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)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 1,021,565 | 1,391,338 | 1,001,204 | 1,445,791 | 2,202,081 | 7,061,979 |
| 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 | 1,021,565 | 1,391,338 | 1,001,204 | 1,445,791 | 2,202,081 | 7,061,979 |
| 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. | 7,061,979 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,021,565 | 1,391,338 | 1,001,204 | 1,445,791 | 2,202,081 | 7,061,979 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 9,309 | 10,321 | 10,888 | 9,055 | 9,451 | 49,024 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 7,111,003 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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 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 2021 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-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | EDUCATE, ADVOCATE AND EMPOWER VICTIMS/SURVIVORS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, JUVENILE OFFENSES, AND ALL OTHER CRIME. EXISTING PROGRAMS INCLUDE: 1) COUNSELING ADVOCACY -- INDIVIDUAL AND GROUP EMPOWERMENT COUNSELORS PROVIDE INTERVENTIONS THAT ARE ACTION FOCUSED, CLIENT-CENTERED, AND TRAUMA INFORMED. 2) EDUCATION ADVOCACY -- PROVIDE STRATEGIES TO PREVENT VICTIMIZATION BY FOCUSING ON CONDITIONS THAT REDUCE VIOLENCE, ONE-TIME, EDUCATIONAL/COMMUNITY AWARENESS PROGRAMS DESIGNED TO RAISE AN UNDERSTANDING OF VIOLENCE AND VICTIMIZATION IN OUR COMMUNITY, AND PROVIDE AN 80-HOUR CRISIS INTERVENTION TRAINING THAT IS ACTION FOCUSED, CLIENT-CENTERED AND TRAUMA INFORMED. 3) SHELTER ADVOCACY -- CRISIS HOTLINE PROVIDES AROUND THE CLOCK SUPPORT AND GUIDANCE 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, SAFETY PLANNING INCLUDES STEPS AND OPTIONS FOR INCREASING THE SAFETY OF VICTIMS/SURVIVORS AND PREPARING IN ADVANCE FOR THE POSSIBILITY OF FUTURE VICTIMIZATION, ON-CALL ADVOCACY OFFERS VICTIMS/SURVIVORS WITH A SKILLED ADVOCATE AT ANY HOUR TO RESPOND TO LEGAL, MEDICAL, AND VARIOUS COMMUNITY FACILITIES, AND EMERGENCY SHELTER OFFERS SPECIALIZED, SHORT-TERM EMERGENCY SHELTER AND VICTIMIZATION SUPPORT SERVICES FOR VICTIMS/SURVIVORS AND MEMBERS OF THEIR FAMILIES WHEN IN NEED OF SAFETY. 4) VICTIM ADVOCACY -- PROVIDE IN-PERSON, NON-JUDGMENTAL SUPPORT IN A LEGAL SETTING, SUPPORT TO THE VICTIMS/SURVIVORS WHILE FILING A PROTECTION FROM ABUSE (PFA) ORDER, SUPPORT THE VICTIMS/SURVIVORS WHILE FILING SEXUAL VIOLENCE PROTECTION ORDERS (SVPO)/PROTECTION FROM INTIMIDATION (PFI) ORDERS, MEDICAL ADVOCACY PROVIDES IN-PERSON, NON-JUDGMENTAL SUPPORT IN A MEDICAL SETTING, AND VICTIM COMPENSATION ASSISTANCE PROGRAM SUPPORTS VICTIMS/SURVIVORS AND THEIR ELIGIBLE FAMILY MEMBERS BY PROVIDING INFORMATION AND ASSISTANCE TO EASE THE FINANCIAL BURDENS THEY MAY FACE AS A RESULT OF A CRIME. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 WILL BE COMPLETED ANNUALLY AND COPIES WILL BE PROVIDED TO THE FINANCE COMMITTEE AS WELL AS THE EXECUTIVE DIRECTOR AND FISCAL COORDINATOR OF THE ORGANIZATION. AT THAT TIME, THE EXECUTIVE DIRECTOR WILL REVIEW THE FORM 990 WITH THE FINANCE COMMITTEE AND FISCAL COORDINATOR. ANY NECESSARY CHANGES WILL THEN BE MADE. ONCE ALL NECESSARY CHANGES ARE MADE AND THE EXECUTIVE DIRECTOR IS IN AGREEMENT WITH THE FINANCE COMMITTEE AND FISCAL COORDINATOR ON THE COMPLETED FORM 990, IT WILL BE SIGNED BY THE EXECUTIVE DIRECTOR, DATED AND SUBMITTED BY THE FILING DEADLINE. A COPY OF THE SIGNED FORM 990 WILL BE PROVIDED TO THE ENTIRE GOVERNING BOARD BEFORE THE RETURN IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY AND ITS APPLICATION ARE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF DIRECTORS, OFFICERS, AND STAFF MEMBERS (PAID OR VOLUNTEER), EACH OF WHOM HAS A CONTINUING RESPONSIBILITY TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS OF INTEREST, AND MAKE SUCH DISCLOSURES AS DESCRIBED IN THIS POLICY. AS ADMINISTERED BY THE EXECUTIVE DIRECTOR (OR ASSIGNEE), EACH DIRECTOR IS ASKED TO COMPLETE A CERTIFICATION OF AGREEMENT WITH THE POLICY AND DISCLOSURE OF ANY KNOWN CONFLICTS OF INTEREST UPON ONE'S ELECTION OR RE- ELECTION TO THE BOARD AND ANNUALLY THEREAFTER. AS ADMINISTERED BY THE EMPLOYEE IN CHARGE OF HUMAN RESOURCES (OR ASSIGNEE), EACH STAFF MEMBER (PAID OR VOLUNTEER) IS ASKED TO COMPLETE SUCH A CERTIFICATION UPON ONE'S EMPLOYMENT AND ON AN ANNUAL BASIS THEREAFTER. ALL CERTIFICATIONS ARE REVIEWED BY THE EXECUTIVE DIRECTOR OR BOARD AS APPROPRIATE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 53.4958-6(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF EXECUTIVE DIRECTOR COMPENSATION. THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE REVIEW AND APPROVES THE ENTIRE COMPENSATION PACKAGE OF THE EXECUTIVE DIRECTOR BASED ON PERFORMANCE AND COMPARABILITY FACTORS INCLUDING, BUT NOT LIMITED TO, THE SIZE OF THE ORGANIZATION, THE GEOGRAPHIC LOCATION OF THE ORGANIZATION, AND THE EMPLOYEE'S LENGTH OF SERVICE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 53.4958-6(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF ALL EMPLOYEE COMPENSATION. THE EXECUTIVE DIRECTOR REPORTS PERSONNEL COMPENSATION ACTIONS TO THE BOARD OF DIRECTORS, WHICH AFFIRMS THE COMPENSATION PACKAGE BASED ON PERFORMANCE AND COMPARABILITY FACTORS INCLUDING, BUT NOT LIMITED TO, THE SIZE OF THE ORGANIZATION, THE GEOGRAPHIC LOCATION OF THE ORGANIZATION, AND THE EMPLOYEE'S LENGTH OF SERVICE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION PROVIDES ACCESS TO DOCUMENTS IN SEVERAL DIFFERENT WAYS. FOR EXAMPLE, ARTICLES OF INCORPORATION MAY BE FOUND ON THE PENNSYLVANIA DEPARTMENT OF STATE'S WEBSITE. FORM 990 IS AVAILABLE ON IRS.GOV AND GUIDESTAR.ORG WEBSITES. THESE AND OTHER DOCUMENTS INCLUDING CONFLICT OF INTEREST POLICY AND ANNUAL FINANCIAL STATEMENTS ARE MADE AVAILABLE BY PROVIDING COPIES UPON REQUEST OR INSPECTION AT THE OFFICE OF THE ORGANIZATION. |
| Software ID: | |
| Software Version: |