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
CARING RESPONSE - MADAGASCAR FOUNDATION
Employer identification number
31-1805595
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.") .
90,536
53,536
144,628
88,629
154,294
531,623
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.
90,536
53,536
144,628
88,629
154,294
531,623
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
10,376
11,386
20,157
11,268
13,024
66,211
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..
10,376
11,386
20,157
11,268
13,024
66,211
8
Public support (Subtract line 7c from line 6.)
465,412
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...
90,536
53,536
144,628
88,629
154,294
531,623
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
332
54
32
14
15
447
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
332
54
32
14
15
447
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.)..
90,868
53,590
144,660
88,643
154,309
532,070
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
87.470 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
86.850 %
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 %
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
CARING RESPONSE - MADAGASCAR FOUNDATION
Employer identification number
31-1805595
Return Reference
Explanation
FORM 990-EZ, PART I, LINE 10
EDWIN JOSEPH FSG ONE ST GABRIEL TOAMASINA 501 MADAGASCAR 41,050 0 0 EDWIN JOSEPH FSG ONE ST GABRIEL TOAMASINA 501 MADAGASCAR 10,274 0 0 EDWIN JOSEPH FSG ONE ST GABRIEL TOAMASINA 501 MADAGASCAR 18,400 0 0
FORM 990-EZ, PART I, LINE 16
EXPENSES BANK CHARGES 467 CONFERENCE LINE 312 PROMOTION 1,039 OFFICE SUPPLIES 8 POSTAGE 519 WEBSITE 339 STATE FILING FEES 50 REIMBURSEMENTS 1,000 TRAVEL & SUPPLIES 12,006 TRANSFER FEES 18 TOTAL 15,758
FORM 990-EZ, PART III, LINE 28
LITERACY INITIATIVE- OUR LITERACY CENTERS REMAIN AT THE CORE OF CRMF PROGRAMING. AT ANY GIVEN TIME, OUR 15 CENTERS HAVE AN AVERAGE ENROLLMENT OF 640. MORE THAN TWELVE THOUSAND WOMEN AND MEN HAVE COMPLETED THE FOUR-PART LITERACY CURRICULUM THAT EMPHASIZES NOT ONLY READING, WRITING, AND MATHEMATICS BUT BASIC LIFE SKILLS SUCH AS BUDGETING, SANITATION, AND GARDENING. CRMF'S COMPUTER LITERACY PROGRAM ENABLES LOW INCOME PEOPLE TO LEARN COMPUTER TECHNOLOGY SKILLS THAT INCREASE THEIR CHANCES FOR BETTER JOBS. THIS PROGRAM ALWAYS OPERATES AT CAPACITY AND HAS A WAITING LIST. THIS PROGRAM OFFERS THREE TWO-HOUR SESSIONS PER DAY, FIVE DAYS A WEEK ON A ROLLING FIVE-WEEK CYCLE. THE LITERACY CENTERS SERVE AS THE HUB FOR THE SEEDS PROJECT FUNDED IN COOPERATION WITH THE WATSON FOUNDATION. THIS PROGRAM, NOW IN ITS FOURTH YEAR, PROVIDES FRUIT AND VEGETABLE SEEDS FOR FAMILY GARDENS. THUS OUR LITERACY CENTERS HELP COMBAT THE GROWING RATE OF MALNUTRITION IN MADAGASCAR, A PROBLEM THAT HAS CAUSED STUNTED GROWTH IN 50% OF THE COUNTRY'S CHILDREN.
FORM 990-EZ, PART III, LINE 29
MEDICAL EDUCATION OUTREACH- THIS PROJECT HAS EXPANDED AS A RESULT OF CRMF'S HIGHLY SUCCESSFUL PROGRAM TO REDUCE MATERNAL AND NEONATAL MORTALITY IN TOAMASINA. SINCE 2011, CRMF HAS BROUGHT A MEDICAL TEAM TO TOAMASINA ANNUALLY TO OFFER MEDICAL EDUCATION IN OBSTETRIC AND NEWBORN CARE TO THE PHYSICIANS AND MIDWIVES WHO STAFF THE ANKIRIHIRY PUBLIC HEALTH CLINIC WHICH SERVES SOME 60,000 RESIDENTS. IN 2013, CRMF EXPANDED THIS PROGRAM AND ALSO OFFERED CONTINUING MEDICAL EDUCATION TO COMMUNITY PHYSICIANS ON IMPORTANT TOPICS SUCH AS ASTHMA CONTROL AND DIAGNOSING AND TREATING CHRONIC LUNG DISORDERS, BOTH ISSUES THAT AFFLICT MANY OF THE POOR IN MADAGASCAR. IN ADDITION, OUR MEDICAL TEAM HELD MEDICAL CLINICS FOR THE POOR TREATING SOME 550 URBAN AND RURAL MEN, WOMEN AND CHILDREN FREE OF CHARGE.
FORM 990-EZ, PART III, LINE 30
MODEL HEALTHY VILLAGE PILOT PROGRAM- CRMF RAISED MORE THEN 80,000 TO FUND A MULTI-YEAR PILOT PROJECT THAT WILL BRING CLEAN WATER, SAFE SANITATION AND HYGIENE EDUCATION TO TWO REMOTE RURAL AREAS IN MADAGASCAR. IF SUCCESSFUL, THIS INTEGRATED PROGRAM MAY BE REPLICATED IN OTHER REMOTE REGIONS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.