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.") .. | 1,036,302 | 1,817,565 | 1,514,434 | 2,028,574 | 869,776 | 7,266,651 |
| 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 | 1,036,302 | 1,817,565 | 1,514,434 | 2,028,574 | 869,776 | 7,266,651 |
| 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. | 7,266,651 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,036,302 | 1,817,565 | 1,514,434 | 2,028,574 | 869,776 | 7,266,651 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 66,300 | 60,607 | 50,449 | 50,881 | 3,849 | 232,086 |
| 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.).. | -16,835 | 10,997 | -43,361 | 54,893 | 5,694 | |
| 11 | Total support. Add lines 7 through 10 | 7,504,431 | |||||
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) |
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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 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 |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | OTHER 5,694 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4B | LEADERS. TRAINING INCLUDES COMMUNITY ORGANIZING, ADVOCACY SKILLS, AND PROJECT SUSTAINABILITY. THE STUDENTS LEARN TO INFLUENCE, ENGAGE, AND MOBILIZE COMMUNITY MEMBERS ON THEIR BLOCK, THEIR CHURCH OR ORGANIZATION TO ADDRESS IMPORTANT COMMUNITY ISSUES. THEY ALSO LEARN HOW TO DEVELOP ACTION PLANS TO MAKE CHANGE AND WORK WITH OTHERS THROUGH COLLABORATIVE LEADERSHIP. CEA HELD 1 CLASS THIS FISCAL YEAR WITH 20 REGISTRANTS AND 11 GRADUATES. OVER 50 PERSONS ATTENDED THE NOVEMBER 2017 BLACK MEN'S HEALTH CONFERENCE WHICH FEATURED A SYMPOSIUM ON THE EFFECTS OF THE CANNABIS INDUSTRY IN URBAN COMMUNITIES. OVERALL, ATTENDEES WERE IMPRESSED BY THE EVENT. ALL ATTENDEES INDICATED THEY WOULD RECOMMEND IT TO OTHERS AND WOULD ATTEND SIMILAR EVENTS. DO RIGHT HEALTHY CORNER STORE NETWORK'S FOCUS IS TO CREATE A CULTURE OF HEALTH WITHIN OUR PARTNER STORES. WE PROMOTE THE PURCHASING OF HEALTHY FOOD ITEMS FROM CORNER STORES THROUGH USE OF SOCIAL MEDIA, THE HEALTH GAP WEBSITE, AND MAIL. ADDITIONALLY, WE PROVIDE NUTRITION EDUCATION AND TASTE- TESTING DEMONSTRATIONS FOR COMMUNITY RESIDENTS. COMMUNITY HEALTH COACHES AND VOLUNTEERS COMPLETED NUTRITION EDUCATION SESSIONS AND TECHNICAL ASSISTANCE VISITS TO THE 11STORES IN THE NETWORK. ALL STORES HAVE UNDERGONE STORE CONVERSIONS INCLUDING NEW REFRIGERATION, DRY FOOD SHELVING, AWNINGS, WALL PAINT, OR EXTERNAL AND INTERNAL HEALTHY LIVING SIGNAGE. OTHER OUTREACH ACTIVITIES INCLUDED A WEEKLY NEWSPAPER COLUMN, ONLINE COMMUNICATIONS, LOCAL AND NATIONAL PRESENTATIONS, COMMUNITY WORKSHOPS, OUR INTERNSHIP PROGRAM (17 INTERNS THIS YEAR), AND PROGRAM SPONSORSHIPS. THE HEALTH GAP ALSO PARTNERED IN COMMUNITY EVENTS TO PROMOTE THE HEALTH GAP'S PROGRAMS AND OTHER IMPORTANT HEALTH ISSUES. THOUSANDS OF PEOPLE WERE REACHED THROUGH THESE COMMUNITY EVENTS. |
| FORM 990, PAGE 2, PART III, LINE 4C | PROGRAM HIGHLIGHTS INCLUDE THE FOLLOWING: - 1,871 INDIVIDUAL TOUCH POINTS OVER 2 YEARS - 4 FOCUS GROUPS WITH MOTHERS AND FATHERS - DIAPER DISTRIBUTION TO 126 MOTHERS - FATHERHOOD FORUM & PARTNERSHIP WITH KAPPA ALPHA PSI FRATERNITY - 307 MEN REACHED THROUGH 6 FORUMS WITH 11 NEIGHBORHOOD CHURCH AND ORGANIZATION PARTNERS - BABY SHOWER TO PROMOTE INFANT MORTALITY AWARENESS TO 213 PARTICIPANTS. - 30 MOMS ATTENDED THE PREGNANT AND NEW MOMS WORKSHOP SERIES IN PARTNERSHIP WITH CINCINNATI MEDICAL ASSOCIATION AND MELROSE YMCA. - 37 MOMS ATTENDED THE STEP INTO HEALTH WELLNESS SERIES - PURCHASED ONE-YEAR GYM MEMBERSHIPS FOR MOMS TO EXERCISE AT NEIGHBORHOOD RECREATION CENTERS. |
| FORM 990, PAGE 2, PART III, LINE 4D | 15TH ANNUAL HEALTH EXPO -WE HELD OUR 15TH ANNUAL HEALTH EXPO ON APRIL 28, 2018 AT CINCINNATI'S WASHINGTON PARK. OVER 10,000 PEOPLE ATTENDED THIS FREE EVENT. THE EXPO PROMOTED AWARENESS ABOUT HEALTH DISPARITIES AND HEALTHY LIFE STYLES FOR FAMILIES. PARTICIPANTS RECEIVED INFORMATION ABOUT NUTRITION, PHYSICAL ACTIVITIES, AND RELATED TOPICS TO HELP THEM LEAD HEALTHIER LIVES. WE FEATURED A VARIETY OF FAMILY FRIENDLY ACTIVITIES INCLUDING: - 19 FREE, COMPREHENSIVE HEALTH SCREENINGS WITH OVER 937 INDIVIDUALS SCREENED AND 1,735 HEALTH SCREENINGS CONDUCTED. - MOVIN- AND GROOVIN' STAGE WITH 9 CONTINUOUS PHYSICAL FITNESS DEMONSTRATIONS. - CHILDREN'S PAVILION WITH HEALTH SCREENINGS AND PHYSICAL FITNESS AND NUTRITION ACTIVITIES FOR AGES 2 TO 14. - 87 EXHIBIT BOOTHS FEATURING HEALTH INFORMATION, DEMONSTRATIONS, FOOD, AND WELLNESS PRODUCTS. - ENTERTAINMENT FEATURING LOCAL RECORDING ARTIST 2ND WIND. - YOUTH TALENT SHOWCASE ATTENDEES COMPLETED HEALTH SCREENING QUESTIONNAIRES, AND 365 HEALTH EXPO EVALUATIONS. WE COLLECT THIS DATA FOR EVALUATION. THROUGHOUT THE YEAR, WE INVITE EXPO ATTENDEES TO PARTICIPATE IN OUR PROGRAMS AND ACTIVITIES. DO RIGHT KIDS - THE HEALTH GAP RECEIVED GRANTS FROM THE AETNA FOUNDATION AND GRAD CINCINNATI FOR DO RIGHT KIDS TO IMPROVE THE HEALTH AND WELL-BEING OF DISADVANTAGED, OVERWEIGHT OR OBESE CHILDREN, AND CHILDREN AT RISK FOR OBESITY AND BECOMING OVERWEIGHT. THE PROGRAM PROVIDES A 12-WEEK CURRICULUM EACH SEMESTER THAT EDUCATES CHILDREN AND THEIR FAMILIES ABOUT THE IMPORTANCE OF HEALTHY EATING AND PHYSICAL ACTIVITY. THE INSTRUCTION IS HANDS-ON AND ACTIVITY-BASED. THE PROGRAM HAS THREE COMPONENTS: IN SCHOOL, AFTER SCHOOL, AND FAMILY NIGHTS. WE IMPLEMENTED DO RIGHT KIDS IN 3 SCHOOLS FREDERICK DOUGLASS ELEMENTARY, WM. HOWARD TAFT ELEMENTARY, AND ETHEL M. TAYLOR ACADEMY. EACH SCHOOL HOSTED FAMILY NIGHTS WITH COOKING AND FITNESS DEMONSTRATIONS FOR FAMILY MEMBERS. FITNESS DEMONSTRATIONS INCLUDED ZUMBA, HIP-HOP DANCE WORKOUTS, AND GROUP FITNESS. 454 STUDENTS PARTICIPATED IN SCHOOL, 102 PARTICIPATED AFTER SCHOOL, AND 56 PARENTS ATTENDED FAMILY NIGHTS. THREE SCHOOLS DISTRIBUTED OVER 772 BAGS OF VEGETABLES AND FRUIT THROUGH DO RIGHT PRODUCE MARKETS. THE WESTERN HILLS UNIVERSITY HIGH SCHOOL COOKING CLUB PROVIDED HANDS ON COOKING DEMONSTRATIONS AND NUTRITION TRAINING TO 15 TEEN AGED STUDENTS. MT. AUBURN DO RIGHT BLOCK-BY BLOCK CAMPAIGN - MT. AUBURN DO RIGHT BLOCK- BY- BLOCK BUILDS OFF THE SUCCESS OF OUR DO RIGHT CAMPAIGN, BUT ON A SMALLER BLOCK-BY-BLOCK SCALE. THIS PROGRAM IS FUNDED BY THE HEALTH GAP AND THE CITY OF CINCINNATI. THE PROGRAM HELPS FAMILIES EAT BETTER AND EXERCISE MORE TO IMPROVE THEIR OVERALL QUALITY OF LIFE. THE PROGRAM IS A NEIGHBORHOOD RESIDENT-LED, HOUSEHOLD FOCUSED, MULTI WEEK INTERVENTION. THE INTERVENTION IS DESIGNED TO IMPROVE DIET AND PHYSICAL ACTIVITY, AND TO INCREASE RESIDENTS' CONFIDENCE TO ASK FOR CHANGES IN THE BUILT ENVIRONMENT THAT WILL SUPPORT HEALTHY BEHAVIORS. BEHAVIORAL GOALS FOCUS ON INCREASING FRUIT AND VEGETABLE INTAKE TO > 5 SERVINGS/DAY, OBTAINING 3 STRUCTURED MEALS DAILY, DECREASING SCREEN TIME (OUTSIDE OF WORK OR SCHOOL) TO < 2 HOURS PER DAY, INCREASING MODERATE-TO-VIGOROUS PHYSICAL ACTIVITY TO > 1 HOUR PER DAY, AND REDUCING SUGAR-SWEETENED BEVERAGE INTAKE TO ALMOST NONE. SEVEN MT. AUBURN DO RIGHT STEERING COMMITTEE MEMBERS MET REGULARLY, CANVASSED THE NEIGHBORHOOD WITH INFORMATION ABOUT THE PROGRAM, AND PLANNED MONTHLY COMMUNITY EVENTS. THIS FISCAL YEAR 8 COMMUNITY HEALTH CHAMPIONS WERE SELECTED AND TRAINED TO DELIVER THE 14-WEEK INTERVENTION TO 40 HOUSEHOLDS. 8 RESIDENTS ARE ACTIVE MEMBERS OF THE COMMUNITY COUNCIL AND ARE STRONG NEIGHBORHOOD ADVOCATES. ALL 74 PAST CAMPAIGN MEMBERS RECEIVED DO RIGHT MEMBERSHIP CARDS WHERE THEY CAN EARN POINTS FOR HEALTHY LIVING ACTIVITIES AND CAMPAIGN PARTICIPATION. THE TEAM REACHED WELL OVER 541 PERSONS THROUGH ITS MANY COMMUNITY EVENTS. CHOICE NEIGHBORHOODS IMPLEMENTATION GRANT -THE HEALTH GAP CONTRACTS WITH THE COMMUNITY BUILDERS, INC. ON THE CHOICE NEIGHBORHOODS IMPLEMENTATION GRANT FUNDED BY THE UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. THIS 5-YEAR GRANT INCLUDES NUMEROUS PARTNERS AND WILL IMPLEMENT A TRANSFORMATIVE PLAN FOR COMPREHENSIVE AND SUSTAINABLE REVITALIZATION FOR THE CINCINNATI NEIGHBORHOOD OF AVONDALE. WE ARE A HEALTH PARTNER PROVIDING PROGRAMS TO IMPROVE AVONDALE CHOICE RESIDENTS' HEALTH BEHAVIORS, NUTRITION, AND COMMUNITY ENGAGEMENT SKILLS. HIGHLIGHTS FROM THIS YEAR'S PROGRAM INCLUDE THE FOLLOWING: 1. AVONDALE CHOICE DO RIGHT GET COVERED - 2 SESSIONS HELD TO INFORM AND ENROLL RESIDENTS IN HEALTH INSURANCE UNDER THE AFFORDABLE CARE ACT. 18 ENROLLMENTS WERE COMPLETED. 2. 4 CHOICE EAT, LIVE AND MOVE RIGHT ACTIVITIES WERE HELD THROUGHOUT THE YEAR FOR FAMILIES. |
| FORM 990, PAGE 6, PART VI, LINE 2 | DINSMORE & SHOHL, LLP DINSMORE & SHOHL, LLP PARTNER PARTNER PARTNERS IN LAW FIRM |
| FORM 990, PAGE 6, PART VI, LINE 11B | AN ELECTRONIC COPY OF THE FORM 990 WILL BE DISTRIBUTED TO EACH BOARD MEMBER PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |