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 (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 3,103,073 | 2,535,554 | 2,049,634 | 2,933,348 | 2,679,599 | 13,301,208 |
| 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 | 3,103,073 | 2,535,554 | 2,049,634 | 2,933,348 | 2,679,599 | 13,301,208 |
| 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).. | 772,105 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 12,529,103 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,103,073 | 2,535,554 | 2,049,634 | 2,933,348 | 2,679,599 | 13,301,208 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 172,083 | 175,611 | 125,756 | 161,972 | 143,551 | 778,973 |
| 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.).. | 99,551 | 35,722 | 20,400 | 137,585 | 192,109 | 485,367 |
| 11 | Total support. Add lines 7 through 10. | 14,565,548 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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) |
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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) |
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| 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): |
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| 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 | ||||
| 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 2015 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-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, 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 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | MISC INCOME FUNDRAISING EVENTS |
| 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 III, LINE 3 | LIFELINE WAS DISCONTINUED DUE TO THE MARKET CONDITIONS WITH SO MANY SIMILAR PRODUCTS THAT WERE IN COMPETITION. |
| FORM 990, PART III, LINE 4A | ADULT DAY CARE: SIX LIFE ENRICHING DAY PROGRAMS SERVE ADULTS IN THE NORTHWEST VALLEY BY PROVIDING SOCIAL, PHYSICAL, AND MENTAL STIMULATION INTEGRAL TO SUCCESSFUL AGING. EACH PROGRAM ADDRESSES THE UNIQUE AND SPECIFIC NEEDS OF OLDER ADULTS LIVING WITH ALZHEIMER'S DISEASE, CHRONIC ILLNESS, OR INTELLECTUAL DISABILITIES WHILE ALSO PROVIDING A SAFE AND HOME LIKE ATMOSPHERE THAT CAREGIVERS CAN FEEL COMFORTABLE BRINGING THEIR LOVED ONES TO FOR THE DAY. THE RESPITE OFFERED CAREGIVERS IS AN IMPORTANT COMPONENT TO THESE PROGRAMS; WITH EACH MEMBER WE SERVE, WE ALSO PROVIDE THEIR CAREGIVER A MUCH NEEDED CHANGE IN ROUTINE. WE PRIMARILY SERVE FAMILIES IN THE CITIES OF EL MIRAGE, GLENDALE, PEORIA, SUN CITY, SUN CITY WEST, AND SURPRISE. WE PARTNER WITH THE AREA AGENCY ON AGING, THE VETERANS ADMINISTRATION, ARIZONA DEPARTMENT OF ECONOMIC SECURITY, FIRST THINGS FIRST, AND MANY OTHER ORGANIZATIONS TO MAXIMIZE OUR ABILITY TO SERVE AREA RESIDENTS. ALL SIX OF OUR ADULT DAY PROGRAMS ARE ACCREDITED THROUGH C.A.R.F. (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) AND EXCEED THE EXPECTATIONS OF THE DEPARTMENT OF HEALTH SERVICES. EACH CENTER PROVIDES AN ALTERNATIVE TO INSTITUTIONAL CARE AND MAINTAINS BEST PRACTICES IN THE FIELD OF ADULT DAY SERVICES. THESE PROGRAMS ARE TRULY UNIQUE IN THIS AREA IN TERMS OF LEVEL OF CARE AND THERAPEUTIC VALUE TO OUR MEMBERS. |
| FORM 990, PART III, LINE 4B | WIRTZIE'S CHILD DEVELOPMENT CENTER: THE WIRTZIE'S CHILD CARE CENTER GOAL IS TO PROVIDE A COMMUNITY WHERE STRONG RELATIONSHIPS ARE BUILT BETWEEN STAFF AND FAMILIES AND EVERYONE CAN CONTRIBUTE AND A STRONG SENSE OF BELONGING IS FOSTERED. EACH CHILD WHO COMES TO WIRTZIE'S HAS UNIQUE MENTAL, PHYSICAL, AND SOCIAL CHARACTERISTICS. BECAUSE EACH CHILD IS UNIQUE, THE WIRTZIE'S CURRICULUM IS DESIGNED TO FIND THE OPTIMAL BALANCE OF STRUCTURE AND FREEDOM FOR A CHILD'S PARTICULAR NEEDS. OUR PROGRAMS ARE DESIGNED TO PROVIDE AGE-APPROPRIATE, CHILD-DIRECTED ACTIVITIES THAT WILL INSPIRE CHILDREN TO LEARN AND DISCOVER, THROUGH PLAY AND THE SPARK OF THEIR OWN NATURAL CURIOSITY. ART'S CENTER FOR ALL AGES IS A DEDICATED SPACE BETWEEN ONE OF OUR ADULT DAY CENTERS AND WIRTZIE'S WHICH PROVIDES STRUCTURED OPPORTUNITIES WHERE CHILDREN AND SAFE ADULTS FROM OLDER GENERATIONS CAN COME TOGETHER DAILY TO GROW, LEARN ABOUT THEMSELVES AND OTHERS, AND FORM RELATIONSHIPS THAT CAN BE LIFE CHANGING. ART'S CENTER FEATURES A SENSORY GARDEN, READING ROOM, AND PERFORMANCE STAGE. EACH CHILD AND FAMILY SERVED AT WIRTZIE'S TRULY BECOMES A PART OF A LARGER FAMILY AND LIFELONG BONDS ARE FORMED HERE DAILY. |
| FORM 990, PART III, LINE 4C | TRANSPORTATION: OUR TOP NOTCH TRANSPORTATION SERVICES OFFER BENEVILLA MEMBERS A SAFE AND ENJOYABLE RIDE TO OUR LIFE ENRICHING DAY PROGRAMS AND BACK TO THEIR HOMES AT THE END OF EACH DAY. OUR DEDICATED TRANSPORTATION SPECIALISTS WORK TO TRANSPORT OUR MEMBERS WITH CARE AND WITH PERSONALIZED "ARM IN ARM" SERVICE. THEY ARE SPECIALLY TRAINED TO WORK WITH OLDER ADULTS WHO MAY STRUGGLE WITH CHRONIC ILLNESS AND ENJOY THE MEMBERS AND THE FAMILIES THAT THEY SERVE. TRANSPORTATION IS AN IMPORTANT COMPONENT OF ALL WE DO AT BENEVILLA. WE ARE ABLE TO OFFER THIS SERVICE FOR OLDER ADULTS, THOSE WITH MEMORY OR DEMENTIA CONCERNS AS WELL AS INTELLECTUALLY AND DEVELOPMENTALLY DISABLED ADULTS. OUR FLEET OF BUSES PROVIDES EACH OF OUR SIX LIFE ENRICHMENT DAY PROGRAMS THE MEANS TO PROVIDE OUTINGS TO RESTAURANTS, SHOPPING, VOLUNTEERING WITHIN THE COMMUNITY, ENTERTAINMENT OPTIONS AND OTHER GROUP ACTIVITIES. AS WITH ALL PARTS OF THE BENEVILLA CONTINUUM OF CARE, OUR TRANSPORTATION SERVICES REFLECTS OUR VALUES OF INCLUSIVENESS, SAFETY AND GENUINE COMPASSION. IN ADDITION TO THE EXPENSES REPORTED FOR THIS PROGRAM, BENEVILLA RECEIVED THE DONATED USE OF VEHICLES AT A VALUE OF APPROXIMATELY $83,000. IN ACCORDANCE WITH THE IRS INSTRUCTIONS, THESE AMOUNTS HAVE NOT BEEN INCLUDED IN THE PROGRAM FUNCTIONAL EXPENSES ON PAGE 10 OF THE FORM 990 OR IN THE EXPENSES REPORTED FOR THIS PROGRAM. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 WAS COMPLETED BY THE ORGANIZATION'S CPA AUDIT FIRM AND REVIEWED BY THE PRESIDENT/CEO, FINANCE COMMITTEE, AND BOARD OF DIRECTORS. BEFORE FILING THE 990 RETURN IT IS APPROVED IN ENTIRETY AS PART OF THE BOARD'S DUTIES IN APPROVING ITS ANNUAL REPORT TO THE STATE OF ARIZONA. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL NEW MEMBERS TO THE BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST AND CODE OF ETHICS STATEMENT AT BOARD ORIENTATION. EACH YEAR THEREAFTER, ALL MEMBERS ARE ASKED TO RE-SIGN THE CONFLICT OF INTEREST STATEMENT AND CODE OF ETHICS. ALL NEW BOARD MEMBERS ATTEND AN ORIENTATION SESSION AT WHICH TIME THIS POLICY IS DISCUSSED SO AWARENESS IS CREATED AT THE ONSET. DURING BOARD MEETINGS, THE QUESTION AS TO IF ANY CONFLICTS EXIST IS RAISED AND MEMBERS ABSTAIN FROM VOTING WHERE THERE IS ANY CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PRESIDENT/CEO'S COMPENSATION IS BASED ON THE ANNUAL SURVEY OF BOARD MEMBERS AND GOALS SET BY THE BOARD. THE EVALUATION IS REVIEWED BY THE CHAIR OF THE BOARD AND EXECUTIVE COMMITTEE. THEY REVIEW ALL SURVEY RESPONSES AND REVIEW THE OUTCOME OF GOALS THAT WERE PREVIOUSLY SET, AND THEN DETERMINE THE PRESIDENT/CEO SALARY AND NEW GOALS FOR THE UPCOMING YEAR. THE COMPENSATION IS ALSO BASED UPON LOCAL MARKET DATA. PRESIDENT'S EVALUATION IS COMPLETED BY ALL BOARD MEMBERS AND COMPILED BY THE CHAIR. BOARD MINUTES ARE KEPT REGARDING THE DISCUSSION AND APPROVAL OF THE PRESIDENT'S COMPENSATION PACKAGE. EACH NEW EMPLOYEE OF THE ORGANIZATION RECEIVES AN EVALUATION AT THE END OF (3) MONTHS, (6) MONTHS, AND AN ANNUAL REVIEW. THE ANNUAL REVIEW CONSISTS OF A SELF APPRAISAL FORM GIVEN TO THE EMPLOYEE, REVIEW OF CURRENT JOB DESCRIPTION, COLLECTION OF APPROPRIATE DOCUMENTS (TRAINING, CODE OF ETHICS, CONFIDENTIALITY, CONFLICT OF INTEREST, DISCIPLINARY, POSITIVE AND NEGATIVE REPORTS, GOALS OBTAINED), AND EMPLOYEE PERFORMANCE PLAN. A SCORING SCALE IS USED TO CALCULATE EACH AREA OF PERFORMANCE AND PREDETERMINED WEIGHTS. A MEETING IS HELD WITH THE EMPLOYEE TO FINALIZE AND OBTAIN FEEDBACK FROM THE REVIEW. AN ANNUAL MARKET SURVEY IS ALSO OBTAINED BY HUMAN RESOURCES TO COMPARE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | SUN CITY AREA INTERFAITH SERVICES' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON GUIDESTAR AND IN THE ORGANIZATION'S ANNUAL REPORT. |
| FORM 990, PART IX, LINE 24E | EMERGENCY RESPONSE SYSTEM: PROGRAM SERVICE EXPENSES 26,605. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,605. BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,733. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,733. FUNDRAISING EVENT EXPENSE TO PAGE 9: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES -2,029. TOTAL EXPENSES -2,029. |
| FORM 990, PART XI, LINE 9: | CHANGE IN GIFT ANNUITY VALUE 5,934. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS DURING THE TAX YEAR. |
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| Software Version: |