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
HUMANIM INC
Employer identification number
52-0962588
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.") ....
24,621,118
26,374,543
23,779,141
25,883,411
22,571,629
123,229,842
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
0
0
0
0
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
0
0
0
0
0
4
Total. Add lines 1 through 3
24,621,118
26,374,543
23,779,141
25,883,411
22,571,629
123,229,842
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)..
0
6
Public support. Subtract line 5 from line 4.
123,229,842
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..
24,621,118
26,374,543
23,779,141
25,883,411
22,571,629
123,229,842
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
800,129
213,844
176,047
238,598
211,509
1,640,127
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
0
0
0
0
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
6,139,591
9,205
49,253
169,227
168,862
6,536,138
11
Total support (Add lines 7 through 10).
131,406,107
12
Gross receipts from related activities, etc. (see instructions)
..................
12
129,765,980
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
93.778 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
92.408 %
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
Humanim, Inc. ("Humanim") is a public charity exempt from tax under Section 501(c)(3) of the Internal Revenue Code. Humanim's exempt purpose and mission is to identify those individuals in greatest need, and provide them with uncompromising human services via a full spectrum of rehabilitation, workforce development, and clinical and behavioral support services. Humanim's workforce development and job creation programs serve populations with barriers to employment. The Details program is a division within Humanim providing on the job training ("OJT") and job placement for individuals with significant employment barriers including poverty, lack of education, lack of certifications, lack of or limited skills and/or a criminal record. Through Details, Humanim provides OJT and job placement through its deconstruction and reuse enterprise programs. Each deconstruction project is a training opportunity that fosters practical and valuable experience and skills in the use of power tools, non-power tools, building structure, valuation of materials, inventory of product, transportation, and sales (both wholesale and retail). In addition to gaining expertise in these industries, each trainee learns valuable soft skills, including the importance of timeliness and attendance, safety and professionalism, teamwork, working with a sense of urgency, and learning how to take initiative. To maximize the learning opportunity, the underemployed individuals who participate in a deconstruction or reuse project through Details work side-by-side with experienced workmen. Contributing to a "work crew" that includes skilled, experienced workmen allows those underemployed individuals to overcome their barriers to employment. When an owner donates a structure to Humanim and pays Humanim to deconstruct the building, all of the material in the building is donated to Humanim. The material is then consumed by Humanim via the Details training program. The materials may be consumed in many ways. For instance, materials are lost to breakage and to use during all phases of the deconstruction training process. Post deconstruction salvaged materials are often used within other Humanim operations. Some materials are supplied to the reuse enterprise, where they are used to provide training in the areas of inventory management, pricing, and sales. Any sales of salvaged materials are via a nonprofit retail center and at discounted prices to maximize training opportunities. Because of the significant consumption of the value of a donated structure prior to the time any materials are supplied to the reuse enterprise, coupled with the fact that any resale is at a discounted price to maximize the Details training opportunities, any cash sale of materials at the end of this process is a fraction of the appraised value of the material components of the structure at the time of donation. In an effort to comply with the requirement that Humanim file Form 8282 when donated materials are sold, a list of all items donated from the indentified projects is provided to the donor and attached to Form 8283 and Form 8283 which is filed with the Internal Revenue Service . Some of the donated materials may eventually be sold within three years of their donation; however, no adjustment is offered to the original donation appraisal value because so much of the material (in aggregate and value) is consumed throughout the training process, from deconstruction through resale, as Humanim furthers its charitable mission through Details programming.
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000197
Software Version:
v1.00
-
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
HUMANIM INC
Employer identification number
52-0962588
Identifier
Return Reference
Explanation
F990_P06_S0A_L02
Form 990, Part VI, Section A, Line 2
Equipment is leased by Humanim Inc from a company owned by the sister of Humanim's Chief Development Officer. Annual lease amount is $2,700.
F990_P06_S0B_L11b
Form 990, Part VI, Section B, Line 11b
Form 990 is reviewed by members of the Finance Committee and the Executive Committee of the Board of Directors prior to filing. Senior management also reviews the Form 990 and answers questions received from the aforementioned committee members regarding the Form 990.
F990_P06_S0B_L12c
Form 990, Part VI, Section B, Line 12c
Humanim employees, board members, and other volunteers are required to annually sign a conflict of interest statement declaring any conflicts (financial and/or other) that may be seen as competing with the interests or concerns of the organization. Employees complete the conflict of interest statement at the time of hire and as part of their performance review process in February of each year. Board members complete the conflict of interest policy when they begin service on the board and in September of each year thereafter. In addition, board members are asked to declare any conflicts of interest at the beginning of each board meeting and to recuse themselves from any vote that involves a conflict.
F990_P06_S0B_L15
Form 990, Part VI, Section B, Line 15
Humanim has an independent compensation committee that meets a minimum of twice per year The committee utilizes an independent compensation consultant to provide credible comparability salary data for Humanim executives who re "disqualified persons" under the IRS intermediate sanctions rules. The committee reviews the data annually and determines the compensation packages of these executives. The compensation committee is composed of board members with no conflicts of interest and independent legal counsel.
F990_P06_S0C_L19
Form 990, Part VI, Section C, Line 19
All governing documents, conflict of interest policy, Form 990 Tax Returns and financial statements are available to the public upon request. Fundraising materials and the annual report also include a statement that financial records are available upon request.
F990_P11_S00_L09
Form 990, Part XI, Line 9
Equity Loss from MOR DSG not recognized on Form 990 - ($70,005); Equity Loss from DSG GP not recognized on Form 990 - ($707); Equity Loss from American Brewery Management, LLC not recognized on Form 990 - ($323,066); Equity Loss from American Brewery, LLC not recognized on Form 990 - ($666). Rounding $3 .Total of items equals ($394,441).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.