Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
A For the 2016 calendar year, or tax year beginning 10-01-2016 , and ending 09-30-2017
BCheck if applicable:
CName of organization
DR PIPER CENTER FOR SOCIAL
SERVICES INC
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2607 DR ELLA PIPER WAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FORT MYERS, FL33916
D Employer identification number

65-0788551
E Telephone number

(239) 322-5346
G Gross receipts $ 1,192,423
F Name and address of principal officer:
NIDA ELUNA
2607 DR ELLA PIPER WAY
FORT MYERS,FL33916
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.DRPIPERCENTER.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1997
M State of legal domicile: FL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO ENHANCE THE SOCIAL AND ECONOMIC WELL BEING OF SENIORS AGED 55 AND OLDER AND MAKE A POSITIVE IMPACT IN THE LIVES OF CHILDREN WITH SPECIAL NEEDS, THE FRAIL AND THE ELDERLY AND THE COMMUNITY AS A WHOLE. ALSO, TO PROVIDE MENTORING AND TUTORING TO SPECIAL NEEDS CHILDREN AND CURRICULUM BASED ACTIVITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 8
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2016 (Part V, line 2a) ...... 5 10
6 Total number of volunteers (estimate if necessary) ............. 6 250
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,093,364 1,174,854
9 Program service revenue (Part VIII, line 2g) .........   0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 499 1,220
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 166 -5,224
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,094,029 1,170,850
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 341,687 359,676
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 713,183 764,132
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,054,870 1,123,808
19 Revenue less expenses. Subtract line 18 from line 12....... 39,159 47,042
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 297,081 366,834
21 Total liabilities (Part X, line 26)............. 43,438 64,490
22 Net assets or fund balances. Subtract line 21 from line 20..... 253,643 302,344
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet 2018-03-26
Signature of officer Date
JumboBullet NIDA ELUNAEXECUTIVE DIRECTOR
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
JOHN STROEMER CPA CFST CAM GRI
Preparer's signature
JOHN STROEMER CPA CFST CAM GRI
Date
2018-03-29
PTIN
P00102391
Firm's name MediumBullet
STROEMER & COMPANY  
Firm's EIN MediumBullet32-0394930
Firm's address MediumBullet
14030 METROPOLIS AVE STE 200
 
FORT MYERS, FL33912
Phone no. (239) 433-1002
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2016)
Page 2
Form 990 (2016)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO ENHANCE THE SOCIAL AND ECONOMIC WELL BEING OF SENIORS AGED 55 AND OLDER AND MAKE A POSITIVE IMPACT IN THE LIVES OF CHILDREN WITH SPECIAL NEEDS, THE FRAIL AND THE ELDERLY AND THE COMMUNITY AS A WHOLE. ALSO, TO PROVIDE MENTORING AND TUTORING TO SPECIAL NEEDS CHILDREN AND CURRICULUM BASED ACTIVITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 140,485 including grants of $   ) (Revenue $   )
SENIOR EMPLOYMENT PROGRAM LEE COUNTY HAS A POPULATION OF 228,965 FOR PEOPLE 60 AND OLDER; 107,362 MALE AND 121,603 ARE FEMALE. OF THE 60 AND OLDER POPULATION THERE ARE 17,742 BELOW POVERTY LEVEL AND 27,343 BELOW 125 PERCENT OF THE POVERTY GUIDELINE ACCORDING TO THE 2017 FLORIDA COUNTY PROFILES BY THE DEPARTMENT OF ELDER AFFAIRS. WITH THE ECONOMIC BREAKDOWN, THE UNEMPLOYMENT RATE IN THE STATE OF FLORIDA IS 4.1 IN JULY 2017. LEE COUNTY'S UNEMPLOYMENT RATE IN JULY 2017 IS 4.2. ACCORDING TO THE STATISTICS SUPPLIED BY THE AGENCY FOR WORKFORCE INNOVATION, LEE COUNTY ZIP CODES 33901, 33905 AND 33916 STILL HAS THE HIGHEST UNEMPLOYMENT RATE IN THE COUNTY. 22.5% OF THE RESIDENTS IN THIS AREA ARE 55 AND OLDER AND 100% OF THIS AGE GROUP IS LOW-INCOME SENIORS. THE COMMUNITY DISADVANTAGE INDEX COMMONLY USED TO SUMMARIZE THE GENERAL SOCIO- ECONOMIC CONDITIONS OF AN AREA CONSIDERED ZIP CODE 33916 IN LEE COUNTY AS THE MOST DISADVANTAGED IN THE COUNTRY WITH A SCORE OF 10, THE HIGHEST POSSIBLE CDI SCORE. CDI RANKS 33901 AND 33905 A SCORE OF 5. MANY OF THE 55 AND OLDER, LOW-INCOME APPLICANTS OF THE SENIOR EMPLOYMENT PROGRAM ARE DISCOURAGED JOB SEEKERS WHO HAVE GIVEN UP HOPE OF FINDING A JOB. OTHERS, FOR VARIOUS REASONS, HAVE BEEN OUT OF THE JOB MARKET FOR YEARS. THESE ARE PEOPLE WHO NEED TO WORK TO SUPPLY THEIR BASIC NEEDS. WHAT CAN THEY DO TO CHANGE THEIR SITUATIONS? FOR SOME IT MAY BE A MATTER OF CHANGING THEIR ATTITUDES AND THE WAY THEY PRESENT THEMSELVES TO EMPLOYERS. IN MOST CASES, HOWEVER, WHAT THEY NEED IS TRAINING. THIS TRAINING COULD START WITH TECHNIQUES TO REBUILD SELF-CONFIDENCE AND COULD INCLUDE LEARNING, NEW OR UPDATED SKILLS, PERTINENT TO THE LOCAL JOB MARKET WITH THE INTERVIEWING AND OTHER TECHNIQUES THAT WILL PREPARE THEM FOR A SUCCESSFUL JOB SEARCH. FOR THE TRAINING TO BE SUCCESSFUL, IT MUST BE DESIGNED AROUND THE NEEDS OF THE PEOPLE TO BE TRAINED. THE OLDER WORKERS AMONG US WHO WANT AND NEED TO WORK SHOULD HAVE ACCESS TO THE TYPES OF TRAINING THAT WILL HELP THEM COMPETE AND BE SUCCESSFUL IN A TECHNOLOGICAL SOCIETY. THROUGH THE SENIOR EMPLOYMENT PROGRAM, LOW-INCOME SENIORS ARE GIVEN THE OPPORTUNITY TO COMPETE IN THE JOB MARKET. BUT FOR THOSE WHO ARE REALLY HAVING DIFFICULTY FINDING A JOB, WE ALSO OFFER SKILLS TRAINING TO BECOME STIPEND VOLUNTEERS THROUGH THE SENIOR COMPANION AND FOSTER GRANDPARENT PROGRAM. THEY WILL BE ENROLLED IN THE PROGRAM EARNING STIPEND AND OTHER BENEFITS WHILE SEEKING PERMANENT JOB OPPORTUNITIES. A FOUR (4) HOUR MONTHLY IN-SERVICE MEETING IS PROVIDED TO SENIOR COMPANION AND FOSTER GRANDPARENT VOLUNTEERS TO FURTHER ENHANCE THEIR SKILLS. THE DR. PIPER CENTER FOR SOCIAL SERVICES, INC. ENHANCES EMPLOYMENT AND VOLUNTEER OPPORTUNITIES FOR SENIORS 55 AND OLDER AND PROMOTES THEM AS A SOLUTION FOR BUSINESSES SEEKING TRAINED, QUALIFIED, AND RELIABLE EMPLOYEES. OLDER WORKERS ARE A VALUABLE RESOURCE FOR THE 21ST CENTURY WORKFORCE, AND THE DR. PIPER CENTER IS COMMITTED TO PROVIDING HIGH-QUALITY SKILLS TRAINING AND EMPLOYMENT ASSISTANCE TO PARTICIPANTS. THROUGH A COMPREHENSIVE CASE MANAGEMENT AND SKILLS TRAINING WORKSHOP LOW-INCOME SENIORS ARE GIVEN THE OPPORTUNITY TO COMPETE IN THE JOB MARKET. A COMPREHENSIVE CASE MANAGEMENT PROVIDES ASSISTANCE AND ACHIEVING OPTIMAL EMPLOYMENT OUTCOMES FOR LOW- INCOME SENIORS, WHICH INVOLVES ASSESSMENT, COUNSELING, TRAINING OPPORTUNITIES, SERVICE STRATEGIES AND COLLABORATIVE PARTNERSHIP WITH COMMUNITY AND GOVERNMENT AGENCIES AND BUSINESSES. A COMPREHENSIVE CASE MANAGEMENT ALSO ADDRESSES BARRIERS TO EMPLOYMENT GOALS AND PROVIDE ASSISTANCE TO LOW-INCOME SENIORS TO MANAGE IF NOT ELIMINATE THOSE BARRIERS. THE SENIOR EMPLOYMENT PROGRAM MATCHES OUR MISSION OF ENHANCING THE SOCIAL AND ECONOMIC WELL-BEING OF SENIORS BY PROVIDING THE OPPORTUNITY TO UPDATE AND/OR GAIN USEFUL EMPLOYMENT SKILLS AND VOLUNTEER TRAINING. A TOTAL OF 125 LOW-INCOME ENROLLEES WERE ENROLLED IN THIS PROGRAM AND 82.36% WERE SUCCESSFULLY PLACED IN THE SENIOR COMPANION PROGRAM, FOSTER GRANDPARENT PROGRAM AND OTHER JOB PLACEMENTS. THE PROGRAM OUTCOMES ARE AS FOLLOWS: 1. 47.5% OF PARTICIPANTS IN THE SKILLS TRAINING WORKSHOPS ARE SUCCESSFULLY PLACED AND RETAINED. 2. 90% OF PARTICIPANTS IN COMPUTER CLASSES ARE ACTIVELY SEARCHING AND APPLYING FOR JOB OPPORTUNITIES ONLINE. 3. 100% OF PARTICIPANTS HAVE TOTAL SATISFACTION WITH THE AMOUNT OF THE SUPPORT RECEIVED.
4b (Code:   ) (Expenses $ 434,828 including grants of $   ) (Revenue $   )
FOSTER GRANDPARENT PROGRAM: THERE IS A GREAT AND GROWING NEED FOR QUALITY OUT-OF-SCHOOL TIME PROGRAMS FOR YOUNG PEOPLE. YOUTH SPEND ONLY 20% OF THEIR WAKING HOURS IN SCHOOL. ON AVERAGE, PUBLIC SCHOOLS MEET FOR SIX HOURS PER DAY, 180 DAYS PER YEAR. THIS LEAVES 185 DAYS AND MANY HOURS EACH DAY FREE FOR YOUNG PEOPLE TO BE BORED OR LONELY, GET INTO TROUBLE; OR PARTICIPATE IN MEANINGFUL AND FUN ACTIVITIES. WHAT YOUNG PEOPLE DO WITH THE HOURS THAT THEY ARE NOT IN SCHOOL HAS AN OBVIOUS IMPACT ON THEIR DEVELOPMENT AND WELL-BEING. IN THE PAST FEW DECADES, CHANGES IN THE SOCIAL AND ECONOMIC FABRIC OF OUR COUNTRY HAVE LED TO IMPORTANT CHANGES FOR FAMILIES. BECAUSE CHILDREN'S PRIMARY CARE-GIVERS ARE INCREASINGLY REQUIRED TO WORK FULL-TIME OUTSIDE THE HOME, A LARGE PERCENTAGE OF YOUNG PEOPLE ARE IN NEED OF A SAFE PLACE TO SPEND THEIR NON- SCHOOL HOURS WHILE THEIR PARENTS ARE AT WORK. TODAY, LESS THAN 15% OF THE NATION'S YOUNG PEOPLE LIVE IN A HOUSEHOLD WITH A WORKING FATHER AND A "STAY-AT-HOME" MOTHER. YOUNG PEOPLE AGES FIVE TO FOURTEEN ARE IN NEED OF CARE DURING THEIR OUT-OF-SCHOOL TIME. YOUNG PEOPLE WITHOUT ADULT SUPERVISION ARE AT SIGNIFICANTLY GREATER RISK OF TRUANCY FROM SCHOOL, STRESS, RECEIVING POOR GRADES, RISK-TAKING BEHAVIOR, AND SUBSTANCE ABUSE. THOSE WHO SPEND MORE HOURS ON THEIR OWN AND BEGIN SELF-CARE AT YOUNG AGES ARE AT INCREASED RISK OF POOR OUTCOMES. THE JUVENILE CRIME RATE TRIPLES BETWEEN THE HOURS OF 3:00 P.M. AND 6:00 P.M. AND YOUNG PEOPLE ARE MOST LIKELY TO BE VICTIMS OF A VIOLENT CRIME COMMITTED BY A NON-FAMILY MEMBER DURING THESE SAME HOURS. ACCORDING TO CITY-DATA.COM, THERE ARE APPROXIMATELY 496,901 FAMILY HOUSEHOLDS IN LEE COUNTY AND 48,484 ARE FEMALE HOUSEHOLDERS. 16.4% OF HOUSEHOLDS WITH CHILDREN ARE BELOW POVERTY LEVEL. BASED ON THE COMMUNITY DISADVANTAGE INDEX OR CDI, ZIP CODE 33916 WAS IDENTIFIED AS THE MOST DISADVANTAGE IN THE COUNTRY WITH A SCORE OF 10 FOLLOWED BY ZIP CODES 33905 AND 33901 BOTH WITH A SCORE OF 5. WORKING POOR HAVE A RELATIVELY GREATER RISK OF CHILDREN SLIPPING INTO CRIME. FOR FISCAL YEAR 2016-2017 THERE WERE 5,532 YOUTHS REFERRED FOR FELONIES, MISDEMEANORS AND OTHER OFFENSES IN CIRCUIT 20, ACCORDING TO THE FLORIDA DEPARTMENT OF JUVENILE JUSTICE. THE HIGHEST NUMBER OF JUVENILE CRIME IS COMMITTED BY JUVENILES BETWEEN THE AGES 15-17+. AS PART OF A COMMUNITY ALTERNATIVE TO INSTITUTIONAL CARE, FOSTER GRANDPARENTS HAVE BEEN IDENTIFIED AS A VERY COST EFFECTIVE COMPONENT IN THE SERVICE PLANS TO ADDRESS THE CHALLENGE OF IMPACTING THE LIVES OF OUR CHILDREN AND YOUTH. THROUGH CURRICULUM BASED AFTER SCHOOL PROGRAMS AND PLANNED ACTIVITIES IN THE SUMMER PROGRAMS, CHILDREN AND YOUTH WILL BE PROVIDED WITH A ONE ON ONE MENTORING AND TUTORING BY A TRAINED FOSTER GRANDPARENT VOLUNTEER. THE GOAL OF THE FOSTER GRANDPARENT PROGRAM IS TWO-FOLD: ONE IS TO PROVIDE ONE ON ONE MENTORING AND TUTORING TO CHILDREN AND YOUTH WITH SPECIAL NEEDS; THROUGH DIVERSE ACTIVITIES WHICH MEET THEIR NEEDS AND INTEREST, ACTIVITIES THAT WILL ENABLE THEM TO DEVELOP SELF-ESTEEM, AND TO REACH THEIR FULL POTENTIAL. THE SECOND GOAL IS TO PROVIDE VOLUNTEER OPPORTUNITIES TO LOW- INCOME SENIORS 55 AND OLDER, TO SERVE AS MENTORS AND TUTORS TO ASSIGNED CHILDREN AT VOLUNTEER STATIONS. LOW-INCOME SENIORS ARE PROVIDED WITH A STIPEND OF 2.65 AN HOUR, AND MILEAGE REIMBURSEMENT OF 0.40 CENTS PER MILE TO COVER THE COST OF VOLUNTEERING, THAT HELPS THEM REMAIN ACTIVE AND SELF- SUFFICIENT. THE FOSTER GRANDPARENT PROGRAM IS THE MOST COST EFFECTIVE PROGRAM TO HELP CHILDREN DEVELOP SKILLS, CONFIDENCE, AND STRENGTH OF CHARACTER TO SUCCEED IN LIFE. THE GOAL OF THE FOSTER GRANDPARENT PROGRAM DEFINITELY RELATES TO THE MISSION OF THE DR. PIPER CENTER OF ENHANCING THE SOCIAL AND ECONOMIC WELL-BEING OF LOW-INCOME SENIORS AND MAKING A POSITIVE IMPACT IN THE LIVES OF CHILDREN WITH SPECIAL NEEDS. THIS FISCAL YEAR THE FOSTER GRANDPARENT PROGRAM OF SW FLORIDA PROVIDED 103,657 HOURS OF SERVICE, SERVING 473 CHILDREN WITH SPECIAL NEEDS. 97% OF CHILDREN PROVIDED WITH MENTORING AND TUTORING WERE PROMOTED TO THE NEXT GRADE LEVEL WHILE 100% OF LOW-INCOME SENIORS ENROLLED IN THE PROGRAM WERE TRAINED, RETAINED AND REMAINED ACTIVE AND SELF-SUFFICIENT.
4c (Code:   ) (Expenses $ 520,325 including grants of $   ) (Revenue $   )
SENIOR COMPANION PROGRAM: THE DEPARTMENT OF ELDER AFFAIRS 2017 COUNTY PROFILES DECLARED THAT 32.8% OF LEE COUNTY'S TOTAL POPULATION OF 697,708 IS 60 AND OLDER WITH 46,950 LIVING ALONE.29,593 OF THOSE 65 AND OLDER HAVE TWO OR MORE TYPES OF DISABILITIES, INCLUDING SENSORY, PHYSICAL AND MENTAL DISABILITIES. 21,663 SUFFER FROM SOME FORM OF DEMENTIA OR ALZHEIMER'S DISEASE. ACCORDING TO THE DEPARTMENT OF AGING AND MENTAL HEALTH, DEPRESSION GOES UNTREATED IN 80% OF THE SENIOR POPULATION. STUDIES SHOW THAT AT LEAST 10-25 % OF ALL ELDERLY PEOPLE SHOW CLEAR SYMPTOMS OF DEPRESSION. 1-5 % HAS SO-CALLED SERIOUS DEPRESSIVE EPISODES, AND 2-8 % SUFFERS FROM LONELINESS AND MELANCHOLY. STUDIES ON RESIDENTS IN HOMES FOR THE ELDERLY FIND THAT 5-15 % SUFFER FROM DEPRESSION. UP TO 30 % OF THE RESIDENTS HAVE MORE OR LESS PRONOUNCED SYMPTOMS OF DEPRESSION SUCH AS TIREDNESS, LACK OF APPETITE AND DEJECTION. IT IS ALSO KNOWN THAT MUCH DEPRESSION AMONG THE ELDERLY IS NOT DIAGNOSED BY PSYCHIATRIC SERVICES. THROUGH THE NATURE OF THE AGING PROCESS, CHRONIC ILLNESSES AND CONDITIONS SUCH AS DEBILITATING ARTHRITIS, OSTEOPOROSIS, DEMENTIA, DIABETES, RESPIRATORY PROBLEMS, BLINDNESS, ETC. SUBSTANTIALLY LIMIT MOBILITY THUS QUALITY OF LIFE IS DETERIORATING, WHICH ACCELERATES THEIR PHYSICAL PROBLEMS AND MOST OF THE TIME MENTAL PROBLEMS SUCH AS DEPRESSION. THE DEMAND FOR CARE OF THESE ELDERLY WILL GROW DRAMATICALLY IF THEY ARE TO REMAIN AT HOME AND AVOID PREMATURE AND COSTLY INSTITUTIONALIZATION. WITH SEVERAL SERVICE PROVIDERS IN LEE COUNTY SHOWING A WAITING LIST FOR THIS POPULATION, FUNDING DOES NOT EXIST TO ALLEVIATE THIS CRISIS. AS PART OF A COMMUNITY ALTERNATIVE TO INSTITUTIONAL LONG-TERM CARE, SENIOR COMPANIONS HAVE BEEN IDENTIFIED AS A VERY COST EFFECTIVE COMPONENT IN THE SERVICE PLANS TO ADDRESS THIS CHALLENGE. BY HELPING FRAIL ELDERLY CLIENTS WITH MEAL PREPARATION, TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS AND GROCERY SHOPPING, ADVOCACY AND SIMPLE HOUSEKEEPING, SENIOR COMPANIONS HELP EASE LONELINESS AND ILLNESS WHILE BOOSTING SELF-ESTEEM OF THEIR ASSIGNED CLIENTS. SINCE SENIOR COMPANIONS SPEND A SIGNIFICANT AMOUNT OF TIME WITH THEIR FRAIL ELDERLY CLIENTS, THEY WILL BE ABLE TO CONTINUE ALERTING DOCTORS AND CASE MANAGERS OR FAMILY MEMBERS OF POTENTIAL HEALTH PROBLEMS, ALLOWING THEM TO PROVIDE IMMEDIATE CARE TO THE CLIENT. THE SENIOR COMPANION VOLUNTEER CAN ALSO PLAY A CRITICAL ROLE IN RECOGNIZING SIGNS THAT AN ELDERLY CLIENT MAY BE DEPRESSED. RECOGNIZING THE POSSIBLE WARNING SIGNS OF DEPRESSION IS THE FIRST STEP IN HELPING A DEPRESSED PERSON. SENIOR COMPANIONS CAN IMMEDIATELY ALERT CASE MANAGERS SO THAT THE DEPRESSED ELDERLY WILL GET THE SUPPORT HE OR SHE NEEDS. EVEN THOUGH MANY FAMILIES TAKE GREAT JOY IN PROVIDING CARE TO THEIR LOVED ONES SO THAT THEY CAN REMAIN AT HOME, THE PHYSICAL, EMOTIONAL AND FINANCIAL CONSEQUENCES FOR THE FAMILY CAREGIVER CAN BE OVERWHELMING WITHOUT SOME SUPPORT, SUCH AS RESPITE. SENIOR COMPANIONS PROVIDE FAMILY CAREGIVERS A MUCH-NEEDED BREAK TO PREVENT BURN OUT. THE GOAL OF THE SENIOR COMPANION PROGRAM IS TWO-FOLD: ONE IS TO PROVIDE ASSISTANCE TO FRAIL, HOME BOUND SENIORS, 60 AND OLDER, THUS PRESERVING THEIR QUALITY OF LIFE AND INDEPENDENCE. THROUGH CLIENT ASSESSMENT AND CASE MANAGEMENT, SIMPLE HOUSEKEEPING, COMPANIONSHIP AND FRIENDSHIP, RUNNING ERRANDS, ADVOCACY, TRANSPORTATION TO AND FROM GROCERY SHOPPING OR MEDICAL APPOINTMENTS, FRAIL ELDERLY CLIENTS ARE MORE LIKELY MAINTAINED IN THEIR OWN HOME. THE PROGRAM ALSO PROVIDES RESPITE TO FULL-TIME CAREGIVER, GIVING THEM TIME FOR THEMSELVES TO PREVENT BURN OUT. THE SECOND GOAL IS TO PROVIDE VOLUNTEER OPPORTUNITIES TO LOW-INCOME SENIORS 55 AND OLDER TO SERVE IDENTIFIED FRAIL ELDERLY CLIENTS IN OUR COMMUNITIES. LOW-INCOME SENIORS ARE PROVIDED WITH A STIPEND OF 2.65 AN HOUR AND MILEAGE REIMBURSEMENT OF 0.40 PER MILE TO COVER THE COST OF VOLUNTEERING, WHICH HELP THEM TO REMAIN ACTIVE AND SELF-SUFFICIENT. THE SENIOR COMPANION PROGRAM IS THE MOST COST EFFECTIVE PROGRAM TO MAINTAIN FRAIL ELDERLY CLIENTS IN THEIR OWN HOME AND PREVENT PREMATURE INSTITUTIONALIZATION. A TOTAL OF APPROXIMATELY 81,306 HOURS WERE PROVIDED BY OUR SENIOR COMPANIONS THIS LAST FISCAL YEAR. SIX HUNDRED FIFTY-ONE (651) FRAIL ELDERLY CLIENTS WERE SERVED AND THE FOLLOWING ARE THE OUTCOMES: 1. 95% OF THE FRAIL ELDERLY CLIENTS SERVED WILL HAVE IMPROVED/MAINTAINED INDEPENDENT LIVING. 2. 98% OF FRAIL ELDERLY CLIENTS SERVED ARE LESS LONELY AND ACCESS TO SERVICES WILL HAVE IMPROVED. 3. 100% OF SENIOR COMPANION VOLUNTEERS BENEFIT THE PROGRAM WITH INCREASE HEALTH AND LONGEVITY AND FEELINGS OF SATISFACTION AND FULFILLMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,095,638
Form 990 (2016)
Page 3
Form 990 (2016)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
Form 990 (2016)
Page 4
Form 990 (2016)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2016)
Page 5
Form 990 (2016)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
10
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2016)
Page 6
Form 990 (2016)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
8
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
FL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletNIDA ELUNA2607 DR ELLA PIPER WAY   FORT MYERS,FL33916 (239) 332-5346
Form 990 (2016)
Page 7
Form 990 (2016)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) NIDA ELUNA......................................................................
EXECUTIVE DI
40.00
.................
 
X           86,929 0 8,417
(2) SUE MAXWELL......................................................................
SECRETARY
 
.................
 
X   X       0 0 0
(3) RALIEGH SCOTT......................................................................
DIRECTOR
 
.................
 
X           0 0 0
(4) DANIELLE DYER......................................................................
PRESIDENT
0.50
.................
 
X   X       0 0 0
(5) REV RICKEY ANDERSON......................................................................
VICE PRESIDE
0.50
.................
 
X   X       0 0 0
(6) JOANNE SHOW......................................................................
TREASURER
0.50
.................
 
X   X       0 0 0
(7) SAMUEL RODRIGUEZ......................................................................
DIRECTOR
0.50
.................
 
X           0 0 0
(8) MARTIN HAAS......................................................................
DIRECTOR
0.50
.................
 
X           0 0 0
(9) SHARON GIEBELS......................................................................
DIRECTOR
0.50
.................
 
X           0 0 0
(10) DEE MERRITT......................................................................
DIRECTOR
0.50
.................
 
X           0 0 0
(11) CHRISTINE ISENHOUR......................................................................
DIRECTOR
0.50
.................
 
X           0 0 0
(12) BLAKE HAMPTON......................................................................
DIRECTOR
0.50
.................
 
X           0 0 0
(13) TERRI KINSEY......................................................................
DIRECTOR
0.50
.................
 
X           0 0 0








Form 990 (2016)
Page 8
Form 990 (2016)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 86,929   8,417
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet  
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet  
Form 990 (2016)
Page 9
Form 990 (2016)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 56,000
b Membership dues..1b  
c Fundraising events..1c 9,880
d Related organizations1d  
e Government grants (contributions)1e 1,029,591
f All other contributions, gifts, grants, and similar amounts not included above1f 79,383
g Noncash contributions included in lines 1a-1f:$ 23,720
h Total.Add lines 1a-1f.......MediumBullet 1,174,854
 Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue .        
g Total.Add lines 2a–2f....MediumBullet  
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 1,220 826   394
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss)......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss).....MediumBullet        
8a Gross income from fundraising events (not including $ 9,880of contributions reported on line 1c). See Part IV, line 18 ....
a 11,020
b Less: direct expenses ...b 21,573
c Net income or (loss) from fundraising events..MediumBullet -10,553    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a MISC INCOME   5,329 5,329    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 5,329
12 Total revenue. See Instructions......MediumBullet 1,170,850 6,155   394
Form 990 (2016)
Page 10
Form 990 (2016)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21    
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 87,298 82,933 4,365  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 230,687 219,153 11,534  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 12,177 11,568 609  
10 Payroll taxes ........... 29,514 28,039 1,475  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 9,620 9,139 481  
12 Advertising and promotion .... 2,825 2,684 141  
13 Office expenses ....... 39,540 37,023 2,517  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 22,989 21,840 1,149  
17 Travel ............ 135,616 131,037 4,579  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,058 1,955 103  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 30 20 10  
23 Insurance ... 19,764 18,877 887  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a VOLUNTEER STIPENDS-FGP 274,668 274,668    
b VOLUNTEER STIPENDS-SCP 215,437 215,437    
c IN KIND MEALS 19,480 19,480    
d RECOGNITION 10,249 10,249    
e All other expenses 11,856 11,536 320  
25 Total functional expenses. Add lines 1 through 24e 1,123,808 1,095,638 28,170 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2016)
Page 11
Form 990 (2016)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 111,718 1 133,856
2 Savings and temporary cash investments ......... 108,556 2 108,450
3 Pledges and grants receivable, net ...... 55,516 3 100,259
4 Accounts receivable, net .............   4  
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6  
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ......   9 1,975
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 32,741
b Less: accumulated depreciation 10b 32,741 30 10c  
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 21,261 12 22,294
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)... 297,081 16 366,834
Liabilities 17 Accounts payable and accrued expenses ..... 43,438 17 57,839
18 Grants payable ...   18  
19 Deferred revenue .........   19 6,651
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D   25  
26 Total liabilities. Add lines 17 through 25.. 43,438 26 64,490
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 232,382 27 280,050
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets 21,261 29 22,294
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 253,643 33 302,344
34 Total liabilities and net assets/fund balances ........ 297,081 34 366,834
Form 990 (2016)
Page 12
Form 990 (2016)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,170,850
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,123,808
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
47,042
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
253,643
5
Net unrealized gains (losses) on investments ...............
5
1,659
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
302,344
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2016)
Form 990 (2016)
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