Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 359,046 | 389,472 | 392,098 | 448,442 | 527,351 | 2,116,409 |
| 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 | 359,046 | 389,472 | 392,098 | 448,442 | 527,351 | 2,116,409 |
| 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).. | 640,174 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 1,476,235 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 359,046 | 389,472 | 392,098 | 448,442 | 527,351 | 2,116,409 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 5,411 | 9,356 | 12,597 | 20,957 | 22,797 | 71,118 |
| 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.).. | 31,788 | 38,391 | 34,938 | 2,072 | 660 | 107,849 |
| 11 | Total support. Add lines 7 through 10 | 2,409,510 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | OTHER INCOME 107,189 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE BRIDGELINE IS A CHARLOTTESVILLE BASED ORGANIZATION DEDICATED TO THE SUPPORT OF ADULTS WITH BRAIN INJURIES, ASSISTING THEM TO ACHIEVE INTEGRATION IN THE GREATER CHARLOTTESVILLE COMMUNITY AND ITS SURROUNDING COUNTIES, AND TO GAIN PERSONAL FULFILLMENT. TO ADDRESS THE NEEDS OF ADULTS WITH BRAIN INJURIES, WE OFFER FOUR HOLISTIC, PERSON-CENTERED PROGRAMS: 1) PRE-VOCATIONAL PROGRAM 2)RESIDENTIAL PROGRAM; 3)CASE MANAGEMENT; AND 4) SUPPORTED INDEPENDENT LIVING PROGRAM. |
| FORM 990, PAGE 1, PART I, LINE 6 | THE BRIDGE LINE UTILIZES ITS VOLUNTEERS IN SUPPORTING ADULTS WITH BRAIN INJURIES, INCLUDING ASSISTING THEM IN ACHIEVING INTEGRATION IN CHARLOTTESVILLE AND SURROUNDING COUNTIES. |
| FORM 990, PAGE 2, PART III, LINE 4A | PRE-VOCATIONAL DAY PROGRAM THE BRIDGELINE PROVIDES A PRE-VOCATIONAL DAY PROGRAM SERVING RESIDENTS OF CHARLOTTESVILLE CITY AND THE BLUE RIDGE HEALTH DISTRICT. MEMBERS CAN LEARN VALUABLE WORK AND SOCIAL SKILLS TO ACHIEVE VOCATIONAL AND/OR INDEPENDENT LIVING GOALS. THE STRUCTURE IS DESIGNED TO INCREASE THE INDEPENDENCE AND EMPLOYABILITY OF BRAIN INJURY SURVIVORS BY FOCUSING ON SOCIAL AND BEHAVIORAL AND INDEPENDENT LIVING SKILLS, VOCATIONAL TRAINING, AND COMPENSATORY STRATEGIES. SKILL TRAINING INCLUDES ADMINISTRATIVE AND KITCHEN MAINTENANCE WORK, AND ALSO HOW TO INTERACT WITH CO-WORKERS, AND TO COMPLETE TASKS. MEMBERS PARTICIPATE IN A WORK UNIT VOLUNTEERING FOR TASKS THAT DIRECTLY SUPPORT THE OPERATION OF THE BRIDGELINE PLACE - FROM PARTICIPATING IN THE HIRING OF STAFF, TO ADVOCATING FOR BRAIN INJURY SERVICES IN THE COMMUNITY, TO WRITING A NEWSLETTER ARTICLE OR PREPARING LUNCH. PARTICIPANTS BENEFIT FROM A COLLEGIAL, PEER RELATIONSHIP AND THROUGH THIS RELATIONSHIP, MEMBERS RECEIVE NECESSARY SUPPORT WHILE STILL MAINTAINING OWNERSHIP OVER THE PLANNING OF THEIR SERVICE THROUGH THE BRIDGELINE PLACE AND THE COURSE OF THEIR REHABILITATION. |
| FORM 990, PAGE 2, PART III, LINE 4B | RESIDENTIAL PROGRAM WITHIN OUR RESIDENTIAL PROGRAM WE PROVIDE SUPPORTED LIVING IN OUR TWO HOMES IN A FAMILY-LIKE SETTING, WHEREIN PERSONS WITH BRAIN INJURIES WHO MIGHT OTHERWISE REMAIN DEPENDENT MEMBERS IN THE HOUSEHOLDS OF THEIR ORIGIN OR AS INSTITUTIONAL CLIENTS LIVE TO THE GREATEST DEGREE POSSIBLE AS INDEPENDENT MEMBERS OF THE GENERAL COMMUNITY. TRAINED STAFF LIVES IN WITH RESIDENTS AS FULL-TIME RESIDENTIAL CAREGIVER, FACILITATE THEIR PATH THROUGH INDEPENDENCE AND SELF-DETERMINATION TOWARD PERSONAL GROWTH AND ENGAGED CITIZENRY. STAFF RUNS HOUSEHOLDS TO CREATE THE MAXIMUM OPPORTUNITIES AND ADDRESS INDIVIDUAL NEEDS FOR RESIDENTS AND ADDRESS THE INDIVIDUAL NEEDS WITH THE GOAL TO TRANSITION THEM INTO INDEPENDENT LIVING. TO ADDRESS INDIVIDUAL NEEDS, WE OFFER STRUCTURED ACTIVITIES, RELEVANT AND SPECIFIC SKILL TRAINING AND SUPPORT TO SET ACHIEVABLE LIFE GOALS. RESIDENTS HAVE CHOSEN TO HOLD A MONTHLY BOOK CLUB (MEMORY TRAINING), MANAGE THEIR OWN LIBRARY, AND SUGGEST OUTINGS. OUR RESIDENTS TYPICALLY HOLD A REGULAR JOB OR A REGULAR VOLUNTEER POSITION, ATTEND CLASSES AND CULTURAL ACTIVITIES IN THE COMMUNITY, INTERACT SOCIALLY WITH MEMBERS OF OTHER HOUSEHOLDS IN THE BRIDGELINE COMMUNITY, TRAVEL FOR VACATIONS, PARTICIPATE IN THE GENERAL UPKEEP OF THE HOMES IN WHICH THEY LIVE, AND HELP OUT AT THE OTHER BRIDGELINE HOMES WITH VARIOUS THINGS. |
| FORM 990, PAGE 2, PART III, LINE 4D | SUPPORTED INDEPENDENT LIVING PROGRAM THE BRIDGELINE OFFERS A GREAT VARIETY OF SERVICES TO ADULTS WITH BRAIN INJURIES WHILE THEY LIVE IN THEIR OWN APARTMENTS IN CLOSE PROXIMITY TO OUR HOMES. SERVICES VARY FROM PARTICIPATION IN OUTINGS, MEALS, AND ART THERAPY, TO MEDICATION OVERSIGHT, AND SHOPPING ASSISTANCE. THEIR INDIVIDUAL NEEDS ARE ADDRESSED TO SUPPORT THEIR INDEPENDENCE AND FAMILIES ARE ASSURED THAT THEIR LOVED ONE IS SAFE AND CARED FOR. |
| FORM 990, PAGE 6, PART VI, LINE 11B | EXECUTIVE DIRECTOR AND TREASURER REVIEW FORM 990 FOR ACCURACY. IT IS THEN GIVEN TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE FORM IS THEN SIGNED BY THE PRESIDENT AND SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH PARTY REQUIRED TO SIGN ANNUAL STATEMENT: RECEIVED, UNDERSTANDS AND AGREES TO COMPLY WITH POLICY, ORGANIZATION CONDUCTS PERIODIC REVIEWS TO ENSURE OPERATION IS CONSISTENT WITH ITS TAX EXEMPT STATUS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION RANGE IS DETERMINED BY THE BOARD OF DIRECTORS PRIOR TO BEING HIRED. COMPENSATION IS REVIEWED ANNUALLY TO DETERMINE RATE INCREASE. A COMPARISON OF LOCAL EMPLOYMENT SALARY DATA IS REVIEWED BEFORE THE ANNUAL BUDGET IS APPROVED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | RESPONSE TO PART VI; SECTION B; LINE 15A IS APPLICABLE |
| FORM 990, PAGE 6, PART VI, LINE 19 | ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Software ID: | |
| Software Version: |