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
PUEBLO STEPUP
Employer identification number
84-1234295
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.") ....
385,217
272,627
547,208
75,533
462,226
1,742,811
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
385,217
272,627
547,208
75,533
462,226
1,742,811
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)..
104,241
6
Public support. Subtract line 5 from line 4.
1,638,570
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..
385,217
272,627
547,208
75,533
462,226
1,742,811
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9,181
8,298
10,616
11,865
8,755
48,715
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
1
25
11
0
37
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
14,945
13,413
10,528
12,484
17,025
68,395
11
Total support (Add lines 7 through 10).
1,859,958
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,706,927
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
81.910 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
83.780 %
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:
13000248
Software Version:
2013v3.1
-
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
PUEBLO STEPUP
Employer identification number
84-1234295
Return Reference
Explanation
FORM 990, PART III, LINE 1, MISSION DESCRIPTION
PUEBLO STEPUP IS A 501(C)(3) NONPROFIT ORGANIZATION IN PUEBLO WHOSE MISSION IS TO POSITIVELY IMPACT THE HEALTH, WELL-BEING, AND ACCESS TO HEALTH CARE FOR PUEBLO'S UNDER SERVED. WE PROVIDE ACCESS TO HEALTH AND WELLNESS SERVICES FOR AT-RISK MEMBERS OF OUR COMMUNITY, INCLUDING THE LOW-INCOME, UNINSURED OR UNDER INSURED POPULATIONS OF PUEBLO. STEPUP IS THE RESULT OF A MERGER OF TWO HEALTH AND WELLNESS AGENCIES SERVING LOW-INCOME, MEDICALLY UNDER SERVED POPULATIONS: PUEBLO SET FOR WELL BEING AND PUEBLO COALITION FOR THE MEDICALLY UNDER SERVED. PUEBLO STEPUP OFFERS PROGRAMS THAT PROMOTE WELLNESS AND CHRONIC DISEASE PREVENTION PRIMARILY TO SENIORS, PREGNANT WOMEN AND CHILDREN, HOWEVER OUR PROGRAMS ARE EXPANDING TO INCLUDE A WIDE RANGE OF DEMOGRAPHICS, INCLUDING ADULTS WITHOUT DEPENDENT CHILDREN AND WORKING ADULTS WITH DISABILITIES. PUEBLO STEPUP ENROLLS ELIGIBLE CHILDREN INTO THE CHILD HEALTH PLAN PLUS (CHP+) AND MEDICAID PROGRAMS IN COOPERATION WITH THE LOCAL PUEBLO CITY AND COUNTY SCHOOL DISTRICTS. OUR AGENCY ASSISTS CHP+ AND MEDICAID CLIENTS IN OBTAINING MEDICAL PROVIDERS AND RECEIVING ACCESS TO SERVICES AND PRESCRIPTION MEDICATIONS. PUEBLO STEPUP'S BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT REPRESENTATIVES FROM DIVERSE SEGMENTS OF THE PUEBLO COMMUNITY.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE DESCRIPTION
I. INTRODUCTION: A. MARKET BASED ORGANIZATION MISSION AND VISION PUEBLO STEPUP IS A 501 (C)(3) NONPROFIT ORGANIZATION IN PUEBLO WHOSE MISSION IS TO POSITIVELY IMPACT THE HEALTH, WELL-BEING AND ACCESS TO HEALTH CARE FOR PUEBLO'S UNDER SERVED. WE PROVIDE ACCESS TO HEALTH AND WELLNESS SERVICES FOR AT-RISK MEMBERS OF OUR COMMUNITY, INCLUDING THE LOW-INCOME, UNINSURED OR UNDER INSURED POPULATIONS OF PUEBLO. PUEBLO STEPUP IS THE RESULT OF A MERGER IN 2005 OF TWO HEALTH AND WELLNESS AGENCIES SERVING LOW-INCOME, MEDICALLY UNDER SERVED POPULATIONS: PUEBLO SET FOR WELL BEING AND PUEBLO COALITION FOR THE MEDICALLY UNDER SERVED. PUEBLO STEPUP ENROLLS ELIGIBLE CHILDREN INTO CHILD HEALTH PLAN PLUS AND MEDICAID. PUEBLO STEPUP ALSO PROCESSES CHILD HEALTH PLAN PLUS (CHP+) AND MEDICAID APPLICATIONS FOR ST. MARY-CORWIN AND PENROSE ST. FRANCIS MEDICAL CENTERS AS WELL AS VALLEY WIDE HEALTH SYSTEMS LOCATED IN ALAMOSA, COLORADO. PUEBLO STEPUP'S BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT REPRESENTATIVES FROM DIVERSE SEGMENTS OF THE PUEBLO COMMUNITY. B. COMMUNITY BENEFIT APPROACH PUEBLO STEPUP'S APPROACH TO PROVIDING COMMUNITY BENEFIT FOCUSES ON CONNECTING PEOPLE TO AVAILABLE MEDICAL, WELLNESS AND PREVENTION RESOURCES. PUEBLO COUNTY IS A BLUE COLLAR COMMUNITY WITH A HIGH RATE OF POVERTY, LARGE SENIOR POPULATION AND HIGH TEENAGE PREGNANCY RATES. OUR POPULATION HAS A HIGH INCIDENCE OF OBESITY, DIABETES, ASTHMA AND HEART DISEASE. OUR TARGET POPULATION IS PUEBLO COUNTY'S MEDICALLY UNDERSERVED OF ALL AGES. PUEBLO STEPUP COLLABORATES WITH ST. MARY-CORWIN MEDICAL CENTER, PARKVIEW MEDICAL CENTER, PUEBLO CITY SCHOOL DISTRICT 60, PUEBLO COUNTY SCHOOL DISTRICT 70, PUEBLO AREA AGENCY ON AGING, PUEBLO COMMUNITY HEALTH CENTER, SOUTHERN COLORADO FAMILY MEDICINE, CATHOLIC CHARITIES, SENIOR RESOURCE DEVELOPMENT AGENCY, AARP, PUEBLO DEPARTMENT OF SOCIAL SERVICES, PUEBLO CITY/COUNTY HEALTH DEPARTMENT AND MANY OTHER NONPROFITS AND PHYSICIAN AND DENTAL OFFICES. C. FINANCIAL ASSISTANCE POLICIES AND PROGRAMS PUEBLO STEPUP EDUCATES THE PUBLIC REGARDING GOVERNMENT AND OTHER PROGRAMS FOR LOW-INCOME PERSONS. WE DO NOT CHARGE A FEE TO ASSIST CLIENTS IN ENROLLING IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE. CHILDREN'S PROGRAMS FOR PUEBLO COUNTY LOW-INCOME CHILDREN: PUEBLO STEPUP PROVIDED INDIVIDUALIZED CASE MANAGEMENT FOR PARENTS OF CHILDREN WHO ARE ENROLLED IN CHILDREN'S MEDICAID (EPSDT). PUEBLO STEPUP EMPLOYS FOUR CHILDREN'S MEDICAID CASE WORKERS. CASE WORKERS PROVIDE EDUCATION TO CLIENTS ON ACCESSING PROVIDERS, HEALTH CARE AND OTHER FACTORS THAT CAN IMPACT CHILDREN'S HEALTH. SENIOR PROGRAMS FOR PUEBLO COUNTY LOW-INCOME SENIORS: PUEBLO STEPUP IS IN THE PROCESS OF REVITALIZING OUR SENIOR PROGRAMMING TO OFFER THE MOST COMPREHENSIVE PROGRAMS TO SENIORS IN PUEBLO COUNTY. OUR AGENCY HAS SPEARHEADED A HEALTHY AGING INITIATIVE WITH SEVERAL LOCAL NONPROFITS, HEALTH CARE AGENCIES, AND GOVERNMENT ENTITIES TO DETERMINE THE ACUTE NEEDS OF PUEBLO'S SENIOR POPULATION. THIS WILL ALLOW US TO DELIVER CARE, EDUCATION, AND WELLNESS PROGRAMS THAT WILL DELIVER LONG-TERM RESULTS. PUEBLO STEPUP ENROLLED INDIVIDUALS INTO MEDICAID, CHP+, AND ADULT BENEFITS PROGRAMS. WE ARE THE ONLY SERVICE IN PUEBLO THAT PROVIDES ASSISTANCE TO ALL THE ABOVE SERVICES REGARDLESS OF CHOICE OF PROVIDER. MOST OF PUEBLO STEPUP'S PROGRAMS FOCUS ON THE NEEDS OF LOW-INCOME SENIORS AND CHILDREN.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee
THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT AND EXECUTIVE DIRECTOR, AND THE SECRETARY. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR OF THE CORPORATE MEMBER, WITH THESE BYLAWS, OR WITH APPLICABLE LAW. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT SUCH TIMES AS SHALL BE DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders
ACCORDING TO THE BYLAWS OF PUEBLO STEPUP. THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body
ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders
"THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE PUEBLO STEPUP *AMENDMENT OF THE CORPORATE DOCUMENTS OF THE PUEBLO STEPUP *APPROVE MEMBERS OF THE PUEBLO STEPUP BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE PUEBLO STEPUP *APPROVAL OF ISSUANCE OF DEBT BY PUEBLO STEPUP *APPROVAL OF PARTICIPATION OF PUEBLO STEPUP IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY PUEBLO STEPUP *APPROVAL OF A MERGER INVOLVING THE PUEBLO STEPUP *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE PUEBLO STEPUP *TO REQUIRE THE TRANSFER OF ASSETS BY THE PUEBLO STEPUP TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR PUEBLO STEPUP PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE."
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body
THE EXECUTIVE DIRECTOR REVIEWS THE TAX RETURN IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTANTS. SUBSEQUENT TO THE REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED FOR REVIEW. SUBSEQUENT TO E-FILING, THE FINAL FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy
PUEBLO STEPUP ASSOCIATES SHOULD, AT ALL TIMES, ACT APPROPRIATELY TO AVOID "CONFLICTS OF INTEREST" DURING THEIR EMPLOYMENT OR AFFILIATION THAT MAY INTERFERE WITH THEIR ABILITY TO SERVE IN THE BEST INTEREST OF CENTURA/PUEBLO STEPUP. ASSOCIATES AND THEIR FAMILY MEMBERS SHOULD AVOID FINANCIAL INTEREST IN OR RECEIPT OF COMPENSATION FROM ENTITIES WITH WHICH PUEBLO STEPUP HAS A BUSINESS RELATIONSHIP OR IS NEGOTIATING A RELATIONSHIP. ASSOCIATES SHOULD NOT APPROVE THE EXPENSES OF A FAMILY MEMBER OR RELATIVE-IN-LAW, SIGNIFICANT OTHER OR ROOMMATE. ASSOCIATES SHOULD TAKE STEPS TO AVOID ACCEPTING GIFTS AND GRATUITIES UNLESS THEY ARE OF A NOMINAL OR TOKEN VALUE. ASSOCIATES SHOULD DISCLOSE A POTENTIAL CONFLICT TO THEIR MANAGER WHEN THEY BECOME AWARE OF THE CONFLICT. ADDITIONALLY, ASSOCIATES MAY BE ASKED TO PROVIDE WRITTEN DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST. POTENTIAL CONFLICTS WILL BE ASSESSED TO DETERMINE WHETHER A CONFLICT EXISTS AND APPROPRIATE ACTION WILL BE TAKEN TO ADDRESS THE CONFLICT. MEMBERS OF THE BOARD ARE REQUIRED TO COMPLETE A QUESTIONNAIRE ANNUALLY DOCUMENTING POTENTIAL CONFLICTS OF INTEREST. AT THE BEGINNING OF EACH BOARD MEETING, MEMBERS WITH A POTENTIAL CONFLICT ARE REQUIRED TO DISCLOSE THE CONFLICT. THE BOARD AS A WHOLE THEN DETERMINES WHETHER THE MEMBER SHOULD RECUSE THEMSELVES FROM ALL DISCUSSIONS CONCERNING THE PENDING MATTER OR ABSTAIN FROM VOTING ON THE MATTER.
FORM 990, PART VI, LINE 15A, PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL
DURING THE TAX YEAR ENDED 6/30/14, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A.
FORM 990, PART VI, LINE 15B, COMPENSATION OF OTHER OFFICERS
PLEASE SEE ANSWER ABOVE 15A.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public
THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
Form 990, Part IX, Line 11g, Other Expenses
OTHER FEES FOR SERVICES - TOTAL EXPENSE: 6322, PROGRAM SERVICE EXPENSE: 6020, MANAGEMENT AND GENERAL EXPENSES: 303, FUNDRAISING EXPENSES: ; OTHER SALARIES AND WAGES - TOTAL EXPENSE: 677373, PROGRAM SERVICE EXPENSE: 623183, MANAGEMENT AND GENERAL EXPENSES: 54190, FUNDRAISING EXPENSES: ; PENSION PLAN CONTRIBUTIONS - TOTAL EXPENSE: 32502, PROGRAM SERVICE EXPENSE: 31202, MANAGEMENT AND GENERAL EXPENSES: 1300, FUNDRAISING EXPENSES: ; OTHER EMPLOYEE BENEFITS - TOTAL EXPENSE: 62131, PROGRAM SERVICE EXPENSE: 59646, MANAGEMENT AND GENERAL EXPENSES: 2485, FUNDRAISING EXPENSES: ; PAYROLL TAXES - TOTAL EXPENSE: 50628, PROGRAM SERVICE EXPENSE: 48603, MANAGEMENT AND GENERAL EXPENSES: 2025, FUNDRAISING EXPENSES: ;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.