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.) .... | ||||||
| 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 | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
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.") . | 78,335 | 91,875 | 80,810 | 87,310 | 85,210 | 423,540 |
| 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. | 78,335 | 91,875 | 80,810 | 87,310 | 85,210 | 423,540 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 423,540 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 78,335 | 91,875 | 80,810 | 87,310 | 85,210 | 423,540 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,696 | 4,199 | 4,292 | 9,801 | 7,312 | 28,300 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 2,696 | 4,199 | 4,292 | 9,801 | 7,312 | 28,300 |
| 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.).. | 81,031 | 96,074 | 85,102 | 97,111 | 92,522 | 451,840 |
| 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 |
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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-EZ, Part I, Line 4 - Other Investment Income | Description: Dividends. Amount: 4,705. Description: Interest Income. Amount: 4. Total Included on Form 990-EZ, line 4: 4,709. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: seastars acquatics, inc.. Grantee Address: 5425 hibiscus rd. PENSACOLA, FL 32504. Grantee Relationship: NONE. Amount Given: 1,250. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: UNITED MINISTRIES. Grantee Address: 257-b E. LEE ST. PENSACOLA, FL 32503. Grantee Relationship: NONE. Amount Given: 10,200. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: PENSACOLA state college foundation. Grantee Address: 1000 COLLEGE BLVD. PENSACOLA, FL 32504. Grantee Relationship: NONE. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: health care. Grantee Name: escambia county community clinic. Grantee Address: 14 w jordon st PENSACOLA, FL 32501. Grantee Relationship: NONE. Amount Given: 250. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: PACE CENTER FOR GIRLS. Grantee Address: 1201 COLLEGE BLVD. PENSACOLA, FL 32504. Grantee Relationship: NONE. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: loaves and fishes soup kitchen. Grantee Address: 1620 n. palafox PENSACOLA, FL 32503. Grantee Relationship: NONE. Amount Given: 2,066. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: pathways for change. Grantee Address: 2050 w. blount st. pensaCOLA, FL 32501. Grantee Relationship: NONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: Catholic Charities. Grantee Address: 1815 n. 6th ave. Pensacola, FL 32503. Grantee Relationship: NONE. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: YMCA of northwest florida. Grantee Address: 410 N. PALAFOX PENSACOLA, FL 32501. Grantee Relationship: NONE. Amount Given: 1,250. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: Favor House of NW Florida. Grantee Address: 2001 W Blount St. Pensacola, FL 32501. Grantee Relationship: none. Amount Given: 4,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: Gulf Coast Kids House. Grantee Address: 3401 n. 12th ave. Pensacola, FL 32503. Grantee Relationship: NONE. Amount Given: 2,250. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: covenant alzheimer's services. Grantee Address: 5041 n 12th ave. pENSACOLA, FL 32504. Grantee Relationship: NONE. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: ARC Gateway. Grantee Address: 3932 North 10th Ave. pensacola, FL 32503. Grantee Relationship: none. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: early learning coalition of escambia county. Grantee Address: 3636D North L Street Suite A pensacola, FL 32505. Grantee Relationship: nONE. Amount Given: 500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: ecare - every child's a reader. Grantee Address: po box 71 pensacola, FL 32591. Grantee Relationship: nONE. Amount Given: 1,250. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: pensacola opera. Grantee Address: 75 s tarragona st pensacola, FL 32502. Grantee Relationship: nONE. Amount Given: 750. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: St Joseph Medical Clinic. Grantee Address: 131 West Intendencia St pENSACOLA, FL 32502. Grantee Relationship: nONE. Amount Given: 4,300. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: the leaning post ranch. Grantee Address: 4150 cedar springs road molino, FL 32577. Grantee Relationship: nONE. Amount Given: 750. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: Chain reaction. Grantee Address: 1301 e. gadsden st. PensACOLA, FL 32501. Grantee Relationship: nONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: alpha center, inc.. Grantee Address: 6004 pernella rd. pensACOLA, FL 32504. Grantee Relationship: none. Amount Given: 1,200. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: american diabetes association. Grantee Address: 12385 sorrento rd., suite a-2 peNSACOLA, FL 32507. Grantee Relationship: nONE. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: baptist healthcare foundation. Grantee Address: po box 17500 penSACOLA, FL 32522. Grantee Relationship: nONE. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: camp happy sands. Grantee Address: 4310 hickory shores blvd. gulf breeze, FL 32563. Grantee Relationship: none. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: center for independent living. Grantee Address: 3600 north pace blvd. pensaCOLA, FL 32505. Grantee Relationship: nONE. Amount Given: 2,600. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: children's home society. Grantee Address: 1300 n. palafox st. suite 103 pensaCOLA, FL 32501. Grantee Relationship: nONE. Amount Given: 1,500. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: manna food pantries. Grantee Address: 116 e. gonzales st. pensACOLA, FL 32501. Grantee Relationship: nONE. Amount Given: 3,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: milk and honey outreach ministries. Grantee Address: 31 e. wright st. peNSACOLA, FL 32501. Grantee Relationship: nONE. Amount Given: 2,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: take stock in children. Grantee Address: 8600 nw 36th st, suite 500 miami, FL 33166. Grantee Relationship: nONE. Amount Given: 1,000. |
| Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid | Activity Classification: 501(C)3. Grantee Name: health and hope clinic. Grantee Address: 1718 E Olive Rd PenSACOLA, FL 32514. Grantee Relationship: nONE. Amount Given: 1,000. Total included on Form 990-EZ, line 10: 58,616. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Supplies. Amount: 3,084. Description: INSURANCE. Amount: 352. Description: HALL RENTAL. Amount: 600. Description: MEDALLIONS. Amount: 5,625. Description: Equipment Rental. Amount: 4,145. Description: Music, Band. Amount: 1,500. Description: Storage. Amount: 1,150. Description: Bank service charges. Amount: 2,842. Description: security. Amount: 250. Description: food & drink. Amount: 2,637. Description: Miscellaneous. Amount: 644. Total to Form 990-EZ, line 16: 22,829. |
| Form 990-EZ, Part II, Line 24 - Other Assets | Description: stocks. Beg. of Year Amount: 654. End of Year Amount: 654. Description: Due from merrill Lynch. Beg. of Year Amount: 0. End of Year Amount: 1,613. |
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