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
NeighborImpact
Employer identification number
93-0884929
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.") ....
15,045,772
15,353,855
15,119,252
13,593,392
13,419,732
72,532,003
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
15,045,772
15,353,855
15,119,252
13,593,392
13,419,732
72,532,003
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)..
0
6
Public support. Subtract line 5 from line 4.
72,532,003
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..
15,045,772
15,353,855
15,119,252
13,593,392
13,419,732
72,532,003
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
24,885
275,855
32,308
39,437
38,712
411,197
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
0
11
Total support (Add lines 7 through 10).
72,943,200
12
Gross receipts from related activities, etc. (see instructions)
..................
12
892,967
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
99.440 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.430 %
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:
13000170
Software Version:
2013v4.0
-
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
NeighborImpact
Employer identification number
93-0884929
Return Reference
Explanation
Form 990, Part III, Line 2: New Services
The agency entered into a partnership with the Oregon Dept. of Human Services to provide casework and supportive services to families who but for housing are unable to reunite with their natural children or who are at eminent risk of losing custody of their children. DHS reimburses the cost of a caseworker to assist these families. NeighborImpact provides the supervision.NeighborImpact applied for and received a grant of $25,000 for the purpose of supporting micro-enterprise business by income-qualified individuals. Funds will be targeted to support registered childcare providers in expanding their businesses and to assist individuals enrolled in saving for business start-ups through the agency-supported accelerated savings program.
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: LENDING - NeighborImpact maintains a small lending program, which provides low-interest and deferred loans to individuals for purposes of rehabbing poor quality housing and replacing failing septics tanks for income qualified individuals and supporting the development of small businesses by low-income individuals. Currently, the agency is servicing approximately 185 loans throughout the tri-county area. Additionally, the agency manages a small community land trusts in Jefferson County, Oregon, helping maintain the supply of affordable housing in that community. OTHER PROGRAM SERVICES 5: EDUCATION - NEIGHBORIMPACT'S HEADSTART AND OREGON PRE-KINDERGARTEN PROGRAM HELPED 516 CHILDREN BECOME SCHOOL READY. THREE- AND FOUR-YEAR OLDS LEARN LETTERS, NUMBERS, COLORS AND SOCIAL-EMOTIONAL SKILLS ESSENTIAL TO BEING ABLE TO FULLY PARTICIPATE IN A KINDERGARTEN ENVIRONMENT. PARTICIPANTS IN THE PROGRAM ARE SELECTED BASED ON ELIGIBILITY CRITERIA FROM LOW-INCOME AND DISADVANTAGED FAMILIES, WITH SPECIAL CONSIDERATION GIVEN TO CHILDREN WHO HAVE SUFFERED EARLY CHILDHOOD TRAUMA, EXTREME POVERTY, FAMILY DISRUPTION OR DISABILITY. APPROXIMATELY 30% OF NEIGHBORIMPACT HEADSTART PROGRAM IS FEDERALLY FUNDED WHILE THE REMAINING 70% IS STATED-FUNDED. THE AGENCY OPERATED 24 CLASSROOMS IN CROOK AND DESCHUTES COUNTIES. OTHER PROGRAM SERVICES 6: FOOD - NeighborImpact and its 44 partner agencies collected and distributedmillion of pounds of food throughout Central Oregon. A total of 41,463individuals were served. As the region's food bank, NeighborImpact providesvital supplemental assistance to income-qualified households, preventinghunger for children, the elderly and struggling working-class families andindividuals.
Form 990, Part VI, Line 11b: Form 990 Review Process
reviewed by management and the board of directors
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
Compensation Process for Top Official- Every two years (at a minimum), the Human Resource Manager collects wage comparable data from a variety of sources including: local employers both public and non-profit, other Oregon employers with like positions, associations such as the Oregon Head Start Association, Association ofOregon Community Development Organizations and other Oregon community action, community development and Head Start programs. This data is converted into a wage matrix which is in line with wage goals approved by management and the Board. The matrix is used as a basis for compensation adjustments. The Board annually reviews the compensation of the Executive Director to ensure compensation received does not exceed an amount equal to the rate payable for level II of the Executive Schedule under section 5313 of title 5, United State Code. Adjustments to compensation must be approved by the Board.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
Compensation Process for Officers - Every two years (at a minimum), the Human Resource Manager collects wage comparable data from a variety of sources including: local employers both public and non-profit, other Oregon employers with like positions, associations such as the Oregon Head Start Association, Association ofOregon Community Development Organizations and other Oregon community action, community development and Head Start programs. This data is converted into a wage matrix which is in line with wage goals approved by management and the Board. The matrix is used as a basis for compensation adjustments. The Board annually reviews the compensation of the Head Start Director, Fiscal Director and Human Resource Manager to ensure that compensation received does not exceed an amount equal to the rate payable for level II of the Executive Schedule under section 5313 of title 5, United States Code.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
AVAILABLE UPON REQUEST
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.