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.") .... | 3,585,977 | 3,577,144 | 3,681,726 | 3,994,276 | 4,557,518 | 19,396,641 |
| 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.. | 736,496 | 887,247 | 913,864 | 975,626 | 942,780 | 4,456,013 |
| 4 | Total. Add lines 1 through 3 | 4,322,473 | 4,464,391 | 4,595,590 | 4,969,902 | 5,500,298 | 23,852,654 |
| 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. | 23,852,654 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,322,473 | 4,464,391 | 4,595,590 | 4,969,902 | 5,500,298 | 23,852,654 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 18,139 | 31,119 | 41,910 | 47,491 | 61,464 | 200,123 |
| 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.).. | 6,057 | 5,907 | 17,377 | 29,341 | ||
| 11 | Total support Add lines 7 through 10. | 24,082,118 | |||||
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) |
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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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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 III LINE 4A (CONTINUED) | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS A. PATRICK HENRY FAMILY SHELTER (PHFS) IS DESIGNATED AS A LARGE FAMILY SHELTER (FIVE OR MORE FAMILY MEMBERS) AND HAS A CAPACITY OF SEVEN FAMILIES WITH TWO ADDITIONAL UNITS USED FOR OVERFLOW SPACE. ADULTS CAN BENEFIT FROM PROGRAMS SUCH AS HEALTH EDUCATION CLASSES, ORGANIZATION WORKSHOPS, RESUME WRITING AND INTERVIEW SKILLS WORKSHOPS, HOUSING LOCATION SERVICES, ETC. AT THE SAME TIME, THE CHILDREN CAN BENEFIT FROM PROGRAMS AS WELL. THESE INCLUDE: AFTER-SCHOOL TUTORING, BIRTHDAY PARTIES, HOLIDAY PARTIES, KIDS' NIGHT, SCHOOL SHOPPING, ETC. WE SERVED 51 FAMILIES (239 INDIVDIUALS) IN FY 2015 THROUGH THIS SHELTER. B. KATHERINE HANLEY FAMILY SHELTER (KHFS) HAS NO FAMILY SIZE LIMIT, BUT CAN ACCOMMODATE UP TO 20 FAMILIES AT A TIME. IT WAS THE FIRST SHELTER IN FAIRFAX COUNTY TO OPERATE ON THE "HOUSING FIRST/RAPID REHOUSING" MODEL, EMPHASIZING MOVING FAMILIES INTO PERMANENT HOUSING AS QUICKLY AS POSSIBLE AND CONTINUING TO WORK WITH FAMILIES ONCE THEY ARE IN PERMANENT HOUSING. ONCE THE FAMILY ENTERS THE SHELTER, THEY ARE IMMEDIATELY ASSESSED FOR MAJOR HOUSING BARRIERS. THE KHFS STAFF ASSISTS THE FAMILIES IN OVERCOMING THOSE BARRIERS. THE FAMILIES ARE THEN MOVED INTO PERMANENT HOUSING AS QUICKLY AS POSSIBLE. SOME OF THE PROGRAMS OFFERED AT KHFS INCLUDE: HOUSING LOCATION SERVICES, EMPLOYMENT COACHING, AFTER-SCHOOL TUTORING, ETC. WE SERVED 133 FAMILIES (399 INDIVIDUALS) THROUGH THIS SHELTER IN FY 2015. C. ARTEMIS HOUSE BECAME A PART OF SHELTER HOUSE IN 2010. THIS PROGRAM IS SPECIFICALLY FOR FAMILIES AND INDIVIDUALS FLEEING DOMESTIC AND SEXUAL VIOLENCE AND HUMAN TRAFFICKING. THESE CLIENTS INCLUDE INDIVIDUAL SURVIVORS, PARENTS WHO HAVE BEEN ABUSED, AND THEIR CHILDREN WHO HAVE WITNESSED AND POSSIBLY EVEN EXPERIENCED ABUSE THEMSELVES. ARTEMIS HOUSE STAFF STRIVES TO PROVIDE A SAFE AND STABLE HOME-LIKE ENVIRONMENT WHERE MUTUAL RESPECT AND CONSTRUCTIVE PROBLEM-SOLVING SKILLS ARE MODELED. THREE PRIMARY OBJECTIVES FOR ARTEMIS HOUSE CLIENTS ARE SAFETY, EMPOWERMENT, AND SECURITY. TO ACHIEVE THESE GOALS, CRITICAL ELEMENTS OF OUR DOMESTIC VIOLENCE PROGRAM INCLUDE CRISIS INTERVENTION, TEMPORARY HOUSING, SAFETY PLANNING, IMMEDIATE BASIC NEEDS ASSISTANCE, COMPREHENSIVE SERVICE PLANNING AND CASE MANAGEMENT TO PREPARE FOR A TRANSITION TO MORE PERMANENT, SAFE AND STABLE HOUSING. WE SERVED 148 HOUSEHOLDS (326 INDIVIDUALS) IN THIS SHELTER IN FY2015. D. SHELTER HOUSE ALSO SUPPORTS FAMILIES WHO ARE LIVING IN TRANSITIONAL OR PERMANENT SUPPORTIVE HOUSING THROUGH SEVERAL DIFFERENT PROGRAMS: 1. OFFSITE HOUSING & IVES HOUSE: THE OFFSITE PROGRAM CONSISTS OF FOUR APARTMENT UNITS IN FAIRFAX COUNTY, EACH OF WHICH IS OWNED BY SHELTER HOUSE AND IVES HOUSE IS A THREE YEAR SHARED HOUSE. BOTH PROGRAMS ARE NON-TIME LIMITED AND SERVES FAMILIES THAT HAVE HIGH BARRIERS TO HOUSING DUE TO LARGE DEBT AND OR POOR CREDIT. FAMILIES PARTNER WITH A CASE MANAGER AND TOGETEHR THEY WORK ON DECREASING OR ELIMINATING THESE BARRIERS TO HELP THEM MOVE TO PERMANENT HOUSING. WE SERVED 8 FAMILIES (28 INDIVIDUALS) IN OFFSITE IN FY2014 AND 5 FAMILIES (10 INDIVIDUALS) IN IVES HOUSE IN FY2015. 2. RISE & KATE'S PLACE: RISE (REACHING INDEPENDENCE THROUGH STABILITY AND EMPOWERMENT) & KATE'S PLACE ARE PERMANENT SUPPORTIVE HOUSING PROGRAMS DESIGNED TO PROVIDE A STABLE, SUPPORTIVE ENVIRONMENT TO HOMELESS FAMILIES WHO HAVE HIGH RISK FACTORS FOR BOTH DISINTEGRATION AND RECIDIVISM INTO HOMELESS SERVICES. THE RISE UNITS ARE MANAGED THROUGH AN EFFECTIVE PARTNERSHIP BETWEEN FAIRFAX COUNTY DEPARTMENT OF FAMILY SERVICES, SHELTER HOUSE, AND NEW HOPE HOUSING. SHELTER HOUSE MANAGES 14 UNITS IN THE RISE PROGRAM AND AS OF FEBRUARAY 2015, KATE'S PLACE WAS OPENED TO INCLUDE AN ADDITIONAL 6 AVAILABLE UNITS. THESE PROGRAMS PROVIDE HOUSEHOLD MEMBERS WITH ACCESS TO A FLEXIBLE AND COMPREHENSIVE ARRAY OF SERVICES. FAMILIES ARE ALLOWED TO CONTINUE IN THE PROGRAMS UNTIL THEIR YOUNGEST CHILD TURNS 18 YEARS OF AGE, GIVING THEM A CONTINUED, SUPPORTIVE ENVIRONMENT. CASE MANAGERS HAVE MORE TIME TO ENGAGE THE FAMILIES AND BREAK TRUST BOUNDARIES THAT CAN LEAD TO A RELAPSE OF HOMELESSNESS. SHELTER HOUSE SERVED 18 FAMILIES (56 INDIVIDUALS) IN RISE IN FY 2015. 3. NOVACO & CHRP TRANSITIONAL HOUSING PROGRAMS BECAME A PART OF SHELTER HOUSE IN DECEMBER 2013, PARTWAY THROUGH FY2014. THESE PROGRAMS ARE DESIGNED TO SERVE VICTIMS OF DOMESTIC VIOLENCE THROUGH 24 SCATTERED SITE UNITS. PARTICIPATING FAMILIES RECEIVE SUPPORTIVE SERVICES FOR UP TO TWO YEARS. SERVICES ARE TAILORED TO THE UNIQUE INDIVIDUAL NEEDS OF EACH HOUSEHOLD. SAFETY PLANNING IS CONDUCTED WITH ALL CLIENTS AND AS IMMEDIATE BASIC NEEDS ARE MET, CASE MANAGERS ASSIST THE FAMILIES SERVED IN DEVELOPING THEIR HOUSING PLAN SO THEY CAN SUCCESSFULLY EXIT TO PERMANENT, SAFE, AND STABLE HOUSING. SHELTER HOUSE SERVED 44 FAMILIES (134 INDIVIDUALS) IN NOVACO & CHRP IN FY 2015. |
| FORM 990, PART VI, SECTION B, LINE 11 | PROCESS FOR 990 REVIEW BEFORE IRS FILING THE DRAFT OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. A BRIEFING IS PROVIDED AT MEETING OF THE BOARD OF DIRECTORS AND MEMBERS OF THE BOARD ARE GIVEN TIME TO SUBMIT QUESTIONS AND COMMENTS. ANY SIGNIFICANT CHANGES WILL BE RESENT TO THE BOARD FOR FUTURE CONSIDERATION. A COPY OF THE FINAL FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCEDURE FOR ANNUAL MONITORING OF CONFLICT OF INTEREST POLICY THE ORGANIZATION ASKS FOR CONFLICT OF INTEREST DISCLOSURE STATEMENTS FROM ALL NEW BOARD MEMBERS. WE ALSO GET A WRITTEN CONFIRMATION FROM EXISTING BOARD MEMBERS ON AN ANNUAL BASIS. BOARD MEMBERS SHOULD DISCLOSE ANY POSSIBLE CONFLICTS BEFORE THE EVENT OCCURS. POSSIBLE CONFLICTS ARE DISCUSSED WITH THE APPROPRIATE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15A | PROCESS FOR DETERMINING CEO COMPENSATION THE CURRENT EXECUTIVE DIRECTOR HAS HELD HER POSITION FOR OVER 10 YEARS. THE SALARY AT THAT TIME WAS SET AT THE PREVAILING RATE FOR SIMILAR NON-PROFITS. AN ANNUAL EVALUATION IS DONE BY THE EXECUTIVE COMMITTEE OF THE BOARD. ANY RAISES GIVEN ARE IN LINE WITH RAISES GIVEN TO THE ORGANIZATION AS A WHOLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | CERTAIN DOCUMENTS OPEN TO PUBLIC DISCLOSURE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
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