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.") . | 492,045 | 653,939 | 613,230 | 669,324 | 816,249 | 3,244,787 |
| 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...... | 40,046 | 21,372 | 32,878 | 21,434 | 25,350 | 141,080 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 364,253 | 244,194 | 292,174 | 305,387 | 1,206,008 | |
| 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. | 532,091 | 1,039,564 | 890,302 | 982,932 | 1,146,986 | 4,591,875 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 17,500 | 17,500 | ||||
| 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.. | 17,500 | 17,500 | ||||
| 8 | Public support (Subtract line 7c from line 6.) | 4,574,375 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 532,091 | 1,039,564 | 890,302 | 982,932 | 1,146,986 | 4,591,875 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 38,699 | 40,135 | 42,512 | 43,201 | 48,674 | 213,221 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 38,699 | 40,135 | 42,512 | 43,201 | 48,674 | 213,221 |
| 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.).. | 570,790 | 1,079,699 | 932,814 | 1,026,133 | 1,195,660 | 4,805,096 |
| 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) |
||||
| 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 |
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| Return Reference | Explanation |
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| 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 1 | THE CORPORATION SHALL HAVE AN EXECUTIVE COMMITTEE, WHICH SHALL CONSIST OF (I) THE PRESENT, THE PAST PRESIDENT, THE PRESIDENT ELECT, THE VICE PRESIDENT(S), THE TREASURER, THE SECRETARY AND, UPON RECOMMENDATION OF THE PRESIDENT AND APPROVAL BY THE BOARD OF DIRECTORS, THE GHS DIRECTOR, AND (II) TWO OTHER MEMBERS OF THE BOARD OF DIRECTORS WHO SHALL SERVE AS AT LARGE MEMBERS (THE "AT LARGE MEMBERS"). THE AT LARGE MEMBERS SHALL BE ELECTED BY THE BOARD OF DIRECTORS ANNUALLY AT THE REGULAR NOVEMBER OF THE BOARD OF DIRECTORS, ACCORDING TO THE NOMINATION PROCESS SET FORTH IN ARTICLE II, SECTION 4 ABOVE. VACANCIES FOR AT LARGE MEMBERS MAY BE FILLED IN THE SAME MANNER AS OFFICERS PURSUANT TO SECTION 2 OF ARTICLE III. EACH MEMBER OF THE EXECUTIVE COMMITTEE SHALL SERVE FOR TERM OF ONE YEAR, OR UNTIL HIS SUCCESSOR SHALL HAVE BEEN DULY ELECTED AND SHALL HAVE QUALIFIED, OR UNTIL HIS DEATH, OR UNTIL HE SHALL RESIGN OR SHALL HAVE BEEN REMOVED IN THE MANNER PROVIDED FOR THE REMOVAL OR OFFICERS IN ARTICLE III, SECTION 3. A PERSON MAY SERVE AS AN AT LARGE MEMBER FOR CONSECUTIVE TERMS WITHOUT LIMITATIONS. THE PURPOSE OF THE EXECUTIVE COMMITTEE IS TO: (I) ACT AS A SMALLER, MORE EFFICIENT BODY THAN THE FULL OF BOARD OF DIRECTORS IN MANAGING THE OPERATIONS AND AFFAIRS OF THE CORPORATION; AND (II) ACT ON BEHALF OF THE BOARD OF DIRECTORS IN A SITUATION WHERE THE TIMING OF A DECISION IS OF UTMOST IMPORTANCE, INCLUDING ACTING IN AN EMERGENCY WHEN IT IS IMPRACTICABLE FOR THE BOARD TO DO SO. EXCEPT AS MAY BE PROSCRIBED BY THE ARTICLES OF INCORPORATION, THESE BYLAWS, RESOLUTIONS AND DIRECTIVES OF THE BOARD, OR APPLICABLE LAW, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS. THE FOREGOING NOTWITHSTANDING, THE EXECUTIVE COMMITTEE SHALL BE SUBJECT TO THE CONTROL AND DIRECTION OF THE FULL BOARD OF DIRECTORS. WITHOUT LIMITING THE AUTHORITY DELEGATED TO THE EXECUTIVE COMMITTEE IN SUBSECTION (B) ABOVE, THE EXECUTIVE COMMITTEE MAY: (I) APPROVE ANY SINGLE EXPENDITURE OF $25,000 OR LESS; (II) HANDLE ALL EMPLOYMENT MATTERS RELATING TO THE EMPLOYEES OF THE CORPORATION, OTHER THAN THE CHIEF EXECUTIVE OFFICER; PROVIDED HOWEVER, ALL COMPENSATION AND BENEFIT ITEMS MUST BE WITHIN BUDGETED PARAMETERS; AND PROVIDED FURTHER THAT THE CHIEF EXECUTIVE OFFICER SHALL HAVE THE DIRECT AND PRIMARY RESPONSIBILITY FOR MANAGING THE OTHER EMPLOYEES OF THE CORPORATION AND EVALUATING THEIR PERFORMANCE, SUBJECT TO THE AUTHORITY OF THE EXECUTIVE COMMITTEE AND THE GUIDANCE OF ANY BOARD PERSONNEL COMMITTEE; AND (III) HANDLE ALL EMPLOYMENT MATTERS WITH RESPECT TO THE CHIEF EXECUTIVE OFFICER, EXCEPT HIS OR HER HIRING OR TERMINATION OR ANY SUBSTANTIAL CHANGE IN THE TERMS OF HIS OR HER ENGAGEMENT; PROVIDED, HOWEVER, THE EXECUTIVE COMMITTEE (WITH THE ASSISTANCE OF ANY BOARD PERSONNEL COMMITTEE), SHALL NO LESS THAN ANNUALLY EVALUATE THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER, AND SHALL REPORT SUCH EVALUATION TO THE FULL BOARD OF DIRECTORS, WHICH SHALL APPROVE THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE PRESIDENT SHALL SERVE AS CHAIRMAN OF THE EXECUTIVE COMMITTEE |
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS STEVE HALL AND VICKIE PEEK HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL COMMITTEE REVIEWED THE RETURN AND THEN FULL COPIES WERE MADE AVAILABLE TO THE ENTIRE BOARD. THE FORM 990 IS ALSO SUBMITTED TO RONALD MCDONALD HOUSE NATIONAL ACCOUNTING OFFICE. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARIES ARE COMPARED TO THOSE OF OTHER RONALD MCDONALD HOUSES AROUND THE COUNTRY AND ARE SUBJECT TO BOARD APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ON GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | TRUE SENSE EXPENSE: PROGRAM SERVICE EXPENSES 26,803. MANAGEMENT AND GENERAL EXPENSES 5,686. FUNDRAISING EXPENSES 48,732. TOTAL EXPENSES 81,221. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 4,889. MANAGEMENT AND GENERAL EXPENSES 1,037. FUNDRAISING EXPENSES 8,890. TOTAL EXPENSES 14,816. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,313. MANAGEMENT AND GENERAL EXPENSES 1,551. FUNDRAISING EXPENSES 13,296. TOTAL EXPENSES 22,160. |
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