Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for 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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 | 106,615 | 108,260 | 108,995 | 109,450 | 109,458 | 542,778 |
| 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 | 106,615 | 108,260 | 108,995 | 109,450 | 109,458 | 542,778 |
| 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.) | 542,778 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 106,615 | 108,260 | 108,995 | 109,450 | 109,458 | 542,778 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 36 | 16 | 29 | 32 | 35 | 148 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 36 | 16 | 29 | 32 | 35 | 148 |
| 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.) .. | 857 | 975 | 787 | 812 | 3,431 | |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 106,651 | 109,133 | 109,999 | 110,269 | 110,305 | 546,357 |
| 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 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, 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 2018. 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 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS INCOME - 2015 AMOUNT: $ 32. LAUNDRY INCOME - 2015 AMOUNT: $ 825. 2016 AMOUNT: $ 975. 2017 AMOUNT: $ 787. 2018 AMOUNT: $ 812. |
| 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, PART VI, SECTION A, LINE 3 | THE ORGANIZATION PURCHASES MANAGEMENT SERVICES FROM NAZARETH HOUSING, INC., A RELATED PARTY. THESE FEES ARE CHARGEABLE AT A RATE BASED ON 6% OF PROJECTED ANNUAL GROSS INCOME PLUS SUPERINTENDENT COSTS. MANAGEMENT SERVICES INCLUDE PROPERTY MANAGEMENT AND SUPERVISION. MANAGEMENT FEES TOTALING $31,500 PAID DURING FISCAL YEAR 2019. REFER TO PART VII FOR INDIVIDUALS WHO ARE COMPENSATED BY THE MANAGEMENT COMPANY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION SHALL BE NAZARETH HOUSING, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS SHALL BE ELECTED FOR ANY NUMBER OF THREE (3) YEAR TERMS AT THE ANNUAL MEETING OF THE SOLE MEMBER BY THE VOTE OF THE SOLE MEMBER, AND EACH DIRECTOR SHALL CONTINUE IN OFFICE UNTIL HIS OR HER SUCCESSOR SHALL HAVE BEEN ELECTED AND SHALL HAVE QUALIFIED, OR UNTIL HIS OR HER DEATH, RESIGNATION, OR REMOVAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BY-LAWS MAY BE AMENDED OR REPEALED BY THE AFFIRMATIVE VOTE OF THE MAJORITY OF THE ENTIRE BOARD AT ANY MEETING OF THE BOARD OR BY THE AFFIRMATIVE VOTE OF THE SOLE MEMBER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE DRAFT FORM 990 IS SENT ELECTRONICALLY TO THE BOARD OF THE HDFC BY THE EXECUTIVE DIRECTOR FOR REVIEW PRIOR TO FINALIZATION AND SUBMISSION TO THE IRS. THE BOARD MEETS TO DISCUSS ANY QUESTIONS, MODIFICATIONS, OR CHANGES FROM PRIOR YEARS. THE BOARD VOTES TO APPROVE THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY RELATED PARTY SHALL DISCLOSE IN GOOD FAITH ALL MATERIAL FACTS OF HIS OR HER FINANCIAL INTEREST TO THE BOARD. ALL TRANSACTIONS, AGREEMENTS OR ANY OTHER ARRANGEMENTS BETWEEN THE CORPORATION AND A RELATED PARTY, AND ANY OTHER TRANSACTIONS WHICH MAY INVOLVE A POTENTIAL CONFLICT OF INTEREST, SHALL BE REVIEWED BY THE INDEPENDENT DIRECTORS OF THE BOARD. ALL RELATED PARTIES WITH A FINANCIAL INTEREST SHALL LEAVE THE ROOM IN WHICH SUCH DELIBERATIONS ARE CONDUCTED. THE INDEPENDENT DIRECTORS OF THE BOARD WILL THEN DETERMINE WHETHER THE CONTEMPLATED RELATED PARTY TRANSACTION IS FAIR, REASONABLE, AND IN THE BEST INTERESTS OF THE CORPORATION AT THE TIME OF SUCH DETERMINATION. THE CORPORATION WILL NOT ENTER INTO ANY RELATED PARTY TRANSACTION UNLESS IT IS DETERMINED TO BE FAIR, REASONABLE AND IN THE BEST INTEREST OF THE CORPORATION AT THE TIME OF SUCH DETERMINATION. THE BOARD OR SHALL, AFTER CONSIDERING ALTERNATE TRANSACTIONS AND/OR COMPARABILITY DATA, DETERMINE IN GOOD FAITH BY VOTE THE INDEPENDENT DIRECTORS OF THE BOARD WHETHER THE TRANSACTION OR ARRANGEMENT IS FAIR, REASONABLE, AND IN THE BEST INTEREST OF THE CORPORATION AT THE TIME OF SUCH DECISION. THE TRANSACTION SHALL BE APPROVED BY NOT LESS THAN A MAJORITY VOTE OF THE INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS PRESENT AT THE MEETING. IN CONFORMITY WITH THE ABOVE CRITERIA, THE BOARD SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT AND SHALL DOCUMENT THE MEETING CONTEMPORANEOUSLY UNDER ARTICLE 6 OF THIS POLICY. ALL RELATED PARTIES WITH A FINANCIAL INTEREST MUST NOT BE PRESENT FOR DELIBERATIONS AND VOTING ON THE TRANSACTION OR ARRANGEMENT IN WHICH HE OR SHE HAS A FINANCIAL INTEREST. HOWEVER, RELATED PARTIES ARE NOT PROHIBITED FROM PROVIDING INFORMATION REGARDING THE TRANSACTION TO THE BOARD PRIOR TO THE BOARD'S DELIBERATIONS. ONLY INDEPENDENT DIRECTORS OF THE BOARD SHALL VOTE ON RELATED PARTY TRANSACTIONS. NO DIRECTOR OR OFFICER SHALL VOTE, ACT, OR ATTEMPT TO INFLUENCE IMPROPERLY THE DELIBERATIONS ON ANY MATTER IN WHICH HE OR SHE HAS BEEN DETERMINED BY THE BOARD TO HAVE A FINANCIAL INTEREST. ANY ATTEMPT TO VOTE, ACT, OR IMPROPERLY INFLUENCE DELIBERATIONS BY A RELATED PARTY ON ANY MATTER WITH WHICH SUCH PERSON HAS A FINANCIAL INTEREST MAY BE GROUNDS FOR REMOVAL FROM THE BOARD OR TERMINATION FROM THE CORPORATION. A VOTING MEMBER OF THE BOARD OF DIRECTORS OR AN OFFICER WHO RECEIVES COMPENSATION DIRECTLY OR INDIRECTLY FROM THE CORPORATION FOR SERVICES OR A DIRECTOR SERVING AS A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS IS PRECLUDED FROM VOTING OR ACTING ON MATTERS PERTAINING TO THAT DIRECTOR'S OR OFFICER'S COMPENSATION. PRIOR TO A DIRECTOR'S INITIAL ELECTION TO THE BOARD, OR AN OFFICER OR KEY EMPLOYEE'S EMPLOYMENT AT THE CORPORATION, AND THEREAFTER ON AN ANNUAL BASIS, ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES SHALL DISCLOSE IN WRITING TO THE SECRETARY OF THE CORPORATION: (I) ANY ENTITY OF WHICH SUCH PERSON OR A RELATIVE OF SUCH PERSON IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER, OR EMPLOYEE AND WITH WHICH THE CORPORATION HAS A RELATIONSHIP, (II) ANY FINANCIAL INTEREST SUCH PERSON MAY HAVE IN ANY CORPORATION, ORGANIZATION, PARTNERSHIP OR OTHER ENTITY WHICH PROVIDES PROFESSIONAL OR OTHER GOODS OR SERVICES TO CORPORATION FOR A FEE OR OTHER COMPENSATION, AND (III) ANY POSITION OR OTHER MATERIAL RELATIONSHIP SUCH DIRECTOR, OFFICER, KEY EMPLOYEE, OR RELATIVE OF SUCH PERSON, MAY HAVE WITH ANY NOT-FOR-PROFIT CORPORATION WITH WHICH THE CORPORATION HAS A BUSINESS RELATIONSHIP. A COPY OF EACH DISCLOSURE STATEMENT SHALL BE KEPT IN CORPORATION'S FILES AND MADE AVAILABLE TO ANY DIRECTOR, OFFICER, OR KEY EMPLOYEE UPON REQUEST. EACH DIRECTOR, OFFICER, AND KEY EMPLOYEE SHALL ANNUALLY SIGN AND SUBMIT TO THE SECRETARY OF THE CORPORATION A STATEMENT WHICH AFFIRMS SUCH PERSON: (A) HAS RECEIVED A COPY OF THIS POLICY, (B) HAS READ AND UNDERSTANDS THE POLICY, AND (C) HAS AGREED TO COMPLY WITH THE POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST AT 519 EAST 11TH STREET, NEW YORK, NY 10009...OR BY CALLING THE ORGANIZATION DIRECTLY AT (212) 777-1010 |
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