CHANGE INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHANGE INCORPORATED (EIN 55-0629135)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-06-12
IRS object ID
201341639349300334
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-06-12T14:25:47-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN550763147EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEACHRIST KENNON & MARLING ACBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121 WARDEN RUN ROADAddressLine1
CityWHEELINGCity
StateWVState
ZIP Code26003ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550629135EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHANGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHANNameControl
Phone3047977733Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13136 WEST STREETAddressLine1
CityWEIRTONCity
StateWVState
ZIP Code26062ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUDY RAVEAUXName
TitleCEOTitle
Phone3047977733Phone
Date Signed2013-05-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIANA KENNON CPAName
PTINP00951266PTIN
Phone3042330141Phone
Date Prepared2013-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUDY RAVEAUXNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13136 WEST STREETAddressLine1
CityWEIRTONCity
StateWVState
ZIP Code26062ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11005303GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.changeinc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionJOB AND FAMILY ASSISTANCEActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees169TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5102109ContributionsGrantsPriorYear
Contributions Grants Current Year4588315ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6378750ProgramServiceRevenuePriorYear
Program Service Revenue CY6279137ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year47250InvestmentIncomeCurrentYear
Other Revenue Prior Year55227OtherRevenuePriorYear
Other Revenue Current Year70731OtherRevenueCurrentYear
Total Revenue Prior Year11536086TotalRevenuePriorYear
Total Revenue Current Year10985433TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6041928SalariesEtcPriorYear
Salaries Etc Current Year6174512SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year166469TotalFundrsngExpCurrentYear
Other Expense Prior Year5115972OtherExpensePriorYear
Other Expenses Current Year4449650OtherExpensesCurrentYear
Total Expenses Prior Year11157900TotalExpensesPriorYear
Total Expenses Current Year10624162TotalExpensesCurrentYear
Revenues Less Expenses Prior Year378186RevenuesLessExpensesPriorYear
Revenues Less Expenses CY361271RevenuesLessExpensesCY
Total Assets BOY3655780TotalAssetsBOY
Total Assets EOY3876576TotalAssetsEOY
Total Liabilities BOY2460423TotalLiabilitiesBOY
Total Liabilities EOY2319948TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1195357NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1556628NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCHANGE, INC. COMMUNITY ACTION AGENCY ENCOURAGES THE INTEGRATION OF SERVICES, THE BUILDING OF PARTNERSHIPS, AND CONSOLIDATING RESOURCES TO EMPOWER FAMILIES TOWARD SELF-SUFFICIENCY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense277040Expense
Revenue290771Revenue
DescriptionTO PROVIDE TRANSPORTATION ASSISTANCE TO PRIMARILY LOW INCOME FAMILIESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense691909Expense
DescriptionTO ASSIST LOW INCOME FAMILIES IN LOWERING UTILITY BILLS BY MAKING HOMES MORE ENERGY EFFICIENT; MAKING EMERGENCY REPAIRS TO LOW INCOME HOMESDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6220220Expense
Revenue5988366Revenue
DescriptionTO PROVIDE MEDICAL AND CHILD DEVELOPMENT ASSISTANCE TO LOW INCOME FAMILIES AND INDIVIDUALSDescription

Activity Other ActivityOther (3 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
1220416105217.TO PROVIDE SHELTER SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE
TO ASSIST LOW INCOME FAMILIES IN ACQUIRING LOW INCOME HOUSING
TO ASSIST LOW INCOME INDIVIDUALS, FAMILIES AND COMMUNITIES BECOME PERMANENTLY SELF-SUFFICIENT.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1220416TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev105217TotalOfOtherProgramServiceRev
Total Program Service Expense8409585TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees169NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHRIS MAZARBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3047977733TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13136 WEST STREETAddressLine1
CityWEIRTONCity
StateWVState
ZIP Code26062ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN PIZZUTI
TREASURER1.00XX000
NANCY VARLAS
DIRECTOR1.00X000
LISA CONTI
DIRECTOR1.00X000
MARY SCHWERTFEGER
DIRECTOR1.00X000
TERRI GARRETT
SECRETARY1.00XX000
LISA WERNER
DIRECTOR1.00X000
TAMARA PETTIT
CHAIRMAN1.00XX000
MARLIN HAWLEY
DIRECTOR1.00X000
PATRICK ARNEAULT
DIRECTOR1.00X000
REV LARRY DORSCH
DIRECTOR1.00X000
VALERIE WELLS
DIRECTOR1.00X000
DAN TAYLOR
DIRECTOR1.00X000
DAN GREATHOUSE
VICE-CHAIRMAN1.00XX000
JUDITH L RAVEAUX
CHIEF EXECUTIVE OFFICER40.00X9983607490
JAMES J BONIEY
CHIEF OPERATING OFFICER40.00X8371907490
CHRISTOPHER E MAZAR
CHIEF FINANCIAL OFFICER40.00X7385007490
RITA COYNE
CHIEF OPERATING OFFICER40.00X8142307490
KARA O'KARMA
DOCTOR40.00531338018226X
CYNTHIA A GRAY
DOCTOR40.00453812024593X
MANUEL W BALLAS
DOCTOR40.00420350034516X
KELLI L FOURNIER
DOCTOR40.00176651018609X
JOHN McKENNA
PHARMACIST40.0020181709484X
INDUBALA MURTY
DOCTOR40.0011538503340X
JOSH KOLANKO
NURSE PRACTICIONER40.0011466003543X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2352841TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation142271TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MANESS CONTRACTING
6 FIFTH STREETWHEELINGWV26003CONSTRUCTION212662
K HOVANIAN HOMES INC
2000 10TH STREET NECANTONOH44705CONSTRUCTION173709
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns5000FederatedCampaigns
Government Grants3226571GovernmentGrants
All Other Contributions1356744AllOtherContributions
Noncash Contributions1272873NoncashContributions
Total Contributions4588315TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL THIRD PARTY AN62111059883665988366
CONTRACTED SERVICES480000251964251964
PROGRAM FEES4800003880738807
FieldValueIRS element (for citing)
Total Program Service Revenue6279137TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column47250TotalRevenueColumn
Related Or Exempt Function Income47250RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events32634GrossIncomeFundraisingEvents
Fundraising Direct Expenses19870FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column12764TotalRevenueColumn
Exclusion$12,764ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column57967TotalRevenueColumn
Related Or Exempt Function Income57967RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue57967TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10985433TotalRevenueColumn
Related Or Exempt Function Income6384354RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$12,764ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2122796Total
Program Services1592097ProgramServices
Management And General488243ManagementAndGeneral
Fundraising42456Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3236176Total
Program Services2427132ProgramServices
Management And General744321ManagementAndGeneral
Fundraising64723Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total86353Total
Program Services64765ProgramServices
Management And General19861ManagementAndGeneral
Fundraising1727Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total298597Total
Program Services223948ProgramServices
Management And General68677ManagementAndGeneral
Fundraising5972Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total430590Total
Program Services322942ProgramServices
Management And General99036ManagementAndGeneral
Fundraising8612Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15751Total
Program Services11813ProgramServices
Management And General3623ManagementAndGeneral
Fundraising315Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38448Total
Program Services28836ProgramServices
Management And General9560ManagementAndGeneral
Fundraising52Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total353169Total
Program Services264877ProgramServices
Management And General88292ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5978Total
Program Services4483ProgramServices
Management And General1375ManagementAndGeneral
Fundraising120Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total263116Total
Program Services197337ProgramServices
Management And General60517ManagementAndGeneral
Fundraising5262Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total116368Total
Program Services87276ProgramServices
Management And General26765ManagementAndGeneral
Fundraising2327Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total122874Total
Program Services92156ProgramServices
Management And General28261ManagementAndGeneral
Fundraising2457Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total89026Total
Program Services66769ProgramServices
Management And General20476ManagementAndGeneral
Fundraising1781Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23522Total
Program Services17642ProgramServices
Management And General5410ManagementAndGeneral
Fundraising470Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total60016Total
Program Services45012ProgramServices
Management And General15004ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total107030Total
Program Services85920ProgramServices
Management And General19421ManagementAndGeneral
Fundraising1689Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total85801Total
Program Services64351ProgramServices
Management And General21450ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Donated Drugs12728731272873
Materials and Supplies125806194354628935425161
Bad Debt Expense441230441230
Equipment Rental and Ma140541105406323242811

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total55846Total
Program Services49174ProgramServices
Management And General6138ManagementAndGeneral
Fundraising534Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10624162Total
Program Services8409585ProgramServices
Management And General2048108ManagementAndGeneral
Fundraising166469Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY272811BOY
EOY337075EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY377343BOY
EOY297826EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY925970BOY
EOY646901EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY125689BOY
EOY108020EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY43561BOY
EOY28672EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1919226LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec635012LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1378177BOY
EOY1284214EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY10000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY532229BOY
EOY1163868EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3655780BOY
EOY3876576EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY759867BOY
EOY703741EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY56045BOY
EOY37936EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1644511BOY
EOY1578271EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2460423BOY
EOY2319948EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1195357BOY
EOY1556628EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1195357BOY
EOY1556628EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3655780BOY
EOY3876576EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses361271ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2151292CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3729191CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4145452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3517550CurrentTaxYearMinus1Year
Current Tax Year3290442CurrentTaxYear
Total16833927Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2151292CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3729191CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4145452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3517550CurrentTaxYearMinus1Year
Current Tax Year3290442CurrentTaxYear
Total16833927Total
FieldValueIRS element (for citing)
Public Support Total17016833927PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years140CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67CurrentTaxYearMinus2Years
Current Tax Year47250CurrentTaxYear
Total47801Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3798CurrentTaxYearMinus4Years
Total3798Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57543CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56617CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39273CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45240CurrentTaxYearMinus1Year
Current Tax Year57967CurrentTaxYear
Total256640Total
FieldValueIRS element (for citing)
Total Support17142166TotalSupport
Gross Receipts From Admissions Etc22391034GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98200PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98330PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5000OtherCostOrOtherBasis
Book Value5000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1457789OtherCostOrOtherBasis
Depreciation282833Depreciation
Book Value1174956BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis456437OtherCostOrOtherBasis
Depreciation352179Depreciation
Book Value104258BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1284214TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionHOUSES PURCHASED TO RENOVATE AND SELLDescription
Book Value1163868BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1163868TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt11005303TotRevenueEtcAuditedFinclStmt
Other Revenues19870OtherRevenues
Revenue Not Rptd F99019870RevenueNotRptdF990
Revenue Subtotal10985433RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010985433TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10644032TotExpensesEtcAuditedFinclStmt
Other Expenses Included19870OtherExpensesIncluded
Expenses Not Rptd F99019870ExpensesNotRptdF990
Expenses Subtotal10624162ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010624162TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:CHANGE, Inc. is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes is included in the accompanying financial statements. Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Organization and recognize a tax liability (or asset) if the Organization has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. Management has analyzed the tax positions taken by the Organization, and has concluded that as of December 31, 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Organization is subject to routine audits by taxing jurisdictions, however, there are currently no audits for any tax periods in progress. The Organizations federal Return of Organization Exempt from Income Tax (Form 990) for 2009, 2010, and 2011 are subject to examination by the IRS, generally for three years after they were filed.
Part XI, Line 2d - Other Adjustments:DIRECT FUNDRAISING EXPENSES
Part XII, Line 2d - Other Adjustments:DIRECT FUNDRAISING EXPENSES

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ST. PATRICK'S DAY FUNDRAISERNameOfEvent1
Gross Receipts Event132634GrossReceiptsEvent1
Gross Revenue Event132634GrossRevenueEvent1
Other Direct Expenses Event119870OtherDirectExpensesEvent1
Gross Receipts Total32634GrossReceiptsTotal
Gross Revenue Total Events32634GrossRevenueTotalEvents
Other Direct Expenses Total Events19870OtherDirectExpensesTotalEvents
Direct Expense Summary Events19870DirectExpenseSummaryEvents
Net Income Summary12764NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JUDITH L RAVEAUX
CHIEF EXECUTIVE OFFICER99836000000074900107326000
KARA O'KARMA
DOCTOR442846088492000001822605495640428870
CYNTHIA A GRAY
DOCTOR3531690100643000153740921904784050537730
MANUEL W BALLAS
DOCTOR32488809546200016231018285045486601240
KELLI L FOURNIER
DOCTOR1656970109540003240182850195260000
JOHN McKENNA
PHARMACIST195357064600001458080260211301000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions247NumberOfContributions
Noncash Contribs Rptd F9901272873NoncashContribsRptdF990
Method Of Determining RevenuesCost of contributed drugMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 8bTHE ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11THE CFO REVIEWS THE FORM 990 AND PRESENTS TO THE CEO WHO THEN PRESENTS TO BOARD OF DIRECTORS FOR APPROVAL.
Form 990, Part VI, Section B, line 12cTHE ORGANIZATION REQUIRES ALL EMPLOYEES, DIRECTORS AND OFFICERS TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY ON WHICH ANY POTENTIAL CONFLICTS OF INTEREST ARE TO BE DISCLOSED. THE COO MONITORS THAT ALL EMPLOYEES HAVE COMPLETED THE FORM AND DOCUMENTS IF A CONFLICT OF INTEREST EXISTS.
Form 990, Part VI, Section B, line 15SALARY COMPARISON STUDIES ARE CONDUCTED EVERY THREE YEARS FOR THE ORGANIZATION'S OFFICERS. PERSONNEL COMMITTEE REVIEWS STUDIES AND RECOMMENDS PAY SCALE REVISIONS.
Form 990, Part VI, Section C, line 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.
PART XIII LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

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