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
BOBBY E WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER INC AND AFFILIATE
Employer identification number
36-2775103
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.") ....
5,756,315
5,258,759
5,077,697
3,959,451
3,927,585
23,979,807
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
5,756,315
5,258,759
5,077,697
3,959,451
3,927,585
23,979,807
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.
23,979,807
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..
5,756,315
5,258,759
5,077,697
3,959,451
3,927,585
23,979,807
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1,366
1,460
2,826
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
199,926
218,209
195,715
172,526
148,079
934,455
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
130,171
107,444
105,802
154,213
310,132
807,762
11
Total support (Add lines 7 through 10).
25,724,850
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
93.220 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
94.000 %
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
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
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
BOBBY E WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER INC AND AFFILIATE
Employer identification number
36-2775103
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE ORGANIZATION HAS MEMBERS. UNTIL AMENDED BY ACTION OF THE BOARD OF DIRECTORS, THE BOARD OF DIRECTORS SHALL CONSIST OF 10 DIRECTORS ELECTED FROM THROUGHOUT THE CITY, WHO LIVE AND WORK IN THE METROPOLITAN AREA AND HAVE CONNECTION VIA PROGRAM REFERRAL, INTEREST AND COMMITMENT TO THE BOBBY E. WRIGHT COMPREHENSIVE COMMUNIITY MENTAL HEALTH CENTER, INC. THIS WILL CONSTITUTE A BROAD BASED MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7A
THE OFFICERS OF THE CORPORATION SHALL BE ELECTED ANNUALLY BY THE BOARD OF DIRECTORS AT THE REGULAR ANNUAL MEETING OF THE BOARD OF DIRECTORS. IF THE ELECTION OF OFFICERS WILL NOT BE HELD AT SUCH A MEETING, SUCH ELECTION SHALL BE HELD SOON THEREAFTER AS CONVENIENT. VACANCIES MAY BE FILLED OR NEW OFFICES MAY BE CREATED AND FILLED AT ANY MEETING OF THE BOARD OF DIRECTORS. EACH OFFICER SHALL HOLD OFFICE UNTIL HIS/HER SUCCESSOR HAS BEEN DULY ELECTED AND QUALIFIED TO TAKE OFFICE.
FORM 990, PART VI, SECTION A, LINE 7B
THE AFFAIRS OF THE ORGANIZATION ARE MANAGED BY ITS BOARD OF DIRECTORS. ONLY MEMBERS OF THE BOARD OF DIRECTORS SHALL HAVE VOTING RIGHTS.
FORM 990, PART VI, SECTION B, LINE 11
UPON RECEIPT OF THE FINAL 990 TAX RETURN, THE RETURN IS REVIEWED BY THE PRESIDENT/CEO AND THE DIRECTOR OF FISCAL OPERATIONS. THIS REVIEW IS CONDUCTED BEFORE THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE (IRS). IF THERE ARE NO DISCREPANCIES, THE FORM 990 IS THEN SIGNED BY THE PRESIDENT/CEO AND FILED WITH THE IRS. THE FORM 990 IS AVAILABLE FOR THE BOARD OF DIRECTORS TO REVIEW AND A COPY IS ALSO AVAILABLE UPON REQUEST FROM THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C
THE ADMINISTRATIVE PROGAM MANAGER SHALL MAINTAIN RECORDS OF OUTSIDE EMPLOYMENT IN THE PERSONNEL FILE OF EACH EMPLOYEE. THIS WILL BE FILED AND MAINTAINED IN AN ADMINISTRATIVE OFFICE. AN UPDATE IN INFORMATION IS PERFORMED VIA A SECOND JOB MEMO THAT MUST BE COMPLETED BY STAFF TO ASCERTAIN IF THERE HAVE BEEN ANY CHANGES TO THE ORIGINAL APPROVED REQUEST THAT WAS APPROVED BY THE PRESIDENT/CEO. UNDER NO CIRCUMSTANCES SHOULD A BOARD MEMEBER, BUSINESS ASSOCIATE OR FAMILY MEMEBER RECEIVE COMPENSATION FOR ANY SERVICE RENDERED TO THE CENTER UNLESS, AND/OR UNTIL THE MATTER HAS BEEN FULLY DISCLOSED TO AND APPROVED BY THE FULL BOARD IN A LEGALLY CONVENED MEETING WITH THE REQUIRED QUORUM PRESENT.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD OF DIRECTORS CONDUCTS THE REVIEW AND APPROVAL FOR THE COMPENSATION FOR THE PRESIDENT/CEO. PERFORMANCE EVALUATIONS FOR THE PRESIDENT/CEO WITH A MINIMUM OF 10 YEARS OF EXEMPLARY SERVICE WILL BE HELD EVERY THREE YEARS BY THE BOARD OF DIRCTORS.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST, THE BOOKS AND RECORDS OF THE CORPORATION SHALL NOT BE DUPLICATED AND/OR COPIED FOR DISTRIBUTION TO ANY ENTITY WITHOUT THE KNOWLEDGE AND WRITTEN CONSENT OF THE BOARD OF DIRECTORS VIA THE SIGNATURE OF THE BOARD CHAIRMAN, OR IN HIS/HER ABSENCE THE SIGNATURE OF THE NEXT OFFICER WHO HAS THE AUTHORITY OF THE CHAIRMAN.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.