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
COMMUNITY SERVICE ALLIANCE
Employer identification number
20-1418132
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.") ....
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.
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..
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 IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
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
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
360,686
316,589
222,793
174,692
154,043
1,228,803
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......
67,226
64,764
95,151
98,814
325,955
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.
360,686
383,815
287,557
269,843
252,857
1,554,758
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
132,500
154,700
71,025
67,400
425,625
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..
132,500
154,700
71,025
67,400
425,625
8
Public support (Subtract line 7c from line 6.)
1,129,133
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...
360,686
383,815
287,557
269,843
252,857
1,554,758
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
2,007
2,220
2,286
2,152
4,314
12,979
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
2,007
2,220
2,286
2,152
4,314
12,979
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.)..
362,693
386,035
289,843
271,995
257,171
1,567,737
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
72.020 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
89.550 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
1.000 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.000 %
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
COMMUNITY SERVICE ALLIANCE
Employer identification number
20-1418132
Return Reference
Explanation
FORM 990, PAGE 2, PART III, LINE 4A
COMMUNITY SERVICE ALLIANCE (CSA) WAS FOUNDED IN 2004 TO INTRODUCE A NEW APPROACH TO INDIVIDUALIZED TRAINING AND SUPPORT, LOW RENT HOUSING, AND TRANSITIONAL JOBS FOR HOMELESS PERSONS. THE MISSION OF THE ORGANIZATION IS TO BE A CATALYST FOR LASTING RELATIONSHIPS BETWEEN PEOPLE EMERGING OUT OF HOMELESSNESS AND PEOPLE WILLING TO PARTICIPATE IN THEIR TRANSFORMATION. WE ACCOMPLISH THAT MISSION BY PROVIDING AFFORDABLE, SHORT-TERM HOUSING, IDENTIFYING AND SECURING LOCAL WORK EXPERIENCE AND EMPLOYMENT OPPORTUNITIES, AND OFFERING TRAINING THAT FOSTERS PERSONAL, BEHAVIORAL AND SPIRITUAL SUPPORT AND DEVELOPMENT, ALL TO PROMOTE THE EVENTUAL INDEPENDENCE AND SELF-SUFFICIENCY OF THE MEN WE SERVE. THIS PAST YEAR HAS BEEN ONE OF GROWTH AND OPPORTUNITY FOR CSA AND THE MEN IN OUR COMMUNITY WHO NEED US THE MOST - MEN WHO ARE HOMELESS, IMPOVERISHED, MARGINALIZED. THREE HOUSES ~ PROCOP HOUSE, FULTON HOUSE AND SANDY'S HOUSE ~ AND THE CAPACITY TO MEET THE NEEDS OF 41 MEN A CONTINUUM OF HOUSING TO ADDRESS SHORT-TERM, AND NOW LONG-TERM NEEDS A MUCH NEEDED FOCUS ON HOMELESS VETERANS ADDITIONAL EMPLOYER AND LANDLORD PARTNERS THAT WORK WITH US SO THAT CSA'S IMPACT ISN'T "JUST A PLACE TO STAY" AND A GROWING NETWORK OF INDIVIDUALS, FAITH COMMUNITIES AND OTHER ORGANIZATIONS WHO PROVIDE A CARING HEART AND A SUPPORTIVE HAND SO THAT THE MEN WE SERVE CAN BE GROUNDED IN THE VALUES AND FAITH THAT WILL HELP ENHANCE THEIR JOURNEY TO INDEPENDENCE. JOURNEYS LIKE THE ONE OF PROCOP HOUSE RESIDENT, JOE. JOE SPENT HIS YOUTH IN THE FOSTER CARE PROGRAM. AS SOON AS HE WAS ELIGIBLE, HE JOINED THE MARINE CORPS. AFTER HIS DISCHARGE, JOE PUSHED HIMSELF AWAY FROM HIS FAMILY, LIVED OFF THE STREETS, USED DRUGS AND ALCOHOL TO EXCESS, AND TOOK ADVANTAGE OF THE KINDNESS OF OTHERS. AT THE AGE OF 25, BROKEN, ALONE AND WITHOUT ANY OTHER PLACES TO TURN FOR SUPPORT, JOE CAME TO CSA AND BEGAN A YEAR-LONG JOURNEY OF TRANSFORMATION. HE IMMEDIATELY CLEANED UP HIS ACT AND FOCUSED ON POSITIVE CHANGES THAT WOULD LEAD HIM DOWN A PATH OF DISCOVERY AND RENEWAL. CSA CONNECTED JOE WITH COMMUNITY RESOURCES TO HELP WITH HIS GOALS. HE OBTAINED A PART-TIME JOB WITH ANOTHER NONPROFIT AGENCY AS A WAY OF MAKING AN INCOME AND "GIVING BACK" TO OTHERS. TODAY, JOE HAS A FULL-TIME JOB DRIVING FOR AN EXECUTIVE CAR SERVICE AND IS MAKING FINAL PLANS TO MOVE ON FROM PROCOP HOUSE. FOR MEN LIKE JOE, AND OTHER CHRONICALLY HOMELESS AND IMPOVERISHED INDIVIDUALS, STABLE HOUSING IS AN ESSENTIAL COMPONENT OF SUCCESSFUL TRANSITION. THE SOLUTION TO THE PROBLEM OF CHRONIC HOMELESSNESS IS PERMANENT SUPPORTIVE HOUSING, WHICH IS HOUSING COUPLED WITH SUPPORTIVE SERVICES. WITH APPROPRIATE SUPPORTS, PERMANENT HOUSING CAN SERVE AS A FOUNDATION FOR REHABILITATION, THERAPY, AND IMPROVED HEALTH. CSA SPECIFICALLY ADDRESSES THE GAPS THAT EXIST IN THE COMMUNITY FOR MEN WHO ARE HOMELESS AND IMPOVERISHED, AND PROVIDES EXACTLY THE TYPES OF SERVICES AND SUPPORT TO HELP MOVE THE MEN WE SERVE IN THE DIRECTION TOWARD SUCCESS. HOWEVER, CSA BELIEVES IN THE PRINCIPLE OF NOT DOING FOR THE POOR WHAT THEY HAVE - OR COULD HAVE - THE CAPACITY TO DO FOR THEMSELVES, SO WE STRIVE TO EMPOWER OUR MEN THROUGH SHORT-TERM HOUSING, EMPLOYMENT, AND BEHAVIORAL CHANGE TO HELP THEIR TRANSITION OUT OF POVERTY AND HOMELESSNESS. CSA BELIEVES ITS PROGRAM IS PERFECTLY ALIGNED WITH OUR COMMUNITY'S GOAL TO ADDRESS HOUSING INSTABILITY AND THE ADDITIONAL BARRIERS AND CHALLENGES IT PRESENTS.
FORM 990, PAGE 6, PART VI, LINE 11B
PRIOR TO FILING WITH THE IRS, THE FORM 990 (AS COMPLETED BY THE ORGANIZATION'S CERTIFIED PUBLIC ACCOUNTANT) IS PRESENTED TO THE TREASURER AND EXECUTIVE DIRECTOR FOR REVIEW AND APPROVAL. THE FORM 990 IS THEN DISTRIBUTED TO THE FULL BOARD OF DIRECTORS ELECTRONICALLY FOR REVIEW. THE DIRECTORS ARE PROVIDED WITH AT LEAST FIVE BUSINESS DAYS TO REVIEW THE FORM, WITH ANY COMMENTS AND QUESTIONS ADDRESSED AS NEEDED. A BOARD OFFICER THEN AUTHORIZES THE FINAL FILING OF THE 990 BY SIGNING FORM 8879-EO AND THE 990 IS ELECTRONICALLY SUBMITTED TO THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C
EACH YEAR, THE BOARD MEMBERS ARE ASKED TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. AMONG OTHER THINGS, THE POLICY MAKES CLEAR THAT ALL DECISIONS OF THE BOARD, OFFICERS, AND EMPLOYEES OF THE ORGANIZATION ARE MADE SOLELY ON THE BASIS OF A DESIRE TO PROMOTE THE BEST INTEREST OF THE ORGANIZATION AND THE PUBLIC GOOD. THE CONFLICT OF INTEREST STATEMENT REQUESTS BOARD MEMBERS TO IDENTIFY TO THE BEST OF THEIR KNOWLEDGE AFFILIATIONS WITH ORGANIZATIONS THAT MAY BE POTENTIALLY RELATED TO THE FINANCIALS OR OTHER SUBSTANTIVE OPERATIONS OF THE ORGANIZATION. THEY ARE ALSO ASKED TO IDENTIFY CIRCUMSTANCES INVOLVING EITHER THEMSELVES, OR A MEMBER OF THEIR EXTENDED FAMILY, THAT MAY BE CONSTRUED AS A CONFLICT OF INTEREST. AT THE STAFF LEVEL, THE ORGANIZATION'S PERSONNEL ALSO ENSURE THAT THERE ARE NO CONFLICTS OF INTEREST WHEN CONSIDERING THE ENGAGEMENT OF A NEW VENDOR. IF A POTENTIAL CONFLICT IS IDENTIFIED, APPROPRIATE STEPS ARE TAKEN TO BOTH ASSESS THE NATURE OF THE POTENTIAL CONFLICT AND, SUBSEQUENTLY, TO ENSURE THAT THE POSSIBILITY OF AN ACTUAL CONFLICT IS MITIGATED. SUCH MITIGATION IS MANAGED AND THE LETTER AND SPIRIT OF THE CONFLICTS POLICY ARE UPHELD.
FORM 990, PAGE 6, PART VI, LINE 15A
THE EXECUTIVE COMMITTEE ANNUALLY EVALUATES THE PERFORMANCE OF THE EXECUTIVE DIRECTOR. COMPENSATION IS BASED ON PERFORMANCE AND COMPARED TO OTHER AREA MISSION-COMPARABLE ORGANIZATIONS OF SIMILAR SIZE. THE BOARD HAS ADOPTED THE IRS-WRITTEN "REBUTTABLE PRESUMPTION" CHECKLIST WHICH IS COMPLETED CONTEMPORANEOUS WITH THE PERFORMANCE REVIEW.
FORM 990, PAGE 6, PART VI, LINE 15B
COMPENSATION FOR STAFF WITHIN THE ORGANIZATION IS DETERMINED BY THE EXECUTIVE DIRECTOR. THE LEVEL OF COMPENSATION IS SET BASED ON PERFORMANCE AND IN RELATION TO OTHER AREA MISSION-COMPARABLE ORGANIZATIONS OF SIMILAR SIZE. THIS COMPENSATION IS A COMPONENT OF THE BUDGET, WHICH IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND ALSO BY THE BOARD AS A WHOLE.
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, FORM 1023, FORM 990 CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990, WITHOUT SCHEDULE B) CAN ALSO BE FOUND ON SEVERAL PUBLICLY-ACCESSIBLE WEBSITES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.