2023-09-11T18:14:44-05:00 2022-06-30 930612582 KOONTZ BLASQUEZ & ASSOCIATES PC 920 ELM STREET SW ALBANY OR 973212037 990 2021-07-01 931269503 JACKSON STREET YOUTH SHELTER INC JACK 5412864580 PO BOX 285 CORVALLIS OR 973390285 SIDNEY ELLIOTT TREASURER 5412864580 2023-09-05 1 SIDNEY ELLIOTT 999009999 PETER GELSER P02005016 5419265543 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z X SIDNEY ELLIOTT PO BOX 285 CORVALLIS OR 973390285 4110120 0 X WWW.JACKSONSTREET.ORG X 1999 OR JACKSON STREET YOUTH SERVICES IS HERE TO PROMOTE SAFETY, STABILITY, AND WELL-BEING FOR YOUTH. WE WORK TO PREVENT HOMELESSNESS BY SHOWING A PATH TO LONG-TERM SUCCESS THROUGH BUILDING POSITIVE RELATIONSHIPS AND SKILLS FOR SELF-SUFFICIENCY. 9 9 76 86 0 0 1915728 3761932 323980 214011 67 35581 11951 91147 2251726 4102671 0 63391 0 0 1368312 1733512 0 0 222729 431913 554750 1800225 2351653 451501 1751018 2016393 3625863 618986 482934 1397407 3142929 X JACKSON STREET YOUTH SERVICES PROVIDES SAFE, SECURE SHELTER AND RELATED SERVICES TO YOUTH, AGES 10 TO 24, WHO ARE HOMELESS OR EXPERIENCING A PERSONAL OR FAMILY CRISIS. THE ORGANIZATION OPERATES A 24-HR PHONE HELP LINE, PROVIDES EMERGENCY SHELTER, TRANSITIONAL HOUSING, AND OFFER A VARIETY OF OUTREACH SERVICES TO YOUTH AND FAMILIES. 0 0 1098177 18131 112981 EMERGENCY/TRANSISTIONAL SHELTER FOR MINORS: JACKSON STREET OPERATES 2 OVERNIGHT SHELTERS FOR YOUTH AGES 10 TO 17. CORVALLIS HOUSE OPENED IN 2001 AND HAS 12 BEDS. ALBANY HOUSE OPENED IN 2015 AND HAS 10 BEDS. MOST OF THE YOUTH SERVED NEED A PLACE TO STAY FOR LESS THAN 2 WEEKS.SHELTERS OFFER A HOME-LIKE ENVIRONMENT, FAMILY-STYLE MEALS, HELP WITH TRANSPORATION TO SCHOOL AND APPOINTMENTS, TUTORING, AND A VARIETY OF EDUCATIONAL AND RECREATIONAL ACTIVITIES. FAMILY MEDIATION, REFERRALS FOR COUNSELING OR MEDICAL CARE, CLOTHING AND PERSONAL ITEMS ARE PROVIDED AS NEEDED. MOST YOUTH ARE ABLE TO REUNITE WITH THEIR FAMILIES WITH A NEW FEELING OF HOPE AND A NEW KNOWLEDGE OF COMMUNITY RESOURCES TO HELP THEM SUCCEED LONG-TERM. HOWEVER, SOME YOUTH DO NOT HAVE A STABLE HOME TO RETURN TO. OUR GOAL IS TO ALLOW THESE YOUTH TO STAY AS LONG AS THEY NEED TO, AND TO HELP THEM LOCATE A NEW, HEALTHY, PERMANENT LIVING SITUATION. A CASE MANAGER WORKS WITH EACH OF THESE YOUTH TO CREATE AN INDIVIDUAL PLAN FOR STABLE HOUSING AND TO HELP THEM LEARN THE SKILLS THEY WILL NEED AS THEY TRANSITION TO LIVING INDEPENDENTLY. AFTER LEAVING THE SHELTER, ALL YOUTH ARE CONTACTED PERIODICALLY BY OUR AFTERCARE CASE MANAGER TO KEEP THEM CONNECTED TO ANY ON-GOING SERVICES THEY MIGHT NEED. 440063 27137 90174 OUTREACH SERVICES FOR YOUTH & YOUNG ADULTS, AGES 10 TO 24: MANY OF OUR OUTREACH SERVICES ARE INTENDED TO PREVENT YOUTH FROM BECOMING HOMELESS OR RUNNING AWAY. FOR YOUTH ALREADY ON THE STREETS, OR THOSE WHO ARE "COUCH-SURFING" (NOT ON THE STREETS BUT WITHOUT LONG-TERM STABLE HOUSING), WE WORK TO INCREASE THEIR SAFETY BY PROVIDING BASIC NEEDS, CASE MANAGEMENT, REFERRALS TO COMMUNITY SERVICES, AND MORE. WE STRIVE TO HELP THESE YOUTH FIND A PATH TO SAFE HOUSING, EDUCATION, EMPLOYMENT, AND SKILL-BUILDING FOR FUTURE SUCCESS. LINN, BENTON, AND LINCOLN COUNTIES ACCESS OUR OUTREACH SERVICES. ASSISTANCE IS AVAILABLE FOR TEENS AND ALSO FOR YOUNG ADULTS (UP TO AGE 24) WHO ARE TOO OLD TO STAY IN OUR STATE-LICENSED SHELTERS BUT STILL NEED HELP AND GUIDANCE AS THEY WORK TO ACHIEVE ADULT INDEPENDENCE. OUTREACH CLIENTS HAVE ACCESS TO TUTORING, MENTORING, PEER-SUPPORT GROUPS, AND CASE MANAGEMENT. OTHER OUTREACH SERVICES INCLUDE: A 24-HOUR HELP LINE AND RECREATIONAL AND SERVICE-LEARNING ACTIVITIES USING THE POSITIVE YOUTH DEVELOPMENT MODEL. 430741 18123 14627 NEXT STEPS TRANSITIONAL HOUSING FOR YOUNG ADULTS: THIS PROGRAM PROVIDES HOUSING FOR YOUNG ADULTS AGES 18 TO 24 WHO WOULD OTHERWISE BE HOMELESS. MANY 18-YEAROLDS ARE STILL IN HIGH SCHOOL, AND FEW ARE ABLE SELF-SUPPORT. THIS AGE GROUP IS STILL DEVELOPING AND NEEDS SUPPORT TO TRANSITION INTO ADULTHOOD. THE YOUTH SERVED (MOST OF WHOM ARE UNDER 21) HAVE LITTLE OR NO SUPPORT FROM PARENTS OR OTHER FAMILY. THE PROGRAM PROVIDES SECURE HOUSING WHILE THEY COMPLETE HIGHSCHOOL, OBTAIN A GED, AND BEGIN (OR PREPARE FOR) HIGHER EDUCATION, VOCATIONAL TRAINING, OR EMPLOYMENT. NEXT STEPS PROGRAM OFFERS PARTICIPANTS A ROOM OR THEIR OWN IN A HOUSE SHARED WITH OTHERS IN THE PROGRAM, WITH DAILY OVERSIGHT FROM JACKSON STREET STAFF. WE ALSO PROVIDE: FINANCIAL SUPPORT FOR EDUCATION COUNSELING, HEALTHCARE, AND TRANSPORTATION; CASE MANAGEMENT EMPHASIZING THE SKILLS, RESOURCES, AND COMMUNITY CONNECTIONS NEEDED TO LIVE INDEPENDENTLY; SKILLS TRAINING ON TOPICS SUCH AS RELATIONSHIPS, HEALTH & FITNESS, COMMUNICATION, BUDGETING & SAVINGS, DRUGS & ALCOHOL, AND MEAL PLANNING; AND COACHING TO HELP FIND AND MAINTAIN QUALITY EMPLOYMENT. 1968981 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 76 0 1 76 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OR X JACKSON STREET YOUTH SERVICES 5412864580 225 SW 4TH STREET CORVALLIS OR 97333 KELA LYNN PRESIDENT 3.00 X X 0 0 0 KATE CONOLLY VICE PRESIDENT 3.00 X X 0 0 0 RITA HAMANN SECRETARY 3.00 X X 0 0 0 SID ELLIOTT TREASURER 3.00 X X 0 0 0 DAMIAN BAXTER MEMBER 2.00 X 0 0 0 ANGELA DANIELS MEMBER 2.00 X 0 0 0 JOHN EVANS MEMBER 2.00 X 0 0 0 GARY LASATER MEMBER 2.00 X 0 0 0 LOGAN SIMPSON MEMBER 2.00 X 0 0 0 ANN CRAIG EXECUTIVE DIRECTOR 40.00 X 81711 0 0 81711 0 0 0 0 0 0 0 7245 124439 1284773 2345475 1320994 3761932 CONTRACTS PARTNER AGEN 624110 214011 214011 214011 19 19 35562 0 35562 35562 35562 94825 124439 7449 87376 87376 MISCELLANEOUS 624110 3771 3771 3771 4102671 217782 0 122957 63391 63391 81711 40856 16342 24513 1407151 1200855 84901 121395 113786 94898 7737 11151 130864 109140 8899 12825 3500 3500 11686 11686 32803 24646 3477 4680 39628 33050 2695 3883 54782 45688 3725 5369 82117 68486 5584 8047 129578 109748 8123 11707 36666 30580 2493 3593 772 644 52 76 8301 6923 564 814 105700 88153 7188 10359 23873 19910 1623 2340 DUES AND SUBSCRIPTIONS 15827 13200 1076 1551 DIRECT ASSISTANCE 5168 5168 MISCELLANEOUS 4349 3627 296 426 2351653 1968981 159943 222729 936632 451597 105703 182400 202486 93203 50373 66750 7951 6941 2960367 295917 713248 2664450 0 160522 2016393 3625863 139838 155271 308847 0 18100 16900 152201 150000 0 160763 618986 482934 X 885079 3131196 512328 11733 1397407 3142929 2016393 3625863 1751018 -5496 0 X X 0 1 X 1 1 1 X 1023643 1160068 1593042 1915728 3761932 9454413 1023643 1160068 1593042 1915728 3761932 9454413 9454413 7 6 3 33 19 68 8747 15548 12159 12859 39333 88646 9543127 0.99070 0.98980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 795735 795735 2011602 198653 1812949 153030 97264 55766 2664450 LEASE PAYABLE 160763 160763 X 4110120 0 4110120 -7449 -7449 4102671 2359102 7449 7449 2351653 0 2351653 PART X, LINE 2: JACKSON STREET YOUTH SERVICES IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE. IN ADDITION, THE ORGANIZATION QULIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE TAX-EXEMPT STATUS CAN BE REVOKED BY THE INTERNAL REVENUE SERVICE AS A RESULT OF DIRECT VIOLATIONS OF LAWS AND REGULATIONS GOVERNING 501(C)(3) ORGANIZATIONS. THE ORGANIZATION'S OPERATING POLICY REQUIRES STRICT ADHERENCE TO THESE LAWS AND REGULATIONS IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS. MANAGEMENT'S POLICY IS TO ENGAGE IN ACTIVITES RELATED TO THEIR EXEMPT PURPOSE. MANAGEMENT EVALUATES TAX POSITIONS ANNUALLY BASED ON THE GUIDANCE IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740. FASB ASC 740 PRESCRIBES A COMPREHENSIVE MODEL FOR RECOGNIZING, MEASURING, PRESENTING, AND DISCLOSING, IN THE FINANCIAL STATEMENTS, TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN, INCLUDING POSITIONS THAT THE ORGANIZATION IS EXEMPT FROM INCOME TAXES OR NOT SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE ORGANIZATION PRESENTLY DISCLOSES OR RECOGNIZES INCOME TAX POSITIONS BASED ON MANAGEMENT'S ESTIMATE OF WHETHER IT IS REASONABLY POSSIBLE OR PROBABLE, RESPECTIVELY, THAT A LIABILITY HAS BEEN INCURRED FOR UNRECOGNIZED INCOME TAX BENEFITS. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSE -7,449. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSE 7,449. COMMUNITY EFFORTS 36160 36160 SPECIAL EVENTS 56677 56677 7449 1 1988 1988 94825 94825 7449 7449 87376 0 FOOD 21896 COST FOOD SCHOOL SUPPLIES 916 COST SUPPLIES FOR SCHOOL HYGIENE SUPPLIES 9000 COST HYGIENE AND GROOMING SUPPLIES CLOTHING 11937 COST CLOTHING HOUSEHOLD AND OTHER SUPPLIES 19642 COST SUPPLIES USED IN CLIENT HOUSING-CLEANING, PAPERGOODS, AND OTHER EVERYDAY LIVING SUPPLIES; GIFTS FOR CLIENTS; OTHER MISCELLANEOUS DONATED SUPPLIES FOR CLIENT NEEDS PART I, LINE 2 - PROCEDURES FOR MONITORING THE USE OF SUPPLIES THE ORGANIZATION'S PROGRAM AND CASE MANAGERS MONITOR ASSISTANCE PROVIDED TO RECIPIENTS. ADDITIONAL SUPERVISORY MONITORING IS PROVIDED BY THE PROGRAM DIRECTOR. EMILY DANA FORMER BOARD MEMBER OPERATIONS X 30000 16900 0 1 1 16900 X 48970 FMV, ACTUAL, OR EST X 334 35562 STOCK MARKET PRICE X 1 1125000 FAIR MARKET VALUE X 120 21896 FMV, ACTUAL, OR EST X OTHER DONATED SUPPLIES AND SERVICES 83 77856 FMV, ACTUAL, OR EST X CLIENT SUPPLIES (HYGIENE, SCHOOL, OTHER) 191 38616 FMV, ACTUAL, OR EST X PROGRAM, AND OFFICE SUPPLIES 81 8656 FMV, ACTUAL, OR EST 0 1 0 SCHEDULE M, PART I, LINES 5-28 COMMUNITY MEMBERS PROVIDE SIGNIFICANT DONATIONS OF FOOD, CLOTHING, HOUSEHOLD SUPPLIES, GROOMING & HYGIENE SUPPLIES, AND OTHER ITEMS TO ASSIST WITH THE OPERATIONS OF THE ORGANIZATION AND TO BENEFIT THE YOUTH WHO STAY IN OUR SHELTERS OR THOSE ASSISTED THROUGH STREET OUTREACH OR TRANSITIONAL HOUSING. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PRESENTED TO THE BOARD AT A BOARD MEETING, REVIEWED, AND DISCUSSED. A COPY OF THE RETURN IS PROVIDED FOR EACH BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS GIVEN TO ALL NEW BOARD MEMBERS, THEY ARE MADE AWARE OF ITS PURPOSE AND REQUIREMENTS. A DISCLOSURE FORM IS FILLED OUT ANNUALLY BY ALL BOARD MEMBERS. MONITORING COMPLIANCE WITH THE POLICY IS THE RESPONSIBILITY OF THE BOARD'S EXECUTIVE COMMITTEE (PRESIDENT, VICE PRESIDENT, SECRETARY, AND TREASURER). THE SECRETARY IS RESPONSIBLE FOR MAINTAINING THE FILE OF DISCLOSURE FORMS AND KEEPING A LIST OF BOARD MEMBER'S ROLES IN LOCAL COMPANIES THAT MIGHT DO BUSINESS WITH JACKSON STREET. THE EXECUTIVE COMMITTEE IS INVOLVED IN ALL SIGNIFICANT SPENDING DECISIONS, AND CAN EASILY CHECK THIS LIST TO SEE IF POTENTIAL CONFLICTS OF INTEREST ARE LIKELY TO ARISE. IF THERE IS ANY INDICATION THAT THIS MIGHT OCCUR, THE BOARD MEMBER(S) INVOLVED ARE ASKED TO UPDATE THEIR DISCLOSURE FORM SO THAT THE COMMITTEE CAN EVALUATE POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD'S EXECUTIVE COMPENSATION POLICY IS USED TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE POLICY EMBODIES THE FOLLOWING REQUIREMENTS INDEPENDENCE OF PARTICIPANTS, COLLECTION OF COMPARABILITY DATA, AND DOCUMENTATION OF THE PROCESS. THE BOARD'S EXECUTIVE COMMITTEE IS RESPONSIBLE FOR COLLECTING THE COMPARABILITY DATA AND ANY OTHER INFORMATION NEEDED FOR THE PROCESS, THE SECRETARY IS RESPONSIBLE FOR DOCUMENTATION. A REVIEW MUST BE DONE EVERY 2 YEARS OR WHENEVER AN INCREASE IN COMPENSATION OF MORE THAN 5% IS CONTEMPLATED. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY ALL PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST, AND CAN BE VIEWED AT JACKSON STREET'S ADMINISTRATIVE OFFICE. MOST DOCUMENTS ARE AVAILABLE IN THE FORM OF PDFS WHICH CAN BE E-MAILED. SUMMARIZED FINANCIAL STATEMENTS ARE INCLUDED IN OUR ANNUAL REPORT, WHICH IS AVAILABLE ON OUR WEBSITE. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS SINCE THE PRIOR YEAR. FORM 990, PAGE 1, PART B THIS AMENDMENT WAS PREPARED TO CORRECT REVENUE AND EXPENSES TO MATCH THE AUDITED FINANCIAL STATEMENTS. TOTAL REVENUE & EXPENSES, ALLOCATION TO PROGRAMS SERVICES/MANAGEMENT & GENERAL/FUNDRAISING, ACCOUNTS RECEIVABLE, AND NET ASSETS WITHOUT DONOR RESTRICTIONS WERE ALL AFFECTED BY THIS AMENDMENT. PARTS OF THE 990 AFFECTED INCLUDE 990 PART I, PART III, PART VIII, PART IX, PART X, PART XI, SCHEDULE A, SCHEDULE D PART XI & XII, SCHEDULE G PART II, AND SCHEDULE M PART 1 LINE 25. OVERALL AFFECT FROM THE AMENDMENT INCLUDES A DECREASE IN REVENUE, ACCOUNTS RECEIVABLE, AND NET ASSETS WITHOUT DONOR RESTRICTIONS, AND AN INCREASE IN EXPENSES.