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.") .... | 1,172,077 | 1,208,093 | 1,424,083 | 1,412,240 | 1,676,287 | 6,892,780 |
| 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 | 1,172,077 | 1,208,093 | 1,424,083 | 1,412,240 | 1,676,287 | 6,892,780 |
| 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).. | 17,671 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 6,875,109 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,172,077 | 1,208,093 | 1,424,083 | 1,412,240 | 1,676,287 | 6,892,780 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 20,280 | 16,402 | 4,896 | 3,791 | 2,411 | 47,780 |
| 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.).. | 37,154 | 29,293 | 60,439 | 45,795 | 172,681 | |
| 11 | Total support Add lines 7 through 10. | 7,116,460 | |||||
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 | 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 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) |
||||
|
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 |
|---|---|
| PART II, LINE 10 | FUNDRAISING, RENTAL INCOME, MISC. 126,886 |
| 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, PAGE 1, PART I, LINE 6 | VOLUNTEERS PROVIDE MEDICAL, DENTAL, AND VISION EXAMINATIONS AND SERVICES TO OUR CLIENTS. IN ADDITION WE HAVE AN UNPAID, VOLUNTEER BOARD OF DIRECTORS PROVIDING MANAGEMENT OVERSIGHT AND OPERATIONAL GUIDANCE. |
| FORM 990, PAGE 2, PART III, LINE 4A | RECOVERY. 3.BREAK CYCLES OF HOMELESSNESS AND/OR DEPENDENCY ON OTHER SOCIAL SERVICES. 4.HELP INDIVIDUALS TO CONNECT WITH A LOCAL CHRISTIAN BODY OF BELIEVERS. NUMBER IN ATTENDANCE = 6,781 II. CHRISTIAN COUNSELING TO PROVIDE BIBLICAL BASED COUNSELING TO INDIVIDUALS FACING DIFFICULT ISSUES/DECISIONS IN THEIR LIVES. COUNSELING SESSIONS = 1,051 III. LRC FOOD SERVICE PROGRAMS BREAKFAST THERE ARE MANY IN OUR COMMUNITY WHO ARE HOMELESS AND POOR WHO OBTAIN WORK THROUGH TEMPORARY JOB SERVICES BUT GET NO BREAKFAST TO BEGIN THEIR DAY. THIS PROGRAM IS DESIGNED TO PROVIDE DAY LABORERS AND OTHER EARLY RISERS WITH A GOOD MEAL SO THEY CAN BE MORE HEALTHY AND PRODUCTIVE. 1.PROVIDE A NUTRITIOUS BREAKFAST TO DAY LABORERS OBTAINING WORK THROUGH TEMPORARY DAY JOBS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. 4.PROVIDE AN OPPORTUNITY FOR VOLUNTEER TEAMS TO WORK IN THE MISSION. LRC LUNCH PROGRAM THE LUNCH PROGRAM PROVIDES A NUTRITIOUS HOT MEAL TO INDIVIDUALS WHO COME TO THE MISSION AT NOON FOR A MEAL AND RESPITE FORM LIFE ON THE STREET. 1.PROVIDE A NUTRITIOUS HOT LUNCH TO POOR AND HOMELESS INDIVIDUALS AS WELL AS CLIENTS OF MISSION PROGRAMS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. LRC DINNER PROGRAM THE EVENING DINNER PROGRAM PROVIDES A HOT NUTRITIOUS MEAL. THE DINNER IS ACCOMPANIED BY A MESSAGE. 1. PROVIDE A NUTRITIOUS HOT MEAL TO POOR AND HOMELESS INDIVIDUALS AS WELL AS CLIENTS OF MISSION PROGRAMS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. TOTAL FOOD SERVICE MEALS = 102,742 IV. LIFE RECOVERY CENTER (LRC) DAY CENTER THE LRC IS DESIGNED TO PROVIDE FOR A SAFE AND WHOLESOME ENVIRONMENT FOR THE HOMELESS AND THE POOR TO COME DURING THE DAY. 1.MINSTER TO MEN, WOMEN AND CHILDREN 2.PROVIDE SPIRITUAL COUNSELING AND SUPPORT FOR THOSE SEEKING HELP. 3.PROVIDE VARIOUS WORKSHOPS AND STUDY SESSIONS THROUGH OUT THE DAY. 4.PROVIDE HOT SHOWERS AND LAUNDRY. 5.PROVIDE FOR EMERGENCY CLOTHING NEEDS. 6.PROVIDE DONATED PERSONAL CARE PRODUCTS TO THOSE IN NEED 7.PROVIDE LIFE SKILLS TRAINING 8.PROVIDE ARTS AND CRAFTS CLASSES 9.CREATE AN ENVIRONMENT THAT FOSTERS THE DEVELOPMENT OF HEALTHY RELATIONSHIPS BETWEEN CLIENTS, VOLUNTEERS AND STAFF 10.PROVIDE AN OPPORTUNITY FOR VOLUNTEER TEAMS TO WORK IN THE MISSION. NUMBER OF VISITS = 40,363 V. BENEVOLENCE MINISTRY THIS MINISTRY SEEKS TO MEET EMERGENCY NEEDS FOR MONEY TO PAY FOR UTILITIES AND RENT FOR THOSE WHO HAVE RECEIVED NOTICE OF UTILITY SHUT-OFF OR EVICTION. MONEY IS ALSO MADE AVAILABLE TO PAY FOR PRESCRIPTION DRUGS SUCH AS ANTIBIOTICS (NO NARCOTICS). 1.TELEPHONE INTERVIEW WITH EACH REQUESTOR AS TO THEIR NEED. DETERMINE IF A FURTHER INTERVIEW IS JUSTIFIED TO PROVIDE FINANCIAL HELP. 2.MEET WITH THE PERSON FACE TO FACE. VIEW THEIR NOTICE OR PRESCRIPTION DETERMINE AS BEST AS POSSIBLE WHERE GOD IS IN THEIR CIRCUMSTANCES. PROVIDE EMERGENCY FUNDS AS JUSTIFIED ON A CASE-BY-CASE BASIS. 3.PROVIDE BUS PASSES TO MISSION CLIENTS AND THOSE NEEDING TRANSPORTATION TO AND FORM WORK OR MEDICAL APPOINTMENTS, ETC. 4.SHARE THE GOSPEL AND PRAY WITH THE PERSON. CLIENTS SERVED = 432 |
| FORM 990, PAGE 2, PART III, LINE 4B | AGENCIES AND SPECIALISTS.) 3.ESTABLISH RELATIONSHIPS WITH CLIENTS AND SHARE THE GOSPEL. PATIENT VISITS = 1,752 APPROXIMATE VALUE OF DONATED DENTAL SERVICES RECEIVED = 456,201 VISION CLINIC THIS IS A SERVICE AVAILABLE TO INDIVIDUALS WITH HOUSEHOLD INCOMES THAT PLACE THEM AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, WHO HAVE NO INSURANCE FOR VISION SERVICES OR OTHER MEANS TO PAY FOR CARE. AT NO FEE, PATIENTS ARE PROVIDED A COMPLETE VISION EXAMINATION BY A LICENSED EYE PHYSICIAN AND, AS NEEDED, PRESCRIPTION GLASSES. ON A CASE BY CASE BASIS, REFERRAL TO EYE SURGEONS IS AVAILABLE FOR PATIENTS WITH CATARACTS. PATIENT VISITS = 612 APPROXIMATE VALUE OF DONATED VISION SERVICES RECEIVED = 194,000 |
| FORM 990, PAGE 2, PART III, LINE 4C | HOMELESSNESS. 6.PROVIDE FOR RESOLVING/PAYING OFF DEBT AND/OR FINES. 7.PROVIDE OPPORTUNITIES FOR ADDITIONAL EDUCATION, JOB TRAINING. 8.PROVIDE OPPORTUNITIES TO OBTAIN BETTER EMPLOYMENT. 9.CONNECT WOMEN AND CHILDREN WITH A LOCAL CHURCH. CLIENTS SERVED = 15 SINGLE WOMEN'S SHELTER THE SHELTER IS INTENDED TO PROVIDE WOMEN WHO EXPRESS A DESIRE TO MAKE A CHANGE IN THE DIRECTION OF THEIR LIVES: LEAVE HOMELESSNESS, ADDICTION RECOVERY, ADDRESS FINANCIAL ISSUES, SEEK EMPLYMENT-RELIEF FROM STRESSES OF HOMELESSNESS. CLIENTS ARE ADMITEED ON A MONTH TO MONTH CONTRACT AND MAY EXTEND THEIR STAY BASED ON PERFORMANCE TOWARDS ACHIEVING THEIR AGREED UPON GOALS. CLIENTS SERVED = 17 |
| FORM 990, PAGE 2, PART III, LINE 4D | MEN'S DRUG AND ALCOHOL RECOVERY PROGRAM TRANSITIONAL HOUSING FOR MEN THIS PROGRAM PROVIDES TRANSITIONAL LIVING DRUG AND ALCOHOL RECOVERY FOR UP TO 12 MEN. 1.PROVIDE DRUG AND ALCOHOL RECOVERY SERVICES USING THE "GENESIS" PROCESS. 2.PROVIDE HOUSING FOR THE HOMELESS IN RECOVERY. 3.PROVIDE LIFE SKILLS AND DISCIPLESHIP TRAINING. 4.PROVIDE SUPPORT FOR BETTER EDUCATION, ECONOMIC RECOVERY AND EMPLOYMENT. 5.CONNECT CLIENTS WITH A LOCAL CHRISTIAN EVANGELICAL CHURCH. CLIENTS SERVED = 13 |
| FORM 990, PAGE 6, PART VI, LINE 11B | BOARD MEMBERS ARE PROVIDED A COPY OF THE 990 FOR REVIEW WITH TIME AND OPPORTUNITY TO ASK QUESTIONS THEY HAVE ABOUT THE FORM. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE EXECUTIVE DIRECTOR, BEING FAMILIAR WITH OPERATIONS AND HOW OPERATIONS IMPACT THE BOARD MEMBERS (AND VISA VERSA), MONITORS FOR ANY POTENTIAL CONFLICTS. ONCE A YEAR AS PART OF THE BOARD MEETING AGENDA, EACH BOARD MEMBER'S RESPONSIBILITIES, INCLUDING THE EXECUTIVE DIRECTOR'S, ARE DISCUSSED, INCLUDING THOSE RESPONSIBILITIES OUTSIDE THE MISSION, TO IDENTIFY ANY POTENTIAL CONFLICTS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED USING A SALARY SURVEY FROM THE ASSOCIATION OF GOSPEL RESCUE MISSIONS AND IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE DIRECTOR OBTAINS A SALARY SURVEY FROM THE ASSOCIATION OF GOSPEL RESCUE MISSIONS AND USES THE SURVEY TO ASSIST IN DETERMINING COMPENSATION OF ALL KEY STAFF. ALL KEY STAFF COMPENSATION IS DISCUSSED AND APPROVED ANNUALLY IN A BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST WITH THE FORM 990 AVAILABLE BY REQUEST AND ON GUIDESTAR'S WEBSITE. |
| FORM 990, PART XI, LINE 9 | RENTAL EXPENSE UBI 30,396 FUNDRAISING EXPENSES 27,394 RENTAL EXPENSE UBI -30,396 FUNDRAISING EXPENSE -27,394 |
| Software ID: | |
| Software Version: |