BE ABLE TO CONTINUE PROVIDING HUMAN SERVICES OFFERED AT THIS LOCATION. CATHOLIC CHARITIES RECEIVED PROPERTY WITH A FAIR MARKET VALUE OF $1,208,119 AND IN EXCHANGE FORGAVE A $525,000 NOTE RECEIVABLE DUE FROM OCH, LLC. THE TRANSACTION RESULTED IN AN INHERENT CONTRIBUTION OF $683,119, WHICH HAS BEEN INCLUDED AS CONTRIBUTIONS OF PROPERTY AND EQUIPMENT, NET ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEAR ENDING DECEMBER 31, 2013, DUE TO THE EXCESS FAIR MARKET VALUE RECEIVED OVER THE CONSIDERATION IN THE COMBINATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.