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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 2,009,332 | 1,445,310 | 963,177 | 3,049,190 | 5,251,760 | 12,718,769 |
| 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 | 597 | 23 | 620 | |||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 44,758 | 75,963 | 14,655 | 73,251 | 66,193 | 274,820 |
| 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 | 2,054,090 | 1,521,273 | 977,832 | 3,123,038 | 5,317,976 | 12,994,209 |
| 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.) | 12,994,209 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,054,090 | 1,521,273 | 977,832 | 3,123,038 | 5,317,976 | 12,994,209 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 16 | 448 | 205 | 675 | 1,344 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 16 | 448 | 205 | 675 | 1,344 | |
| 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.).. | 2,054,090 | 1,521,289 | 978,280 | 3,123,243 | 5,318,651 | 12,995,553 |
| 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| 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 | 5CITIES HOMELESS COALITION (5CHC) IS TRANSFORMING LIVES IN SAN LUIS OBISPO COUNTY, CALIFORNIA, FROM AVILA BEACH TO NIPOMO. 5CHC STRENGTHENS THE COMMUNITY BY MOBILIZING RESOURCES, FOSTERING HOPE, AND ADVOCATING FOR THE HOMELESS AND THOSE FACING HOMELESSNESS. THROUGH COLLABORATION AND LEADERSHIP 5CHC IS BUILDING AN ENGAGED COMMUNITY THAT FULLY UNDERSTANDS THE COMPLEXITIES OF HOMELESSNESS AND ACTIVELY SHARES THE RESPONSIBILITY OF CREATING AND IMPLEMENTING SOLUTIONS TO REDUCE IT. |
| FORM 990, PAGE 2, PART III, LINE 4B | RELATED PROGRAMS: IMMEDIATE NEEDS ASSISTS HOMELESS AND LOW-INCOME FAMILIES WHO RESIDE IN THE FIVE CITIES AREA (ARROYO GRANDE, PISMO BEACH, GROVER BEACH, SHELL BEACH, AVILA BEACH) WITH FUNDS TO ADDRESS THEIR IMMEDIATE NEEDS AND MOVE THEM TO SELF-SUFFICIENCY, HOME STABILITY, AND ECONOMIC IMPROVEMENT. ASSISTANCE IS USED FOR UTILITIES, FUEL, AUTO REPAIRS, FOOD, CLOTHING, AND UNPAID BILLS PAID DIRECTLY TO APPLICABLE VENDORS ON BEHALF OF PROGRAM PARTICIPANTS. HOMELESS YOUTH MATCHES A CASE MANAGER WITH UNACCOMPANIED YOUTH AGED 16-24 TO PROVIDE EDUCATION, CONNECTION, AND SERVICES SUCH AS IMMEDIATE NEEDS, HOUSING, AND DEVELOPMENT OF AN INDIVIDUALIZED ACTION PLAN TO ASSIST THEM IN LIVING INDEPENDENTLY, MAINTAINING STEADY EMPLOYMENT, AND CONTINUING THEIR EDUCATION. BENEFITS ADVOCACY; THOSE ENROLLED IN 5CHC'S CASE MANAGEMENT PROGRAM ARE OFFERED ADDITIONAL GUIDANCE AND ADVOCACY FOR OBTAINING AND RETAINING PUBLIC BENEFITS SUCH AS SUPPLEMENTAL SECURITY INCOME (SSI), SOCIAL SECURITY DISABILITY INSURANCE (SSDI), CALFRESH, AND OTHER ASSISTANCE. PARTICIPANTS ARE ENCOURAGED TO LEARN FINANCIAL LITERACY AND BUDGETING. |
| FORM 990, PAGE 2, PART III, LINE 4D | OUTREACH AND OTHER PROGRAMS: INFORMATION AND REFERRAL, COORDINATED ENTRY: ASSISTANCE BEGINS WITH GENERAL INFORMATION AND REFERRAL TO COMMUNITY SERVICES COUPLED WITH A COMPREHENSIVE ASSESSMENT OF NEEDS, IDENTIFICATION OF BARRIERS TO SUCCESS, AND DEVELOPMENT OF AN IMMEDIATE ACTION PLAN. 5CHC'S STAFF SERVES AS A SOURCE OF KNOWLEDGE, INFORMATION, AND REFERRAL SERVICES TO THOSE IN NEED. THIS YEAR THE "CABINS FOR CHANGE" IN GROVER BEACH WERE COMPLETED AND INHABITATED BY HOMELESS PEOPLE WHO APPLIED FOR THE PROGRAM. 20 10'X10' CABINS WERE CONSTRUCTED ON LEASED COUNTY PROPERTY AS TRANSITIONAL HOUSING. PLUS BATHROOMS, COMMUNITY ROOM, STAFF OFFICE, AND OUTSIDE AREA. THE FIRST GROUP OF RESIDENTS GRADUATED TO PERMANENT HOUSING, AND THE CABINS WERE REOCCUPIED WITH NEW APPLICANTS. THIS IS A HIGHLY SUCCESSFUL PROGRAM TO HOUSE THE HOMELESS AND MOVE THEM OFF THE STREETS TO PERMANENT JOBS AND HOUSING. 5CHC IS CONSTRUCTING ANOTHER SITE WITH 30 CABINS ON LAND PROVIDED BY THE CITY OF GROVER BEACH, AND FUNDED PRIMARILY BY BALAY KO FOUNDATION, WITH NEW CABINS PROVIDED BY SAN LUIS OBISPO COUNTY. CURRENTLY THERE IS A WAITING LIST OF APPLICANTS ELIGIBLE TO STAY IN THE CABINS. THIS PROGRAM IS TRULY A COMMUNITY EFFORT WITH SUPPORT COMING FROM THE COUNTY, CITIES, FOUNDATIONS, BUSINESSES, CHURCHES, AND INDIVIDUALS IN RECORD AMOUNTS FOR 5CHC TO CONTINUE ITS SUCCESSFUL EFFORTS TO HOUSE, FEED, AND SUPPORT THE HOMELESS. |
| FORM 990, PAGE 6, PART VI, LINE 4 | BYLAWS AMENDED: EXTENDED NUMBER OF CONSECUTIVE TERMS FOR A BOARD DIRECTOR TO THREE THREE-YEAR TERMS. CREATED THE POSITION OF PAST PRESIDENT. PRESIDENT SERVES AS EX-OFFICIO MEMBER OF ALL BOARD COMMITTEES. CHANGED REQUIRED PARTICIPATION OF ANY BOARD DIRECTOR IN A SIX-MONTH TERM TO A TWELVE-MONTH TERM. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS COMPLETED ANNUALLY BY THE OUTSIDE CPA WHO CONDUCTS THE ANNUAL FINANCIAL STATEMENT AUDIT. UPON SUBMISSION OF THE DRAFT 990 TO 5CHC'S OPERATIONS DIRECTOR THE FORM IS EMAILED TO ALL BOARD MEMBERS FOR REVIEW. AT THE FOLLOWING BOARD MEETING OR VIA EMAIL QUESTIONS (IF ANY) ARE SUBMITTED TO THE CPA AND ANSWERS RECEIVED ARE REVIEWED. ONCE ALL QUESTIONS ARE ANSWERED AND CHANGES MADE (IF ANY) THE BOARD VOTES ITS APPROVAL TO FILE THE FORM 990 AT A REGULARLY SCHEDULED BOARD MEETING OR BY EMAIL VOTE IF BETWEEN MEETINGS. FORM 8879-EO IS SIGNED AND RETURNED TO THE CPA AND THEN THE CPA FIRM E-FILES THE 990. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH BOARD DIRECTOR AND EMPLOYEE DISCLOSE POTENTIAL CONFLICTS OF INTEREST VIA A CONFLICT CERTIFICATION FORM SUBMITTED ANNUALLY AND UPON JOINING 5CHC'S BOARD OR BECOMING EMPLOYED BY 5CHC. WHEN/IF A POTENTIAL CONFLICT ARISES THE AFFECTED INDIVIDUAL IS REQUIRED TO BRING THE ISSUE TO THE BOARD PRESIDENT AND THEN LEAVE THE MEETING IN WHICH THE CONFLICT IS DISCUSSED AND A DECISION REACHED. THE EXECUTIVE DIRECTOR IS RESPONSIBLE TO ENSURE CERTIFICATIONS ARE OBTAINED IN A TIMELY MANNER EACH YEAR. THE BOARD SECRETARY RECEIVES COPIES OF THE CERTIFICATIONS AND MONITORS DISCUSSIONS FOR ANY POTENTIAL CONFLICTS THAT MAY ARISE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE EXECUTIVE DIRECTOR'S PERFORMANCE AND GOALS ACHIEVED IN AN EXECUTIVE SESSION OR CLOSED MEETING. ANY PAY RAISES OR CHANGES ARE DISCUSSED USING COMPARABILITY WAGE DATA FROM OTHER AREA COMPARABLY SIZED NONPROFIT ORGANIZATIONS AND MUST BE APPROVED AND DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE DIRECTOR SETS PAY RATES FOR ALL OTHER EMPLOYEES AND THE PAY SCHEDULE IS APPROVED BY THE BOARD OF DIRECTORS EACH YEAR. ONCE AGAIN WAGE DATA FROM OTHER COMPARABLE AREA NONPROFITS IS USED IN ADDITION TO AN ASSESSMENT OF EMPLOYEES' ACCOMPLISHMENTS, GOALS REACHED, AND WORK CONTRIBUTIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | 5CHC PUBLISHES ITS ANNUAL AUDIT, FORM 990, CA FORM 199, AND IRS 501(C)(3) DETERMINATION LETTER ON ITS WEBSITE AT 5CHC.ORG UNDER THE "ABOUT" TAB SELECTING FINANCIAL STATEMENTS. FORM 990S ARE ALSO AVAILABLE AT GUIDESTAR.ORG WHERE 5CHC IS A SILVER-LEVEL EXCHANGE PARTICIPANT. INTERESTED PARTIES MAY ALSO REQUEST 5CHC DOCUMENTS IN WRITING TO THE ADDRESS LISTED ON THIS RETURN. |
| Software ID: | |
| Software Version: |