STATUS HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
STATUS HOME INC (EIN 58-1829807)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-02
IRS object ID
201240629349300824
Schema version
2010v3.7
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)
Timestamp2012-03-02T09:07:36-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GIFFORD HILLEGASS & INGWERSEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1SIX CONCOURSE PARKWAY SUITE 600AddressLine1
CityATLANTACity
StateGAState
ZIP Code30328ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581829807EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JERUSALEM HOUSE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJERUNameControl
Phone4043500778Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 EXECUTIVE PARK DRIVE SUITE 290AddressLine1
CityATLANTACity
StateGAState
ZIP Code30329ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES S FREWName
TitleEXECUTIVE DIRECTORTitle
Phone4043500778Phone
Date Signed2012-02-28DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameLINDA E BERGGRENName
Phone7703961100Phone
Date Prepared2012-03-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES S FREW EXECUTIVE DIRECTORNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line117 EXECUTIVE PARK DRIVE SUITE 290AddressLine1
CityATLANTACity
StateGAState
ZIP Code30329ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4388010GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JERUSALEMHOUSE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES PERMANENT HOUSING AND SUPPORTIVE SERVICES TO HOMELESS AND LOW-INCOME MEN, WOMEN, AND CHILDREN WHO ARE LIVING WITH OR DIRECTLY AFFECTED BY AIDS/HIV.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3332228ContributionsGrantsPriorYear
Contributions Grants Current Year3938258ContributionsGrantsCurrentYear
Program Service Revenue Prior Year322948ProgramServiceRevenuePriorYear
Program Service Revenue CY386090ProgramServiceRevenueCY
Investment Income Prior Year-9242InvestmentIncomePriorYear
Investment Income Current Year-15798InvestmentIncomeCurrentYear
Other Revenue Prior Year-15063OtherRevenuePriorYear
Other Revenue Current Year-12121OtherRevenueCurrentYear
Total Revenue Prior Year3630871TotalRevenuePriorYear
Total Revenue Current Year4296429TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1596670GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2144957GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1303200SalariesEtcPriorYear
Salaries Etc Current Year1489910SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1713TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year124737TotalFundrsngExpCurrentYear
Other Expense Prior Year577104OtherExpensePriorYear
Other Expenses Current Year581099OtherExpensesCurrentYear
Total Expenses Prior Year3478687TotalExpensesPriorYear
Total Expenses Current Year4215966TotalExpensesCurrentYear
Revenues Less Expenses Prior Year152184RevenuesLessExpensesPriorYear
Revenues Less Expenses CY80463RevenuesLessExpensesCY
Total Assets BOY2574824TotalAssetsBOY
Total Assets EOY2703862TotalAssetsEOY
Total Liabilities BOY155289TotalLiabilitiesBOY
Total Liabilities EOY203864TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2419535NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2499998NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION PROVIDES PERMANENT HOUSING AND SUPPORTIVE SERVICES TO HOMELESS AND LOW-INCOME MEN, WOMEN, AND CHILDREN WHO ARE LIVING WITH OR DIRECTLY AFFECTED BY AIDS/HIV.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1834248Expense
Grants1239156Grants
Revenue232982Revenue
DescriptionTHE SCATTERED SITE 2 PROGRAM PERMANENTLY HOUSES LOW INCOME FAMILIES IN WHICH AT LEAST ONE OF THE ADULT PARENTS HAS HIV/AIDS. DURING THE YEAR, THE ORGANIZATION PROVIDED 101 FULL APARTMENTS SCATTERED THROUGHOUT THE METRO ATLANTA AREA AS WELL AS COUNSELING, PERSONAL CARE ASSISTANCE, ACCESS TO AND INSTRUCTION IN A COMPUTER LEARNING CENTER, TUTORING, RESIDENT ADVISORY COUNCIL, SUPPORT GROUPS, RECREATIONAL ACTIVITIES, AND TRANSPORTATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense735463Expense
Grants219653Grants
Revenue20297Revenue
DescriptionTHE FAMILY PROGRAM PERMANENTLY HOUSES SINGLE MOTHERS WHO ARE HOMELESS AND HIV POSITIVE AND THEIR CHILDREN. DURING THE YEAR, THE ORGANIZATION PROVIDED 12 FULL APARTMENTS ON A JERUSALEM HOUSE SITE AS WELL AS COUNSELING, PERSONAL CARE ASSISTANCE, ACCESS TO AND INSTRUCTION IN A COMPUTER LEARNING CENTER, TUTORING, RESIDENT ADVISORY COUNCIL, SUPPORT GROUPS, RECREATIONAL ACTIVITIES, AND TRANSPORTATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense690636Expense
Grants454132Grants
Revenue91429Revenue
DescriptionTHE SCATTERED SITE I PROGRAM PERMANENTLY HOUSES HOMELESS INDIVIDUALS AND FAMILIES IN WHICH AT LEAST ONE OF THE ADULT PARENTS HAS HIV/AIDS. DURING THE YEAR, THE ORGANIZATION PROVIDED 32 FULL APARTMENTS SCATTERED THROUGHOUT THE METRO ATLANTA AREA AS WELL AS COUNSELING, PERSONAL CARE ASSISTANCE, ACCESS TO ANDINSTRUCTION IN A COMPUTER LEARNING CENTER, RESIDENT ADVISORY COUNCIL, SUPPORT GROUPS, RECREATIONAL ACTIVITIES, AND TRANSPORTATION.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense632689Expense
Grants232016Grants
Revenue41381Revenue
DescriptionTHE PROGRAM FOR ADULTS PERMANENTLY HOUSES SINGLE ADULT MEN AND WOMEN WHO HAVE AIDS. DURING THE YEAR, THE ORGANIZATION PROVIDED 23 PRIVATE, EFFICIENCY APARTMENTS FOR SINGLE ADULTS ON A JERUSALEM HOUSE SITE AS WELL AS COUNSELING, PERSONAL CARE ASSISTANCE, ACCESS TO AND INSTRUCTION IN A COMPUTER LEARNING CENTER, TUTORING, RESIDENT ADVISORY COUNCIL, SUPPORT GROUPS, RECREATIONAL ACTIVITIES, AND TRANSPORTATION.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp632689TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt232016TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev41381TotalOfOtherProgramServiceRev
Total Program Service Expense3893036TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees29NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JERUSALEM HOUSE INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4043503421TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line117 EXECUTIVE PARK DRIVEAddressLine1
Address Line2SUITE 290AddressLine2
CityATLANTACity
StateGAState
ZIP Code30329ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KIRK RICH
PRESIDENT3.00XX000
RANDY H LUFFMAN ESQ
VICE PRESIDE3.00XX000
JANET KIBLER
TREASURER3.00XX000
MONICA FANE
SECRETARY3.00XX000
KEVIN A FENTON MD
DIRECTOR1.00X000
ANNE SKAE
DIRECTOR1.00X000
LARRY GOLDSTEIN MD
DIRECTOR1.00X000
DAVID HUTCHISON
DIRECTOR1.00X000
BRAD JONES CPA
DIRECTOR1.00X000
LEEANN JONES
DIRECTOR1.00X000
REV CECELYA TAYLOR
DIRECTOR1.00X000
TED TUERK
DIRECTOR1.00X000
LESLIE HAMILTON THOMAS
DIRECTOR1.00X000
LARRY WILCOX
DIRECTOR1.00X000
RICHARD CHERRY
DIRECTOR1.00X000
JAMES SIMONS
DIRECTOR1.00X000
MISTY SKEDGELL
DIRECTOR1.00X000
JOEL HARLOW
DIRECTOR1.00X000
RAPHAEL HOLLOWAY
DIRECTOR1.00X000
JEFFREY PERKINS
DIRECTOR1.00X000
ADAM BOWEN
DIRECTOR1.00X000
CHARLES F FREW
EXECUTIVE DI40.00X9463804210
KATHLEEN THOMAS
FINANCIAL DI40.00X8240001524
JANICE HARRIS-CORRY
PROGRAM DIRE40.00X7729901914
ALEX WAN
DEVELOPMENT40.00X5677601150
FieldValueIRS element (for citing)
Total Reportable Comp From Org311113TotalReportableCompFromOrg
Total Other Compensation8798TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonFAVORITE HEALTHCARE NURSESNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 803356AddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64180ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesHEALTHCAREDescriptionOfServices
Compensation208753Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events69073FundraisingEvents
Government Grants3269788GovernmentGrants
All Other Contributions599397AllOtherContributions
Noncash Contributions42168NoncashContributions
Total Contributions3938258TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code624200BusinessCode
Total Revenue Column386090TotalRevenueColumn
Related Or Exempt Function Income386090RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue386090TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column63TotalRevenueColumn
Exclusion$63ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other15861Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-15861Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-15861TotalRevenueColumn
Related Or Exempt Function Income-15861RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events47126GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events69073CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses75471FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-28345TotalRevenueColumn
Exclusion-$28,345ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming9854GrossIncomeGaming
Gaming Direct Expenses249GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column9605TotalRevenueColumn
Exclusion$9,605ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PROPERTY INSURANCE SETTLEMENT9000996597$6,597
REFUND90009922$22
FieldValueIRS element (for citing)
Total Other Revenue6619TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4296429TotalRevenueColumn
Related Or Exempt Function Income370229RelatedOrExemptFunctionIncome
Exclusion-$12,058ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2144957Total
Program Services2144957ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total345271Total
Program Services223631ProgramServices
Management And General39948ManagementAndGeneral
Fundraising81692Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total919503Total
Program Services856836ProgramServices
Management And General49508ManagementAndGeneral
Fundraising13159Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10774Total
Program Services9120ProgramServices
Management And General1649ManagementAndGeneral
Fundraising5Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total116542Total
Program Services103762ProgramServices
Management And General10949ManagementAndGeneral
Fundraising1831Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total97820Total
Program Services81420ProgramServices
Management And General9441ManagementAndGeneral
Fundraising6959Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5252Total
Program Services5252ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24340Total
Program Services24340ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2084Total
Fundraising2084Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total108065Total
Program Services73657ProgramServices
Management And General19653ManagementAndGeneral
Fundraising14755Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total48182Total
Program Services43923ProgramServices
Management And General3619ManagementAndGeneral
Fundraising640Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total160436Total
Program Services109985ProgramServices
Management And General50451ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21449Total
Program Services19257ProgramServices
Management And General1592ManagementAndGeneral
Fundraising600Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11059Total
Program Services10884ProgramServices
Management And General50ManagementAndGeneral
Fundraising125Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5628Total
Program Services33ProgramServices
Management And General5076ManagementAndGeneral
Fundraising519Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total94274Total
Program Services91549ProgramServices
Management And General2725ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total73424Total
Program Services73424ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
STRATEGIC PLAN EXPENSE24538210063532
INDIRECT SPEC. EVENT EXP.23682368

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4215966Total
Program Services3893036ProgramServices
Management And General198193ManagementAndGeneral
Fundraising124737Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23876BOY
EOY32778EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY254711BOY
EOY354590EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8303BOY
EOY15491EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11852BOY
EOY22109EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3133087LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec854193LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2276082BOY
EOY2278894EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2574824BOY
EOY2703862EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2204BOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY122999BOY
EOY111171EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30086BOY
EOY92693EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY155289BOY
EOY203864EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2305657BOY
EOY2383272EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY112333BOY
EOY115181EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1545BOY
EOY1545EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2419535BOY
EOY2499998EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2574824BOY
EOY2703862EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses80463ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1577115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1664718CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1969268CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3332228CurrentTaxYearMinus1Year
Current Tax Year3938258CurrentTaxYear
Total12481587Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years144015CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years132069CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years136203CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year322948CurrentTaxYearMinus1Year
Current Tax Year386090CurrentTaxYear
Total1121325Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49372CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101503CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39966CurrentTaxYearMinus1Year
Current Tax Year63599CurrentTaxYear
Total287812Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1770502CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1898290CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2138843CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3695142CurrentTaxYearMinus1Year
Current Tax Year4387947CurrentTaxYear
Total13890724Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10385CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16407CurrentTaxYearMinus1Year
Current Tax Year25740CurrentTaxYear
Total81438Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10385CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16407CurrentTaxYearMinus1Year
Current Tax Year25740CurrentTaxYear
Total81438Total
FieldValueIRS element (for citing)
Public Support Total50913809286PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year46CurrentTaxYearMinus1Year
Current Tax Year63CurrentTaxYear
Total109Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year46CurrentTaxYearMinus1Year
Current Tax Year63CurrentTaxYear
Total109Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1770502CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1898290CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2138843CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3695188CurrentTaxYearMinus1Year
Current Tax Year4388010CurrentTaxYear
Total13890833Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99410PublicSupportPercentage509
Prior Year Support Percentage0.99360PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis482202OtherCostOrOtherBasis
Book Value482202BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2250795OtherCostOrOtherBasis
Depreciation780192Depreciation
Book Value1470603BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis166557OtherCostOrOtherBasis
Depreciation34496Depreciation
Book Value132061BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis233533OtherCostOrOtherBasis
Depreciation39505Depreciation
Book Value194028BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2278894TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$70,000
ACCRUED VACATION PAYABLE$22,693
FieldValueIRS element (for citing)
Total Of Amounts92693TotalOfAmounts
Total Revenue4296429TotalRevenue
Total Expenses4215966TotalExpenses
Excess Or Deficit For Year80463ExcessOrDeficitForYear
Excess Or Deficit Per FS80463ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4509315TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities165000DonatedSrvcAndUseOfFacilities
Other Revenues47886OtherRevenues
Revenue Not Rptd F990212886RevenueNotRptdF990
Revenue Subtotal4296429RevenueSubtotal
Total Revenue Per Form9904296429TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4428852TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities165000DonatedServicesUseOfFacilities
Other Expenses Included47886OtherExpensesIncluded
Expenses Not Rptd F990212886ExpensesNotRptdF990
Expenses Subtotal4215966ExpensesSubtotal
Total Expenses Per Form9904215966TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8BOOK-TAX RECONCILIATION ON DIRECT EXP. FOR SPECIAL EVENTS 47,886 BOOK-TAX RECONCILIATION ON DIRECT EXP. FOR SPECIAL EVENTS -47,886
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DBOOK-TAX RECONCILIATION ON DIRECT EXP. FOR SPECIAL EVENTS 47,886
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DBOOK-TAX RECONCILIATION ON DIRECT EXP. FOR SPECIAL EVENTS 47,886

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CARNEVALE 2010NameOfEvent1
Gross Receipts Event159265GrossReceiptsEvent1
Charitable Contributions Event149015CharitableContributionsEvent1
Gross Revenue Event110250GrossRevenueEvent1
Cash Prizes Event1500CashPrizesEvent1
Food And Beverage Event119190FoodAndBeverageEvent1
Entertainment Event12350EntertainmentEvent1
Other Direct Expenses Event117036OtherDirectExpensesEvent1
Name Of Event2STARS PARTY AUCNameOfEvent2
Gross Receipts Event223006GrossReceiptsEvent2
Charitable Contributions Event270CharitableContributionsEvent2
Gross Revenue Event222936GrossRevenueEvent2
Food And Beverage Event24525FoodAndBeverageEvent2
Other Direct Expenses Event217681OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events33928GrossReceiptsOtherEvents
Charitable Contrib Other Events19988CharitableContribOtherEvents
Gross Revenue Other Events13940GrossRevenueOtherEvents
Food And Beverage Other Events49FoodAndBeverageOtherEvents
Other Direct Expenses Other Events14140OtherDirectExpensesOtherEvents
Gross Receipts Total116199GrossReceiptsTotal
Charitable Contributions Total69073CharitableContributionsTotal
Gross Revenue Total Events47126GrossRevenueTotalEvents
Cash Prizes Total Events500CashPrizesTotalEvents
Food And Beverage Total Events23764FoodAndBeverageTotalEvents
Entertainment Total Events2350EntertainmentTotalEvents
Other Direct Expenses Total Events48857OtherDirectExpensesTotalEvents
Direct Expense Summary Events75471DirectExpenseSummaryEvents
Net Income Summary-28345NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
SCATTERED SITE II SUPPORT1011239156FMVCOUNSELING,ETC
SCATTERED SITE I SUPPORT32454132FMVCOUNSELING,ETC
SINGLE ADULT SUPPORT SVCS23232016FMVCOUNSELING,ETC
FAMILY PROG. SUPPORT SVCS12219653FMVCOUNSELING,ETC.

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationTHE AGENCY PROVIDES NON-CASH ASSISTANCE TO ITS RESIDENTS IN COMPLIANCE WITH THE TERMS OF GOVERNMENT GRANT CONTRACTS, WHICH REQUIRE MONTHLY REPORTING AND ANNUAL MONITORING BY THE GOVERNMENT GRANTOR.Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions22NumberOfContributions
Noncash Contribs Rptd F99014050NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99013622NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9909165NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAUCTION ITEMSDescription
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9905331NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6VOLUNTEER PEOPLE AND HOURS ARE TRACKED ON A DAILY BASIS. AMOUNT ABOVE IS NUMBER OF PEOPLE WHO VOLUNTEERED DURING FY2011. AGGREGATE NUMBER OF HOURS VOLUNTEERED IS 3,200. VOLUNTEERS TUTOR CHILDREN, LANDSCAPE GROUNDS, REPAIR FACILITY, AND MENTOR INDIVIDUALS.
ALL OTHER ACHIEVEMENTS DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DTHE PROGRAM FOR ADULTS PERMANENTLY HOUSES SINGLE ADULT MEN AND WOMEN WHO HAVE AIDS. DURING THE YEAR, THE ORGANIZATION PROVIDED 23 PRIVATE, EFFICIENCY APARTMENTS FOR SINGLE ADULTS ON A JERUSALEM HOUSE SITE AS WELL AS COUNSELING, PERSONAL CARE ASSISTANCE, ACCESS TO AND INSTRUCTION IN A COMPUTER LEARNING CENTER, TUTORING, RESIDENT ADVISORY COUNCIL, SUPPORT GROUPS, RECREATIONAL ACTIVITIES, AND TRANSPORTATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BPRIOR TO THE MONTHLY MEETING OF THE BOARD FINANCE COMMITTEE SCHEDULED PRIOR TO THE ANNUAL 990 FILING DATE, EACH MEMBER RECEIVES AN ELECTRONIC DRAFT FORM 990 WITH SCHEDULES TO REVIEW PRIOR TO THE MEETING. ALSO, PRIOR TO SUCH MEETING, THE BOARD TREASURER CONDUCTS A DETAILED LINE-BY-LINE REVIEW OF THE 990 AND SCHEDULES WITH THE DIRECTOR OF FINANCE. AT THE FINANCE COMMITTEE MEETING, THE MEMBERS RECEIVE AN UPDATED PAPER DRAFT 990 WITH SCHEDULES TO REVIEW AND DISCUSS AS A GROUP. THE MEMBERS ARE ALSO ENCOURAGED TO DIRECTLY CONTACT THE INDEPENDENT CPA FIRM THAT PREPARED THE FORM 990 TO DISCUSS ANY QUESTIONS OR CONCERNS. THE FORM 990 IS NOT FILED UNTIL THE FINANCE COMMITTEE PROVIDES ITS APPROVAL. AFTER THE 990 HAS BEEN APPROVED BY THE FINANCE COMMITTEE, THE BOARD TREASURER REPORTS TO THE EXECUTIVE BOARD THAT THE 990 HAS BEEN REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. EVERY BOARD MEMBER IS THEN PROVIDED WITH AN ELECTRONIC COPY OF THE FINAL 990. AFTER THE 990 HAS BEEN SIGNED AND FILED, IT IS AVAILABLE TO VIEW ON THE AGENCY'S WEBSITE.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL BOARD MEMBERS AND ALL AGENCY STAFF ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY STATEMENT AND SUBMIT IT TO THE EXECUTIVE DIRECTOR. THE DOCUMENT IS REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE DIRECTOR, AND AT EACH TIME A POTENTIAL CONFLICT IS DISCLOSED. ALL DISCLOSURES THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT AS APPROPRIATE, TO DETERMINE IF CONLIFCTS EXIST. IF A CONFLICT IS DEEMED TO EXIST AND IS PRESENTED TO THE EXECUTIVE BOARD, THE EXECUTIVE BOARD MANDATES NON-PARTICIPATION OF THE BOARD MEMBER OR STAFF INVOLVED.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD AUTHORIZED THE EXECUTIVE BOARD TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION. THE EXECUTIVE BOARD CONSISTS OF THE PRESIDENT, IMMEDIATE PAST PRESIDENT, VICE PRESIDENT, TREASURER, AND SECRETARY OF THE BOARD. THE EXECUTIVE DIRECTOR'S COMPENSATION DID NOT VARY FROM THE BOARD APPROVED FY11 AGENCY COMPENSATION BUDGET. THE EXECUTIVE DIRECTOR'S COMPENSATION IS DELIBERATED AND DETERMINED BY THE EXECUTIVE BOARD. THE REASONABLENESS OF THE EXECTUIVE DIRECTOR'S COMPENSATION IS DETERMINED USING DATA PUBLISHED BY, AMONG OTHER SOURCES, THE GEORGIA CENTER FOR NONPROFITS ANNUAL COMPENSATION SURVEY FOR COMPARABLE POSITIONS IN COMPARABLE SIZED AGENCIES IN COMPARABLE GEOGRAPHIC AREAS. NONE OF THE EXECTUIVE BOARD MEMBERS WERE EMPLOYEES OF THE ORGANIZATION NOR HAD A CONFLICT OF INTEREST. THE BOARD PRESIDENT DOCUMENTED THE COMPENSATION OF THE EXECUTIVE DIRECTOR IN JUNE 2011.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE REASONABLENESS OF BUDGETED COMPENSATION FOR ALL STAFF, INCLUDING THE EXECUTIVE DIRECTOR, IS PRIMARILY DETERMINED USING DATA PUBLISHED BY, AMONG OTHER SOURCES, THE GEORGIA CENTER FOR NONPROFITS ANNUAL COMPENSATION SURVEY FOR COMPARABLE POSITIONS IN COMPARABLE SIZED AGENCIES IN COMPARABLE GEOGRAPHIC AREAS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19AUDITIED FINANCIAL STATEMENTS, FORM 990, AND 501C3 DETERMINATION LETTER ARE AVAILABLE ON AGENCY'S WEBSITE.

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