TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201741159349301364 - Submission: 2017-04-25 TIN: 86-0287878

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Return Reference	Explanation
Pt VI, Line 2	The CEO and Vice Chairs' spouses are sisters. The board takes measures to avoid any conflicts by the effected parties not voting on effected issues.
Pt VI, Line 1a	See Pt VI 2
Pt VI, Line 11b	Copies are provided to all board members and reviewed with the board by the outside CPA the same time the annual audit is presented.
Pt VI, Line 12c	Conflict of interest forms are completed and updated annually by all board members. Conflict of interest is discussed openly at least once a year at a board meeting.
Pt VI, Line 15a	CEO compensation and management compensation is based on experience, education and the prevailing rate. The board does discuss and determine the CEO's salary.
Pt VI, Line 15b	Open discussion and documented in the board meeting.
Pt VI, Line 19	The Form 990 and financial statements are made available via written request submitted to the board.
Pt XII, Line 3b	The audit is required and it is complete but the report has not been issued so unable to complete Sch D Part XI and Part XII.
Other	Part VI Sec A #9 Board Member Vicki Holloway passed away after the end of the year.
Form 990, Part III, Line 4d	PARENT AIDE PROGRAM PROVIDES SUPPORT AND SUPERVISION 384087. 0. 397695.
Form 990, Part III, Line 4d	ORGANIZATION RECEIVED FUNDS FROM AUNT RITAS 10211. 9400. 0.
Form 990, Part III, Line 4d	The targeted population for the CDC grant is African 375003. 0. 375003.
Form 990, Part IX, Line 24e	DONATIONS 2904. 1635. 1269. 0.
Form 990, Part IX, Line 24e	SPECIAL EVENTS 34568. 128. 31540. 2900.
Form 990, Part IX, Line 24e	CLIENT ACTIVITIES 12219. 12219. 0. 0.
Form 990, Part IX, Line 24e	PROFESSIONAL SRVC-MEDICAL 225522. 225522. 0. 0.
Form 990, Part IX, Line 24e	HOUSE SUPPLIES 5053. 5053. 0. 0.
Form 990, Part IX, Line 24e	INDIRECTS 3. 25095. -25092. 0.
Form 990, Part IX, Line 24e	OUTSIDE SERVICES 62331. 57025. 5306. 0.
Form 990, Part IX, Line 24e	WORKERS COMPENSATION 32522. 31044. 1478. 0.
Form 990, Part IX, Line 24e	FOOD AND BEVERAGES 45692. 45692. 0. 0.
Form 990, Part IX, Line 24e	CONTRACT SERVICES 4167. 4167. 0. 0.
Form 990, Part IX, Line 24e	PROGRAM LITERATURE 380. 380. 0. 0.
Form 990, Part IX, Line 24e	POSTAGE 1050. 352. 698. 0.
Form 990, Part IX, Line 24e	LICENSES 1905. 0. 1905. 0.
Form 990, Part IX, Line 24e	PROGRAM INCENTIVES 22912. 22912. 0. 0.

Return Reference

Explanation

Pt VI, Line 2

The CEO and Vice Chairs' spouses are sisters. The board takes measures to avoid any conflicts by the effected parties not voting on effected issues.

Pt VI, Line 1a

See Pt VI 2

Pt VI, Line 11b

Copies are provided to all board members and reviewed with the board by the outside CPA the same time the annual audit is presented.

Pt VI, Line 12c

Conflict of interest forms are completed and updated annually by all board members. Conflict of interest is discussed openly at least once a year at a board meeting.

Pt VI, Line 15a

CEO compensation and management compensation is based on experience, education and the prevailing rate. The board does discuss and determine the CEO's salary.

Pt VI, Line 15b

Open discussion and documented in the board meeting.

Pt VI, Line 19

The Form 990 and financial statements are made available via written request submitted to the board.

Pt XII, Line 3b

The audit is required and it is complete but the report has not been issued so unable to complete Sch D Part XI and Part XII.

Other

Part VI Sec A #9 Board Member Vicki Holloway passed away after the end of the year.

Form 990, Part III, Line 4d

PARENT AIDE PROGRAM PROVIDES SUPPORT AND SUPERVISION 384087. 0. 397695.

Form 990, Part III, Line 4d

ORGANIZATION RECEIVED FUNDS FROM AUNT RITAS 10211. 9400. 0.

Form 990, Part III, Line 4d

The targeted population for the CDC grant is African 375003. 0. 375003.

Form 990, Part IX, Line 24e

DONATIONS 2904. 1635. 1269. 0.

Form 990, Part IX, Line 24e

SPECIAL EVENTS 34568. 128. 31540. 2900.

Form 990, Part IX, Line 24e

CLIENT ACTIVITIES 12219. 12219. 0. 0.

Form 990, Part IX, Line 24e

PROFESSIONAL SRVC-MEDICAL 225522. 225522. 0. 0.

Form 990, Part IX, Line 24e

HOUSE SUPPLIES 5053. 5053. 0. 0.

Form 990, Part IX, Line 24e

INDIRECTS 3. 25095. -25092. 0.

Form 990, Part IX, Line 24e

OUTSIDE SERVICES 62331. 57025. 5306. 0.

Form 990, Part IX, Line 24e

WORKERS COMPENSATION 32522. 31044. 1478. 0.

Form 990, Part IX, Line 24e

FOOD AND BEVERAGES 45692. 45692. 0. 0.

Form 990, Part IX, Line 24e

CONTRACT SERVICES 4167. 4167. 0. 0.

Form 990, Part IX, Line 24e

PROGRAM LITERATURE 380. 380. 0. 0.

Form 990, Part IX, Line 24e

POSTAGE 1050. 352. 698. 0.

Form 990, Part IX, Line 24e

LICENSES 1905. 0. 1905. 0.

Form 990, Part IX, Line 24e

PROGRAM INCENTIVES 22912. 22912. 0. 0.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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