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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 197,785 | 237,140 | 225,630 | 660,555 | ||
| 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 | 2,665 | 10,224 | 33,698 | 46,587 | ||
| 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 | 200,450 | 247,364 | 259,328 | 707,142 | ||
| 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.) | 707,142 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 200,450 | 247,364 | 259,328 | 707,142 | ||
| 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.).. | 200,450 | 247,364 | 259,328 | 707,142 | ||
| 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): |
|||||
| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 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 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| 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.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | CREATE PEER-TO-PEER OPPORTUNITIES IN IOWA FOR ADVANCING HOPE, RECOVERY, AND WELLNESS FOR ALL PEOPLE, INCLUDING ANYONE WHO HAS STRUGGLED WITH EMOTIONAL DISTRESS, PSYCHIATRIC DIAGNOSIS, SUBSTANCE ABUSE, TRAUMA OR A VARIETY OF OTHER LIFE INTERRUPTING CHALLENGES. |
| FORM 990, PAGE 2, PART III, LINE 4A | THE WELLNESS CENTER IS A PLACE INDIVIDUALS STRUGGLING WITH EMOTIONAL DISTRESS, PSYCHIATRIC DIAGNOSIS, SUBSTANCE ABUSE, TRAUMA, AND/OR A VARIETY OF OTHER LIFE-INTERRUPTING CHALLENGES CAN RECEIVE PEER DELIVERED WELLNESS AND RECOVERY SERVICES. THE WELLNESS CENTER INITIALLY OPENED AND OPERATED AT THE DEWITT UNITED METHODIST CHURCH. ON JUNE 1, 2019, LIFE CONNECTIONS MOVED THE WELLNESS CENTER TO A MORE ACCESSIBLE LOCATION ON THE MAIN STREET IN THE DOWNTOWN BUSINESS DISTRICT OF DEWITT, IA AT 1415 11TH STREET. THE WELLNESS CENTER OPERATES 6 DAYS A WEEK FOR 5 HOURS A DAY, A TOTAL OF 30 HOURS PER WEEK. LIFE CONNECTIONS HAS SERVED A TOTAL OF 883 PEOPLE IN RECOVERY FROM MENTAL HEALTH AND SUBSTANCE ISSUES IN THE WELLNESS CENTER DURING 2020. INDIVIDUALS RECEIVE ONE-TO-ONE AND GROUP BASED PEER SUPPORT SESSIONS. RECREATIONAL AND SOCIALIZATION ACTIVITIES ARE OFFERED TO COUTER THE SELF-ISOLATION THAT CAN CONTRIBUTE TO DEPRESSION. FORMAL PROGRAMS ADDRESSING ANGER MANAGEMENT, HOW TO BUILD SELF-ESTEEM AND PRACTICAL PLANS FOR COMMUNITY ENGAGEMENT ARE AVAIALABLE. CERTIFIED PEER FACILITATIORS TRAINED BY THE COPELAND CENTER FOR WELLNESS AND RECOVERY CONDUCT WELLNESS RECOVERY AND ACTION PLAN (WRAP)CONDUCT GROUPS AT THE WELLNESS CENTER. A LICENSED MENTAL HEALTH PROFESSIONAL, CONTRACTED BY LIFE CONNECTIONS AND CREDENTIALED BY THE STATE OF IOWA, PROVIDES CLINICAL CONSULTATION AND SUPERVISION TO THE PEER RECOVERY SPECIALISTS EMPLOYED AT THE WELLNESS CENTER. THE WELLNESS CENTER IS THE ONLY PLACE IN THE DEWITT REGION WHERE INDIVIDUALS STRUGGLING WITH EMOTIONAL DISTRESS, PSYCHIATRIC DIAGNOSIS, SUBSTANCE ABUSE, TRAUMA, AND/OR OTHER LIFE- INTERRUPTING CHALLENGES CAN RECEIVE PEER-DELIVERED WELLNESS AND RECOVERY SERVICES. |
| FORM 990, PAGE 2, PART III, LINE 4B | ON SEPTEMBER 22, 2018, LIFE CONNECTIONS OPENED THE DOORS TO RHONDA'S HOUSE, THE FIRST AND ONLY PEER-RUN RESPITE CENTER OPERATING IN IOWA. RHONDA'S HOUSE IS LOCATED ON THE GROUNDS OF THE GENESIS MEDICAL CENTER IN DEWITT, IA. GENESIS MEDICAL CENTER RENOVATED A THREE-BEDROOM, HANDICAPPED- ACCESSIBLE HOUSE ON ITS CAMPUS AND LEASES THE FACILITY TO LIFE CONNECTIONS AT NO COST. THE PEER-RUN RESPITE CENTER PROVIDES A SAFE AND WELCOMING ENVIRONMENT FOR INDIVIDUALS WHO ARE EXPERIENCING A MENTAL HEALTH CRISIS AND WHO VOLUNTARILY CHOOSE TEMPORARY RESPITE SERVICES TO RESTORE THEIR WELLBEING. RHONDA'S HOUSE SERVES INDIVIDUALS LIVING THROUGHOUT THE FIVE- COUNTY CATCHMENT REGION OF EASTERN IOWA. AT RHONDA'S HOUSE, RESIDENTS RECEIVE RECOVERY SUPPORT SERVICES FROM WELL-TRAINED PEER RECOVERY SPECIALISTS. RHONDA'S HOUSE IS OPEN AND OPERATES SEVEN DAYS PER WEEK, 24 HOURS PER DAY. THE CENTER IS ABLE TO SERVE UP TO THREE INDIVIDUALS AT ANY ONE TIME. DURING 2020, 77 INDIVIDUALS WERE SERVED AT THE RESPITE HOUSE. SERVICE PARTICIPANTS ARE PERMITTED TO STAY AT RHONDA'S HOUSE UNTIL THEY DECIDE THEY ARE READY TO RETURN HOME OR FOR A MAXIMUM OF SEVEN DAYS. A STAY AT RHONDA'S HOUSE INCLUDES ASSIGNMENT TO A PRIVATE BEDROOM AND THE RIGHT TO RESIDE AT THE FACILITY FOR 24 HOURS PER DAY. DURING ITS FIRST SIX MONTHS OF OPERATION, RHONDA'S HOUSE HAS SERVED 28 INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS. INDIVIDUALS CAME TO RHONDA'S HOUSE FROM THROUGHOUT THE FIVE-COUNTY EASTERN IOWA REGION. LIFE CONNECTIONS MADE HISTORY AND EARNED STATEWIDE AND NATIONAL RECOGNITION WHEN IT OPENED RHONDA'S HOUSE, THE VERY FIRST PEER-RUN MENTAL HEALTH CRISIS RESPITE CENTER IN THE STATE OF IOWA. ON OCTOBER 15, 2018, DIGNITARIES FROM THROUGHOUT IOWA AND THE UNITED STATES CAME TO THE GROUNDS OF GENESIS MEDICAL CENTER IN DEWITT TO ATTEND THE CEREMONIAL OPEN HOUSE FOR RHONDA'S HOUSE. THE LAUNCH OF RHONDA'S HOUSE RECEIVED EXTENSIVE PRINT, RADIO, AND TELEVISION COVERAGE THAT HIGHLIGHTED LIFE CONNECTIONS' PARTNERSHIP WITH GENESIS HEALTHCARE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EXECUTIVE DIRECTOR PERIODICALLY CHECKS ON ALL EMPLOYEES FOR ANY CONFLICTS OF INTEREST WITH THE ORGANIZATION |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE DIRECTOR IS DETERMINED IN A CLOSED SESSION OF THE BOARD OF DIRECTORS, WITHOUT THE EXECUTIVE DIRECTOR PRESENT. THEY REVIEW COMPENSATION FOR INDIVIDUALS IN SIMILAR ORGANIZATIONS AS WELL AS REVIEW OF PERFORMANCE. IT IS THEN PRESENTED TO THE EXECUTIVE DIRECTOR AND DOCUMENTED IN THE MINUTES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XI, LINE 9 | PPP LOAN FORGIVENESS 42,900 |
| Software ID: | |
| Software Version: |