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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 1,277,562 | 6,177,704 | 17,740,871 | 10,327,437 | 3,588,654 | 39,112,228 |
| 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 | 1,277,562 | 6,177,704 | 17,740,871 | 10,327,437 | 3,588,654 | 39,112,228 |
| 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. | 39,112,228 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,277,562 | 6,177,704 | 17,740,871 | 10,327,437 | 3,588,654 | 39,112,228 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1 | 4,293 | 16,136 | 55,585 | 28,935 | 104,950 |
| 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.).. | 34,267 | 34,267 | ||||
| 11 | Total support. Add lines 7 through 10 | 39,251,445 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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 2024 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-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PAGE 2, PART III, LINE 4A | UNHOUSED NEIGHBORS INITIATIVES OUR UNHOUSED NEIGHBORS INITIATIVES ARE DRIVEN BY A MISSION TO IDENTIFY, CONNECT WITH, AND NURTURE ESSENTIAL RELATIONSHIPS WITH THOSE EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. WE PROVIDE IMMEDIATE SUPPORT THROUGH CRUCIAL SERVICES SUCH AS TRANSPORTATION, HOT MEALS, PERSONALIZED ASSESSMENTS, AND DIRECT REFERRALS TO ESSENTIAL RESOURCES. FURTHERMORE, WE EMPOWER INDIVIDUALS AND FAMILIES TO SECURE PERMANENT HOUSING IN PARTNERSHIP WITH LOCAL LANDLORDS AND PROPERTY MANAGERS, PAVING THE WAY FOR LONG-TERM STABILITY. OUR OUTREACH SPECIALISTS ARE DEDICATED TO VISITING NEIGHBORHOODS MULTIPLE TIMES A WEEK, ENGAGING DIRECTLY WITH PEOPLE FACING HOMELESSNESS AND HOUSING INSECURITY. THEY GUIDE INDIVIDUALS THROUGH THE HOUSING PROCESS AND CONNECT THEM TO MANY SERVICES. THIS PROACTIVE ENGAGEMENT THRIVES ON PARTNERSHIPS WITH LOCAL ORGANIZATIONS, INCLUDING THE HOMELESS CONSORTIUM. IT ENCOMPASSES OUTREACH ACTIVITIES LIKE POP-UP SUPPORT EVENTS AT LIBRARIES, PARKS, COMMUNITY CENTERS, CHURCHES, FOOD PANTRIES, AND BARBERSHOPS. WE ALSO DISTRIBUTE FLYERS TO CREATE AWARENESS AND PROVIDE DIRECT ACCESS TO SUPPORT. IN 2024, OUR UNHOUSED NEIGHBORS INITIATIVES MADE A REMARKABLE IMPACT BY DIRECTLY SUPPORTING OVER 1,265 INDIVIDUALS EXPERIENCING HOMELESSNESS OR HOUSING INSECURITY IN DANE COUNTY. OUR COORDINATED EFFORTS LED TO DISTRIBUTING MORE THAN 3,301 POUNDS OF FRESH PRODUCE TO THOSE IN NEED, DELIVERING VITAL NUTRITION TO VULNERABLE INDIVIDUALS AND FAMILIES. THIS OUTREACH TRANSCENDS SIMPLE SERVICE PROVISION; IT IS ABOUT BUILDING TRUST, NURTURING MEANINGFUL RELATIONSHIPS, AND FORGING SUSTAINABLE PATHWAYS TOWARD HOUSING STABILITY AND A BRIGHTER, MORE SECURE FUTURE. RENTAL ASSISTANCE: OUR PROGRAMS ARE FIRMLY GROUNDED IN THE HOUSING FIRST ASSISTANCE MODEL, WHICH PRIORITIZES PROVIDING PERMANENT HOUSING TO INDIVIDUALS EXPERIENCING HOMELESSNESS AS THE ESSENTIAL FIRST STEP TOWARD STABILITY. SECURING A STABLE HOME IS THE FOUNDATION FOR INDIVIDUALS TO PURSUE PERSONAL GOALS, IMPROVE THEIR QUALITY OF LIFE, AND ADDRESS OTHER CHALLENGES. FOR US, ENDING HOMELESSNESS IS NOT JUST ABOUT PROVIDING SHELTER; IT'S ABOUT CREATING A SECURE BASE FOR INDIVIDUALS AND FAMILIES TO REBUILD THEIR LIVES. UNLIKE MANY PROGRAMS THAT OPERATE UNDER A "HOUSING READINESS" MODEL, REQUIRING INDIVIDUALS TO RESOLVE PERSONAL ISSUES SUCH AS ADDICTION, MENTAL HEALTH CONCERNS, OR FINANCIAL INSTABILITY BEFORE BEING ALLOWED TO ENTER PERMANENT HOUSING, WE BELIEVE THIS APPROACH IS FUNDAMENTALLY FLAWED. HOW CAN SOMEONE BEGIN TO ADDRESS LIFE'S CHALLENGES WHEN THEY HAVE NO PLACE TO SLEEP OR REST? IT'S AN IMPOSSIBLE CYCLE. OUR MODEL ACKNOWLEDGES THAT STABLE HOUSING IS NOT A REWARD FOR OVERCOMING ISSUES BUT RATHER A PLATFORM FROM WHICH PEOPLE CAN START TO MAKE PROGRESS ON THOSE ISSUES. THROUGH OUR RENTAL ASSISTANCE, OUTREACH SERVICES, ADVOCACY, PERMANENT HOUSING PLACEMENT, AND CASE MANAGEMENT, WE ARE DEDICATED TO BREAKING THIS CYCLE AND OFFERING PEOPLE THE STABILITY THEY NEED TO MOVE FORWARD. WE PARTNERED WITH DANE AND THE CITY OF MADISON TO PROVIDE RENTAL ASSISTANCE THROUGH HOUSING PROGRAMS AND CONNECT INDIVIDUALS TO LONG-TERM HOUSING SOLUTIONS. ADDITIONALLY, WE PRIORITIZED AND SERVED THOSE WITH THE GREATEST NEED THROUGH OUR WORK IN THE COORDINATED ENTRY SYSTEM-IN PARTNERSHIP WITH THE CITY OF MADISON, DANE COUNTY HUMAN SERVICES, AND THE HOMELESS SERVICES CONSORTIUM OF DANE COUNTY. BY CONDUCTING OUTREACH AND CHRONIC DOCUMENTATION SERVICES, WE ENSURED THAT THE MOST VULNERABLE INDIVIDUALS WERE PRIORITIZED FOR AVAILABLE HOUSING AND RESOURCES. OUR TEAM IS AND WAS COMMITTED TO MEETING PEOPLE WHERE THEY ARE, UNDERSTANDING THEIR UNIQUE NEEDS, AND PROVIDING THE NECESSARY SUPPORT TO HELP THEM TRANSITION INTO STABLE HOUSING AND REGAIN CONTROL OF THEIR LIVES. THE MISSION OF OUR UNHOUSED NEIGHBORS INITIATIVE IS TO IDENTIFY, EMPOWER, INSPIRE, ENGAGE WITH, AND BUILD CRUCIAL RELATIONSHIPS WITH INDIVIDUALS FACING HOMELESSNESS OR HOUSING INSTABILITY. WE OFFER IMMEDIATE SUPPORT THROUGH ESSENTIAL SERVICES SUCH AS TRANSPORTATION, HOT MEALS, PERSONALIZED ASSESSMENTS, AND DIRECT REFERRALS TO CRITICAL RESOURCES. FURTHERMORE, WE ASSIST INDIVIDUALS AND FAMILIES IN SECURING PERMANENT HOUSING BY LEVERAGING PARTNERSHIPS WITH LOCAL LANDLORDS AND PROPERTY MANAGERS, ENSURING THEY ARE EQUIPPED FOR LONG-TERM STABILITY: UNSHELTERED RRH/TINY HOMES: REDUCE HOMELESSNESS AMONG INDIVIDUALS AND FAMILIES UNSHELTERED RRH/TINY HOMES: REDUCE HOMELESSNESS AMONG INDIVIDUALS AND FAMILIES EXPERIENCING UNSHELTERED HOMELESSNESS, PARTICULARLY THOSE WITH SEVERE SERVICE NEEDS BY PROVIDING RENTAL SUPPORT, HOUSING NAVIGATION, AND OTHER SUPPORT SERVICES. YOUTH/DV RRH/TH: THIS PROGRAM FOCUSES ON YOUTH AGES 18-24 WHO ARE FLEEING, HAVE FLED, OR ARE CURRENTLY IN A DOMESTIC VIOLENCE SITUATION. WE SUPPORT THEM WITH SAFETY PLANNING, RESOURCES, HOUSING NAVIGATION, AND RENTAL ASSISTANCE, COVERING PART OF THEIR RENT WHILE PROVIDING COMPREHENSIVE SUPPORT AND SERVICES TO HELP THEM ACCESS THE ASSISTANCE THEY NEED. COMMUNITY CHANGE/EP: THE PROGRAM SUPPORTS COMMUNITY MEMBERS, TENANTS, AND HOMEOWNERS IN OVERCOMING ENVIRONMENTAL BARRIERS BY MAKING ENERGY UPGRADES ACCESSIBLE AND FREE FOR INCOME-QUALIFIED SINGLE AND MULTIFAMILY HOMES. IT PROVIDES PARTICIPATING HOMES WITH TECHNICAL ASSISTANCE AND FREE WHOLE-HOME UPGRADES, INCLUDING IMPROVED HEATING AND COOLING SYSTEMS, BETTER INSULATION AND AIR SEALING, AND MORE EFFICIENT LIGHTING AND APPLIANCES. RENTAL ASST/CBDG: THIS PROGRAM CONDUCTS PRE-SCREENING, INTAKE, AND INCOME ELIGIBILITY DETERMINATIONS FOR APPLICANTS, DETERMINES THE APPROPRIATE RENT SUBSIDY, AND, FOLLOWING THE CDBG-CV WAIVER, PROVIDES RENT ASSISTANCE FOR ARREARAGES. DOUBLED UP: INCLUDES FAMILIES TEMPORARILY AND UNSTABLY SHARING HOUSING WITH OTHERS DUE TO LOSS OF HOUSING OR ECONOMIC HARDSHIPS, PROVIDED THESE HOUSEHOLDS DO NOT HAVE A CURRENT LEASE IN THEIR NAME AT THE TIME OF PROGRAM REFERRAL. DANE RAPID REHOUSING: URBAN TRIAGE COLLABORATES WITH LANDLORDS AND PROPERTY-MANAGEMENT COMPANIES TO PROVIDE PERMANENT HOUSING OPTIONS TO INDIVIDUALS AND FAMILIES. PROVIDING THEM WITH INTENSIVE PROGRESS CASE MANAGEMENT, HOUSING NAVIGATION SERVICES, AND WRAP-AROUND SUPPORT. WE COVER A PORTION OF THEIR RENT, AND THEY BENEFIT FROM COMPREHENSIVE SUPPORT AND OTHER SERVICES. DANE HOUSING NAVIGATION SERVICES: WE SERVE INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, AS DEFINED BY HUD. OUR SPECIALISTS AIM TO PROVIDE ADVOCACY, DIRECT REFERRALS, JOB READINESS SUPPORT, AND BARRIER ASSESSMENTS AND RESOURCES TO THOSE WHO LIVE ON THE STREET OR IN INHABITABLE SPACES. THEY ALSO WORK IN THE COMMUNITY AT THE BEACON DAY SHELTER, LIBRARIES, AND OTHER AGENCIES. EHH OUTREACH: FOCUS ON LOCATING, IDENTIFYING, AND BUILDING RELATIONSHIPS WITH HOUSEHOLDS AND INDIVIDUALS EXPERIENCING HOMELESSNESS TO PROVIDE IMMEDIATE SUPPORT, INTERVENTION, ASSESSMENTS, AND CONNECTIONS TO HOMELESS ASSISTANCE PROGRAMS, MAINSTREAM SOCIAL SERVICES, AND HOUSING PROGRAMS. CHRONIC DOCUMENTATION: OUR SPECIALISTS PROVIDE CASE MANAGEMENT, ACCESS POINTS, AND SUPPORTIVE SERVICES TO THOSE LIVING ON THE STREETS FOR OVER 12 MONTHS, INCLUDING SYSTEM NAVIGATION AND DIRECT ACCESS POINTS FOR PSYCHIATRISTS AND COUNSELORS. YHSI-A STATEWIDE INITIATIVE: OUR STATEWIDE INITIATIVE AIMS TO IMPROVE THE EXISTING RESPONSE SYSTEM FOR YOUTH HOMELESSNESS SERVICES. YOUTH/EMERGING ADULTS HOUSE: OUR EMERGING ADULTS HOUSE, IN COLLABORATION WITH DANE COUNTY, IS A TRANSITIONAL HOUSE THAT PROVIDES SHARED ACCOMMODATION, INTENSIVE CASE MANAGEMENT, AND WRAP-AROUND SERVICES TO ADULTS AGED 18 TO 21 WHO HAVE AGED OUT OF FOSTER CARE. IT SUPPORTS THEM IN TRANSITIONING INTO PERMANENT HOUSING WITHIN NINE MONTHS. YHDP-YOUTH HOUSING DEMONSTRATION PROJECT: DEVELOPING AND IMPLEMENTING A COORDINATED APPROACH TO PREVENT AND END YOUTH HOMELESSNESS. PROVIDING TRANSFORMATIVE CASE MANAGEMENT, RAPID REHOUSING, AND TRANSITIONAL HOUSING UNITS. SUPPORTING HEALTHY BLACK FAMILIES SUPPORTING HEALTHY BLACK FAMILIES WORKGROUP (SHBF): EMPOWERING AND INSPIRING BREAKTHROUGHS AND TRANSFORMATION IN BLACK PEOPLE, FAMILIES, AND COMMUNITIES THROUGH EDUCATION, SELF-AWARENESS, PRINCIPLES OF QUANTUM PHYSICS, SOMATIC AND SHADOW ACTIVITIES FOR TRAUMA RECOVERY, AND HEALING. IN 2024, WE PROUDLY HELD FOUR COHORTS OF OUR SHBF WORKGROUPS. EACH COHORT WAS FILLED, SHOWCASING A FANTASTIC TURNOUT. THE ENTHUSIASM WAS EVIDENT AS OUR WAITLIST BEGAN EVEN BEFORE WE KICKED OFF EACH SESSION. WE WERE GENUINELY INSPIRED BY HOW OUR COMMUNITY MEMBERS HAVE EMBRACED THEIR JOURNEY OF TRANSFORMATION AND SELF-ACTUALIZATION. TOGETHER, WE CELEBRATED THE GRADUATION OF OVER 107 PARTICIPANTS, MARKING A SIGNIFICANT MILESTONE IN THEIR DEVELOPMENT. CO-CONSPIRATOR WORKGROUP: DESIGNED TO CULTIVATE "A-HA" MOMENTS WITHIN NON- BLACK INDIVIDUALS WHILE SUPPORTING THEM IN BUILDING ANALYSIS AND AWARENESS OF THE DEPTH AND BREADTH OF WHITE SUPREMACY RACISM: WHAT IT IS AND ITS EMBODIED BY EVERYONE. SUPPORTING HEALTHY BLACK AGRICULTURE PROVIDES BLACK ENTREPRENEURS WITH THE SKILLS, TOOLS, AND SUPPORT TO SUCCEED IN AGRICULTURE-R |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE TAX RETURN IS REVIEWED BY THE CEO & PRESIDENT AND THE HIRED ACCOUNTANT. A COPY IS AVAILABLE TO ANY BOARD MEMBER WHO REQUESTS IT. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH THE GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, 2) HAS READ AND UNDERSTANDS THE POLICY, 3) HAS AGREED TO COMPLY WITH THE POLICY, AND 4) UNDERSTANDS URBAN TRIAGE IS A CHARITABLE ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPT STATUS IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX- EXEMPT PURPOSES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | URBAN TRIAGE INC HAS A THIRD PARTY DO RESEARCH ON COMPENSATION FOR SIMILAR- SIZED NON-PROFITS LOCALLY AND NATIONALLY. THE THIRD PARTY SUGGESTED CEO'S COMPENSATION BASED ON HER ROLES AS FACILITATOR, COO, GRANT WRITER AND MANAGER, PROGRAM DEVELOPER AND IMPLEMENTER, AND THE BENCHMARKS SHE HAD ACHIEVED AS A NEWLY FOUNDED ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | RETURN ON BENEFICIAL INTEREST IN ASSETS HELD BY CO 2,693 |
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