2022-04-27T13:29:47-05:00 2021-12-31 GARY MCGEE & CO LLP 1000 SW BROADWAY SUITE 1200 PORTLAND OR 97205 990 2021-01-01 205922682 ROSE HAVEN CIC ROSE 5032486364 PO BOX 10405 PORTLAND OR 97296 KATHLEEN O'BRIEN EXECUTIVE DIRECTOR 5032486364 2022-04-27 KATHLEEN OBRIEN 999009999 YEE LEE MCGEE P01294356 5032222515 2022-04-27 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z KATHLEEN O'BRIEN PO BOX 10405 PORTLAND OR 97296 3118104 0 X WWW.ROSEHAVEN.ORG X 2006 OR ROSE HAVEN'S MISSION IS TO PROVIDE DAY SHELTER, RESOURCES, EMOTIONAL SUPPORT, AND COMMUNITY CONNECTIONS TO WOMEN, CHILDREN, AND MARGINALIZED GENDERS EXPERIENCING HOMELESSNESS AND POVERTY. 10 10 20 602 0 0 1430247 3116759 0 0 4007 393 0 952 1434254 3118104 116556 100306 0 0 654637 737384 0 21995 242768 169378 329326 940571 1189011 493683 1929093 1737954 3635133 111112 36240 1626842 3598893 ROSE HAVEN'S MISSION IS TO PROVIDE DAY SHELTER, RESOURCES, EMOTIONAL SUPPORT, AND COMMUNITY CONNECTIONS TO WOMEN, CHILDREN, AND MARGINALIZED GENDERS EXPERIENCING HOMELESSNESS AND POVERTY. 0 0 851425 100306 ROSE HAVEN CONTINUED TO PROVIDE DAYTIME SERVICE THROUGH THE PANDAMIC. WE SUPPORTED 2,622 WOMEN AND CHILDREN IN 2021 WHO COLLECTIVELY VISITED 17,866 TIMES FOR SAFETY, SERVICES AND SUPPORT. WE FIRST MET BASIC NEED (26,792 NUTRITIOUS MEALS; 9,088 SHOPPING VISITS; 5,526 HYGIENE KITS; 5,964 SHOWERS AND BATHROOM VISITS, 660 DIAPERS; 24,608 BUS TICKETS), AND THEN ASSISTED GUESTS WITH LONG-TERM SUPPORT (1,409 ADVOCACY APPOINTMENTS, 243 HEALTH AND WELLNESS ACTIVITIES) TO HELP EMPOWER WOMEN AND CHILDREN IN CREATING A BETTER FUTURE. 851425 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 20 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 0 0 OR X X KATHLEEN O'BRIEN 5032486364 PO BOX 10405 PORTLAND OR 97296 KATHY KELLY PRESIDENT 2.00 X X 0 0 0 MARYANN SCHWAB VICE PRESIDENT 2.00 X X 0 0 0 DANA HOGAN SECRETARY 2.00 X X 0 0 0 MARY CONSANTINO TREASURER 2.00 X X 0 0 0 SHARRON GARGOSKY MEMBER 2.00 X 0 0 0 JOANNA HERMANN MEMBER 2.00 X 0 0 0 PETER IRVING MEMBER 2.00 X 0 0 0 SCOTT NICHOLS MEMBER 2.00 X 0 0 0 HAYDEN THOMAS MEMBER 2.00 X 0 0 0 LAUREN WILKINS MEMBER 2.00 X 0 0 0 KATHLEEN O'BRIEN EXECUTIVE DIRECTOR 40.00 X 102704 0 0 102704 0 0 1 0 0 0 0 106700 3010059 1200 3116759 393 393 MISCELLANEOUS REVENUE 541100 952 952 952 3118104 0 0 1345 100306 100306 102704 51352 25676 25676 518796 406156 112640 10060 9640 210 210 38309 36708 801 800 67515 53836 3646 10033 15882 15882 21995 21995 3160 3160 13366 3897 9469 28915 12588 2074 14253 10658 10658 198076 168365 19807 9904 2491 2153 338 17976 17976 4241 3605 424 212 ANNUAL SUPPORT EXPENSE 26817 26817 STAFF/VOLUNT. TRAINING 6735 2819 3815 101 OTHER EXPENSES 1009 1009 1189011 851425 94818 242768 435854 1367291 685008 685350 2720 23061 1037807 67419 54424 970388 459379 488424 100569 100619 1737954 3635133 4412 36240 106700 111112 36240 X 1626842 3598893 1626842 3598893 1737954 3635133 1929093 42958 0 X 0 0 0 X 719195 822528 939040 1430247 3116759 7027769 719195 822528 939040 1430247 3116759 7027769 422131 6605638 13285 4256 10862 4007 393 32803 952 952 7061524 9479 0.93540 0.97400 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2021 AMOUNT: $ 952. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 964523 43690 920833 72864 23729 49135 420 420 970388 X X X X 1 ANGELA QUERFELD 8233 N WILLAMETTE BLVD PORTLAND OR 97203 FUNDRAISING SUPPORT 0 0 21995 0 21995 OR 1 DIRECT SERVICE ASSISTANCE TO VICTIMS OF DOMESTIC VIOLENCE 2622 80127 20179 FMV CLOTHING, HYGIENE KITS, BEDDING, AND OTHER HOUSEHOLD ITEMS. PART I, LINE 2: ROSE HAVEN CIC PROVIDES ASSISTANCE TO WOMEN AND CHILDREN EXPERIENCING ABUSE, HOMELESSNESS AND OTHER DISRUPTIVE LIFE EVENTS THROUGH PAYMENT OF EXPENSES SUCH AS UTILITIES, MEDICAL, IDENTIFICATION, AND TRANSPORTATION. ROSE HAVEN CIC ALSO PROVIDES OTHER NONCASH ASSISTANCE. ADVOCACY STAFF MEMBERS VERIFY COSTS IN ADVANCE AND PAYMENT IS MADE DIRECTLY TO THE SERVICE PROVIDERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM. ROSE HAVEN'S EXECUTIVE COMMITTEE CONSISTING OF THE BOARD PRESIDENT, VICE PRESIDENT, SECRETARY AND TREASURER REVIEWED AND APPROVED THE 990 PRIOR TO FINALIZATION. FORM 990, PART VI, SECTION B, LINE 12C A TRANSACTION IN WHICH A BOARD MEMBER HAS A DIRECT OR INDIRECT INTEREST SHALL BE VALID NOTWITHSTANDING THE MEMBER'S INTEREST IN THE TRANSACTION IF: A) THE MATERIAL FACTS OF THE TRANSACTION AND THE MEMBER'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD AND IT AUTHORIZES, APPROVES, OR RATIFIES THE TRANSACTION BY VOTE OR CONSENT SUFFICIENT FOR THE PURPOSE WITHOUT COUNTING THE VOTES OF CONSENT OF MEMBERS WITH A DIRECT OR INDIRECT INTEREST IN THE TRANSACTION; OR B) THE MATERIAL FACTS OF THE TRANSACTION AND THE MEMBER'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD MEMBERS ENTITLED TO VOTE AND THEY AUTHORIZE, APPROVE, OR RATIFY THE TRANSACTION; C) THE TRANSACTION IS FAIR TO THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE CONDUCTS AN ANNUAL PERFORMANCE REVIEW FOR THE EXECUTIVE DIRECTOR WITH SUPPORT FROM AN OUTSIDE AGENCY. ALL EXECUTIVE COMMITTEE MEMBERS APPROVE REVIEW AND COMPENSATION FOR APPROVAL. EXECUTIVE DIRECTOR CODUCTS AN ANNUAL PERFORMANCE REVIEW AND COMPENSATION INCREASES FOR ALL MANAGERS. DEPARTMENT MANAGERS CONDUCT ANNUAL REVIEWS AND RECOMMEND ANNUAL PERFORMANCE INCREASES TO EXECUTIVE DIRECTOR FOR FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 ALL FINANCIAL DOCUMENTS INCLUDING THE FORM 990 AND ANNUAL PROFIT AND LOSS STATEMENTS ARE AVAILABE ON OUR WEBSITE. GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.