Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 2,366,405 | 2,476,470 | 2,392,889 | 2,449,963 | 2,695,580 | 12,381,307 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 2,366,405 | 2,476,470 | 2,392,889 | 2,449,963 | 2,695,580 | 12,381,307 |
| 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. | 12,381,307 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,366,405 | 2,476,470 | 2,392,889 | 2,449,963 | 2,695,580 | 12,381,307 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 366 | 342 | 319 | 233 | 158 | 1,418 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 4,203 | 1,278 | 233,569 | 212 | 5,543 | 244,805 |
| 11 | Total support. Add lines 7 through 10 | 12,627,530 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE DAY-TO-DAY OPERATIONS ARE MANAGED BY A NEW LEAF, INC., AN ARIZONA NON-PROFIT CORPORATION EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION MESA COMMUNITY ACTION NETWORK, INC. 86-0558407 501(C)(3). (SEE SCHEDULE R) |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER IS A NEW LEAF, INC., AN ARIZONA NON-PROFIT CORPORATION EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). (SEE SCHEDULE R) |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER HAS APPROVAL RIGHTS OVER THE APPOINTMENT OR REMOVAL OF A DIRECTOR, OR THE FILLING OF VACANCIES ON THE BOARD OF DIRECTORS, SUBJECT TO ONE RESTRICTION MORE FULLY EXPLAINED IN THE LINE 7B EXPLANATION. SUBJECT TO THIS MEMBER APPROVAL RIGHT, THE CURRENT BOARD ELECTS DIRECTORS TO REPLACE THE DIRECTORS WHOSE TERMS ARE DUE TO EXPIRE. IN ADDITION, THE BYLAWS SET THE FOLLOWING BOARD COMPOSITION AS NEARLY AS IS PRACTICABLE: - ONE THIRD OF THE DIRECTORS SHALL BE ELECTED FROM INDIVIDUALS IN THE CIVIC AND BUSINESS COMMUNITIES IN THE GENERAL AREA SERVED BY THE CORPORATION. - ONE THIRD OF THE DIRECTORS SHALL BE ELECTED FROM INDIVIDUALS SERVING AS ELECTED OFFICIALS (OR THEIR DESIGNEES) ON VARIOUS POLITICAL BODIES AS DEFINED AND THAT ENCOMPASS ALL OF PART OF THE GENERAL AREA SERVED BY THE CORPORATION. - AT LEAST ONE-THIRD OF THE DIRECTORS MUST BE CHOSEN USING DEMOCRATIC SELECTION PROCEDURES ADMINISTERED BY THE CORPORATION THAT ARE ADEQUATE TO ASSURE THAT THE MEMBERS ARE REPRESENTATIVE OF LOW INCOME INDIVIDUALS AND FAMILIES IN THE NEIGHBORHOOD SERVED AND, IF THEY REPRESENT A SPECIFIC NEIGHBORHOOD, THAT THEY LIVE IN THAT NEIGHBORHOOD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ACTIONS REQUIRE PRIOR APPOVAL OF THE MEMBER: - THE APPOINTMENT OR REMOVAL OF A DIRECTOR OR THE FILLING OF VACANCIES ON THE BOARD OF DIRECTORS, WITH THE LIMITATION THAT THEY CANNOT USE THIS RIGHT TO LIMIT THE REPRESENTATION OF THE ONE-THIRD BOARD MEMBERSHIP THAT ARE REPRESENTATIVE OF THE LOW INCOME INDIVIDUALS OR FAMILIES IN THE NEIGHBORHOODS SERVED. - THE AMENDMENT OR REPEAL OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS OR THE ADOPTION OF NEW ARTICLES OF INCORPORATION OR BYLAWS. - THE FIXING OF COMPENSATION OF DIRECTORS FOR SERVING ON THE BOARD OF DIRECTORS OR ON ANY COMMITTEE OF THE BOARD OF DIRECTORS. - THE EXECUTION OF ANY CONTRACT FOR GOODS, SERVICES OR FACILITIES. - THE BORROWING OR LENDING OF MONEY. - THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION, OR THE TRANSFER, DISPOSITION, OR ENCUMBRANCE OF THE PROPERTIES OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE CORPORATION'S BUSINESS |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT CAN ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM WHO CONDUCTED THE FINANCIAL STATEMENT AUDIT AND IS THEN PRESENTED TO THE CFO AND THE CEO OF A NEW LEAF FOR THEIR REVIEW AND DISCUSSION. ONCE APPROVED BY THEM, THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS AND KEY LEADERSHIP STAFF COMPLETE CONFLICT OF INTEREST FORMS AS REQUIRED UNDER A NEW LEAF, INC.'S CONFLICT OF INTEREST POLICY. THE ORGANIZATION'S MANAGEMENT TEAM MONITORS COMPLIANCE WITH POLICIES AND USE OF VENDORS, AGENCIES, PROFESSIONALS OR OTHER OUTSIDE ORGANIZATIONS TO ENSURE COMPLIANCE WITH POLICIES. BOARD MEMBERS RECUSE THEMSELVES FROM DISCUSSIONS OR VOTES WHEN POTENTIAL CONFLICT OF INTEREST ARISE. BOARD MEMBERS ANNUALLY COMPLETE A DISCLOSURE OF CONFLICT OF INTEREST STATEMENT WHICH IS MAINTAINED BY THE GOVERNANCE COMMITTEE AND THE CEO AND FORWARDED TO ANY GOVERNMENT AGENCIES WHICH REQUIRE SUCH DISCLOSURE. |
| FORM 990, PART VI, SECTION B, LINE 15 | MESA COMMUNITY ACTION NETWORK (MESACAN) IS MANAGED BY A NEW LEAF, INC. AND MESACAN REIMBURSES THEM FOR SALARIES. A NEW LEAF, INC REPORTS THE FOLLOWING PROCESSES FOR DETERMINING THE COMPENSATION OF THEIR CEO AND OTHER OFFICERS AND KEY EMPLOYEES: THE CEO'S SALARY IS DETERMINED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN CONJUNCTION WITH AN ANNUAL PERFORMANCE REVIEW. THE EXECUTIVE COMMITTEE CONSIDERS COMPARATIVE MARKET DATA FOR SIMILAR POSITIONS IN COMPARABLE ORGANIZATIONS IN SETTING THE ANNUAL SALARY FOR THE CEO. THE CEO FOLLOWS A SIMILAR PROCESS IN SETTING THE SALARIES OF KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION WITH ANNUAL PERFORMANCE REVIEWS AND ANALYSES OF MARKET DATA FOR SIMILIAR POSITIONS IN COMPARABLE ORGANIZATIONS. THE BOARD OF DIRECTORS APPROVES THE SALARIES OF KEY EMPLOYEES AND OTHER MESA COMMUNITY ACTION NETWORK, INC OFFICERS IN THE BUDGET APPROVAL PROCESS FOR THE ORGANIZATION. WRITTEN CONTEMPORANEOUS SUBSTANTIATION IS KEPT OF THE DECISIONS MADE. |
| FORM 990, PART VI, SECTION C, LINE 18 | A PUBLIC COPY OF THE FORM 990 AND THE FORM 1023 ARE AVAILABLE ON A NEW LEAF INC.'S WEBSITE (A RELATED ORGANIZATION, SEE SCHEDULE R) AT WWW.TURNANEWLEAF.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | A PUBLIC COPY OF THE FORM 990, FORM 1023, THE CONFLICT OF INTEREST POLICY AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATION OFFICE DURING REGULAR BUSINESS HOURS. |
| Software ID: | |
| Software Version: |