Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 2,706,905 | 2,605,689 | 3,346,150 | 4,429,141 | 4,830,402 | 17,918,287 |
| 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 | 2,706,905 | 2,605,689 | 3,346,150 | 4,429,141 | 4,830,402 | 17,918,287 |
| 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).. | 358,022 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 17,560,265 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,706,905 | 2,605,689 | 3,346,150 | 4,429,141 | 4,830,402 | 17,918,287 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 18 | 32 | 556 | 1,800 | 283 | 2,689 |
| 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.).. | 364,296 | 371,417 | 423,990 | 421,383 | 423,491 | 2,004,577 |
| 11 | Total support. Add lines 7 through 10 | 19,925,553 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Part II Section B Line 10 SPECIAL EVENT REVENUE NET OF DIRECT EXPENSES AND PROPERTY TAX REFUND. |
| Return Reference | Explanation |
|---|
| Software ID: | 17005317 |
| Software Version: | 18.2.0.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 406,340, Grants and allocations 0, Revenue 0 Pets Are Wonderful Support PAWS Shantis PAWS program provides three tiers of services to clients which are determined by the severity of need based on both the functionality of the clients and the pets. Client services include Care Navigation, home based practical and emotional support as well as client/pet social activities. Pet services include food bank services service-site and home delivery, veterinary services financial subsidies for preventive and emergency services, pet care dog walking, cat-care, emergency foster care, transportation, and full-service dog grooming. The total value of volunteer hours donated for services in this program, as stated on the audited financial statements was 54,839. |
| Form 990, Part III, Line 4d | Program Service Expenses 91,668, Grants and allocations 0, Revenue 0 Volunteer Services Program The Volunteer Services Program offers opportunities for members of the community to be of service, to put their compassion, their skills, and their interests into action to support people living with the challenges of HIV/AIDS and cancer. Volunteers are trained to provide emotional support and practical assistance to individuals living with life-threatening illnesses, using the internationally recognized the Shanti Model of Peer SupportTM. Volunteers serve clients through one-on-one client/volunteer matches, short-term or one-time only support, our drop-in center, our activities program and by offering workshops and classes. Further, our Volunteer Services Program coordinates all volunteerism components of the PAWS program including volunteer training centered on effective animal care strategies. The total value of volunteer hours donated for services in this program, as stated on the audited financial statements was 243,246. |
| Form 990, Part III, Line 4d | Program Service Expenses 341,912, Grants and allocations 0, Revenue 0 Peer Advocate Care Team PACT The PACT program, a Shanti collaboration with Bridge Housing, is a housing stability program that is part of the citys HOPE SF revitalization project of the public housing on Potrero Hill. This program uses interventions based on the Shanti Model of Peer SupportTM to engage residents in the revitalization initiative as a way to ensure that they are stably housed during the refurbishment of the housing. |
| Form 990, Part III, Line 4d | Program Service Expenses 467,018, Grants and allocations 0, Revenue 0 The L.I.F.E. Program The L.I.F.E. Learning Immune Function Enhancement Program promotes the health of persons living with HIV through an evidence-based approach to health education and peer support, based on research in health-enhancing practices of long-term HIV survivors. Participants of the L.I.F.E. Program gain the knowledge, motivation and skills to self-manage their health. Services include individual counseling, multi-session workshops, 1-day seminars, bi-annual weekend retreats, weekly yoga, and on-going community-building events. The L.I.F.E. Program is offered in San Francisco by Shanti, as well as at three sites in the U.S. where we provide updated curriculum, implementation support including tailored marketing materials, technical assistance, easily accessible web-based outcome measures, and outcome analysis. |
| Form 990, Part III, Line 4d | Program Service Expenses 383,126, Grants and allocations 0, Revenue 0 HIV Health Services Planning Council Support Program The HIV Health Services Planning Council HHSPC prioritizes all service categories within the San Francisco EMA Eligible Metropolitan Area, comprising San Francisco, Marin, and San Mateo counties and allocates resources/dollar amounts to each service category. The Council also conducts regular needs assessments and targeted focus groups to assess current areas of need and to maintain quality assurance protocols. The HHSPC Support program provides administrative oversight to the Council and support, education, and training to council members, all of whom are volunteers and are individuals living with HIV, service providers, and/or government representatives. HHSPC Support program also provides information and public policy assistance to any interested parties including service providers, other community bodies, governmental agencies, and individuals living with HIV. |
| Form 990, Part III, Line 1 | The Shantis Mission Statement is to enhance the health, quality of life and well-being of people with terminal, life-threatening or disabling illnesses or conditions. Through a continuum of services, including in-home and onsite patient and care navigation, emotional and practical support and preserving the human-animal bond, we strive to achieve the highest medical and quality of life outcomes for San Franciscos most vulnerable people. |
| Form 990, Part VI, Section B, Line 11b | The Audit Committee reviews Form 990 and recommends approval by the Board of Directors. BOD approves Form 990 prior to filing. |
| Form 990, Part VI, Section B, Line 12c | Board members and key officers are required at the beginning of each fiscal year to review and sign the Shantis conflict of interest policy. |
| Form 990, Part VI, Section B, Line 15a | The Board of Directors studied local salaries of Executive Directors of comparable organizations, and noting the agencys currect budget agreed with the Executive Director on a salary figure amenable to both parties. |
| Form 990, Part VI, Section B, Line 15b | The Executive Director studied local salaries of the relevent positions at comparable organizations, and noting the agencys current budget agreed with the employees on salary figure amenable to everyone. |
| Form 990, Part VI, Section C, Line 19 | Shanti posts financial statements annually on own website. Public is invited to all board meetings where current financial statements are reviewed. Financial statements, conflict of interest policy, and governing documents are available at the Shantis office at 3170 23rd street, San Francisco. |
| Form 990, Part VI, Section A, Line 8 | Board and committee minutes are recorded, reviewed, and accepted by the respective group. |
| Software ID: | 17005317 |
| Software Version: | 18.2.0.0 |