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 | 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 | 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
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.") . | 509,800 | 562,926 | 39,623 | 72,188 | 45,331 | 1,229,868 |
| 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...... | 10,146,155 | 10,464,313 | 11,083,525 | 11,067,103 | 11,804,787 | 54,565,883 |
| 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. | 10,655,955 | 11,027,239 | 11,123,148 | 11,139,291 | 11,850,118 | 55,795,751 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 49,325 | 540,791 | 590,116 | |||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 49,325 | 540,791 | 590,116 | |||
| 8 | Public support (Subtract line 7c from line 6.) | 55,205,635 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 10,655,955 | 11,027,239 | 11,123,148 | 11,139,291 | 11,850,118 | 55,795,751 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 104,462 | 104,462 | 96,587 | 103,299 | 98,951 | 507,761 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 104,462 | 104,462 | 96,587 | 103,299 | 98,951 | 507,761 |
| 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.) .. | 37,076 | 21,452 | 25,354 | 13,186 | 13,875 | 110,943 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 10,797,493 | 11,153,153 | 11,245,089 | 11,255,776 | 11,962,944 | 56,414,455 |
| 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 |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS REVENUE - 2010 AMOUNT: $ 18,288. 2011 AMOUNT: $ 9,288. 2012 AMOUNT: $ 8,341. 2013 AMOUNT: $ 8,401. 2014 AMOUNT: $ 8,572. FUNDRAISING GAMING - 2010 AMOUNT: $ 18,788. 2011 AMOUNT: $ 12,164. 2012 AMOUNT: $ 17,013. 2013 AMOUNT: $ 4,785. 2014 AMOUNT: $ 5,303. |
| Software ID: | |
| Software Version: |
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, PART VI, SECTION A, LINE 4 | THE BY-LAWS FOR THE ORGANIZATION (AS WELL AS THE FOUNDATION) WERE AMENDED DURING THE TAX YEAR. THE AMENDMENTS TO THE BY-LAWS ARE AIMED AT ACHIEVING CONSISTENCY BETWEEN THE HOUSE OF THE GOOD SHEPHERD AND THE HOUSE OF THE GOOD SHEPHERD FOUNDATION WITH RESPECT TO THE COMPOSITION OF THEIR BOARDS OF TRUSTEES, THE AUTHORITY OF THEIR RESPECTIVE BOARDS, THE ROLES AND RESPOSIBILITIES OF THEIR OFFICERS, AND THE MECHANICS OF EACH OF THE BOARD'S FUNCTIONING. SPECIFICALLY, THE AMENDMENTS TO THE BY-LAWS ARE AS FOLLOWS: 1. SECTION 2 / SECTION 4.1 THIS REVISION DEFINES THE POWER OF EACH CORPORATION'S BOARD TO CONTROL AND MANAGE THE PROPERTY, BUSINESS, AFFAIRS AND FUNDS OF THE RESPECTIVE CORPORATION. 2. SECTION 6 / SECTION 4.4 IN THE EVENT OF A VACANCY FOR ANY REASON, THIS REVISION CLARIFIES THAT THE INDIVIDUAL SELECTED TO FILL THE VACANCY WILL ONLY HOLD OFFICE UNTIL THE NEXT ANNUAL MEETING, AT WHICH EACH BOARD WILL FILL THAT AND ANY OTHER VACANCY BY ELECTING INDIVIDUALS TO SERVE AS TRUSTEES FOR THE UNEXPIRED PORTION OF THE TERM. 3. SECTION 9 / SECTION 5.4 NOTICE OF AN ANNUAL, REGULAR OR SPECIAL MEETING MUST BE PROVIDED AT LEAST TEN DAYS IN ADVANCE OF THE MEETING. NO NOTICE IS REQUIRED IF SUCH MEETING WAS SCHEDULED BY RESOLUTION OF A BOARD AT AN ORGANIZED MEETING AT LEAST TEN DAYS IN ADVANCE OR THE TRUSTEES SIGN A WRITTEN WAIVER OF THE NOTICE. THE WRITTEN WAIVER MAY BE PROVIDED ELECTRONICALLY AND GIVEN BEFORE OR AFTER THE MEETING. 4. SECTION 10 / SECTION 5.5 THIS REVISION CLARIFIES THAT A MAJORITY OF A QUORUM IS REQUIRED TO CONSTITUTE A VALID AND BINDING ACT OF THE RESPECTIVE CORPORATION. THIS REVISION SIMPLIFIES THE EXISTING LANGUAGE IN THE FOUNDATION'S BYLAWS. 5. SECTION 12 / SECTION 5.7 NEITHER BOARD NEEDS TO MEET IN ORDER TO ACT EACH BOARD MAY ACT BY WRITTEN CONSENT SO LONG AS THE CONSENT IS FILED WITH THE MINUTES OF THE BOARD. 6. SECTION 14 / SECTION 5.9 THIS REVISION DESCRIBES HOW EACH CORPORATION WILL HANDLE TRANSACTIONS WHERE A TRUSTEE MAY HAVE A POTENTIAL CONFLICT OF INTEREST. TRUSTEES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AS A CONDITION OF BEING ON THE BOARD. 7. SECTION 15 / SECTION 6.1 THIS REVISION UPDATES THE TITLES OF THE OFFICERS OF THE BOARD. THIS NOW COMPORTS WITH THE MODERN USAGE FOR BOTH NON-PROFIT AND FOR-PROFIT CORPORATIONS. 8. SECTION 20 / SECTION 8.2 THIS REVISION UPDATES AND STRENGTHENS THE CURRENT INDEMNIFICATION PROVISIONS. INDEMNIFICATION IS NOW EXPANDED TO THE EXTENT PERMITTED BY SECTION 15A:3-4 OF THE NEW JERSEY NONPROFIT CORPORATION ACT. 9. SECTION 21 / SECTIONS 8.1 AND 8.3 EACH BOARD MAY BY RESOLUTION AUTHORIZE ANY OFFICER OR AGENT TO ENTER INTO ANY CONTRACTS, CHECKS OR TO PERFORM ANY ACTS OR DUTIES ON BEHALF OF THE CORPORATION. THE AUTHORIZATION MAY BE GENERAL (E.G., THE PRESIDENT/CEO MAY ENTER INTO ANY CONTRACTS INVOLVING SUMS UP TO $15,000) OR SPECIFIC (E.G., THE PRESIDENT/CEO MAY ENTER INTO THE LEASE AGREEMENT BETWEEN THE HOUSE AND A SPECIFIC PROVIDER FOR THE LEASE OF CERTAIN OFFICE SPACE). 10. SECTION 22 / SECTION 9.1 THIS REVISION CLARIFIES THAT EACH BOARD WILL OVERSEE ITS CORPORATION'S COMPLIANCE EFFORTS. 11. SECTION 34 / SECTION 1.5 THIS REVISION PROVIDES THAT WRITTEN NOTICE CAN BE PROVIDED BY REGULAR MAIL, FACSIMILE TRANSMISSION AND E-MAIL. 1. SECTION 3 THIS SECTION SETS FORTH THE MINIMUM AND MAXIMUM NUMBER OF TRUSTEES ON THE HOUSE'S BOARD OF TRUSTEES ("HOUSE BOARD") AND DESCRIBES SPECIFIC MEMBERS WHO MUST BE ON THE HOUSE BOARD (I.E., THE OFFICERS OF THE HOUSE, AT LEAST THREE MEMBERS OF THE CLERGY OF PROTESTANT EPISCOPAL CHURCHES IN THE DIOCESE OF NEWARK, AND ONE COMMUNITY TRUSTEE). WITH RESPECT TO THE COMMUNITY TRUSTEE, THIS SECTION NOW PARALLELS THE REQUIREMENTS SET FORTH IN THE CONTINUING CARE RETIREMENT COMMUNITY REGULATION AND FINANCING DISCLOSURE ACT. TO THE EXTENT THAT THE HOUSE IS UNABLE TO MEET THE REQUIREMENTS PERTAINING TO THE COMMUNITY TRUSTEE, THE HOUSE SHOULD DOCUMENT ITS EFFORTS TO OBTAIN SUCH A TRUSTEE AND ITS INABILITY TO DO SO. 2. SECTION 4 THIS SECTION DESCRIBES HOW TRUSTEES ARE ELECTED AND A TRUSTEE'S TERM OF SERVICE. ALL CURRENT TRUSTEES WILL REMAIN TRUSTEES OF THE HOUSE BOARD UNTIL THE NEXT ANNUAL MEETING, WHICH WILL BE HELD ON OR ABOUT JANUARY 27, 2015. ALL NEWLY ELECTED TRUSTEES WILL SERVE 3-YEAR TERMS. TRUSTEES MAY SERVE CONSECUTIVE TERMS UNLESS THEY ARE REMOVED OR VACATE THE OFFICE FOR ANY REASON. 3. SECTION 7 ALTHOUGH THE FOUNDATION IS NOT EXPRESSLY LISTED AS AN ITEM ON THE HOUSE BOARD'S AGENDA, THE FOUNDATION BOARD'S MEETING WILL BE HELD PRIOR TO THE HOUSE BOARD'S MEETING. ACCORDINGLY, IF THERE ARE ANY ACTIONS TAKEN BY THE FOUNDATION THAT NEED TO BE APPROVED BY THE HOUSE, THE HOUSE MAY ACT ON THOSE ITEMS AT ITS MEETING. 4. SECTION 11 THIS REVISION CLARIFIES THAT EACH TRUSTEE SHALL ONLY HAVE ONE VOTE AND THAT THE CHAIR WILL BE A TIEBREAKER. 5. SECTION 13 TRUSTEES MAY NOW PARTICIPATE IN MEETINGS VIA CONFERENCE CALL. 6. SECTION 17 THIS REVISION CLARIFIES THE DUTIES OF THE PRESIDENT/CEO AND INCLUDES THE AUTHORITY TO: (I) EXECUTE CONTRACTS, LEASES, PURCHASE ORDERS AND OTHER OBLIGATIONS THAT ARE A PART OF THE USUAL BUSINESS OF THE HOUSE (PLEASE NOTE THAT SECTION 17(B) PROVIDES THAT THE PRESIDENT/CEO MAY EXECUTE CONTRACTS, LEASES AND OTHER TRANSACTIONS THAT ARE NOT A PART OF THE USUAL BUSINESS OF THE HOUSE (E.G., A DEBT REFINANCING, CHANGE IN LICENSURE OF THE HOUSE ONCE THEY ARE AUTHORIZED BY THE HOUSE BOARD); AND (II) SIGN CHECKS UP TO $50,000. THE TREASURER, CHAIR OR VICE-CHAIR MUST COUNTERSIGN IF THE AMOUNT OF THE CHECK IS IN EXCESS OF $50,000. THIS REVISION REFLECTS THE HOUSE'S ACTUAL PRACTICE. 7. SECTION 19 THIS REVISION ADDS A COMPLIANCE COMMITTEE AS THE HOUSE PARTICIPATES IN THE MEDICAID AND MEDICARE PROGRAMS. 8. SECTION 23 THIS REVISION CLARIFIES THAT IT IS THE PRESIDENT/CEO'S RESPONSIBILITY (THROUGH APPROPRIATE STAFF) TO REVIEW AND REVISE, IF NECESSARY, THE HOUSE'S POLICIES AND PROCEDURES ON AN ANNUAL BASIS. 9. SECTION 25 THE HOUSE BOARD HAS THE AUTHORITY TO EXERCISE THE RIGHTS OF THE HOUSE AS A MEMBER OF ANOTHER CORPORATION (E.G., THE FOUNDATION). THE HOUSE BOARD MAY AUTHORIZE THE CHAIR OR VICE-CHAIR TO ACT ON ITS BEHALF WITH RESPECT TO THE HOUSE'S RIGHTS AS A MEMBER OF THE OTHER CORPORATION. 10. SECTIONS 26, 28 AND 29 THESE SECTIONS WERE ADDED TO COMPORT WITH THE HOUSE'S RESPONSIBILITIES AND LIMITATIONS AS A SECTION 501(C)(3) ORGANIZATION. 11. SECTION 30 THIS REVISION CLARIFIES THE PROCEDURE FOR AMENDING THE BYLAWS. 12. SECTION 31 THIS ADDITION SETS FORTH THE HOUSE BOARD'S OBLIGATION TO KEEP CORRECT AND ACCURATE BOOKS AND RECORDS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER CONDUCT A DETAILED REVIEW OF THE FORM 990. AFTER THEIR REVIEW, THE TREASURER OF THE BOARD REVIEWS THE FORM 990 IN DETAIL. A COPY OF THE ORGANIZATION'S FINAL FORM 990 IS PROVIDED TO THE GOVERNING BODY MEMBERS AT THE NEXT MEETING OF THE BOARD OF TRUSTEES FOLLOWING COMPLETION OF THE FORM. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CORPORATE COMPLIANCE POLICY IS GIVEN TO AND SIGNED BY EACH BOARD MEMBER ON AN ANNUAL BASIS. BOARD MEMBERS MUST DISCLOSE ANY CONFLICTS OF INTEREST AND ABSTAIN FROM VOTING IF SUCH CONFLICTS ARISE AT MEETINGS. THE EXECUTIVE DIRECTOR REVIEWS THE CONFLICT FORMS. IF A CONFLICT ARISES, THE ACTIONS TAKEN AND RESULTS ARE DOCUMENTED IN THE BOARD MINUTES. THE CONFLICT OF INTEREST STATEMENTS FOR SENIOR MANAGEMENT ARE SUBMITTED TO THE BOARD FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PERSONNEL COMMITTEE REFERS TO COMPENSATION STUDIES DONE BY TRADE ORGANIZATIONS EACH YEAR FOR COMPARATIVE INFORMATION ON SALARY/WAGE DATA. THEY ALSO LOOK AT SURROUNDING RETIREMENT COMMUNITIES TO ENSURE THEIR TOP MANAGEMENT OFFICIALS' PAY IS COMMENSURATE WITH SIMILAR POSITIONS AT THOSE ORGANIZATIONS. AFTER THE PERSONNEL COMMITTEE ESTABLISHES COMPENSATION AMOUNTS FOR THE EXECUTIVE DIRECTOR, THE PAYROLL BUDGET FOR OTHER PERSONNEL IS REVIEWED BY THE PERSONNEL COMMITTEE AND APPROVED BY THE BOARD OF TRUSTEES. THIS PROCESS AND FINAL DETERMINATIONS ARE DOCUMENTED IN THE MINUTES. |
| 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. |
| PART XII, LINE 2C | THE PROCESS USED BY THE COMMITTEE THAT ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
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