Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 2,163,749 | 1,987,085 | 1,857,168 | 2,223,235 | 2,256,431 | 10,487,668 |
| 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 | 2,163,749 | 1,987,085 | 1,857,168 | 2,223,235 | 2,256,431 | 10,487,668 |
| 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).. | 97,993 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 10,389,675 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,163,749 | 1,987,085 | 1,857,168 | 2,223,235 | 2,256,431 | 10,487,668 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 6,375 | 369 | 6,846 | 8,178 | 8,219 | 29,987 |
| 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 VI.).. | 418,608 | 196,039 | 192,988 | 292,367 | 331,549 | 1,431,551 |
| 11 | Total support Add lines 7 through 10. | 11,949,206 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | COURT FEES 49,694 INSURANCE REIMBURSEMENT 17,751 ABUSER SERVICE FEES 212,513 TRANSITIONAL LIVING RENTS 120,441 VISITATION AND EXCHANGE FEE 25,126 DOMESTIC VIOLENCE TRAINING 4,914 GROSS RECEIPTS FROM SPECIAL EVENTS 627,203 DEVELOPMENT FEES 252,687 OTHER 44,321 REIMBURSEMENT OF PSH 76,901 |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | VIOLENCE AND OUR SERVICES. DURING THE YEAR, WE RECEIVED 2,833 CRISIS CALLS. |
| FORM 990, PAGE 2, PART III, LINE 4D | FAMILY VISITATION CENTER - A SAFE PLACE'S FAMILY VISITATION CENTER SUPERVISED AND FACILITATED 1,403 CUSTODY EXCHANGES AND 1,194 VISITATIONS, WITH SAFETY OF CHILDREN AND VICTIMS AS THE PRIMARY CONCERN. DURING THE FIRST 6 MONTHS OF THE YEAR, 82 FAMILIES WERE SERVED AND DURING THE SECOND SIX MONTHS, 86 FAMILIES WERE SERVED. 78% OF CASES INVOLVE FAMILIES IMPACTED BY DOMESTIC VIOLENCE, WITH THE MAJORITY OF THE REMAINING FAMILIES IMPACTED BY CHILD ABUSE. (OTHER CASES INVOLVE SEXUAL ASSAULT AND STALKING). IN ADDITION, THE CENTER PROVIDED 6 TRAINING EVENTS TO 71 PERSONS INVOLVED IN VISITATION AND CUSTODY EXCHANGE CASES. LEGAL ADVOCACY - OUR LEGAL ADVOCACY PROGRAM, LOCATED IN THE LAKE COUNTY COURTHOUSE PROVIDED ASSISTANCE TO 1,726 VICTIMS SEEKING ORDERS OF PROTECTION FOR DOMESTIC VIOLENCE. OUR LEGAL ADVOCACY TEAM ASSISTED VICTIMS IN OBTAINING 1,389 EMERGENCY, 3 INTERIM AND 551 PLENARY DOMESTIC VIOLENCE ORDERS OF PROTECTION. IN ADDITION, WE ASSISTED 721 VICTIMS TO OBTAIN ORDER OF PROTECTION RELATED TO SEXUAL ASSAULT, AND STALKING/NO-CONTACT. THROUGH THE STAFF, INCLUDING SEVERAL VOLUNTEERS, OVER 4,600 HOURS OF ADVOCACY WAS PROVIDED TO VICTIMS. OUTREACH & EDUCATION - WE WORK TO EDUCATE THE COMMUNITY ABOUT THE DYNAMICS AND EFFECTS OF DOMESTIC VIOLENCE, AND ADVOCATE FOR VICTIMS, WHILE RAISING AWARENESS OF THE SERVICES THAT ARE AVAILABLE THROUGH MULTIPLE OUTREACH EFFORTS BY STAFF MEMBERS DEDICATED TO OUR EDUCATION PROGRAMS AS WELL AS THROUGH STAFF MEMBERS FROM EVERY AREA OF OUR AGENCY. EDUCATION AND OUTREACH ARE PROVIDED AT BUSINESSES, RELIGIOUS INSTITUTIONS AND OTHER COMMUNITY GATHERINGS. WE ALSO EDUCATE PROFESSIONALS SUCH AS SOCIAL WORKERS OR LAW ENFORCEMENT OFFICIALS WHO MAY COME IN CONTACT WITH DOMESTIC VIOLENCE VICTIMS. WE PROVIDED OVER 1,100 HOURS OF EDUCATION THROUGH 432 PRESENTATIONS TO 5,500 PEOPLE. TO ADDRESS THE ISSUES OF TEEN DATING VIOLENCE, A SAFE PLACE ALSO FACILITATES HEALTHY DATING PRESENTATIONS AT LOCAL SCHOOLS AND AGENCIES TO EDUCATE YOUTH AND TEENS. 111 OF THESE PRESENTATION, WHICH WORK TO PREVENT DOMESTIC VIOLENCE THROUGH EDUCATION ON RED FLAGS, ABUSIVE DYNAMICS AND THE OPTIONS AVAILABLE FOR TEENS, WERE PROVIDED TO 2,648 YOUTHS DURING THE YEAR. ABUSER SERVICES - IPDAV - INTERVENTION PROGRAM FOR DOMESTICE ABUSE & VIOLENCE - WE ALSO WORK TO ELIMINATE DOMESTIC VIOLENCE AND INCREASE THE SAFETY OF VICTIMS BY WORKING DIRECTLY WITH ABUSERS. OUR ABUSER INTERVENTION PROGRAM PROVIDED OVER 3,200 HOURS OF COUNSELING THROUGH A SIX MONTH PROGRAM TO 253 PERPETRATORS OF ABUSE, TEACHING THEM ACCOUNTABILITY AND HELPING THEM TO EXAMINE AND CHANGE THEIR ABUSIVE BEHAVIORS. EACH PARTICIPANT IS INDIVIDUALLY ASSESSED BEFORE BEING PLACED IN A WEEKLY GROUP. 102 CLIENTS RECEIVED ASSESSMENTS DURING THE YEAR. HUMAN SERVICES COLLABORATION - DURING THE YEAR, A SAFE PLACE CONTINUED ITS ROLE AS FISCAL AGENT FOR THE ALLIANCE FOR HUMAN SERVICES, AN ORGANIZATION DEDICATED TO CONTINUOUSLY IMPROVING THE DELIVERY OF HUMAN SERVICES IN LAKE COUNTY. TO ENSURE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. THE ALLIANCE TAKES A LEADERSHIP ROLE TO PROMOTE COLLABORATION, TO ENABLE THE DELIVERY OF INNOVATIVE, SUSTAINABLE PROGRAMS AND ACCESSIBLE SERVICES, AND TO ADVOCATE FOR THE HUMAN SERVICE SECTOR. THE ORGANIZATION RECENTLY OBTAINED ITS OWN 501(C)(3) STATUS AND WILL FILE ITS OWN FORM 990 NEXT FISCAL YEAR. SIGNIFICANT ACCOMPLISHMENTS THUS FAR INCLUDE CHOOSING AND BEGINNING THE IMPLEMENTATION OF A SHARED DATA BASE HAS BEEN CHOSEN, SERVING AS THE NEW "HOME" FOR THE RESPOND COALITION, CREATING A FORMAL LINK WITH ILLINOIS PARTNERS FOR HUMAN SERVICES, AND GAINING ACCESS TO ENSURE THE HEALTH AND HUMAN SERVICES SECTOR "HAS A SEAT AT THE TABLE" IN CRITICAL MEETINGS THROUGHOUT LAKE COUNTY AND BEYOND. THE ALLIANCE HAS ALSO BEEN A CO-COORDINATOR OF THE EDUCATION AND ASSISTANCE EFFORTS FOR LAKE COUNTY REGARDING THE AFFORDABLE CARE ACT. HEALTH INSURANCE NAVIGATION - DURING THE YEAR, WE CONTINUED OUR PARTICIPATION AS HEALTH INSURANCE "NAVIGATORS" IN THE COUNTY-WIDE EFFORT TO ENROLL THE UNINSURED UNDER THE PROVISIONS OF THE AFFORDABLE CARE ACT, HELPING MANY OF OUR CLIENTS AND OTHERS NEEDING AFFORDABLE HEALTH INSURANCE. WE PROVIDED EDUCATION ON THE ACT TO 2,308 PERSONS AND DIRECTLY ASSISTED 221 PERSONS WITH THE ONLINE HEALTH INSURANCE APPLICATION PROCESS, ALSO PROVIDING POST-ENROLLMENT ASSISTANCE TO 118 PERSONS. WE ALSO PROVIDED 53 OUTREACH PRESENTATIONS TO OVER 1,000 PARTICIPANTS AND VARIOUS COMMUNITY AND CORPORATE/BUSINESS EVENTS. PERMANENT SUPPORTIVE HOUSING - AFFORDABLE, SAFE HOUSING (REPORTED UNDER A SAFE PLACE II LP) - IN THIS COMPANION TO OUR TRANSITIONAL LIVING PROGRAM, WE PROVIDED 19,228 NIGHTS OF SAFE HOUSING IN PERMANENT SUPPORTIVE HOUSING APARTMENTS TO 28 WOMEN AND 59 CHILDREN. THIS PROGRAM'S INCOME AND EXPENSES ARE REPORTED UNDER A SEPARATE TAXABLE ENTITY'S TAX RETURN (A SAFE PLACE II LP - SEE SCHEDULE R IN THIS FORM 990) FOR WHICH WE ARE THE GENERAL PARTNER. ALONG WITH AFFORDABLE HOUSING, THE TENANTS RECEIVE ON-SITE SUPPORTIVE SERVICES, INCLUDING DOMESTIC VIOLENCE SUPPORT GROUPS, LIFE SKILLS TRAINING, AND COUNSELING SERVICES FOR ADULTS AND CHILDREN, PROVIDED THROUGH AND REPORTED UNDER OUR COUNSELING AND LIFE SKILLS PROGRAM. |
| FORM 990, PAGE 6, PART VI, LINE 6 | PER BY-LAWS - THE GENERAL MEMBERSHIP SHALL CONSIST OF INDIVIDUALS AND COMMUNITY GROUPS INTERESTED IN AND WHO CONTRIBUTE FINANCIALLY, OR IN-KIND, TO THE ANNUAL OPERATION OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | FROM BY-LAWS - DIRECTORS SHALL BE ELECTED BY THE GENERAL MEMBERSHIP AT THE ANNUAL MEETING OF THE MEMBERS. THE ANNUAL MEETING OF THE MEMBERS SHALL BE HELD WITHIN 120 DAYS OF THE CLOSE OF THE FISCAL YEAR. EACH MEMBER PRESENT AT A MEETING, EITHER IN PERSON OR BY PROXY, SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FINANCE COMMITTEE (COMPRISED OF BOARD MEMBERS) REVIEWS THE COMPLETED FORM 990 AND APPROVES FORWARDING TO THE EXECUTIVE COMMITTEE OF THE BOARD, A COMMITTEE DESIGNATED BY THE BOARD AS HAVING FINAL AUTHORIZATION FOR APPROVAL OF THE FORM 990. THE EXECUTIVE COMMITTEE IS PROVIDED WITH THE COMPLETED FORM 990, MAKES CHANGES AS NECESSARY, AND GIVES FINAL APPROVAL FOR SUBMISSION. THE EXECUTIVE COMMITTEE, AS AUTHORIZED IN THE ORGANIZATION'S BY-LAWS, HAS THE POWER TO ACT FOR THE BOARD WHEN THE BOARD IS UNAVAILABLE OR WHEN DESIGNATED TO DO SO BY THE BOARD. AFTER APPROVAL, THE EXECUTIVE COMMITTEE PROVIDES AN OVERVIEW OF THE FORM 990 CONTENTS AT A REGULARLY SCHEDULED BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. IN ADDITION, ALL INTERESTED PERSONS MUST COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE (PRIOR TO) UPON BECOMING AN OFFICER OR UPON JOINING THE BOARD OF DIRECTORS OR ANY COMMITTEE AND AT LEAST ANNUALLY THEREAFTER. THE EXECUTIVE DIRECTOR WILL ENSURE THAT THIS TAKES PLACE AND BRING ANY POTENTIAL CONFLICTS TO THE EXECUTIVE COMMITTEE'S ATTENTION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST BY WRITTEN REQUEST AND/OR REVIEW ON THE ORGANIZATION'S PREMISES. |
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