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        <City>Fort Worth</City>
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        <BusinessNameLine1>Presbyterian Night Shelter</BusinessNameLine1>
        <BusinessNameLine2>of Tarrant County</BusinessNameLine2>
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      <Phone>8176327400</Phone>
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        <AddressLine1>PO Box 2645</AddressLine1>
        <City>Fort Worth</City>
        <State>TX</State>
        <ZIPCode>76113</ZIPCode>
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    <Officer>
      <Name>Toby Owen</Name>
      <Title>Executive Director</Title>
      <DateSigned>2011-11-15</DateSigned>
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    <Preparer>
      <Name>Michaela J Cromar CPA</Name>
      <Phone>8178775000</Phone>
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      <MissionDescription>LEADING THE JOURNEY FROM HOMELESS TO HOME.</MissionDescription>
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      <Description>MAIN SHELTER --A. The main shelter at PNS provides shelter to homeless adult men and women. In addition to their night of stay, the client receives one meal per day (dinner), shower facilities, and access to case management services. The main shelter makes special accomodations for vulnerable populations including the elderly, veterans, and those with debilitating medical illnesses. These populations are given increased access to the shelter, and two meals per day including lunch and dinner. Main shelter houses three other agencies that provide services to shelter clients: The Recovery Resource Council, Texas Offender Re-Entry Initiative (TORI), and John Peter Smith Hospital (JPS). In addition to services provided by these organizations, the main shelter hosts Project Wish (employment assistance; collaboration with workforce solutions and the Texas Workforce Commission) and the Fort Worth Health Department which comes monthly to provide free TB testing to our clients. Case management services include assistance with securing housing, employment, and securing additional income (food stamps, SSI, SSDI, etc.) for those unable to work. Case managers also assist clients with obtaining critical documents such as social security cards, birth certificates, and state identification. B. The objectives of the main shelter case management office are: 1. to engage consumers in services provided by the case management office 2. To connect consumers with mainstream resources 3. To move consumers out of the cycle of homelessness 4. To increase program staff awareness of the needs of the homeless population.</Description>
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        <Description>VETERANS' SERVICES--A. The veterans per diem program provides emergency and transitional living services to homeless veterans. To access emergency services, vets can initiate contact with PNS staff in the main shelter. To access transitional living services, vets must be referred from the local VA office. The VA program at PNS is a multi-phased program consisting of three levels that vets complete towards a successful discharge. Levels one and two include nights of stay, three meals per day, access to shower facilities, case management services, and assistance with maintaining sobriety. In addition, the vets receive supportive services from the VA including job placement and medical and psychiatric care. The third tier of the VA program involves a move to a stand-alone dormitory style housing unit on PNS grounds. Following this transition, vets focus on securing permanent employment and permanent independent housing. In 2010, Case management services are required during all phases of program participation with the exception of emergency services. Case management includes assistance with securing housing, employment, and securing additional income (food stamps, SSI, SSDI, etc.) for those unable to work. Case managers also assist clients with obtaining critical documents such as social security cards, birth certificates, and state identification. In 2010, 198 individuals were served.B. The objectives of the Veterans Administration per diem program are: 1. To move cUSTOMERS out of a cycle of homelessness 2. Assist veterans with reintegration into society 3. Increase the income of homeless veterans 4. Connect veterans with services available to them through the Veterans Administration.</Description>
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        <Grants>388394</Grants>
        <Description>HOUSING SOLUTIONS --Housing Solutions is designed to stabilize housing, increase income and enhance self-determination for 55 chronically homeless individuals and ten families through permanent supportive housing. Assistance in locating suitable housing and ongoing intensive case management services are provided to program participants. Case management services are centered around a thorough needs assessment, collaboratively developed goals, measurable outcomes, and referrals to other supportive and mainstream services. The overall purpose of Housing Solutions is to provide the safety and comforts of a home coupled with life enrichment services to break the cycle of homelessness. Qualified applicants are assisted with moving into an apartment priced at or below Fair Market Rent. Following an approved home inspection, rent reasonableness, and completed rent calculation for those housed in tenant paid utility housing, participants are then provided assistance with acquiring basic household items and furniture. Rental payments are made directly to landlords. Emergency assistance for utilities and basic needs such as food is available as needed. Case management visits are conducted weekly to support clients in becoming successful community members through making use of supports available to clients, assisting clients with shopping and cooking, increasing communication skills, keeping appointments, and building skills around other daily living activities. Case managers frequently aid clients to meet their needs for services including employment, education, substance abuse, and physical and mental health. Individual service plans will address client needs and goals throughout the program. Individual service plans will be reviewed and updated on a regular basis to assist clients in creating and meeting ongoing goals.</Description>
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      <RevenueNotRptdF990>529375</RevenueNotRptdF990>
      <RevenueSubtotal>4468498</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>35723</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>35723</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>4504221</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4390661</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>9600</DonatedServicesUseOfFacilities>
      <OtherExpensesIncluded>61949</OtherExpensesIncluded>
      <ExpensesNotRptdF990>71549</ExpensesNotRptdF990>
      <ExpensesSubtotal>4319112</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>35723</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>35723</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>4354835</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>SPECIAL EVENT EXPENSES $61949</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>SPECIAL EVENT EXPENSES $61949</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>THE ENDOWMENT FUND OF THE PRESBYTERIAN NIGHT SHELTER (PNS)CONSISTS LARGELY OF BOARD DESIGNATED FUNDS. THIS FUND WAS CREATED IN 1996 TO SUPPORT THE PROGRAMS AND ACTIVITIES OF PNS. ALL UNRESTRICTED GIFTS OF $100,000 OR MORE ARE DEPOSITED TO THE FUND AND THE BOARD PERIODICALLY ADDS FUNDS NOT NEEDED CURRENTLY FOR OPERATIONS. THE BOARD ALSO APPROVES AN ANNUAL DRAW-DOWN FOR OPERATING NEEDS THAT IS BASED ON A PERCENTAGE OF A THREE-YEAR ROLLING AVERAGE VALUE OF THE FUND. IF ADDITIONAL OPERATING FUNDS ARE NEEDED, THEY CAN BE RELEASED WITH A 75% AFFIRMATIVE VOTE OF THE BOARD.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="10000105" softwareVersion="2010v3.2">
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
        <NameOfEvent1>Gala</NameOfEvent1>
        <GrossReceiptsEvent1>280067</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>249817</CharitableContributionsEvent1>
        <GrossRevenueEvent1>30250</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>61949</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>280067</GrossReceiptsTotal>
        <CharitableContributionsTotal>249817</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>30250</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>61949</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>61949</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-31699</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="10000105" softwareVersion="2010v3.2">
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <TotalNbrOf501C3AndGovtGrants>0</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>TRANSPORTATION</TypeOfGrant>
        <NumberOfRecipients>129</NumberOfRecipients>
        <AmountOfCashGrant>39520</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>RENTAL, UTILITY ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>129</NumberOfRecipients>
        <AmountOfCashGrant>333163</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>MEDICAL ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>129</NumberOfRecipients>
        <AmountOfCashGrant>7044</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>GENERAL ASSISTANCE</TypeOfGrant>
        <NumberOfRecipients>129</NumberOfRecipients>
        <AmountOfCashGrant>75093</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Upon public request and submission of written request to the executive director, governing documents, policies, and procedures are available for the general public to review at the PNS administrative office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>On an annual basis each board member is required to sign the disclosure statement which requires board members to specifically detail any individual or business-related exceptions that may apply. The exceptions are reviewed by the executive committee and procedures are followed to determine if a conflict exists and appropriate actions to take.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Presbyterian Night Shelter utilizes the following review process before filing the 990 and attachments with the IRS. The executive management reviews the return in detail with the paid preparer; the return is the forwarded to all members of the board prior to signature and filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: The Lowdon Schutts shelter for women and children at PNS provides emergency shelter and transitional living services to homeless women with high risk prenancies and women with children. This shelter is the only one of its kind in Fort Worth that accepts women with teenage children. In addition to their nights of stay, the client receives three meals a day and two snacks for the children. The families also have access to shower facilities, case management services and parenting classes. The Lowdon Schutts Women &amp; Children Emergency Shelter program collaborates with Cook's Children's Hospital which meets with clients weekly to assess their health and well being. In addition to a program manager, three case managers work with the parent to ensure compliance with the local school district guidelines and conducting activities to enhance the child's overall well being. Case management services include assistance with securing housing, employment and securing additional income (Food stamps, SSI, SSDI, etc.) for those able to work. Case managers also assist clients with obtaining critical documents such as social security cards, birth certificates and state identification. In 2010, PNS served 212 single parent families which included 421 children. The objectives of the Lowdon Schutt's Women &amp; Children Emergency Shelter program are 1. to move consumers out of the cycle of homelessness, 2. to increase parenting skills and 3. to decrease the need for crisis intervention with these families including referrals to CPS and calls for emergency services. OTHER PROGRAM SERVICES 5: Safe Haven is a transitional housing program without length of stay requirements designed to serve individuals who meet both the definitions of chronically homeless and mental illness. Individuals may also struggle with addiction to substances, domestic violence, or may be a veteran of the armed forces. The Mimi Hunter Fitzgerald Safe Haven program offers the residents intensive case management, group support opportunities, life skills education and other supports to increase their stability. Through a partnership with Tarrant County Mental Health Mental Retardation services, residents may receive onsite psychiatric medication management, monitoring and crisis stabilization. The program, located on the campus of the Presbyterian Night Shelter, offers safe, comfortable housing for 10 men and 10 women, meals and assistance with clothing and hygiene supplies. OTHER PROGRAM SERVICES 6: A NUMBER OF SMALL PROGRAMS THAT ASSIST CUSTOMERS IN THEIR TRANSITION TO EMPLOYMENT AND A PERMANENT LIVING SITUATION. THESE INCLUDE, BUT ARE NOT LIMITED TO, THE RETAIL STORE, KITCHEN AND TRASH COLLECTION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>