TY 2019 Form 990

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number

91-1680748

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

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.") ..	1,708,059	2,106,029	2,755,321	2,550,651	3,332,171	12,452,231
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	1,708,059	2,106,029	2,755,321	2,550,651	3,332,171	12,452,231
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.						12,452,231

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	1,708,059	2,106,029	2,755,321	2,550,651	3,332,171	12,452,231
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	3,799	7,044	9,913	27,659	41,100	89,515
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	10,471	5,062	8,108	8,730	8,709	41,080
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	38,261	16,900	30,984	25,692	25,356	137,193
11	Total support. Add lines 7 through 10						12,720,019

Gross receipts from related activities, etc. (see instructions) ..................

6,525

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

97.890 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

97.790 %

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

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.)

Section B. Total Support

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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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.
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)
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.
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.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
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.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART II, LINE 10	FUNDRAISING, RENTAL INCOME, MISC. 111,837

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number

91-1680748

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization UNION GOSPEL MISSION ASSOCIATION OF OLYMPIA

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization UNION GOSPEL MISSION ASSOCIATION OF OLYMPIA		Employer identification number 91-1680748

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization UNION GOSPEL MISSION ASSOCIATION OF OLYMPIA			Employer identification number 91-1680748
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number

91-1680748

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	323,417	308,183	291,097	179,011
b	Contributions ...				100,000	175,000
c	Net investment earnings, gains, and losses	25,752	15,234	17,086	12,086	4,011
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	349,169	323,417	308,183	291,097	179,011

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,081,670		1,081,670
b	Buildings ....	1,002,702	269,835	732,867
c	Leasehold improvements	1,008,771	280,815	727,956
d	Equipment ....	395,114	254,330	140,784
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,683,277

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,820
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

SCHEDULE D, PAGE 2, PART V, LINE 4

THE OBJECTIVE OF THE FUND IS TO BE A SUSTAINING FUND; THUS, THE INVESTMENTS ARE IN A DIVERSIFIED PORTFOLIO TO GENERATE MODEST RETURNS WHILE PROVIDING ANNUAL INCOME AND PRESERVING THE FUND'S VALUE. THE INVESTMENTS ARE COMPRISED OF MONEY MARKET FUNDS, EXCHANGE TRADED FUNDS, AND MUTUAL FUNDS. INCOME EARNED ON THE INVESTMENTS IS AVAILABLE FOR ANY USE WHILE DEPLETION OF THE UNDERLYING INVESTMENTS MUST BE AUTHORIZED BY THE BOARD OF DIRECTORS.

SCHEDULE D, PAGE 3, PART X

ACCOUNTING FOR INCOME TAXES GUIDANCE REQUIRES NONPUBLIC ENTITIES TO DETERMINE AND EVALUATE UNCERTAIN TAX POSITIONS. ENTITIES ARE REQUIRED TO MEASURE, RECOGNIZE, AND DISCLOSE UNCERTAIN TAX POSITIONS. THE TERM TAX POSITION INCLUDES, BUT IS NOT LIMITED TO, A DECISION NOT TO FILE A RETURN, THE CHARACTERIZATION OF INCOME OR A DECISION TO EXCLUDE REPORTING TAXABLE INCOME ON A TAX RETURN, AND THE ENTITY'S TAX-EXEMPT STATUS. MANAGEMENT BELIEVES THE MISSION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS. THE MISSION MAY BE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR FISCAL YEARS ENDED AUGUST 31, 2017, THROUGH 2020.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number

91-1680748

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2019

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 DENTAL CLINIC C (event type)	(b) Event #2 CLIENT GRADUATI (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	110,604	7,854	118,458
2	Less: Contributions . . . .	89,720	7,854	97,574
3	Gross income (line 1 minus line 2) . . . . . .	20,884		20,884

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	9,299	237	9,536
7	Food and beverages . . .	164	1,273	1,437
8	Entertainment . . . .	10,000		10,000
9	Other direct expenses . . .	9,458	425	9,883
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			30,856
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			-9,972

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2019

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2019

Additional Data

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Software Version:

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number
91-1680748

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) DONATED FOOD AND CLOTHING	112918	914,934	FMV	FOOD & CLOTHING
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE I, PAGE 4, PART IV	PART III (B) - NUMBER OF RECIPIENTS THE NUMBER OF RECEIPIENTS IS ESTIMATED. IT REPRESENTS THE NUMBER OF CLIENTS RECEIVING CLOTHING, THE NUMBER OF MEALS SERVED AT THE DAY CENTER, AND RECEPIENTS OF FOOD THROUGH THE VEGOUT PROGRAM. SOME INDIVIDUALS MAY HAVE UTILIZED THE MISSION'S SERVICES MORE THAN ONE TIME DURING THE YEAR. THIS IS NOT INCORPORATED IN THE ESTIMATE.

Schedule I (Form 990) 2019

Additional Data

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Software Version:

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number

91-1680748

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) GENESIS ACRES LOAN - GRIFFITH	FORMER BOARD MEMBER	FINANCING REAL ESTATE PURCHASE	X		400,000	288,107		No	Yes		Yes





Total ............... $						288,107

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number

91-1680748

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		198,764	THRIFT SHOP VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	6	51,290	FAIR MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	108,142	716,170	FAIR MARKET VALUE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2019)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PAGE 2, PART II	THE NUMBER REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF MEALS SERVED TO CLIENTS OF THE MISSION AND NUMBER OF RECIPIENTS RECEIVING FOOD THROUGH THE VEGOUT PROGRAM.

Schedule M (Form 990) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

UNION GOSPEL MISSION ASSOCIATION OF
OLYMPIA

Employer identification number

91-1680748

Return Reference	Explanation
FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERS PROVIDE MEDICAL, DENTAL, AND VISION EXAMINATIONS AND SERVICES TO OUR CLIENTS. IN ADDITION WE HAVE AN UNPAID, VOLUNTEER BOARD OF DIRECTORS PROVIDING MANAGEMENT OVERSIGHT AND OPERATIONAL GUIDANCE.
FORM 990, PAGE 2, PART III, LINE 4A	STREET MINISTRY I. CHRISTIAN BIBLE STUDY ADDICTIONS OF VARIOUS KINDS DESTROY AND/OR INHIBIT MEN AND WOMEN FROM THEIR GOD GIVEN POTENTIAL. THE ADDICTIONS LEAD TO CRIME AND OTHER ANTISOCIAL BEHAVIOR. THE MISSION'S CHRISTIAN (2 TO 3 TIMES WEEKLY) BIBLE STUDY PROVIDES AN OPPORTUNITY FOR MEN AND WOMEN TO MEET AND STUDY GOD'S WORD AS IT APPLIES TO OVERCOMING ADDICTION AND OTHER LIFE ISSUES THAT ARE HOLDING THEM HOSTAGE. THE GOAL IS TO ASSIST THE MEN AND WOMEN TO REALIZE THEIR POTENTIAL AND OVERCOME THEIR PAST. 1.PROVIDE CHRIST CENTERED BIBLE STUDY. 2.BUILD RELATIONSHIPS WITH THOSE IN THE PROGRAM TO HELP THEM IN THEIR RECOVERY. 3.BREAK CYCLES OF HOMELESSNESS AND/OR DEPENDENCY ON OTHER SOCIAL SERVICES. 4.HELP INDIVIDUALS TO CONNECT WITH A LOCAL CHRISTIAN BODY OF BELIEVERS. NUMBER IN ATTENDANCE = 491 II. CHRISTIAN COUNSELING OR MENTORING TO PROVIDE BIBLICAL BASED COUNSELING TO INDIVIDUALS FACING DIFFICULT ISSUES / DECISIONS IN THEIR LIVES. SESSIONS = 298 III. LRC FOOD SERVICE PROGRAMS BREAKFAST THERE ARE MANY IN OUR COMMUNITY WHO ARE HOMELESS AND POOR WHO OBTAIN WORK THROUGH TEMPORARY JOB SERVICES BUT GET NO BREAKFAST TO BEGIN THEIR DAY. THIS PROGRAM IS DESIGNED TO PROVIDE DAY LABORERS AND OTHER EARLY RISERS WITH A GOOD MEAL SO THEY CAN BE MORE HEALTHY AND PRODUCTIVE. 1.PROVIDE A NUTRITIOUS BREAKFAST TO DAY LABORERS OBTAINING WORK THROUGH TEMPORARY DAY JOBS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. 4.PROVIDE AN OPPORTUNITY FOR VOLUNTEER TEAMS TO WORK IN THE MISSION. LRC LUNCH PROGRAM THE LUNCH PROGRAM PROVIDES A NUTRITIOUS HOT MEAL TO INDIVIDUALS WHO COME TO THE MISSION AT NOON FOR A MEAL AND RESPITE FROM LIFE ON THE STREET. 1.PROVIDE A NUTRITIOUS HOT LUNCH TO POOR AND HOMELESS INDIVIDUALS AS WELL AS CLIENTS OF MISSION PROGRAMS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. LRC DINNER PROGRAM THE EVENING DINNER PROGRAM PROVIDES A HOT NUTRITIOUS MEAL. THE DINNER IS ACCOMPANIED BY A MESSAGE. 1. PROVIDE A NUTRITIOUS HOT MEAL TO POOR AND HOMELESS INDIVIDUALS AS WELL AS CLIENTS OF MISSION PROGRAMS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. TOTAL FOOD SERVICE MEALS = 108,142 IV. LIFE RECOVERY CENTER (LRC) DAY CENTER THE LRC IS DESIGNED TO PROVIDE FOR A SAFE AND WHOLESOME ENVIRONMENT FOR THE HOMELESS AND THE POOR TO COME DURING THE DAY. 1.MINSTER TO MEN, WOMEN AND CHILDREN 2.PROVIDE SPIRITUAL COUNSELING AND SUPPORT FOR THOSE SEEKING HELP. 3.PROVIDE VARIOUS WORKSHOPS AND STUDY SESSIONS THROUGH OUT THE DAY. 4.PROVIDE HOT SHOWERS (5,237) AND LAUNDRY (6,560 LOADS). 5.PROVIDE FOR EMERGENCY CLOTHING NEEDS. 6.PROVIDE DONATED PERSONAL CARE PRODUCTS TO THOSE IN NEED 7.PROVIDE LIFE SKILLS TRAINING 8.CREATE AN ENVIRONMENT THAT FOSTERS THE DEVELOPMENT OF HEALTHY RELATIONSHIPS BETWEEN CLIENTS, VOLUNTEERS AND STAFF 9.PROVIDE AN OPPORTUNITY FOR VOLUNTEER TEAMS TO WORK IN THE MISSION. NUMBER OF VISITS = 31,050 (CAPACITY REDUCED IN RESPONSE TO COVID-19 PANDEMIC) V. OVERNIGHT SHELTER FOR MEN, WOMEN AND FAMILIES THE MISSION OPENS THE DAY CENTER FOR OVERNIGHT SHELTER AT 8:00PM AND ALLOWS CLIENTS TO SLEEP UNTIL 4:30AM THE FOLLOWING DAY. THE SHELTER IS STAFFED BY ONE MISSION EMPLOYEE AND TWO VOLUNTEERS. FOAM MATS AND SLEEPING BAGS ARE PROVIDED FOR GUESTS THAT DO NOT COME WITH THEIR OWN CAMPING GEAR. SECTIONS ARE DESIGNATED FOR MEN, WOMEN, AND FAMILIES WITH GENDER ASSOCIATED RESTROOMS. APPROXIMATELY 55 GUESTS SPEND THE NIGHT OF WHICH ABOUT 30% ARE FEMALE. NUMBER IN SHELTER = 16,076 (CAPACITY REDUCED IN RESPONSE TO COVID-19 PANDEMIC) VI. BENEVOLENCE MINISTRY THIS MINISTRY SEEKS TO MEET EMERGENCY NEEDS FOR MONEY TO PAY FOR UTILITIES AND RENT FOR THOSE WHO HAVE RECEIVED NOTICE OF UTILITY SHUT-OFF OR EVICTION. MONEY IS ALSO MADE AVAILABLE TO PAY FOR PRESCRIPTION DRUGS SUCH AS ANTIBIOTICS (NO NARCOTICS). 1.PERSONAL INTERVIEW WITH EACH REQUESTOR AS TO THEIR NEED. 2.REVIEW THEIR NOTICE OR PRESCRIPTION TO DETERMINE AS BEST AS POSSIBLE WHERE GOD IS IN THEIR CIRCUMSTANCES. PROVIDE EMERGENCY FUNDS AS JUSTIFIED ON A CASE-BY-CASE BASIS. 3.PROVIDE BUS PASSES TO MISSION CLIENTS AND THOSE NEEDING TRANSPORTATION TO AND FROM WORK OR MEDICAL APPOINTMENTS, ETC. 4.SEEK OPPORTUNITIES TO SHARE THE GOSPEL AND PRAY WITH THE PERSON. CLIENTS SERVED = 295 (CLIENT NUMBERS DECLINED IN RESPONSE TO THE EVICTION AND UTILITY SHUT-OFF MORATORIUMS) VII. RESIDENTIAL GOAL ORIENTED EMERGENCY SHELTER FOR SINGLE WOMEN STARTING IN MAY 2014, THE MISSION BEGAN OFFERING EMERGENCY SHELTER TO SINGLE WOMEN WHO EXPRESSED A SINCERE DESIRE TO MOVE AWAY FROM THE STREETS. SHELTER IS OFFERED IN ONE-MONTH INCREMENTS AND EXTENDED IF THE CLIENT IS MAKING A SINCERE EFFORT TO ADDRESS LIFE ISSUES, SEEK EMPLOYMENT OR SCHOOLING. A TRAINED COUNSELOR IS ASSIGNED TO ASSIST THE CLIENTS AND MONITOR THEIR PROGRESS. CLIENTS SERVED = 19 VIII. "VEGOUT" PROGRAM THE MISSION OFTEN RECEIVES MASSIVE AMOUNTS OF PRODUCE IN EXCESS OF ITS FOOD SERVICE PROGRAM NEEDS. IN 2016, THE MISSION STAFF AND VOLUNTEERS UNDERTOOK A PROGRAM TO DELIVER FRESH FRUIT AND VEGETABLES TO CHILDREN LIVING IN LOW INCOME HOUSING DEVELOPMENTS DURING THE SUMMER TO AUGMENT THEIR MEALS WHEN THEY WERE NOT TRANSPORTED TO SCHOOL CAFETERIAS. THE PROGRAM PROVED SO POPULAR THAT THE MISSION OPERATES IT ESSENTIALLY YEAR-ROUND. PARTNERSHIPS HAVE ALSO BEEN DEVELOPED TO DELIVER PRODUCE TO: TOGETHER, BOYS AND GIRLS CLUB, MERCY HOUSE AND GARFIELD ELEMENTARY SCHOOL. NOTE: THE PROGRAM WAS SUSPENDED PART WAY THROUGH THE FISCAL YEAR DUE TO A LACK OF DONATED PRODUCE. THE PROGRAM IS RESTARTING DURING THE 2020-2021 FISCAL YEAR.
FORM 990, PAGE 2, PART III, LINE 4B	WOMEN AND FAMILY PROGRAM SINGLE WOMEN AND WOMEN WITH CHILDREN, DRUG AND ALCOHOL RECOVERY THE WOMEN'S (GENESIS) RECOVERY PROGRAM IS DESIGNED AS A TWO-YEAR DRUG AND ALCOHOL RECOVERY PROGRAM, TO INCLUDE TRANSITIONAL HOUSING FOR WOMEN AND DEPENDANT CHILDREN. DURING THESE MONTHS THE FOLLOWING GOALS ARE IN PLACE: 1.PROVIDE A STABLE SUPPORTING ENVIRONMENT. 2.PROVIDE FOR SPIRITUAL GROWTH, CONNECTION WITH A LOCAL EVANGELICAL CHURCH. 3.IN COOPERATION WITH OTHER AGENCIES, PROVIDE DRUG AND / OR ALCOHOL RECOVERY TREATMENT. 4.REUNITE WOMEN WITH THEIR CHILDREN. 5.PROVIDE COUNSELING FOR THE PROBLEMS, WHICH HAVE LED TO ADDICTION AND HOMELESSNESS. 6.PROVIDE FOR RESOLVING/PAYING OFF DEBT AND/OR FINES. 7.PROVIDE OPPORTUNITIES FOR ADDITIONAL EDUCATION, JOB TRAINING 8.PROVIDE OPPORTUNITIES TO OBTAIN BETTER EMPLOYMENT CLIENTS SERVED = 7 SINGLE WOMEN AND WOMEN WITH CHILDREN, TRANSITIONAL HOUSING AFTER GRADUATION, THE MORE TIME WOMEN, AND THEIR CHILDREN, CAN SPEND ASSOCIATED WITH THE MISSION FOR ACCOUNTABILITY AND MENTORING, THE GREATER THE LIKELIHOOD OF LONG-TERM SUCCESS IN LIFE. THE MISSION PROVIDES RENTAL HOUSING AT BELOW MARKET RATES OR EXTENDS THE LENGTH OF STAY IN RECOVERY HOUSING TO ACCOMMODATE THE NEEDS OF THE WOMEN AND CHILDREN. WHEN POSSIBLE, THE MISSION OFFERS PART-TIME EMPLOYMENT IN SUCH AREAS AS JANITORIAL, FOOD SERVICE, AND CAMPUS PATROLLING, IN AN EFFORT TO PROVIDE THE WOMEN WITH A SMALL AMOUNT OF SPENDING MONEY AND SO THEY CAN FEEL GOOD ABOUT BEING ABLE TO PAY THEIR WAY. CLIENTS SERVED = 6
FORM 990, PAGE 2, PART III, LINE 4C	DENTAL PROGRAM THE MISSION OWNS AND OPERATES A THREE-CHAIR DENTAL CLINIC. DENTAL CARE IS PROVIDED BY VOLUNTEER DENTISTS, DENTAL HYGIENISTS AND DENTAL ASSISTANTS. DENTAL SERVICES ARE PROVIDED FOR NO-FEE TO THOSE INDIVIDUALS WHO HAVE AN ACUTE DENTAL CARE NEED; ARE LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL; HAVE NO MEANS TO PAY FOR CARE. IN ADDITION, OTHER ORAL SURGERY AND MEDICAL SERVICES ARE PROVIDED THROUGH REFERRAL. 1.ALLEVIATING PAIN, RESTORING HEALTH AND CONFIDENCE BY PROVIDING NO-FEE DENTAL CARE TO THE POOR AND HOMELESS. 2.ESTABLISH RELATIONSHIPS WITH OTHER PARTNERS (DENTISTS, GOVERNMENTAL AGENCIES AND SPECIALISTS.) 3.ESTABLISH RELATIONSHIPS WITH CLIENTS AND SHARE THE GOSPEL. PATIENT VISITS = 1,262 (THE CLINIC ONLY SAW ACUTE PATITENTS IN MARCH, APRIL, AND MAY DUE TO COVID-19 HEALTH CARE RELATED CONCERNS) VISION CLINIC THIS IS A SERVICE AVAILABLE TO INDIVIDUALS WITH HOUSEHOLD INCOMES THAT PLACE THEM AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, WHO HAVE NO INSURANCE FOR VISION SERVICES OR OTHER MEANS TO PAY FOR CARE. AT NO FEE, PATIENTS ARE PROVIDED A COMPLETE VISION EXAMINATION BY A LICENSED EYE PHYSICIAN AND, AS NEEDED, PRESCRIPTION GLASSES. ON A CASE BY CASE BASIS, REFERRAL TO EYE SURGEONS IS AVAILABLE FOR PATIENTS WITH CATARACTS. PATIENT VISITS = 467
FORM 990, PAGE 2, PART III, LINE 4D	MEN'S DRUG AND ALCOHOL RECOVERY PROGRAM MEN'S RECOVERY THE PROGRAM IS DESIGNED TO PROVIDE SUPPORT FOR MEN IN ADDITCTION RECOVERY. DURING THE RECOVERY PROCESS THE FOLLOWING SERVICES ARE IN PLACE: 1.HOUSING FOR UP TO 6 FORMERLY HOMELESS MEN IN A MULTI-BEDROOM HOUSE WITH A HOUSE LEADER. 2.PROVIDE DRUG AND ALCOHOL RECOVERY SERVICES USING THE "GENESIS" PROCESS. 3.PROVIDE LIFE SKILLS AND DISCIPLESHIP TRAINING. 4.PROVIDE SUPPORT FOR BETTER EDUCATION, ECONOMIC RECOVERY AND EMPLOYMENT. 5.CONNECT CLIENTS WITH A LOCAL CHRISTIAN EVANGELICAL CHURCH. CLIENTS SERVED = 12 MEN'S TRANSITIONAL LIVING AFTER GRADUATION, THE MORE TIME MEN CAN SPEND ASSOCIATED WITH THE MISSION FOR ACCOUNTABILITY AND MENTORING, THE GREATER THE LIKELIHOOD OF LONG-TERM SUCCESS IN LIFE. THE MISSION PROVIDES RENTAL HOUSING AT BELOW MARKET RATES OR EXTENDS THE LENGTH OF STAY IN RECOVERY HOUSING TO ACCOMMODATE THE NEEDS OF THE MEN. WHEN POSSIBLE, THE MISSION OFFERS PART-TIME EMPLOYMENT IS SUCH AREAS AS JANITORIAL, FOOD SERVICE, AND CAMPUS PATROLLING IN AN EFFORT TO PROVIDE THE MEN WITH A SMALL AMOUNT OF SPENDING MONEY AND SO THEY CAN FEEL GOOD ABOUT BEING ABLE TO PAY THEIR WAY. CLIENTS SERVED = 8
FORM 990, PAGE 6, PART VI, LINE 11B	BOARD MEMBERS ARE PROVIDED A COPY OF THE 990 FOR REVIEW WITH TIME AND OPPORTUNITY TO ASK QUESTIONS THEY HAVE ABOUT THE FORM.
FORM 990, PAGE 6, PART VI, LINE 12C	THE EXECUTIVE DIRECTOR BEING FAMILIAR WITH OPERATIONS AND HOW OPERATIONS IMPACT THE BOARD MEMBERS AND VISA VERSE MONITORS FOR ANY POTENTIAL CONFLICTS. ONCE A YEAR AS PART OF THE BOARD MEETING AGENDA, EACH BOARD MEMBER'S RESPONSIBILITIES, INCLUDING THE EXECUTIVE DIRECTOR'S, ARE DISCUSSED, BOTH INSIDE AND OUTSIDE THE MISSION ARE TO IDENTIFY ANY POTENTIAL CONFLICTS.
FORM 990, PAGE 6, PART VI, LINE 15A	THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED USING A SALARY SURVEY FROM THE ASSOCIATION OF GOSPEL RESCUE MISSIONS AND IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15B	THE EXECUTIVE DIRECTOR OBTAINS A SALARY SURVEY FROM THE ASSOCIATION OF GOSPEL RESCUE MISSIONS AND USES THE SURVEY TO ASSIST IN DETERMINING COMPENSATION OF ALL KEY STAFF. ALL KEY STAFF COMPENSATION IS DISCUSSED AND APPROVED ANNUALLY IN A BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST WITH THE FORM 990 AVAILABLE BY REQUEST AND ON GUIDESTAR'S WEBSITE.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE OUGM EXISTS AS AN EVANGELICAL CHRISTIAN RESCUE MISSION, SERVING THURSTON COUNTY, TO SHARE THE GOOD NEWS OF LIFE IN JESUS CHRIST BY MEETING THE PHYSICAL, MENTAL AND SPIRITUAL NEEDS OF INDIVIDUALS IN CRISIS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	5
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	57
6	Total number of volunteers (estimate if necessary) .............	6	152
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	20,563
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	8,709

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,550,651	3,332,171
9	Program service revenue (Part VIII, line 2g) .........	2,150	3,575
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,867	23,883
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	23,903	43,969
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,588,571	3,403,598
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	871,445	914,934
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	893,966	1,017,612
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 215,071
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	717,984	1,009,662
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,483,395	2,942,208
19	Revenue less expenses. Subtract line 18 from line 12.......	105,176	461,390
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,810,916	4,398,392
21	Total liabilities (Part X, line 26).............	318,850	438,048
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,492,066	3,960,344

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,917,450 including grants of $ 914,934 ) (Revenue $ )
	STREET MINISTRY I. CHRISTIAN BIBLE STUDY ADDICTIONS OF VARIOUS KINDS DESTROY AND/OR INHIBIT MEN AND WOMEN FROM THEIR GOD GIVEN POTENTIAL. THE ADDICTIONS LEAD TO CRIME AND OTHER ANTISOCIAL BEHAVIOR. THE MISSION'S CHRISTIAN (2 TO 3 TIMES WEEKLY) BIBLE STUDY PROVIDES AN OPPORTUNITY FOR MEN AND WOMEN TO MEET AND STUDY GOD'S WORD AS IT APPLIES TO OVERCOMING ADDICTION AND OTHER LIFE ISSUES THAT ARE HOLDING THEM HOSTAGE. THE GOAL IS TO ASSIST THE MEN AND WOMEN TO REALIZE THEIR POTENTIAL AND OVERCOME THEIR PAST. 1.PROVIDE CHRIST CENTERED BIBLE STUDY. 2.BUILD RELATIONSHIPS WITH THOSE IN THE PROGRAM TO HELP THEM IN THEIR RECOVERY. 3.BREAK CYCLES OF HOMELESSNESS AND/OR DEPENDENCY ON OTHER SOCIAL SERVICES. 4.HELP INDIVIDUALS TO CONNECT WITH A LOCAL CHRISTIAN BODY OF BELIEVERS. NUMBER IN ATTENDANCE = 491 II. CHRISTIAN COUNSELING OR MENTORING TO PROVIDE BIBLICAL BASED COUNSELING TO INDIVIDUALS FACING DIFFICULT ISSUES / DECISIONS IN THEIR LIVES. SESSIONS = 298 III. LRC FOOD SERVICE PROGRAMS BREAKFAST THERE ARE MANY IN OUR COMMUNITY WHO ARE HOMELESS AND POOR WHO OBTAIN WORK THROUGH TEMPORARY JOB SERVICES BUT GET NO BREAKFAST TO BEGIN THEIR DAY. THIS PROGRAM IS DESIGNED TO PROVIDE DAY LABORERS AND OTHER EARLY RISERS WITH A GOOD MEAL SO THEY CAN BE MORE HEALTHY AND PRODUCTIVE. 1.PROVIDE A NUTRITIOUS BREAKFAST TO DAY LABORERS OBTAINING WORK THROUGH TEMPORARY DAY JOBS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. 4.PROVIDE AN OPPORTUNITY FOR VOLUNTEER TEAMS TO WORK IN THE MISSION. LRC LUNCH PROGRAM THE LUNCH PROGRAM PROVIDES A NUTRITIOUS HOT MEAL TO INDIVIDUALS WHO COME TO THE MISSION AT NOON FOR A MEAL AND RESPITE FROM LIFE ON THE STREET. 1.PROVIDE A NUTRITIOUS HOT LUNCH TO POOR AND HOMELESS INDIVIDUALS AS WELL AS CLIENTS OF MISSION PROGRAMS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. LRC DINNER PROGRAM THE EVENING DINNER PROGRAM PROVIDES A HOT NUTRITIOUS MEAL. THE DINNER IS ACCOMPANIED BY A MESSAGE. 1. PROVIDE A NUTRITIOUS HOT MEAL TO POOR AND HOMELESS INDIVIDUALS AS WELL AS CLIENTS OF MISSION PROGRAMS. 2.PROVIDE AN OPPORTUNITY TO SHARE THE GOSPEL THOUGH A DEVOTIONAL SETTING. 3.PROVIDE AN OPPORTUNITY FOR MISSION STAFF AND VOLUNTEERS TO BUILD RELATIONSHIPS, WHICH WITH GOD'S HELP WILL LEAD TO BRINGING THEM INTO THE KINGDOM. TOTAL FOOD SERVICE MEALS = 108,142 IV. LIFE RECOVERY CENTER (LRC) DAY CENTER THE LRC IS DESIGNED TO PROVIDE FOR A SAFE AND WHOLESOME ENVIRONMENT FOR THE HOMELESS AND THE POOR TO COME DURING THE DAY. 1.MINSTER TO MEN, WOMEN AND CHILDREN 2.PROVIDE SPIRITUAL COUNSELING AND SUPPORT FOR THOSE SEEKING HELP. 3.PROVIDE VARIOUS WORKSHOPS AND STUDY SESSIONS THROUGH OUT THE DAY. 4.PROVIDE HOT SHOWERS (5,237) AND LAUNDRY (6,560 LOADS). 5.PROVIDE FOR EMERGENCY CLOTHING NEEDS. 6.PROVIDE DONATED PERSONAL CARE PRODUCTS TO THOSE IN NEED 7.PROVIDE LIFE SKILLS TRAINING 8.CREATE AN ENVIRONMENT THAT FOSTERS THE DEVELOPMENT OF HEALTHY RELATIONSHIPS BETWEEN CLIENTS, VOLUNTEERS AND STAFF 9.PROVIDE AN OPPORTUNITY FOR VOLUNTEER TEAMS TO WORK IN THE MISSION. NUMBER OF VISITS = 31,050 (CAPACITY REDUCED IN RESPONSE TO COVID-19 PANDEMIC) V. OVERNIGHT SHELTER FOR MEN, WOMEN AND FAMILIES THE MISSION OPENS THE DAY CENTER FOR OVERNIGHT SHELTER AT 8:00PM AND ALLOWS CLIENTS TO SLEEP UNTIL 4:30AM THE FOLLOWING DAY. THE SHELTER IS STAFFED BY ONE MISSION EMPLOYEE AND TWO VOLUNTEERS. FOAM MATS AND SLEEPING BAGS ARE PROVIDED FOR GUESTS THAT DO NOT COME WITH THEIR OWN CAMPING GEAR. SECTIONS ARE DESIGNATED FOR MEN, WOMEN, AND FAMILIES WITH GENDER ASSOCIATED RESTROOMS. APPROXIMATELY 55 GUESTS SPEND THE NIGHT OF WHICH ABOUT 30% ARE FEMALE. NUMBER IN SHELTER = 16,076 (CAPACITY REDUCED IN RESPONSE TO COVID-19 PANDEMIC) VI. BENEVOLENCE MINISTRY THIS MINISTRY SEEKS TO MEET EMERGENCY NEEDS FOR MONEY TO PAY FOR UTILITIES AND RENT FOR THOSE WHO HAVE RECEIVED NOTICE OF UTILITY SHUT-OFF OR EVICTION. MONEY IS ALSO MADE AVAILABLE TO PAY FOR PRESCRIPTION DRUGS SUCH AS ANTIBIOTICS (NO NARCOTICS). 1.PERSONAL INTERVIEW WITH EACH REQUESTOR AS TO THEIR NEED. 2.REVIEW THEIR NOTICE OR PRESCRIPTION TO DETERMINE AS BEST AS POSSIBLE WHERE GOD IS IN THEIR CIRCUMSTANCES. PROVIDE EMERGENCY FUNDS AS JUSTIFIED ON A CASE-BY-CASE BASIS. 3.PROVIDE BUS PASSES TO MISSION CLIENTS AND THOSE NEEDING TRANSPORTATION TO AND FROM WORK OR MEDICAL APPOINTMENTS, ETC. 4.SEEK OPPORTUNITIES TO SHARE THE GOSPEL AND PRAY WITH THE PERSON. CLIENTS SERVED = 295 (CLIENT NUMBERS DECLINED IN RESPONSE TO THE EVICTION AND UTILITY SHUT-OFF MORATORIUMS) VII. RESIDENTIAL GOAL ORIENTED EMERGENCY SHELTER FOR SINGLE WOMEN STARTING IN MAY 2014, THE MISSION BEGAN OFFERING EMERGENCY SHELTER TO SINGLE WOMEN WHO EXPRESSED A SINCERE DESIRE TO MOVE AWAY FROM THE STREETS. SHELTER IS OFFERED IN ONE-MONTH INCREMENTS AND EXTENDED IF THE CLIENT IS MAKING A SINCERE EFFORT TO ADDRESS LIFE ISSUES, SEEK EMPLOYMENT OR SCHOOLING. A TRAINED COUNSELOR IS ASSIGNED TO ASSIST THE CLIENTS AND MONITOR THEIR PROGRESS. CLIENTS SERVED = 19 VIII. "VEGOUT" PROGRAM THE MISSION OFTEN RECEIVES MASSIVE AMOUNTS OF PRODUCE IN EXCESS OF ITS FOOD SERVICE PROGRAM NEEDS. IN 2016, THE MISSION STAFF AND VOLUNTEERS UNDERTOOK A PROGRAM TO DELIVER FRESH FRUIT AND VEGETABLES TO CHILDREN LIVING IN LOW INCOME HOUSING DEVELOPMENTS DURING THE SUMMER TO AUGMENT THEIR MEALS WHEN THEY WERE NOT TRANSPORTED TO SCHOOL CAFETERIAS. THE PROGRAM PROVED SO POPULAR THAT THE MISSION OPERATES IT ESSENTIALLY YEAR-ROUND. PARTNERSHIPS HAVE ALSO BEEN DEVELOPED TO DELIVER PRODUCE TO: TOGETHER, BOYS AND GIRLS CLUB, MERCY HOUSE AND GARFIELD ELEMENTARY SCHOOL. NOTE: THE PROGRAM WAS SUSPENDED PART WAY THROUGH THE FISCAL YEAR DUE TO A LACK OF DONATED PRODUCE. THE PROGRAM IS RESTARTING DURING THE 2020-2021 FISCAL YEAR.

4b	(Code: ) (Expenses $ 398,088 including grants of $ ) (Revenue $ 3,575 )
	WOMEN AND FAMILY PROGRAM SINGLE WOMEN AND WOMEN WITH CHILDREN, DRUG AND ALCOHOL RECOVERY THE WOMEN'S (GENESIS) RECOVERY PROGRAM IS DESIGNED AS A TWO-YEAR DRUG AND ALCOHOL RECOVERY PROGRAM, TO INCLUDE TRANSITIONAL HOUSING FOR WOMEN AND DEPENDANT CHILDREN. DURING THESE MONTHS THE FOLLOWING GOALS ARE IN PLACE: 1.PROVIDE A STABLE SUPPORTING ENVIRONMENT. 2.PROVIDE FOR SPIRITUAL GROWTH, CONNECTION WITH A LOCAL EVANGELICAL CHURCH. 3.IN COOPERATION WITH OTHER AGENCIES, PROVIDE DRUG AND / OR ALCOHOL RECOVERY TREATMENT. 4.REUNITE WOMEN WITH THEIR CHILDREN. 5.PROVIDE COUNSELING FOR THE PROBLEMS, WHICH HAVE LED TO ADDICTION AND HOMELESSNESS. 6.PROVIDE FOR RESOLVING/PAYING OFF DEBT AND/OR FINES. 7.PROVIDE OPPORTUNITIES FOR ADDITIONAL EDUCATION, JOB TRAINING 8.PROVIDE OPPORTUNITIES TO OBTAIN BETTER EMPLOYMENT CLIENTS SERVED = 7 SINGLE WOMEN AND WOMEN WITH CHILDREN, TRANSITIONAL HOUSING AFTER GRADUATION, THE MORE TIME WOMEN, AND THEIR CHILDREN, CAN SPEND ASSOCIATED WITH THE MISSION FOR ACCOUNTABILITY AND MENTORING, THE GREATER THE LIKELIHOOD OF LONG-TERM SUCCESS IN LIFE. THE MISSION PROVIDES RENTAL HOUSING AT BELOW MARKET RATES OR EXTENDS THE LENGTH OF STAY IN RECOVERY HOUSING TO ACCOMMODATE THE NEEDS OF THE WOMEN AND CHILDREN. WHEN POSSIBLE, THE MISSION OFFERS PART-TIME EMPLOYMENT IN SUCH AREAS AS JANITORIAL, FOOD SERVICE, AND CAMPUS PATROLLING, IN AN EFFORT TO PROVIDE THE WOMEN WITH A SMALL AMOUNT OF SPENDING MONEY AND SO THEY CAN FEEL GOOD ABOUT BEING ABLE TO PAY THEIR WAY. CLIENTS SERVED = 6

4c	(Code: ) (Expenses $ 274,306 including grants of $ ) (Revenue $ )
	DENTAL PROGRAM THE MISSION OWNS AND OPERATES A THREE-CHAIR DENTAL CLINIC. DENTAL CARE IS PROVIDED BY VOLUNTEER DENTISTS, DENTAL HYGIENISTS AND DENTAL ASSISTANTS. DENTAL SERVICES ARE PROVIDED FOR NO-FEE TO THOSE INDIVIDUALS WHO HAVE AN ACUTE DENTAL CARE NEED; ARE LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL; HAVE NO MEANS TO PAY FOR CARE. IN ADDITION, OTHER ORAL SURGERY AND MEDICAL SERVICES ARE PROVIDED THROUGH REFERRAL. 1.ALLEVIATING PAIN, RESTORING HEALTH AND CONFIDENCE BY PROVIDING NO-FEE DENTAL CARE TO THE POOR AND HOMELESS. 2.ESTABLISH RELATIONSHIPS WITH OTHER PARTNERS (DENTISTS, GOVERNMENTAL AGENCIES AND SPECIALISTS.) 3.ESTABLISH RELATIONSHIPS WITH CLIENTS AND SHARE THE GOSPEL. PATIENT VISITS = 1,262 (THE CLINIC ONLY SAW ACUTE PATITENTS IN MARCH, APRIL, AND MAY DUE TO COVID-19 HEALTH CARE RELATED CONCERNS) VISION CLINIC THIS IS A SERVICE AVAILABLE TO INDIVIDUALS WITH HOUSEHOLD INCOMES THAT PLACE THEM AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, WHO HAVE NO INSURANCE FOR VISION SERVICES OR OTHER MEANS TO PAY FOR CARE. AT NO FEE, PATIENTS ARE PROVIDED A COMPLETE VISION EXAMINATION BY A LICENSED EYE PHYSICIAN AND, AS NEEDED, PRESCRIPTION GLASSES. ON A CASE BY CASE BASIS, REFERRAL TO EYE SURGEONS IS AVAILABLE FOR PATIENTS WITH CATARACTS. PATIENT VISITS = 467

	(Code: ) (Expenses $ 61,988 including grants of $ ) (Revenue $ )
	MEN'S DRUG AND ALCOHOL RECOVERY PROGRAM MEN'S RECOVERY THE PROGRAM IS DESIGNED TO PROVIDE SUPPORT FOR MEN IN ADDITCTION RECOVERY. DURING THE RECOVERY PROCESS THE FOLLOWING SERVICES ARE IN PLACE: 1.HOUSING FOR UP TO 6 FORMERLY HOMELESS MEN IN A MULTI-BEDROOM HOUSE WITH A HOUSE LEADER. 2.PROVIDE DRUG AND ALCOHOL RECOVERY SERVICES USING THE "GENESIS" PROCESS. 3.PROVIDE LIFE SKILLS AND DISCIPLESHIP TRAINING. 4.PROVIDE SUPPORT FOR BETTER EDUCATION, ECONOMIC RECOVERY AND EMPLOYMENT. 5.CONNECT CLIENTS WITH A LOCAL CHRISTIAN EVANGELICAL CHURCH. CLIENTS SERVED = 12 MEN'S TRANSITIONAL LIVING AFTER GRADUATION, THE MORE TIME MEN CAN SPEND ASSOCIATED WITH THE MISSION FOR ACCOUNTABILITY AND MENTORING, THE GREATER THE LIKELIHOOD OF LONG-TERM SUCCESS IN LIFE. THE MISSION PROVIDES RENTAL HOUSING AT BELOW MARKET RATES OR EXTENDS THE LENGTH OF STAY IN RECOVERY HOUSING TO ACCOMMODATE THE NEEDS OF THE MEN. WHEN POSSIBLE, THE MISSION OFFERS PART-TIME EMPLOYMENT IS SUCH AREAS AS JANITORIAL, FOOD SERVICE, AND CAMPUS PATROLLING IN AN EFFORT TO PROVIDE THE MEN WITH A SMALL AMOUNT OF SPENDING MONEY AND SO THEY CAN FEEL GOOD ABOUT BEING ABLE TO PAY THEIR WAY. CLIENTS SERVED = 8

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 61,988 including grants of $ ) (Revenue $ )
4e	Total program service expenses2,651,832

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) LOREN STEFFEN...................................................................... EXECUTIVE DI	32.00 .................		X	21,968	0	0
(2) ANDREW CHRISTENSEN...................................................................... PRESIDENT	6.00 .................	X	X	0	0	0
(3) ROBIN WADSWORTH...................................................................... VICE PRESIDE	4.00 .................	X	X	0	0	0
(4) JACK OLSON...................................................................... TREASURER	2.00 .................	X	X	0	0	0
(5) TIM LANGAN...................................................................... SECRETARY	2.00 .................	X	X	0	0	0
(6) TOM DAVIS...................................................................... DIRECTOR	2.00 .................	X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	21,968

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	97,574
d	Related organizations		1d
e	Government grants (contributions)		1e	139,587

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,095,010

g	Noncash contributions included in lines 1a - 1f:$		1g	966,224

h Total. Add lines 1a-1f.......		3,332,171

		Business Code
2a	PROGRAM FEES	624200	3,575	3,575
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		3,575

3 Investment income (including dividends, interest, and othersimilar amounts) ......			12,194			12,194
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		70,262	6a
b	Less: rental expenses		20,793	6b
c	Rental income or (loss)		49,469	6c
d	Net rental income or (loss).......			49,469		20,563	28,906
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		235,682	7a
b	Less: cost or other basis and sales expenses		223,993	7b
c	Gain or (loss)		11,689	7c
d	Net gain or (loss).........			11,689			11,689
8a	Gross income from fundraising events (not including $ 97,574of contributions reported on line 1c). See Part IV, line 18 ....
			8a	20,884
b	Less: direct expenses ...		8b	30,856
c	Net income or (loss) from fundraising events..			-9,972			-9,972
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	4,472
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..			4,472			4,472
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			3,403,598	3,575	20,563	47,289

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	914,934	914,934
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	22,380	15,666	6,714
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	880,230	690,626	109,715	79,889
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........	115,002	91,499	13,941	9,562
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	23,701		23,701
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	44,390	8,678	2,701	33,011
12	Advertising and promotion ....	9,577			9,577
13	Office expenses .......	82,938	13,569	6,520	62,849
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	431,966	413,400	11,078	7,488
17	Travel ............	31,511	3,828	27,683
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	7,207	7,207
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	93,358	93,201	157
23	Insurance ...	23,447		23,447
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	115,890	95,610	20,280
b	MEALS	86,772	86,243	529
c	CLIENT ASSISTANCE	28,001	28,001
d	MISCELLANEOUS	22,485	6,138	16,175	172
e	All other expenses	8,419	183,232	-187,336	12,523
25	Total functional expenses. Add lines 1 through 24e	2,942,208	2,651,832	75,305	215,071
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			91,193	1	82,355
2	Savings and temporary cash investments .........			626,061	2	1,277,740
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			4,459	4	4,729
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			500	9	500
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,488,257
b	Less: accumulated depreciation	10b	804,980	2,791,279	10c	2,683,277
11	Investments—publicly traded securities .			297,424	11	349,791
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,810,916	16	4,398,392

17	Accounts payable and accrued expenses .....	9,309	17	7,121
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		304,921	22	288,107
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24	138,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	4,620	25	4,820
26	Total liabilities. Add lines 17 through 25..	318,850	26	438,048

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,422,351	27	3,748,954
28	Net assets with donor restrictions ...........	69,715	28	211,390
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,492,066	32	3,960,344
33	Total liabilities and net assets/fund balances ........	3,810,916	33	4,398,392