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.) .... | 0 | 0 | 0 | 0 | 93,414 | 93,414 |
| 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 | 0 | 0 | 0 | 0 | 93,414 | 93,414 |
| 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).. | 24,105 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 69,309 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 0 | 0 | 0 | 0 | 93,414 | 93,414 |
| 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 VI.).. | 0 | 0 | 0 | 0 | 12,652 | 12,652 |
| 11 | Total support. Add lines 7 through 10. | 106,066 | |||||
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) |
||||
| 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 | ||||
| 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) |
||||
| 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 |
|---|
| Return Reference | Explanation |
|---|---|
| Part II, line 10 | | S.No:, Amount:, Description:| 1, $26, Amazon Smile Affiliate Program - Purchases made through Amazon Smile Program, a small percentage is donated to Gracia Missions.| 2, $6648, Income Received from hosting International Short-Term Mission Teams in Latin America, primarily at Camp Robealto in Costa Rica.| 3, $3219, Gracia Missions receives donations for specific programs and initiatives, such as the Hope Project camps, which bring at-risk youth to camp in Costa Rica. An operational maintenance fee is withheld from these donations of between 8% - 10% for each individual donation. This fee is used to manage Gracia Mission's operational expenses.| 4, $2039, Income received from Camp Sambica, short-term mission team that came to Camp Roblealto - Costa Rica in April 2015.| 5, $120, Reimbursement - Credit Card payment error, used Gracia Mission's business card for personal expense of officer. Gracia Missions was reimbursed the expense by Adam Carlsen.| 6, $600, Gracia Missions was reimbursed for travel expenses incurred by CCCA Northwest Section, related to Northwest Section Conference of Christian Camps in February/March 2016.| |
| 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 |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| Amazon Smile Affiliate Program - Purchases made through Amazon Smile Program, a small percentage is donated to Gracia Missions., $26| Income Received from hosting International Short-Term Mission Teams in Latin America, primarily at Camp Robealto in Costa Rica., $6648| Gracia Missions receives donations for specific programs and initiatives, such as the Hope Project camps, which bring at-risk youth to camp in Costa Rica. An operational maintenance fee is withheld from these donations of between 8% - 10% for each individual donation. This fee is used to manage Gracia Mission's operational expenses., $3219| Income received from Camp Sambica, short-term mission team that came to Camp Roblealto - Costa Rica in April 2015., $2039| Reimbursement - Credit Card payment error, used Gracia Mission's business card for personal expense of officer. Gracia Missions was reimbursed the expense by Adam Carlsen., $120| Gracia Missions was reimbursed for travel expenses incurred by CCCA Northwest Section, related to Northwest Section Conference of Christian Camps in February/March 2016., $600| |
| Part I, line 16 | | Other Expenses:, Amount:| Annual Report - Oregon 2015, $50.00| Computer Backup - February 2015, $9.94| Computer Backup - February 2015, $9.94| Password Storage Software - 2015, $9.99| Backup Software - April 2015, $9.94| Computer Backup Service - May 2015, $9.94| Computer Antivirus Service - 2015, $14.99| Computer Backup - June 2015, $9.94| General Supplies, $37.00| Computer Backup Services - September 2015, $9.94| Computer Backup Software - Oct 2015, $9.94| Computer Backup Service - November 2015 to November 2016, $44.62| Bracelet Purchase - Fundraiser September 2015, $120.00| Bracelets Purchase - Fundraising Event September 2015, $120.00| Invitation Mailing - Fundraiser September 2015, $82.20| Airline Ticket Purchase - Donald Masterson Video CRA 2015 (Hope Initiative), $610.93| Workshop Travel Expense - Copey Costa Rica July 2015, $60.97| Dinner - PAVE Participants September 2015, $82.43| Hope Initiative Video Project - August 2015, $468.57| Coffee Purchase - Hope Initiative Event 2015, $300.00| Bracelets of Hope - Hope Initiative 2015, $77.36| Fundraiser - Food Costs Cannon Beach Conference Center, $904.00| Hope Initiative Fundraiser/Event - Supplies, $24.99| Printing Costs - Hope Initiative Fundraiser 2015, $30.00| HI Video Production Services - October 2015, $127.13| Postal Mailing - Fundraiser 2015, $78.40| Funds Transfer - HI Video Expenses Oct 2015, $106.80| Postage & Mailing - Event Mailings, $31.91| Event/Fundraiser - Table Centerpiece, $23.05| Credit Card Service Test - Event 2015, $2.00| Materials and Nametags - HI Fundraiser Oct 2015, $8.00| Stamp Purchase - HI Fundraiser Event, $5.34| HI Video Production Meeting - Revision of Video, $33.30| Camp Roblealto - Mission Team Wire Transfer BMCR, $2970.00| Arrowhead Bible - March 2015 Final Payment, $3208.00| Camp Sambica Host - April 2015, $187.50| Wire Transfer Fee - July 2015 (Camp Sambica), $46.00| IRS Form 990 Expense - 2014, $179.95| Internet - January 2015, $40.00| Domain Renewal - 2015, $33.34| Internet - February 2015, $40.00| GoDaddy Hosting - CCI Latin America 2015, $35.76| Internet - March 2015, $40.00| Computer Backup - March 2015, $9.94| Internet April 2015, $40.00| Internet - May 2015, $40.00| Internet - June 2015, $40.00| Internet - July 2015, $40.00| Internet - August 2015, $40.00| Internet - September 2015, $40.00| Internet - October 2015, $40.00| Internet - November 2015, $40.00| Web Hosting - November 2015, $65.97| Internet Services - December 2015, $40.00| Office Supplies, $39.68| Office Supplies - march 2015, $21.16| Office Supplies - Nov 2015, $14.69| Skype - April 2015, $2.99| U.S. Cellphone - September 2015, $60.00| Skype Subscription, $2.99| Skype Oct 2015, $5.98| Skype Subscription - February 2015, $2.99| Skype Subscription - February 2015, $2.99| Skype - March 2015, $10.00| New Magic Jack Modem - March 2015, $76.57| Skype Subsription - March 2015, $2.99| Skype - March 2015, $10.00| Skype Subsription - June 2015, $2.99| Skype Subscription - June 2015, $2.99| Cellphone Services - Oregon Oct 2015, $35.00| Skype Service - November 2015, $2.99| Credit Card Interest - Oct 2015, $11.09| Business Credit Card - Interest Nov 2015, $5.71| Withdrawal Fees - July 2015, $30.00| Withdrawal Fee - July 2015, $4.00| Domain and Hosting Service - CCI AL Oct 2015, $72.68| Wire Transfer - Camp Sambica Fund for Camp Roblealto May 2015, $3294.00| Short Term Exchange - Chantal & Rachael Simmons 2015, $580.00| Short Term Exchange - Chantal & Rachael Simmons 2015, $11.60| John Carlsen Donations - October 2015, $250.00| Payroll Software, $3.00| Payroll Software Oct 2015, $3.00| Payroll Services Nov 2015, $7.95| Payroll Software - November 2015, $3.00| Ministry Expense Remibursement - Adam Carlsen July 2015, $938.78| Ministry Reimbursement - Adam Carlsen July 2015, $160.00| Hope Project Funds Transfer - Camp Roblealto January 2015, $8726.00| Wire Transfer Fee - Hope Project Funds Transfer February 2015, $46.00| Hope Project Transfer - CCCA Section March 2015, $1044.00| Hugo Salas - Special Need August 2015, $110.00| Special Need - Suicide Counseling November 2015, $159.01| Follow Up Program - Costa de Pajaros April 2015, $286.48| Follow Up Program - Casa Luz May 2015, $35.33| Follow Up Program - Casa Luz May 2015, $139.65| Follow Up Program - Hope Project July 2015, $249.12| Follow Up Expense - Gasoline (Guarari July 2015), $15.14| Follow - Up Programa - Linda Vista November 2015, $286.20| Follow - Up Program - Linda Vista November 2015, $38.15| Follow - Up Program Linda Vista Nov 2015, $11.34| Travel Meals, $9.29| Travel Meals, $7.54| Roblealto Business Meeting, $23.61| Donor Visits - Meals, $23.72| Travel Meal - Donor Visits, $31.50| Donor Meal - Oct 2015, $69.68| Donor Visits - Meal Expense Oct 2015, $7.90| Donor Visits - Meals Oct 2015, $19.50| Donor Meeting - Oct 2015, $40.12| Donor Visits - September 2015, $7.50| Donor Visit - Business Meal, $38.40| Travel Meals - Airpot 2015, $43.80| Meeting - Isaac and Adam Dinner (Board), $30.00| Travel Expenses - February 2015, $100.00| Travel Meal - March 2015, $7.60| Airline Ticket Change Fee - March 2015, $348.78| Travel Expenses - March 2015, $90.00| Travel - April 2015, $112.33| Baggage Fees - Oct 2015, $90.00| Travel - Drinks and Food donor visits Oct 2015, $10.99| Parking Expense - Oct 2015, $3.00| Baggage Charges - Travel 2015, $90.00| Isaac Mora - Board Meeting September 2015, $583.63| Airline Ticket Reimbursement - Mike Dreiske Board Meeting, $400.20| Donor Visits - Gasoline Expense Oct 2015, $23.69| Donor Visits - Gasoline Expense Oct 2015, $20.00| Gas Travel Expense - Oct 2015, $44.67| Gasoline - Donor Visits Oct 2015, $29.90| Donor Visits - Gasoline September 2105, $33.55| Hotel - Portland March 2015, $63.44| Airline Ticket - September 2015 Travel, $799.77| Jean Carlsen - Massage Gift September 2015, $210.00| Jean Carlsen - Volunteer Gift Fundraiser Planning 2015, $160.00| |
| Part II, line 26 | | Liabilities Name:, BOY Amount:, EOY Amount:| FICA Taxes, 0, $1864| Accounts Payable, 0, $108| |
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| Software Version: |