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
PROJECT HOPE INC
Employer identification number
20-4133180
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.") ....
1,069,421
1,085,758
977,999
1,303,890
1,320,211
5,757,279
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
1,069,421
1,085,758
977,999
1,303,890
1,320,211
5,757,279
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.
5,757,279
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..
1,069,421
1,085,758
977,999
1,303,890
1,320,211
5,757,279
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
0
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.)..
16,306
13,252
18,204
13,541
11,654
72,957
11
Total support (Add lines 7 through 10).
5,830,236
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
0 %
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.") .
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.)
0
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
0 %
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
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:
13000178
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
PROJECT HOPE INC
Employer identification number
20-4133180
Return Reference
Explanation
Pt VI, Line 11b
THE BOARD OF DIRECTORS WILL REVIEW THE FORM 990 PRIOR TO SUBMISSION TO THE IRS
Pt VI, Line 12c
NO EMPLOYEE, CONTRACTOR, AGENT, OFFICER OR BOARD MEMBER WILL HAVE A DIRECT OR INDIRECT
Pt VI, Line 12c
FINANCIAL INTEREST IN, OR RECEIVE ANY COMPENSATION OR OTHER BENEFITS AS A RESULT OF,
Pt VI, Line 12c
TRANSACTIONS BETWEEN PROJECT HOPE AND ANY INDIVIDUAL OR BUSINESS FIRM - FROM WHICH PROJECT
Pt VI, Line 12c
HOPE PURCHASES SUPPLIES, SERVICES, MATERIALS OR PROPERTY, - WHICH RENDERS ANY SERVICE TO
Pt VI, Line 12c
PROJECT HOPE, INCLUDING THE LEASING OF OFFICE SPACE, TO WHICH PROJECT HOPE PROVIDES ANY
Pt VI, Line 12c
SERVICES OR MATERIALS, OR - WHICH HAS ANY OTHER CONTRACTUAL RELATIONS OR BUSINESS DEALINGS
Pt VI, Line 12c
WITH PROJECT HOPE, EXCEPT WITH THE PRIOR WRITIEN APPROVAL OF THE EXECUTIVE DIRECTOR (OR, IF
Pt VI, Line 12c
SUCH PERSON IS A BOARD MEMBER OR OFFICER, OF THE BOARD OF TRUSTEES), UPON COMPLETE DISCLOSURE
Pt VI, Line 12c
OF THE FACTS AND AFTER COMPLETION OF AN ARMS-LENGTH PROCUREMENT THAT IS CONSISTENT WITH
Pt VI, Line 12c
PROJECT HOPE'S PROCUREMENT POLICY AND OMB CIRCULAR A-122 COST PRINCIPLES (IF FEDERAL FUNDS
Pt VI, Line 12c
WILL BE USED), AND IN THE BEST INTERESTS OF PROJECT HOPE IN THE EVENT THE EXECUTIVE DIRECTOR HAS
Pt VI, Line 12c
A CONFLICT, THE EXECUTIVE DIRECTOR WILL DISCLOSE SUCH CONFLICT TO THE PRESIDENT OF THE BOARD WHO
Pt VI, Line 12c
WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD THE FINANCIAL INTERESTS MENTIONED ABOVE DO
Pt VI, Line 12c
NOT INCLUDE INTERESTS IN CORPORATIONS LISTED ON A NATIONAL STOCK EXCHANGE OR TRADED OVER THE
Pt VI, Line 12c
COUNTER, PROVIDING THE FINANCIAL INTEREST IS LESS THAN ONE PERCENT OF THE CORPORATION'S
Pt VI, Line 12c
OUTSTANDING SHARES - AS STATED ABOVE, NO EMPLOYEE, CONTRACTOR, AGENT, OFFICER, OR MEMBER OF
Pt VI, Line 12c
THE BOARD OF TRUSTEES MAY PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT
Pt VI, Line 12c
OR GRANT IN WHICH FEDERAL FUNDS ARE USED, IF HE OR SHE, OR - HIS OR HER IMMEDIATE FAMILY,
Pt VI, Line 12c
OR - HIS OR HER PARTNER, OR - AN ORGANIZATION WITH WHOM HE OR SHE IS NEGOTIATING OR HAS ANY
Pt VI, Line 12c
ARRANGEMENT CONCERNING PROSPECTIVE EMPLOY MENT, HAS A FINANCIAL OR OTHER INTEREST IN THE FIRM
Pt VI, Line 12c
SELECTED FOR THE CONTRACT OR AWARD IF AN EMPLOYEE, CONTRACTOR, AGENT, OFFICER, OR MEMBER OF
Pt VI, Line 12c
THE BOARD OF TRUSTEES BELIEVES THAT ONE OF THE AFOREMENTIONED CONFLICTS ACTUALLY OR
Pt VI, Line 12c
POTENTIALL Y EXISTS, HE OR SHE MUST IMMEDIA TEL Y DISCLOSE THIS INFORMATION IN WRITING TO THE
Pt VI, Line 12c
EXECUTIVE DIRECTOR DISCLOSURES BY MEMBERS OF THE BOARD OF TRUSTEES MUST ALSO BE MADE TO THE
Pt VI, Line 12c
PRESIDENT OF THE BOARD OF TRUSTEES (AND IF IT IS THE EXECUTIVE DIRECTOR OR THE PRESIDENT WHO HAS
Form 990, Part IX, Line 24f
TELEPHONE DUES AND SUBSCRIPTIONS DONATED SUPPLIES VOLUNTEER SERVICES UTILITIES
Pt VI, Line 12c
SUCH A FINANCIAL INTEREST, HE OR SHE MUST MAKE DISCLOSURE TO THE PRESIDENT OR VICE PRESIDENT,
Pt VI, Line 12c
RESPECTIVELY) PROJECT HOPE REQUIRES THAT ALL EMPLOYEES, CONTRACTORS, AGENTS, OFFICERS AND
Pt VI, Line 12c
MEMBERS OF THE BOARD OF TRUSTEES AND CANDIDATES FOR BOARD MEMBERSHIP DISCLOSE IN WRITING
Pt VI, Line 12c
(AND UPDATE AT LEAST ANNUALLY) - ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH CREATE AN ACTUAL
Pt VI, Line 12c
OR POTENTIAL A CONFLICT OF INTEREST, AND - WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING
Pt VI, Line 12c
HOW SUCH CONFLICT COULD BE AVOIDED OR MITIGATED TO FACILITATE SUCH FULL DISCLOSURE. PROJECT
Pt VI, Line 12c
HOPE REQUIRES EMPLOYEES, CONTRACTORS, AGENTS, OFFICERS AND BOARD MEMBERS TO COMPLETE A
Pt VI, Line 12c
DISCLOSURE FORM ANNUALLY COMPLETION OF A DISCLOSURE FORM DOES NOT RELIEVE INDIVIDUALS OF THE
Pt VI, Line 12c
OBLIGATION TO COMPLY WITH THESE STANDARDS OF CONDUCT WITH REGARD TO CONFLICTS THAT OCCUR
Pt VI, Line 12c
AFTER THE FILING OF THE DISCLOSURE FORM
Pt VI, Line 15a
THE CEO'S COMPENSATION IS DETERMINED THROUGH A PEFORMANCE EVALUATION REVIEW AND APPROVAL
Pt VI, Line 15a
BY THE BOARD EXECUTIVE COMMITIEE, WHICH IS ESTABLISHED BY BOARD OF DIRECTORS, WHO USES THE
Pt VI, Line 15a
NEW JERSEY PRIMARY CARE ASSOCIATION (NJPCA) SALARY SURVEY FOR COMPARABILITY DATA THE CEO
Pt VI, Line 15a
COMPENSATION POLICY WAS LAST REVIEWED IN 2009. THE PROCESS FOR DETERMINING COMPENSATION OF
Pt VI, Line 15a
THE ORGANIZATIONS KEY EMPLOYEES IS DECIDED BY BOTH CEO AND SUPERVISORS
Pt VI, Line 15a
PAY OFFERS CONSIDER THE SPECIFIC TRAINING, EXPERIENCE AND ABILITY OF THE APPLICANT IN
Pt VI, Line 15a
RELATION TO THE VALUE OF THE POSITION AS DETERMINED BY THE PAY GRADE. MERIT INCREASES ARE
Pt VI, Line 15a
ONLY BE GRANTED TO THOSE EMPLOYEES WHOSE PERFORMANCE WARRANTS AN INCREASE A SIGNED
Pt VI, Line 15a
PERFORMANCE REVIEW FORM ACCOMPANIES ALL REQUESTS FOR MERIT INCREASES PERFORMANCE
Pt VI, Line 15a
REVIEWS ARE CONDUCTED AFTER THE EMPLOYEE HAS COMPLETED THE 90 DAY ORIENTATION PERIOD A
Pt VI, Line 15a
PERFORMANCE REVIEW IS COMPLETED AT LEAST ONCE A YEAR FOR EACH EMPLOYEE
Pt VI, Line 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND
Pt VI, Line 19
FINANCIAL STATEMENTS AVAILABLE UPON REQUEST
Pt XII, Line 2c
THERE HAE BEEN NO CHANGES TO THE OVERSITE PROCESS. THE PROCESS IS CONSISTENT WITH
Pt XII, Line 2c
PRIOR YEARS
Pt VI, Line 1a
THE EXECUTIVE COMMITIEE SHALL CONSIST OF THE OFFICERS OF THE CORPORATION THE CHIEF EXECUTIVE
Pt VI, Line 1a
OFFICER SHALL BE AN EX-OFFICIO, NONVOTING MEMBER OF THE EXECUTIVE COMMITIEE THE EXECUTIVE
Pt VI, Line 1a
COMMITTEE SHALL HAVE ALL OF THE POWERS OF THE GOVERNING BOARD WHEN THE BOARD IS NOT IN
Pt VI, Line 1a
SESSION, TO THE EXTENT PERMITIED BY LAW, AND SHALL GENERALLY PERFORM SUCH DUTIES AND EXERCISE
Pt VI, Line 1a
SUCH POWERS AS MAYBE PERFORMED AND EXERCISED BY THE GOVERNING BOARD DURING THE INTERIM
Pt VI, Line 1a
PERIODS BETWEEN MEETING OF THE BOARD, CONSISTENT WITH ESTABLISHED BOARD POLlCY AND DIRECTION
Pt VI, Line 1a
SPECIFICALLY, THE EXECUTIVE COMMITIEE SHALL (I) DEVELOP THE BOARD WORK PLAN FOR THE YEAR,
Pt VI, Line 1a
INCLUDING TRAINING AND DEVELOPMENT FOR THE TRUSTEES AND (II) CONDUCT THE PRELIMINARY
Pt VI, Line 1a
EVALUATION OF THE CHIEF EXECUTIVE OFFICER AND SHALL MAKE RECOMMENDATIONS TO THE FULL BOARD
Pt VI, Line 1a
ACCORDINGLY
Pt VI, Line 15b
IN 2013 PROJECT HOPE HIRED A NEW PHYSICIAN AND UTILIZED COMPARABILITY DATA
Pt VI, Line 15b
FROM NJPCA TO ESTABLISH THE SALARY FOR THIS POSITION. THE PROCESS FOR DETERMINING COMPENSATION OF
Pt VI, Line 15b
THE ORGANIZATIONS OFFICERS OR KEY EMPLOYEES IS DECIDED BY BOTH CEO AND SUPERVISORS
Pt VI, Line 15b
PAY OFFERS CONSIDER THE SPECIFIC TRAINING, EXPERIENCE AND ABILITY OF THE APPLICANT IN
Pt VI, Line 15b
RELATION TO THE VALUE OF THE POSITION AS DETERMINED BY THE PAY GRADE. MERIT INCREASES ARE
Pt VI, Line 15b
ONLY BE GRANTED TO THOSE EMPLOYEES WHOSE PERFORMANCE WARRANTS AN INCREASE. A SIGNED
Pt VI, Line 15b
PERFORMANCE REVIEW FORM ACCOMPANIES ALL REQUESTS FOR MERIT INCREASES. PERFORMANCE
Pt VI, Line 15b
REVIEWS MAYBE CONDUCTED AFTER THE EMPLOYEE HAS COMPLETED THE 90 DAY ORIENTATION PERIOD A
Pt VI, Line 15b
PERFORMANCE REVIEW MUST BE COMPLETED AT LEAST ONCE A YEAR FOR EACH EMPLOYEE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.