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
CITIZENS FOR ADEQUATE HOUSING INC
Employer identification number
22-2540856
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.") ....
1,949,884
2,083,360
1,523,377
1,453,365
1,585,045
8,595,031
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
1,949,884
2,083,360
1,523,377
1,453,365
1,585,045
8,595,031
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.
8,595,031
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..
1,949,884
2,083,360
1,523,377
1,453,365
1,585,045
8,595,031
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1,053
881
483
1,283
370
4,070
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 IV.)..
62,324
8,900
12,000
11,880
16,450
111,554
11
Total support (Add lines 7 through 10).
8,710,655
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,135,066
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
98.670 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
97.990 %
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:
Software Version:
-
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
CITIZENS FOR ADEQUATE HOUSING INC
Employer identification number
22-2540856
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
THEIR STATED PURPOSE IS TO PROVIDE SHELTER AND SUPPORT SERVICES FOR HOMELESS FAMILIES, DEVELOP AND MAINTAIN PERMANENT AFFORDABLE HOUSING AND ADVOCATE FOR SOCIAL AND ECONOMIC ISSUES FOR LOW-INCOME FAMILIES. TO THIS END CAH OPERATES THREE PROGRAMS: THE INN BETWEEN, THE INN TRANSITION (IT) AND THE COMMUNITIES LAND TRUST.
FORM 990, PAGE 1, PART I, LINE 6
IN THE ADMINISTRATIVE OFFICE, SEVERAL ORGANIZATIONS THROUGHOUT THE YEAR INCLUDING GE, KIWANIS CLUB, PVMHS DECA CLUB, PVMHS STAGE ONE DRAMA CLUB, ROTARY CLUB OF PEABODY, WELLS FARGO, KELLER WILLIAMS, HCPRO, SPIRIT OF STATE STREET, MIDDLEOAK, BROOKSBY VILLAGE, SALEM STATE UNIVERSITY NURSING PROGRAM AND A VARIETY OF INDIVIDUALS THROUGHOUT THE YEAR ASSIST WITH MAILINGS, EVENTS, DONATION DRIVES, MEALS AND CLEAN-UPS. SPECIFIC SERVICES AS NEEDED: GE- LANDSCAPING, BUILT NEW FRONT PORCH ON ADMINISTRATION BUILDING, COLLECTED ITEMS FOR FAMILIES EXITING INTO PERMANENT HOUSING, RUN HALLOWEEN AND CHRISTMAS PARTIES FOR KIDS. KIWANIS CLUB - HOLIDAY/EASTER BASKETS FOR CHILDREN ROTARY CLUB OF PEABODY - COLLECTED JACKETS, HATS, AND MITTENS FOR ALL CHILDREN IN SHELTER. HCPRO - SPRING CLEANUP OF PROPERTY KELLER WILLIAMS - PAINTING MIDDLEOAK - BACK TO SCHOOL DRIVE FOR SCHOOL CLOTHING FOR ALL CHILDREN IN SHELTER HARVARD VANGUARD MEDICAL ASSOCIATION - BACKPACK DRIVE AND SCHOOL SUPPLIES PROVIDED FOR ALL CHILDREN IN SHELTER WEST CHURCH - PAINTING, CLEANUP, AND MAINTENANCE WORK ON INN HOMES PROPERTIES. SALEM STATE NURSING PROGRAM PRESENT TOPICAL ISSUES TO RESIDENTS BASED ON CURRENT NEEDS OF SHELTER RESIDENTS. HAVEN FROM HUNGER - PROVIDES FOOD FOR SHELTER FAMILIES
FORM 990, PAGE 2, PART III, LINE 4A
RE-CONTRACTING, AN ADDITIONAL FIVE FAMILIES ARE SERVED THROUGH, THE INN BETWEEN SCATTERED SITES, SHELTERING THESE FIVE HOMELESS FAMILIES IN APARTMENTS IN SALEM, MASSACHUSETTS. IN FY14, THE INN BETWEEN EXPANDED BY ANOTHER 4 FAMILIES, ALL HOUSED AT 29 HOLTEN STREET IN PEABODY, MA. FAMILIES ARE HOMELESS FOR MANY DIVERSE AND COMPLEX REASONS WHICH INCLUDE HIGH RENTS, LOW-PAYING JOBS, LACK OF EDUCATION AND TRAINING, BAD CREDIT HISTORY, ADDICTION, AND DOMESTIC VIOLENCE. THE MAIN OBJECTIVES ARE TO ASSIST THE FAMILIES IN ACCESSING AFFORDABLE HOUSING, FOSTERING FAMILY PRESERVATION AND INDEPENDENCE, HELPING EACH FAMILY TO REACH ITS SOCIAL AND ECONOMIC POTENTIAL.
FORM 990, PAGE 2, PART III, LINE 4C
ROOMS. A COMPLETE RENOVATION OF THE INN TRANSITION BUILDING RESULTED IN LIVING AND PROGRAM SPACE THAT IS EXCEPTIONAL, ALLOWING FOR 14 FAMILIES TO BE SERVED COMFORTABLY AND WITH DIGNITY. ALSO AT THAT TIME, THE INN TRANSITION CONDOMINIUM ASSOCIATION WAS FORMED. THIS ASSOCIATION IS COMPRISED OF 2 UNITS: UNIT 1-INN TRANSITION INC. AT 42 WASHINGTON STREET (THE ENTIRE INN TRANSITION SHELTER FACILITY) AND UNIT 2-THE ADMINISTRATIVE OFFICES AT 40 WASHINGTON STREET.
FORM 990, PAGE 2, PART III, LINE 4D
HOUSING STABILIZATION ANOTHER ACCOMPLISHMENT FOR CAH WAS BEING AWARDED A HOUSING SEARCH & STABILIZATION (HS&S) CONTRACT AS PART OF THE SAME 2009 DHCD RE-CONTRACTING. THIS PROGRAM PROVIDES SERVICES TO THE 25 CAH HOMELESS FAMILIES. THE HS&S PROGRAM PROVIDES INTENSIVE HOUSING SEARCH AIMED AT DECREASING THE LENGTH OF STAY AT THE SHELTERS AS WELL AS PROVIDING A MINIMUM OF TWELVE MONTHS HOUSING STABILIZATION SERVICES ONCE A FAMILY IS RELOCATED TO AN APARTMENT. THE HOUSING SEARCH AND STABILIZATION SPECIALIST REMAINS IN CONTACT WITH EACH FAMILY, ONCE HOUSED, FOR OVER A YEAR TO ENSURE EACH FAMILY REMAINS SECURE AND INDEPENDENT. CAH HAS ALSO CONTRACTED WITH LYNN HOUSING AUTHORITY AND NEIGHBORHOOD DEVELOPMENT TO PROVIDE STABILIZATION SERVICES TO ANOTHER 30 FAMILIES MOVING ON TO PERMANENT HOUSING. CAREER LINK CAREER LINK IS A SHELTER-TO-WORK PROGRAM DESIGNED TO PROVIDE RESIDENTS WITH CAREER COUNSELING, SKILLS DEVELOPMENT, JOB SEARCH ASSISTANCE, GED TUTORING, HELP WITH COLLEGE ENTRANCE AND FINANCIAL AID APPLICATIONS AND MENTORING.
FORM 990, PAGE 6, PART VI, LINE 2
THOMAS BARRETT ELIZABETH TANGNEY DIRECTOR PRESIDENT FATHER/DAUGHTER
FORM 990, PAGE 6, PART VI, LINE 11B
THE IRS FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, THE EXECUTIVE DIRECTOR, AND THE FINANCE COMMITTEE. A COPY IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO SUBMISSION.
FORM 990, PAGE 6, PART VI, LINE 12C
CONFLICTS ARE REPORTED AND RESOLVED PRIOR TO ANY AGREEMENT OR ACTIONS WITH THE ORGANIZATION BY BOARD APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 15A
BOARD APPROVES COMPENSATION OF EXECUTIVE DIRECTOR DURING ANNUAL BUDGET PROCESS.
FORM 990, PAGE 6, PART VI, LINE 15B
BOARD APPROVES COMPENSATION OF ALL STAFFING BASED ON RECOMMENDATION OF EXECUTIVE DIRECTOR DURING BUDGET REVIEW PROCESS.
FORM 990, PAGE 6, PART VI, LINE 19
UPON WRITTEN REQUEST
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.