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ObjectId: 201541359349307614 - Submission: 2015-05-15
TIN: 13-3523561
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
See separate instructions.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
13
Open to Public Inspection
Name of the organization
COVENANT HOUSE GEORGIA INC
Employer identification number
13-3523561
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
COVENANT HOUSE
5 PENN PLAZA 3RD FL
NEW YORK
,
NY
10001
13-2725416
HUMANITARIAN
NY
501 (c )(3)
7
N/A
No
(2)
COVENANT HOUSE ALASKA
755 A STREET
ANCHORAGE
,
AK
99501
13-3419755
HUMANITARIAN
AK
501 (c )(3)
7
N/A
No
(3)
COVENANT HOUSE CALIFORNIA
1325 N WESTERN AVENUE
HOLLYWOOD
,
CA
90027
13-3391210
HUMANITARIAN
CA
501 (c )(3)
7
N/A
No
(4)
COVENANT HOUSE FLORIDA
733 BREAKERS AVENUE
FORT LAUDERDALE
,
FL
33304
59-2323607
HUMANITARIAN
FL
501 (c )(3)
7
N/A
No
(5)
COVENANT HOUSE MICHIGAN
2959 MARTIN LUTHER KING JR BLVD
DETROIT
,
MI
48208
38-3351777
HUMANITARIAN
MI
501 (c )(3)
7
N/A
No
(6)
COVENANT HOUSE MISSOURI
2727 NORTH KINGSHIGHWAY BLVD
ST LOUIS
,
MO
63113
43-1821599
HUMANITARIAN
MO
501 (c )(3)
7
N/A
No
(7)
COVENANT HOUSE NEW JERSEY
330 WASHINGTON STREET
NEWARK
,
NJ
07102
13-3537710
HUMANITARIAN
NJ
501 (c )(3)
7
N/A
No
(8)
COVENANT HOUSE NEW ORLEANS
611 NORTH RAMPART STREET
NEW ORLEANS
,
LA
70112
58-1669937
HUMANITARIAN
LA
501 (c )(3)
7
N/A
No
(9)
COVENANT HOUSE PENNSYLVANIA
31 EAST ARMAT STREET
PHILADELPHIA
,
PA
19144
23-3003176
HUMANITARIAN
PA
501 (c )(3)
7
N/A
No
(10)
COVENANT HOUSE TEXAS
1111 LOVETT BLVD
HOUSTON
,
TX
77006
76-0050882
HUMANITARIAN
TX
501 (c )(3)
7
N/A
No
(11)
COVENANT HOUSE WASHINGTON
2001 MISSISSIPPI AVENUE SE
WASHINGTON
,
DC
20020
13-3537709
HUMANITARIAN
DC
501 (c )(3)
7
N/A
No
(12)
COVENANT HOUSE WESTERN AVENUE
1325 N WESTERN AVENUE
HOLLYWOOD
,
CA
90027
95-4395845
HOLDING COMPANY FOR COVENANT HOUSE CALIFORNIA PROPERTY
CA
501 (c )(3)
11
N/A
No
(13)
COVENANT INTERNATIONAL FOUNDATION
C/O 5 PENN PLAZA
NEW YORK
,
NY
10001
13-3124706
HOLDING COMPANY FOR CASA ALIANZA PROPERTY
NY
501 (c )(3)
7
N/A
No
(14)
TESTAMENTUM
C/O 5 PENN PLAZA
NEW YORK
,
NY
10001
23-7326634
HOLDING COMPANY FOR COVENANT HOUSE PROPERTY
NY
501 (c )(3)
7
N/A
No
(15)
UNDER 21 COVENANT HOUSE NEW YORK
460 WEST 41ST STREET
NEW YORK
,
NY
10036
13-3076376
HUMANITARIAN
NY
501 (c )(3)
7
N/A
No
(16)
COVENANT HOUSE TORONTO
20 Gerrard Street East
Toronto
M5B 2P3
CA
Humanitrian
CA
N/A
No
(17)
COVENANT HOUSE VANCOUVER
575 DRAKE STREET
VANCOUVER
V6B 4K8
CA
HUMANITARIAN
CA
N/A
No
(18)
ASOCIACION LA ALIANZA GUATEMALA
13 AVENIDA 00-37 ZONA 2 COLONIA
La Escuadrilla
MIXCO
GT
HUMANITARIAN
GT
N/A
No
(19)
CASA ALIANZA DE HONDURAS
CORNER OF ARDA CERVANTES Y MORELOS
TEGUCIGALPA
HO
HUMANITARIAN
HO
N/A
No
(20)
CASA ALIANZA NICARAGUA
EDIFFICIO CONRAD N HILTON COSTADO
ESTE DEL MINISTERIO DEL TRABAJO
MANAGUA
NU
HUMANITARIAN
NU
N/A
No
(21)
FUNDACION CASA ALIANZA MEXICO IAP
PLAZA DE LAS FUENTES 116
COL
MEXICO DF
MX
HUMANITARIAN
MX
N/A
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Page 2
Schedule R (Form 990) 2013
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
Schedule R (Form 990) 2013
Page 3
Schedule R (Form 990) 2013
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.
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1a
No
b
Gift, grant, or capital contribution to related organization(s)
.
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1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
.
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1c
Yes
d
Loans or loan guarantees to or for related organization(s)
.
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1d
No
e
Loans or loan guarantees by related organization(s)
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1e
Yes
f
Dividends from related organization(s)
.
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1f
No
g
Sale of assets to related organization(s)
.
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1g
No
h
Purchase of assets from related organization(s)
.
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1h
No
i
Exchange of assets with related organization(s)
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1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
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1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
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1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
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1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
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1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
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1n
No
o
Sharing of paid employees with related organization(s)
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1o
No
p
Reimbursement paid to related organization(s) for expenses
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1p
Yes
q
Reimbursement paid by related organization(s) for expenses
.
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1q
No
r
Other transfer of cash or property to related organization(s)
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1r
No
s
Other transfer of cash or property from related organization(s)
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1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
COVENANT HOUSE
c
1,048,000
Fair market value
(2)
COVENANT HOUSE
p
83,590
Fair market value
(3)
COVENANT HOUSE
e
946,369
Fair market value
(4)
COVENANT HOUSE
b
23,600
Fair market value
(5)
COVENANT HOUSE
e
250,000
Fair market value
Schedule R (Form 990) 2013
Page 4
Schedule R (Form 990) 2013
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2013
Page 5
Schedule R (Form 990) 2013
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2013
Additional Data
Software ID:
13000241
Software Version:
v1.00