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.") .... | 146,617 | 47,989 | 151,956 | 293,171 | 408,396 | 1,048,129 |
| 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 | 146,617 | 47,989 | 151,956 | 293,171 | 408,396 | 1,048,129 |
| 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).. | 7,281 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 1,040,848 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 146,617 | 47,989 | 151,956 | 293,171 | 408,396 | 1,048,129 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 26 | 28 | 18 | 9 | 10 | 91 |
| 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.).. | 227,727 | 94,279 | 141,528 | 43,720 | 48,267 | 555,521 |
| 11 | Total support Add lines 7 through 10. | 1,603,741 | |||||
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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| 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, LINES 4A-C, | COMMUNITY RESIDENCES SERVED PEOPLE WITH MENTAL ILLNESSES, INTELLECTUAL DISABILITIES AND HOMELESSNESS THROUGH THE PROVISION OF MEDICAL THERAPEUTIC, EDUCATIONAL, VOCATIONAL, RESIDENTIAL AND INTEGRATIVE RECREATIONAL SERVICES. COMMUNITY RESIDENCES' ICF/IIDS PROVIDE COMPREHENSIVE AND INDIVIDUALIZED HEALTH CARE AND REHABILITATION SERVICES TO INDIVIDUALS TO PROMOTE THEIR FUNCTIONAL STATUS AND SUPPORT INDEPENDENCE, SELF-DETERMINATION AND COMMUNITY INTEGRATION. THIS MOST INTENSIVE LEVEL OF SUPPORT IS AVAILABLE ONLY FOR INDIVIDUALS IN NEED OF, AND RECEIVING, ACTIVE TREATMENT SERVICES. ACTIVE TREATMENT REFERS TO A CONTINUOUS, AGGRESSIVE AND CONSISTENT IMPLEMENTATION OF A PROGRAM OF SPECIALIZED AND GENERIC TRAINING, TREATMENT AND HEALTH OR RELATED SERVICES BASED UPON AN INDIVIDUALIZED SERVICE PLAN. EACH ICF/IID HAS A FULL RANGE OF CLINICAL SERVICES AND SUPPORTS DESIGNED TO MEET THE DESIRES AND ASSESSED NEEDS OF THE INDIVIDUAL. THIS INCLUDES COMPREHENSIVE IN-HOME NURSING AND BEHAVIORAL SERVICES AS WELL AS CONSULTATION BY A MEDICAL DIRECTOR WHO OVERSEES THE INDIVIDUALS' HEALTH PROFILE. EACH INDIVIDUAL IS PROVIDED WITH A WIDE ARRAY OF SKILLS TRAINING, SUPPORT AND COACHING WITH ACTIVITIES OF DAILY LIVING, COMMUNITY INTEGRATION, RECREATIONAL OPPORTUNITIES, AND MEDICATION MONITORING AND/OR ADMINISTRATION. INDIVIDUALS WITH INTELLECTUAL DISABILITIES WHO ARE SUPPORTED IN COMMUNITY RESIDENCES' CONGREGATE HOUSING PROGRAM RESIDE IN NEIGHBORHOOD HOMES WITH A SHARED LIVING ENVIRONMENT. EACH INDIVIDUAL HAS A PRIVATE BEDROOM, BUT SHARES KITCHEN, DINING AND/OR BATHING AREAS. EVERY HOME IS LOCATED WITHIN REASONABLE ACCESS TO SHOPPING, RECREATIONAL, SOCIAL, CULTURAL AND RELIGIOUS ACTIVITIES; HEALTH CARE FACILITIES, TRANSPORTATION AND VOCATIONAL OPPORTUNITIES. COMMUNITY RESIDENCES OFFERS A WIDE VARIETY OF SERVICES AND ACTIVITIES THAT ARE FLEXIBLE AND RESPONSIVE TO THE PERSON SUPPORTED AND ARE FULLY INTEGRATED INTO COMMUNITY LIFE. WHILE EACH PERSON'S SERVICE PLAN IS DIFFERENT, AVAILABLE SERVICES AND ACTIVITIES MAY INCLUDE LIFE SKILLS EDUCATION AND COACHING, SUPPORT WITH DAILY LIVING SKILLS, MEDICAL/CLINICAL COORDINATION AND OVERSIGHT, PSYCHO-EDUCATIONAL COUNSELING, POSITIVE BEHAVIORAL AND CRISIS SUPPORT, RECREATION AND LEISURE ACTIVITIES, TRANSPORTATION AND RESOURCE AND BENEFITS COORDINATION. SERVING PEOPLE WITH MENTAL ILLNESS: COMMUNITY RESIDENCES PROVIDES RESIDENTIAL PROGRAMS FOR INDIVIDUALS WITH MENTAL HEALTH DIAGNOSES AND SERVICES TO INDIVIDUALS WHO LIVE IN THE COMMUNITY. THE RESIDENTIAL PROGRAMS ARE SINGLE FAMILY HOMES AND LOCATED IN NEIGHBORHOODS THAT ARE CLOSE TO SHOPPING, PUBLIC TRANSPORTATION, AND SOCIAL, RECREATIONAL AND CULTURAL ACTIVITIES. COMMUNITY SERVICES ARE DESIGNED TO PROMOTE COMMUNITY TENURE, TO PREVENT HOMELESSNESS, HOSPITALIZATION, INCARCERATION THOUGH LEARNING SKILLS, AND DEVELOPING NATURAL SUPPORTS. THE PROGRAMS REFLECT THE BELIEF THAT INDIVIDUALS CAN GROW, CHANGE AND RECOVER FROM THE SYMPTOMS OF MENTAL ILLNESS AND CAN LIVE MORE INDEPENDENTLY IN THE COMMUNITY OF THEIR CHOOSING. |
| FORM 990, PART VI, SECTION A, LINE 2 | MARY LUDDEN AND JENNA LUDDEN HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BYLAWS INDICATE THAT THE MEMBERS ARE EITHER MEMBERS OF THE COMMUNITY RESIDENCES, INC (CRI) BOARD OR APPOINTED BY THE CRI BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | BASED ON THE BYLAWS REGARDING MEMBERS AND APPOINTMENT TO THE BOARD THERE IS AN APPROVAL PROCESS BY THE MEMBERS REGARDING DECISIONS OF THE GOVERNING BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY THE AGENCY'S AUDITORS AFTER MANAGEMENT'S INPUT AND CRITICAL REVIEW. IT IS THEN DISTRIBUTED AND REVIEWED WITH THE FINANCE COMMITTEE OF THE CRI BOARD FOR ITS APPROVAL PRIOR TO FILING. IN ADDITION, THE FINANCE COMMITTEE THEN REPORTS TO THE CRI BOARD, AT ITS NEXT SCHEDULED MEETING, ON ITS REVIEW PROCESS AND ANY SIGNIFICANT ISSUES DISCUSSED WITH THE AUDITORS. COPIES OF THE FORM 990 ARE PROVIDED TO THE CRI BOARD MEMBERS AT THAT TIME. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REVIEWS ITS POLICIES WITH ALL THE NEW BOARD MEMBERS AND EMPLOYEES DURING AN ORIENTATION. IN ADDITION, ALL EXPENDITURES REQUIRE TWO EMPLOYEES' SIGNATURES FOR DISBURSEMENTS. THE ORGANIZATION ALSO HAS A WHISTLEBLOWER POLICY AND A DIRECTOR ACCOUNTABLE FOR INDEPENDENT INVESTIGATIONS OF ANY ALLEGED MISCONDUCT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CRI BOARD OF DIRECTORS APPOINTED A SEARCH COMMITTEE IN FY15 TO SELECT AND HIRE ARTHUR GINSBERG, PRESIDENT AND CEO, WHO JOINED CRI ON JUNE 15, 2015. THE BOARD CHAIR WAS AUTHORIZED BY THE CRI BOARD TO NEGOTIATE THE COMPENSATION OF THE CEO. THE COMPENSATION OF OFFICERS IS DETERMINED BY THE CEO AS PART OF THE ANNUAL BUDGET AND EVALUATION PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND/OR FINANCIAL STATEMENTS ARE PROVIDED AS REQUIRED BY LAW. IN ADDITION, THE AGENCY PROVIDES AN ANNUAL REPORT TO THE COMMUNITY THAT DOCUMENTS ITS ACCOMPLISHMENTS AND FINANCIAL STATUS. THE AGENCY ALSO SUBMITS REPORTS TO VARIOUS STATE LICENSING AGENCIES AS PART OF ITS MISSION. |
| FORM 990, PART IX, LINE 11G | HEALTH CARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 387,726. MANAGEMENT AND GENERAL EXPENSES 146. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 387,872. EMPLOYEE BACKGROUND CHECKS: PROGRAM SERVICE EXPENSES 16,261. MANAGEMENT AND GENERAL EXPENSES 3,632. FUNDRAISING EXPENSES 328. TOTAL EXPENSES 20,221. OTHER CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 229,719. MANAGEMENT AND GENERAL EXPENSES 105,263. FUNDRAISING EXPENSES 69,420. TOTAL EXPENSES 404,402. HAB/VOC TRAINING: PROGRAM SERVICE EXPENSES 2,777,986. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,777,986. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THERE WERE NO CHANGES IN THE PROCESSES FROM THE PRIOR YEAR. |
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