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.
| (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 | |||||||||
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.") .... | 1,950 | 5,301 | 4,928 | 1,945 | 4,474 | 18,598 |
| 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 | 1,950 | 5,301 | 4,928 | 1,945 | 4,474 | 18,598 |
| 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. | 18,598 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,950 | 5,301 | 4,928 | 1,945 | 4,474 | 18,598 |
| 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). | 18,598 | |||||






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.) | ||||||
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.).. | ||||||




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | MENTAL HEALTH AMERICA OF MONROE COUNTY IS A 501(C)(3) NONPROFIT ORGANIZATION DEDICATED TO PROMOTING MENTAL HEALTH AND SUPPORTING MENTAL HEALTH CONSUMERS AND THEIR FAMILIES THROUGH EDUCATION, REFERRAL, AND SERVICE. WE ACHIEVE OUR MISSION BY EDUCATING THE PUBLIC ABOUT WAYS TO PRESERVE AND STRENGTHEN MENTAL HEALTH; BY SPONSORING SUPPORT GROUPS; BY SERVING AS A CLEARINGHOUSE FOR INFORMATION ABOUT MENTAL HEALTH PROMOTION, PREVENTION, AND TREATMENT RESOURCES IN OUR COMMUNITY; AND BY FOSTERING INNOVATION IN POLICY, RESEARCH, PRACTICE, AND SERVICES. |
| FORM 990, PAGE 2, PART III, LINE 4D | OTHER |
| FORM 990, PAGE 6, PART VI, LINE 7A | OFFICERS ARE ELECTED ANNUALLY BY THE BOARD OF DIRECTORS TO SERVE ONE-YEAR TERMS. EACH YEAR THREE (3) NEW BOARD MEMBERS ARE ELECTED TO THE BOARD FOR THREE YEAR TERMS THUS THE BOARD IS COMPRISED OF EXPERIENCED DIRECTORS AND NEW DIRECTORS ANNUALLY OR MORE OFTEN AS NEEDED. |
| FORM 990, PAGE 6, PART VI, LINE 11B | AN ELECTRONIC COPY OF THE TAX RETURN WAS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL GOVERNANCE POLICIES ARE APPROVED AND REVIEWED BY THE BOARD OF DIRECTORS AND THE CONFLICT OF INTEREST POLICY IS UPDATED ANNUALLY OR MORE OFTEN IF NEEDED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | COPIES OF THE GOVERNING DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9 | PRIOR YEAR CORRECTION 0 |
| Software ID: | |
| Software Version: |