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
NORTH OAKLAND RESIDENTIAL SERVICES INC
Employer identification number
38-2317878
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.") ....
5,612,538
6,001,863
5,782,425
5,653,480
5,646,212
28,696,518
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
5,612,538
6,001,863
5,782,425
5,653,480
5,646,212
28,696,518
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.
28,696,518
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..
5,612,538
6,001,863
5,782,425
5,653,480
5,646,212
28,696,518
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
10,007
5,543
5,594
4,334
3,058
28,536
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).
28,725,054
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
99.900 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.880 %
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.)
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:
13000230
Software Version:
13.6.0.0
-
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
NORTH OAKLAND RESIDENTIAL SERVICES INC
Employer identification number
38-2317878
Return Reference
Explanation
Form 990, Part III, Line 4d
Program Service Expenses 211,253, Grants and allocations 0, Revenue 231,965 HOME FOR THE DEVELOPMENTALLY DISABLED - CAMPBELL
Form 990, Part III, Line 4d
Program Service Expenses 322,683, Grants and allocations 0, Revenue 347,684 HOME FOR THE DEVELOPMENTALLY DISABLED - ANDERSONVILLE
Form 990, Part III, Line 4d
Program Service Expenses 282,558, Grants and allocations 0, Revenue 279,389 HOME FOR THE DEVELOPMENTALLY DISABLED - LUDWIG
Form 990, Part III, Line 4d
Program Service Expenses 319,719, Grants and allocations 0, Revenue 351,360 HOME FOR THE DEVELOPMENTALLY DISABLED - BARR
Form 990, Part III, Line 4d
Program Service Expenses 309,962, Grants and allocations 0, Revenue 336,136 HOME FOR THE DEVELOPMENTALLY DISABLED - DAVISON LAKE
Form 990, Part III, Line 4d
Program Service Expenses 297,738, Grants and allocations 0, Revenue 308,812 HOME FOR THE DEVELOPMENTALLY DISABLED - LAKEVILLE
Form 990, Part III, Line 4d
Program Service Expenses 311,944, Grants and allocations 0, Revenue 335,366 HOME FOR THE DEVELOPMENTALLY DISABLED - PELTON
Form 990, Part III, Line 4d
Program Service Expenses 300,449, Grants and allocations 0, Revenue 376,501 HOME FOR THE DEVELOPMENTALLY DISABLED - RENAISSANCE
Form 990, Part III, Line 4d
Program Service Expenses 294,932, Grants and allocations 0, Revenue 364,198 HOME FOR THE DEVELOPMENTALLY DISABLED - EDGAR
Form 990, Part III, Line 4d
Program Service Expenses 320,977, Grants and allocations 0, Revenue 253,373 HOME FOR THE DEVELOPMENTALLY DISABLED - WEST UTICA
Form 990, Part III, Line 4d
Program Service Expenses 316,660, Grants and allocations 0, Revenue 341,162 HOME FOR THE DEVELOPMENTALLY DISABLED - HAMPSTEAD
Form 990, Part III, Line 4d
Program Service Expenses 303,346, Grants and allocations 0, Revenue 276,397 HOME FOR THE DEVELOPMENTALLY DISABLED - SASS
Form 990, Part III, Line 4d
Program Service Expenses 375,920, Grants and allocations 0, Revenue 329,841 HOME FOR THE DEVELOPMENTALLY DISABLED - SHIPMAN
Form 990, Part III, Line 4d
Program Service Expenses 243,267, Grants and allocations 0, Revenue 229,754 HOME FOR THE DEVELOPMENTALLY DISABLED - TIENKEN
Form 990, Part III, Line 4d
Program Service Expenses 176,594, Grants and allocations 0, Revenue 211,159 HOME FOR THE DEVELOPMENTALLY DISABLED - FISHER PR-BMT
Form 990, Part III, Line 4d
Program Service Expenses 165,867, Grants and allocations 0, Revenue 170,780 HOME FOR THE DEVELOPMENTALLY DISABLED - FISHER PR-MRW
Form 990, Part VI, Section B, Line 11B
THE 990 IS FIRST REVIEWED BY THE INDEPENDENT FINANCIAL COMMITTEE OF THE BOARD OF DIRECTORS FOR ACCURACY AND INCONSISTENCIES, THE 990 IS THEN REVIEWED BY THE FULL BOARD OF DIRECTORS FOR APPROVAL AND ADOPTION BASED UPON FINANCIAL COMMITTEES RECOMMENDATION PRIOR TO IRS FILING.
Form 990, Part VI, Section B, Line 12C
ALL BOARD MEMBERS RECEIVE AND COMPLETE WRITTEN ANNUAL SURVEYS REQUIRING DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST, ALL SURVEYS AND DOCUMENTS ARE THEN SHARED WITH THE FULL BOARD OF DIRECTORS, INCLUDING POTENTIAL CONFLICTS DISCLOSED BY THE BOARD MEMBERS TO ASSIST IN MONITORING ALL CONFLICTS THAT COULD OCCUR AT FUTURE MEETING. THESE SURVEYS, CONFLICT OF INTEREST POLICES AND MINUTES ARE ALL MADE PUBLIC UPON REQUEST FROM ANYONE TO THE ORGANIZATION.
Form 990, Part VI, Section B, Line 15B
AN INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE MEETS AND FOLLOWS COMPENSATION POLICY BY INDEPENDENTLY REVIEWING, COMPARABLE DATA, EXPERIENCE AND LENGTH OF SERVICE, FRINGE BENEFITS AND REIMBURSEMENT REVIEW, NATURE OF DUTIES, SIZE OF COMPANY AND CORPORATE FINANCIAL STABILITY. THE EXECUTIVE COMPENSATION COMMITTEE. AFTER CONTEMPORANEOUS REVIEW AND DISCUSSION, VOTES TO PRESENT THE COMPENSATION AND FRINGE BENEFITS PACKAGE FOR THE BOARD OF DIRECTORS APPROVAL AT A FUTURE MEETING, FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. THE FULL BOARD OF DIRECTORS THEN MEET TO REVIEW ALL DOCUMENTS AND RECOMMENDATIONS FROM THE EXECUTIVE COMPENSATION COMMITTEE, AND AFTER CONTEMPORANEOUS DISCUSSION AND EXCLUSIVE OF CONFLICTING DIRECTORS VOTE FOR APPROVAL.
Form 990, Part VI, Section C, Line 19
ALL FINANCIAL STATEMENTS AND AUDITS, AND MINUTES OF COMMITTEES AND BOARD MEETING ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FROM ANYONE TO THE ORGANIZATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.