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HomeMy WebLinkAboutANNUAL ACTION PLAN 2008-200911111111111111111111111111111111111111111111111 *NEW FILE* Annual Action Plan 2008-2009 • A Brief History and Overview of the Community Development Block Grant (CDBG) Program Introduction Since 1974 CDBG has been the backbone of improvement efforts in many communities, providing a flexible source of annual grant funds for local governments nationwide - funds that localities, with the participation of residents, can devote to the activities that best serve their own particular development priorities, provided that these projects meet one of the following three national objectives: (1) benefit low- and moderate -income families; (2) prevent or eliminate slums or blight; or (3) meet other urgent community development needs. CDBG grew out of the consolidation of eight categorical programs under which communities competed nationally for funds. These programs included: Open Space; Urban Renewal; Neighborhood Development Program grants; Historic Preservation grants; Model Cities supplemental grants; Public Facilities loans; Neighborhood Facilities grants; and Water and Sewer grants. CDBG is now the Nation's eighth . largest Federal grant program. The primary objective of the CDBG Program is the development of viable urban communities through the provision of decent housing, a suitable living environment; and economic opportunity principally for low- and moderate -income persons. Local governments participate in either the Entitlement Program (for cities over 50,000 in population or urban counties with more than 200,000 people) or the States and Small Cities Program (communities with populations of 50,000 or less). The Entitlement Program, of which the City is a part, is the largest component of the CDBG Program receiving 70% of CDBG appropriations. To receive its annual CDBG entitlement grant, a recipient must have an approved Consolidated Plan (CPD), which fulfills the application and reporting requirements for entitlement communities and contains an action plan describing how the jurisdiction will use its COBG funds. .0 PROGRAM HISTORY ➢ The Community Development Block Grant (CDBG) Program is authorized under Title I of the Housing and Community Development Act of 1974, as amended.' ➢ CDBG grew out of the consolidation of eight categorical programs under which communities.competed nationally for funds. The consolidated programs include: • Open Space; • Urban Renewal; • Neighborhood Development Program grants; • Historic Preservation grants; • Model Cities supplemental grants; • Public Facilities loans; • Neighborhood Facilities grants; and • Water and Sewer grants. • ➢ Local governments participate • in either the Entitlement Program (for cities over 50,000 in population or urban counties with more than 200,000 people) or the States and Small Cities Program (communities with populations of 50,000 or less). ➢ The Entitlement Program is the largest component of the CDBG Program receiving 70% of CDBG appropriations. ➢ Participating local governments automatically receive an annual allocation of CDBG funds. The grant amounts are determined by the higher of two formulas: Data based on overcrowded housing, population and poverty; OR • Data based on age of housing, population growth lag and poverty. A ➢ The regulations implementing the CDBG Program are found at 24 CFR Part 570. 0 ➢ The trend in many federal programs, including CDBG, is toward greater flexibility. The most recent regulatory changes, effective December 11, 1995, continued that trend by providing: • Greater flexibility regarding new construction; • Enhanced flexibility in the area of economic development; and • Increasingly manageable administrative requirements. ➢ A glossary of common CDBG terms is provided in the reference section of this manual. PRIMARY OBJECTIVE OF THE CDBG PROGRAM ➢ The primary objective of the CDBG Program is the development of viable urban communities through the provision of the following, principally for low- and moderate -income (LMI) persons: • decent housing, • a suitable living environment, and • • economic opportunity. ➢ To achieve these goals, the CDBG regulations outline eligible activities and the national objectives that each activity meets. NATIONAL OBJECTIVES ➢ CDBG grantees are responsible for assuring that each eligible activity meets one of three national objectives: • Benefit to low- and moderate -income persons; • Aid in the prevention of slum and blight; • Urgent need. • The following sections outline each of these national objectives. ➢ The following sections outline each of these national objectives. 0 Benefit to Low- and Moderate -Income Persons • ➢ Under this objective, CDBG-assisted activities must benefit low- and moderate - income (LMI) persons using one of the following categories: • Area benefit • 'Limited clientele • Housing • Job creation/retention ➢ Area benefit -- Area benefit is the most commonly used category for basic activities. It is an activity that benefits all residents in a particular area, where at least 51 percent of the residents are LMI persons; ➢ Limited clientele --Limited clientele activities benefit a limited number of people as long as at least 51 percent of those served are LMI persons. These activities must: • Benefit a clientele generally presumed to be principally low- and moderate - income; or • Require documentation on family size and income in order to show that at least 51 % of the clientele are LMI; or • Have income eligibility requirements limiting the activity to LMI persons; or • Be of a nature and location that it can be concluded that primary clients are LMI. In addition, the following activities may qualify under the limited clientele national objective: • Removal of architectural barriers to mobility for elderly persons or the severely disabled. (Note: some restrictions do apply to these activities. See 24 CFR 570.208(a)(2).) • Microenterprise activities carried out in accordance with the HUD regulations when the person owning or developing the microenterprise is LMI. • • Activities that provide training and other employment support services when the • percentage of persons assisted is less than 51% LMI may qualify if: the proportion of total cost borne by CDBG is no greater than the proportion of LMI persons assisted; and when the service assists businesses, CDBG is only used in the project to pay for the job training and/or supportive services. ➢ Housing activity -- This is an eligible activity undertaken for the purpose of providing or improving permanent residential structures which, upon completion, will be occupied by below- and moderate -income persons. If the structure contains more than one unit, at least 51 % must be LMI occupied. Under the following limited circumstances, structures with less than 51 % LMI occupants may be assisted: • Assistance is for an eligible activity that reduces the development cost of new construction of non -elderly. multi -family rental housing project; and • At least 20% of the units will be occupied by LMI households at an affordable rent; and • The proportion of cost borne by CDBG funds is no greater than the proportion to be occupied by LMI households. • ➢ Job creation or retention activities -- These are eligible activities designed to create or retain permanent jobs, at least 51 percent of which (computed on a. full time equivalent basis) will be made available to or held by low- and moderate - income persons. Persons may be presumed to be LMI if: • He/she resides in a Census tract/block numbering area that has a 20 percent poverty rate (30 percent poverty rate if the area includes the central business district); and the area evidences pervasive poverty and general distress; or • He/she lives in an area that is part of a federally -designated Empowerment Zone or Enterprise Community; or • He/she resides in a Census tract/block group where at least 70 percent of the residents are LMI. Jobs created or retained at assisted businesses may be presumed to be LMI if the job and business are located in an area that: • Has a 20 percent poverty rate (30 percent poverty rate if the area includes the central business district); and the area evidences pervasive poverty and general distress; or • • Is part of a federally -designated Empowerment Zone or Enterprise Community. See 24 CFR Part 570.208(a) (4) for a complete explanation of these presumptions. Aid in the Prevention or Eliinination of Slums and Blight ➢ These are activities which help to prevent or eliminate slums and blighted conditions. ➢ These activities must meet the criteria of one of the three following categories: (1) Eliminate slum and blight on an area basis; (2) Eliminate slum and blight on a spot basis; or (3) Be in an urban renewal area, ➢ Area basis -- These are activities that aid in the prevention or elimination of slums or blight in a designated area. • The delineated area in which the activity occurs must meet a definition of a slum, blighted, deteriorated or deteriorating area understate or local law. • • In addition, there must be a substantial number of deteriorated or deteriorating buildings or public improvements in the area, and the activity must address one or more of the conditions which contributed to the deterioration of the area. ➢ Spot basis -- These are activities which eliminate specific conditions of blight or physical decay on a spot basis not located in a slum or blighted area. Only specific types of activities qualify for this national objective, including: • Acquisition, clearance, relocation, historic preservation, and building rehabilitation activities. • Rehabilitation is limited to the extent necessary to eliminate a specific condition detrimental to public health and safety. ➢ Urban renewal area -- These are activities located within an urban renewal project area or Neighborhood Development Program (NDP) action area which are necessary to complete the urban renewal plan. 0 Urgent Need . ➢ Use of this category is extremely rare. It is designed only for activities that alleviate emergency conditions. Urgent need activities must meet the following qualifying criteria: • the existing conditions must pose a serious and immediate threat to the health or welfare of the community; • the existing conditions are of recent origin or recently became urgent (generally within the past 18 months); • the recipient is unable to finance the activity on its own; and, • other sources of funding are not available. Example: A coastal city is struck by a major hurricane within the last month and does not have any other resources to demolish severely damaged structures which pose a danger to occupants of neighboring structures. This activity would qualify under the Urgent Needs National Objective. ELIGIBLE AND INELIGIBLE ACTIVITIES . Eligible Activities ➢ Grantees are free to select those activities that best meet the needs of their communities, in accordance with the national, objectives and requirements of the CDBG Program. ➢ The following is a representative list of eligible CDBG activities. • acquisition and disposition; • clearance and demolition; • rehabilitation and preservation; • housing services in connection with Home Investment Partnerships (HOME) Program activities; • construction of housing by Community Based Development Organizations (CBDOs); • homeownership assistance (e.g., downpayment assistance, interest subsidies); 0 • relocation assistance; and • • lead -based paint testing and abatement. ➢ Public facilities and improvements: • acquisition, installation, construction and rehabilitation of infrastructure (e.g. water/sewer lines, streets and sidewalks); and • acquisition, construction or rehab or neighborhood facilities and facilities for persons with special needs (e.g., homeless shelters, group homes and halfway houses). ➢ Public services (NOTE: this list is not inclusive of all types of services that may be eligible under the CDBG Program): • job training and employment services; • health care and substance abuse services; • child care; • crime prevention; and • • fair housing counseling ➢ Economic development: • assistance to microenterprises and other businesses; • technical assistance and other support services to microenterprises; • acquisition, construction and rehabilitation of commercial and industrial properties; • outreach, marketing and other services to assisted businesses; and • relocation assistance for businesses temporarily or permanently relocated, ➢ Planning and administration: • general management, oversight and coordination of the CDBG Program; • public information; E • fair housing activities; • preparation of plans; • preparation of environmental reviews; • preparation and submission of applications for other Federal programs; and • capacity building activities related to policy, planning and management. ➢ Other eligible activities: • code enforcement; • historic preservation; • interim assistance to arrest severe deterioration or alleviate emergency conditions; • completion of urban renewal projects; • technical assistance to public or nonprofit entities to increase the capacity of such entities to carry out eligible neighborhood revitalization or economic development activities; • assistance to institutions of higher education with the capacity to carry out other eligible activities; and • special activities by Community Based Development Organizations (CBDOs) in connection with neighborhood revitalization, community economic development and energy conservation projects. Ineligible Activities ➢ The general rule is that any activity that is not authorized under the CDBG regulations is ineligible to be assisted with CDBG funds. ➢ In addition, the regulations stipulate that the following activities may not be assisted with CDBG funds: • building for the general conduct of government (e.g., city hall); • general government expenses; CJ • political activities; • new housing construction except under certain conditions or when carried out by a Community Based Development Organization (CBDO); and • income payments. ➢ The following activities may not be assisted with CDBG funds unless authorized as a special economic development activity or when carried out by a CBDO: • purchase of equipment; and • operating and maintenance expenses (of public facilities, improvements and services). NOTE: Specific exceptions to this general rule are operating and maintenance expenses associated with public service activities, interim assistance, and office space for program staff employed in carrying out the CDBG program. Constitutional Prohibition ➢ In accordance with the First Amendment concerning the separation of church and state, CDBG funds generally may not be used for religious activities or provided to primarily religious entities for activities. • ➢ CDBG funds may not be used to acquire, construct or rehab properties used for primarily religious purposes or to promote religious interests regardless of the use of the property. ➢ A secular entity leasing a property from a religious entity can enter into a management contract authorizing the religious entity to use the property for a wholly secular purpose (e.g., homeless services) provided the religious entity agrees (in the form of a contract) to carry out the activity in a manner free from religious influences. ➢ CDBG funds may be used to acquire property owned by primarily religious entities; however, the sales price may not exceed the fair market value of the property. ➢ CDBG funds may be used for eligible public services to be provided through a primarily religious entity, provided the religious entity enters into an agreement stating that it will not discriminate on the basis of religion and it will not provide any sort of religious services or other types of influential activities. 0 USE OF CDBG FUNDS WITH OTHER FUNDING ➢ There are essentially no limitations on the .use of CDBG funds with other private, local, state and federal funds. CDBG funds can be combined with HOME and Supportive Housing Program funds, Low Income Housing Tax Credits, tax increment financing, tax-exempt bond financing and local general fund monies. ➢ CDBG funds are often an important first piece of large, complex affordable housing financing. Developers and lenders generally view CDBG as one of the more flexible sources of funds for housing projects. ➢ The link between CDBG funds and the Consolidated Plan provides an important impetus for grantees to strategically allocate funds to address community needs. HUD reviews grantee performance in meeting objectives set forth in Consolidated Plans. As such, grantees should carefully consider how CDBG funds are allocated in conjunction with determining how Consolidated Plan goals will be met. LIMITATIONS ON CDBG EXPENDITURES Low- and Moderate -Income Benefit Expenditures • ➢ The primary objective of the CDBG Program is the development of viable urban communities principally for persons of low- and moderate -income. ➢ To meet this objective, the CDBG regulations require that grantees expend not less than 70% of CDBG funds for activities which benefit low- and moderate - income persons. Planning and administrative costs are excluded from the low/mod benefit calculation. • Activities meeting this requirement are those which qualify under one of the four Low/Mod Benefit National Objective categories: (1) area basis; (2) limited clientele; (3) housing activities; or (4) job creation or retention. • The calculation is based on aggregate CDBG expenditures over a period which is specified by the grantee (up to three years) in a certification to HUD. The certification must be included in grantee's annual Consolidated • Plan action plan submission. L� 11 ➢ Due to the 70% low/mod benefit standard, grantees must limit expenditures under the Sium/Blight and Urgent Needs National Objective in order to meet the low/mod expenditures requirement. Low/Mod Calculation Example Total entitlement grant amount Less planning and admin (20%) Equals amount subject to Low/Mod calculation Multiplied by 70% Equals minimum to benefit low/mod Amount subject to low/mod calculation Less low/mod minimum Equals $1,000,000 (200,000) $ 800,000 x .70 $ 560,000 $ 80,000 & (560,000) & 240,000 *NOTE: This example is for illustrative purposes only. It does not demonstrate the calculation for grantees on a multi -year certification cycle, and does not take into account program income. a Administrative Cap ➢ No more than 20% of each year's grant plus program income may be obligated for planning and administrative costs. • To comply with this requirement, grantees must limit obligations to 20% of the annual grant plus program income. • Planning and administrative costs subject to the cap do not include staff and overhead costs directly related to carrying out eligible activities since those costs are eligible as part of those activities. Public Services Cap ➢ The CDBG regulations limit the amount of funding that can be used for public service activities. The limit is based on obligations for public services and cannot exceed: • 15% of that program year's entitlement grant; PLUS • 15% of the preceding year's program income. OTHER FEDERAL REQUIREMENTS ➢ In addition to the programmatic CDBG requirements noted earlier in this chapter, CDBG projects may also be subjected to other federalrequirements. ➢ These other federal requirements include: • Fair Housing and Equal Opportunity: Discrimination on the basis of race, color, national origin, religion, or sex is prohibited. • Handicapped accessibility: Federally -assisted buildings and facilities must be accessible. • Employment and contracting: Grantees may not discriminate in employment and must make efforts to provide training and employment opportunities to low-income residents. • Environmental review: Grantees must undertake environmental reviews in accordance with 24 CFR 58.5. • Flood insurance: CDBG funds may not be provided in a FEMA designated special flood area unless specific precautions are undertaken. • L V Wwp 04�},o CITY OF NEWPORT BEACH • v m c'LtFO1T�P 2008-2009 Program Year Community Development Block Grant Program CONSOLIDATED SCHEDULE December 14, 2007 Notice of Funds Availability (NOFA) issued to all City Departments December 14, 2007 Notice of Funds Availability (NOFA) issued to all Community Based Organizations (CBO's). December 21, 2007 Notice calling for projects from the public published in local newspaper and posted in City bulletin boards January 23, 2008 Proposals due for 2007-2008 Program year. February 4, 2008 City staff reviews public service applications and proposes agencies to be funded and funding amounts. March 7, 2008 Publish Notice of Public Hearing for public input, and consideration of Draft 2008-2009 Action Plan and availability of Draft Plans March 7, 2008 Prepare draft staff report for review by City staff. April 0 2008 City Council conducts Public Hearing for 2007-2008 Action Plan. April 29, 2008 Submitters notified of selected projects April 29, 2008 City submits final 2008-2009 Action Plan to the U.S. Department of Housing and Urban Development. July 1, 2008 Start of CDBG Program Year �J 11 • • City of Newport Beach Summary of Specific Annual Objectives Specific Obj. Outcome/Objective Performance indicators CPMP Version 2.0 Year Expected Actual Percent Number Number I Completed Appendix "A" City of Newport Beach summary of Specific Obj. DH-1 Annual Objet OutcomelObjective .citic Annual Obiect Five Year Strategic Plan Goal• 1,500 households assisted with landlord tenant mediation, and — 25 households assisted with discrimination issues. TOTAL FIVE YEAR GOAL:1,500+25 =1,525 Sources of Funds .: -I CPMP Version 2.0 Performance Indicators Year Expected Actual IPercent Number Number Completed GOAL 486 63% 0% 2007 Consolidated Annual Performance and Evaluation Report Appendix "A" C_ L_• t __ City of Newport Beach Summary of Specific Annual Obje( Specific Obj. Outcome/Objective Specific Annual Oblecti (1) Notes: In 2005: 230-rent-restricted units were monitored; 85 Section 8 vouchers were utilized by low-income Newport Beach residents. In 2006: 230 affordable rent -restricted units were monitored; 103 Section 8 vouchers were utilized by low-income Newport Beach residents. Five-year strategic Plan Goal- - 105 low-income households utilize Section 8 vouchers & preserve 28 units of at -risk affordable (rent restricted) units TOTAL FIVE YEAR GOAL: 28+105=133 0' CPMP Version 2.0 Sources of Funds I Performance Indicators I I Expected Actual Year Number Percent Number Completed GOAL 2007 Consolidated Annual Performance and Evaluation Report Appendix "A" City of Newport Beach nmary of Specific Annual Objel ific Obj. Outcome(Objective _. Specific Annual Obiect (1) Sources of Funds CPMP Version Z0 Performance Indicators Year Expected Actual Percent Number Number I Completed 00% 0% 2007 Consolidated Annual Performance and Evaluation Report Appendix 'A" tie - City of Newport Beach Summary of Specific Obj. Annual Objet OutcomelObjective :CWC Annual Oblectl Notes: In 2005, So. County Senior Services assisted 83 seniors & FISH Harbor assisted 83 seniors for a total of 128. In 2006, So. County Senior Services assisted 124 seniors & FISH Harbor assisted 34 seniors for a total of 158. Sources of Funds • CPMP Version 2.0 Performance Indicators Year Expected Number Actual Number Percent Completed 286 2007 Consolidated Annual Performance and Evaluation Report Appendix "A" • City of Newport Beach Summary of Specific Obj. (3) Annual Objel Outcome/Objective �cific Annual Obiect Notes - In 2005, SPIN assisted 12 persons in the Substance Abuse Rehab Program. In 2006, SPIN assisted 14 persons in the Substance Abuse Rehab Program. 2007 Consolidated Annual Performance and Evaluation Report Sources of Funds CPMP Version 2.0 Performance Indicators I Year I Expected I Actual I Percent Number Number Completed 26 280% 0% 0% Appendix "A" 0 City of Newport Beach Summary of Specific Obj. (4) Annual Obje Outcome/Objective Sources of Funds CPMP Version 2-0 Performance indicators Year Expected Actual Percent I I Number I Number I Completed 3% . .............. .. . 1;iEJ!Hj MULTI -YEAR GOAL 66 33% Notes: In 2005, Mercy House assisted 65 persons With HIV/AIDS with transitional housing and applicable supportive services. In 2006, Mercy House had to close two of its transitional houses for major rehab. As a result, I person with HIV/AIDS was assisted. 2007 consolidated Annual Performance and Evaluation Report Appendix "A" L _0 City of Newport Beach Summaryof Specific Obj. c Annual Objet OutcomelObjective Sources of Funds Notes: In 2005, Human Options assisted 2 people; Mercy House assisted 65; OC Interfaith Shelter assisted 11; SPIN assisted 12; and WISEPlace assisted 57 (TOTAL =147). In 2006, Human Options assisted 32 people; Mercy House assisted 1; and SPIN assisted 14 (TOTAL = 47). Performance indicators MULTI YEAR GOAL CPMP Version 2.0 Year I Expected I Actual I Percent Number Number Completed 194 2007 Consolidated Annual Performance and Evaluation Report Appendix "A" City of Newport Beach nmary of fic Obj. (6) Annual Objel Outcome/Objective cific Annual Obiect'. Notes: In 2005: Fair Housing Council assisted 267 persons and FISH Harbor Homeless & Hunger Prevention program assisted 23 (TOTAL 290). In 2006, Fair Housing Council assisted 191 persons. 2007 Consolidated Annual Performance and Evaluation Report Sources of Funds CPMP Version 2.0 Performance Indicators I year, I Expected I Actual I Percent Number Number Completed 0% 0% 1600, Appendix "A" CRY of Newport Beach Summary of Specific Obj. SL-1 Outcome/Objective :cific Annual Obiect Notes: In 2005, Human Options assisted 2 persons and WISEPlace assisted 32 (TOTAL 59). In 2006, Human Options assisted 32 persons. Sources of Funds CPMP Wrsfon 20 Performance Indicators Year Expected Actual Percent Number Number Completed i9Y;tff; ?Ai fiYiSA5l;'tSt��tl.;.: 2005:4!4 4U 54:€:[_ ;53 ::.; 118% ii?jiii^i:iiiiice Eli,..... ..i''%'tw''E:EfE. 0% ::::.:::::;:•:::"'::::'::c•:;:r::;:;.:: 2007.;1t`:€i:1:`€€:... 0% .:.:: 2008 ::i s:::€.€ ° :•:::::::-::• a ::::- :r ipi::::: ::•::•:s ::::: •::-.::::s:. •:.:.: 2009:i€.€:..1'sit30:€.€:€ ..................... :t1t'[:t 0% MULTI YEAR GOAL € 250 . 91 36% 2007 Consolidated Annual Performance and Evaluation Report Appendix "A" City of Newport Beach CPMP Version 2.o summary of Specific Annual Objectives Specific Obj. OutcomefObjective # Sources of Funds Performance Indicators Year Expected Actual Percent Specific Annual Objectives Number Number Completed rr w SLA Notes: In 2005, Human Options assisted 2 persons and WISEPIace assisted 32 (TOTAL 59). In 2006, Human Options assisted 32 persons. P4 2007 Consolidated Annual Performance and Evaluation Report Appendix"A" City of Newport Beach Summary of Specific Obj. SL-1 (9) Annual Outcome/objective Annual CPMP Version 2.0 Sources of Funds I Performance Indicators I Year I Expected I Actual I Percent Number Number Completed Yrh �rlcisr n Y.i 2 2007 Consolidated Annual Performance and Evaluation Report Appendix "A" I•= City of Newport Beach Summary of Specific Annual Obje( Specific Obj. OutcomeiObjective _ Specific Annual Obiecti SL-3 Notes: In 2005, Balboa Village Improvements (Sect 108 loan) assisted 500 households; Code Enforcement program assisted 500 households; Balboa Village Sidewalk Improvements assisted 500 households (TOTAL 1,500). In 2006, Balboa Village Sidewalk Improvements assisted 500 households. • Sources of Funds Performance Indicators GOAL i CPMP Version 2.0 Year Expected Actual Percent Number Number I Completed 2007 Consolidated Annual Performance and Evaluation Report Appendix "A" • 0 r� FAIR MOUSING COUNCIL OF ORANGE COUNTY FOSTERING DIVERSITY IN HOUSING 201 S. Broadway • Santa Ana, CA 92701 714/569-0823 • Fax 714/835-0281 • www.fairhousingoo.org January 22, 2008 Sharon Wood Assistant City Manager c/o Planning Department City of Newport Beach 3300 Newport Boulevard Newport Beach, CA 92658 RXEIV8D BY n r s rim 0CP4UNT CITY OF Nin jo. RE: Application For CDBG Funds For Provision of Fair Housing Services Dear Ms. Wood, Please find enclosed our agency's application for funding, in the amount of $14,124, to continue the provision of Fair Housing Education, Counseling, and Enforcement services for the City of Newport Beach for the 2008 — 2009 program year. Also enclosed; as requested, are copies of various documents related to our corporate governance. By way of a reminder, we base our funding request on services provided in the most recently completed program year (2006 — 2007), which are used to determine a "fair share" service demand rate for Newport Beach. In this case that figure is 2.63%, which represents a modest increase from the previous year's 2.37%. This results primarily from an increase in discrimination case files opened, from 1 to 3. When applied to a basis of $537,000, which represents the total of funding requests to all CDBG jurisdictions within Orange County, this "fair share" rate yields our request in the amount of $14,124. Although this request is made via the Public Services Application Form, the proposed services are eligible to be funded from the maximum 20% Administration •allowance. This is due to the fact that they assist the city in complying with requirement to "affirmatively further fair housing", which is a condition of the receipt of CDBG funds. The nature of the services proposed is the same as those provided over the many years that our agency has served the current or potential housing consumers and providers of Newport Beach. If you or any other City personnel or committee members have any questions regarding this proposal, I can be reached at 714-569-0823 ext. 204 or by e-mail at dlevyCaMairhousingoc.ong . I am also available to appear in person for committee or City Council meetings held to review CDBG funding requests. Thank you in advance for your consideration of our proposal. Sincerely, V •David Levy / Director of Development 0 • • �r,wrn�rT n f ��fr•Mt�N` CITY OF NE WPORT BEACH Project Funding All persons or agencies wishing to apply for 2008-2009 Community Development Block Grant (CDBG) funds must complete an application form in order to be considered. All applications are due by no later than 12:00 p.m. on Wednesday, January 23, 2008. Late applications will not be accepted. NO EXCEPTIONS. In order to be considered for funding, all sections of the application must be completed. Any sections that do not apply should be marked N/A on the form. AGENCY INFORMATION Depanment/AgencyName: Contact Person: Fair Housing Council of Orange County David Levy Agency Status ((Dxda One): Contact Title: ® Non -Profit ❑ For -Profit ❑ Public City) Development Director AgencyAddress Telephone No.: Address: 201 S. Broadway 714-569-0823 x204 City, State, Zip: Santa Ana, CA 92701-5633 Facsimile No. 714-835-0281 Federal Tax ID No.: E-mail Address: 95-2538829 dlevy@fairhousingoc.org Dun and Bradstreet No. (Re uh&as of0i 1, 2003).: Name of Person Signing Contracts: 079534293 D. Elizabeth Pierson The Fair Housing Council of Orange County (FHCOC) has been providing fair housing services for over 40 years as a private, public -benefit nonprofit corporation. Our primary mission is to promote equal housing opportunity through education, counseling and enforcement activities, related to federal, state and local fair housing laws. We provide fair housing services to all federal entitlement jurisdictions in Orange County and have received CDBG funds for that purpose since the inception of the program (33 years). FHCOC's staff is well trained and knowledgeable of current fair housing laws and housing related civil codes. They stay informed on the most recent housing related legislative changes. During counseling, clients are informed both of their rights and their obligations under the law. Additionally, systems are in place to monitor and evaluate service delivery in order to enhance the quality of services. HUD recognizes the FHCOC as one of the nation's most service and cost effective fair housing organizations, and for the past 6 years has directly funded its special fair housing enforcement activities, which complement the fair housing education, counseling and enforcement proposed herein. HUD also certifies and funds FHCOC as a housing counseling agency. Our staff members are often invited to participate as panelists at HUD and housing industry training, conferences and workshops. The quality of our services is respected Page 1 E • L Fair Housing Council of Orange County Newport Beach 08-09 CDBG,Application by victims of housing discrimination as well as by those in the housing industry as a whole. Eleven of our staff members are qualified, trained and experienced in fair housing law, as well as landlord/tenant law and HUD housing programs. We also train and then utilize interns, externs and volunteers to provide some of our services and to maintain lower costs overall. The agency uses college extems or college work-study interns, drawn primarily from local law schools. We maintain a pool of over 40 volunteer investigative testers to help us verify whether or not housing discrimination has occurred when we receive a complaint. Additionally, we continually recruit and train volunteer mediators, for our Dispute Resolution Program, which helps reduce the number of housing related disputes going to the courts. We offer volunteer opportunities for interested community members and use training in many aspects of housing related law and dispute resolution as an incentive for them to volunteer In addition to the types of services herein proposed, Fair Housing Council operates an alternative dispute resolution (ADR) program funded through the County of Orange. It is also a Certified HUD Housing Counseling agency and receives funds directly from the U.S. Department of Housing & Urban Development for those activities. It is recognized by the Orange County court system as a referral resource for persons involved in eviction cases. The agency is governed by a 11-member, volunteer Board of Directors, which establishes and oversees all policies. The background of the board is diverse. They include real estate professionals, current and former university professors, a CPA, business executives and individuals from the nonprofit sector. Fair Housing Council has one full-time and one part-time attorney on staff. Staff members periodically attend specialized training and conferences on fair housing law, landlord/tenant law and HUD programs. Six full-time staff members are certified mediators, and numerous volunteers and interns go through the certification training for mediators. Staff members, who may lack years in the classroom, more than make up for that with their in-service experience and training. The agency's staff, between them, has over 70 years of experience in the fields of fair housing and landlord/tenant law. Our staff also has multi-lingual capability and can provide comprehensive housing counseling services in English, Spanish, and Vietnamese. The Fair Housing Council of Orange County is an operating member of the National Fair Housing Alliance (NFHA), and our President/CEO has served as a director. As such, we benefit fiom national training programs, clearinghouse information, and certification of fair housing consulting services. Finally, as earlier noted, the Fair Housing Council of Orange County services meet or exceed HUD's requirements concerning a local government's annual CDBG certification of providing services which affirmatively further fair housing within its jurisdiction. Page 1 a Project Title: This Request is fora (ddz O x): Newport Beach Fair Housing Education, ❑ New Project ® Existing Project Cotuuel nz and Enforcement 4 - Households (General) Address: 201 S. Broadway 3 Discrimination Case Files Opened; About 190 City, State, Zip: Santa Ana, CA 92701-5633 Unduplicated Landlord/Tenant Households Served; 2 Presentations & 100 Information Packets Distributed Yes ❑ No I Benefits Low -and Moderate Income Persons e a detailed description of the proposed project and activity(attadb addidomisbet& ifrx sary): To help to "affirmatively further fair housing" and promote full housing choice, we will provide fair housing education, counseling & enforcement services to current or potential Newport Beach residents and housing providers, coupled with landlord/tenant counseling services. Services will be provided citywide from the agency's offices located at 201 S. Broadway, Santa Ana, California, with on -site services provided within Newport Beach as appropriate and needed. These services impact and benefit target CDBG areas and the city's extremely -low to moderate income population. They help counteract unlawful housing discrimination and assist CDBG . target areas in reducing blight. They assist housing consumers and providers to more fully exercise their housing -related rights and fulfill their housing -related obligations. We facilitate the opportunity for landlords and tenants to correct wrongful housing policies or behavior. Specifically, it is estimated that via the agency's various work units this project will deliver the following services in Newport Beach: 1) Address about 3 allegations of housing discrimination that result in the opening of a case file. When appropriate, we attempt to resolve conflicts involving alleged housing discrinunation before resorting to litigation. When legal action is warranted, the agency may involve staff legal counsel. Legal advice or representation may be provided in cases involving housing discrimination, certain eviction actions, and other unique areas of housing law. Nonetheless, efforts are usually directed towards resolving these problems through education, negotiation, and legally binding settlements. If such efforts prove futile, referrals can be made to governmental enforcement agencies or qualified private attorneys to assist victims. Clients received about $100,000 in advanced legal costs/services last fiscal year. 2) Address about 780 landlord/tenant disputes, issues or concerns arising from about 190 unduplicated households, making about 235 requests for service. Because most discrimination occurs within the landlord/tenant relationship, this service unit is very important. We assist • Page 2 • Fair Housing Council of Orange County Newport Beach 08-09 CDBG Application people in resolving questions and avoiding disputes over notices to terminate tenancy, evictions, return of security/holding deposits, substandard conditions, along with many other landlord/tenant matters. We counsel individuals about their rights and responsibilities. This unit helps address problems of blight and aids in preventing homelessness. About 20% of the discrimination caseload stems from this unit. 3) Provide outreach activities to Newport Beach residents, including up to 2 public outreach presentations serving about 50 individuals and distribute about 100 information packets covering a wide array of housing related topics by mail or at presentations to Newport Beach households. This agency informs Newport Beach residents about their essential housing rights and responsibilities. We conduct presentations and workshops about landlord/tenant and fair housing rights and obligations. We publish fact sheets and booklets on housing laws as well as occasional newsletters. We provide news releases to the media to provide a focus on housing issues or newsworthy stories concerning improving the quality of housing and housing opportunities in Orange County communities. The newsletters and meetings we sponsor keep housing and real estate professionals and local attorneys updated on changes in housing law. Additionally, we are a trusted source of information and referral for city staff. About a third of our clients with serious substandard housing issues are referred to City of Newport Beach code enforcement. 4) Invite 5111 & 6°' grade Newport Beach students to participate in out annual poster/essay contest. The top 12 judged participants have their poster artwork included in our following year's calendar, and the top 3 entries receive a modest cash prize. 5) Assist City staff in fulfilling fair housing related HUD planning and reporting requirements. Our staff is capable of producing fair housing related studies at reasonable cost. We also accumulate a substantial amount of housing related data annually. This unit evaluates service needs and performance, maintains cost accounting and helps substantiates compliance with the requirement to "affirmatively further fair housing." It is estimated that the proposed services to current or potential Newport Beach residents or housing providers will constitute 2.63% of the total services to be delivered' countywide. We provide services in English, Spanish, and Vietnamese, including outreach activities. Materials are available in these languages. We will perform outreach to any target areas or groups identified by city staff as being under -served, in addition to serving all extremely -low to moderate income individuals within Newport Beach. On an on -going basis, the agency participates in events and meetings attended by representatives of underrepresented groups to make them aware of the services of our agency. Page 2a • ® Citywide (Entire CityofNeaportBeacb) ❑ Specific Census TractsPCensasTracttbelow) ❑ Specific Target Area (ftvide map of taqa area) ❑ Low -Mod Census Tracts (COG Target Area) • PROJECTBUDGET Formula Grant Cost Category SUMMARY Overall Budgeted Newport Beach CDBG Funds Personnel Costs $14,350.00 $12,175.00 Non -Personnel Costs (supplies, consultants, etc. $2,350.00 $1,949.00 Capital Improvement Costs $0.00 $0.00 Total $16,700.00 $14,124.00 Describe any other funding sources (and the amount of the other funding source) that will be used in the project: Agency fund raising. $1,500; Proceeds from discrimination case settlements/verdicts: $2,000 the execution of Note: The City of Newport Beach only funds personnel costs associated with the delivery of public services. However, in order to evaluate the entire program, all project coats must be provided and categorized under one of the three categories. Page 3 • Newport Beach Total Clients Number of clients actually served under this program in 2006-2007 191 Rholds 191 Hholds Number of clients expected to be served under this program in 2007-2008 210 H'holds 210 Hholds Number of clients proposed to be served under this program. in 2008-2009 3 / 190 H'holds* 3 / 190 H'holds* * discrim / landlord -tenant Describe how the program benefits low -moderate income eligible residents in Newport Beach: These services assist the city to comply with the requirement to undertake actions to "affirmatively further fair housing", certification of which is required for a jurisdiction to be eligible for CDBG funds, which in turn benefit its lower -income residents. While all clients seeking services are assisted, regardless of income level, past service delivery shows that a vast majority of those served, some 80%, will be "income -eligible" households under the standards of the CDBG program The services help housing providers and consumers to better understand housing rights and obligations, and to take action to address their issues, concerns or disputes without necessarily involving high -cost legal professionals. They also provide access to systems of justice for those harmed by housing discrimination, again without the need to retain attorneys at the outset. For lower -income persons, the cost of legal assistance often discourages them from seeking redress for harm they may have suffered. Note: The number of clients noted in the table above must not exceed the low -moderate income limits as noted in the 2007 HUD Income Limits table below. 1peson 2peson 3person 4peson 5person 6person 7peson 8persoa Very Low Income (30%) 18,200 20,800 23,400 26,000 28,100 30,150 32,250 34,300 Low Income (50%) 30,300 34,650 38,950 43,300 46,750 50,250 53,700 57,150 Low -Moderate Income (80%) 48,500 55,450 62,350 69,300 74,850 80,400 85,950 91,500 Page 4 0 • 0 ❑ 05 Public Services (General) ® 05K Tenant/Landlord Counseling ❑ 05A Senior Services ❑ 05L Child Care Services ❑ 05B Services for the Disabled ❑ 05M Health Services ® 05C Legal Services ❑ 05N Abused and Neglected Children ❑ 05D Youth Services ❑ 050 Mental Health Services ❑ 05E Transportation Services ❑ 05P Screen for Lead -Based Paint/Lead Hazard ❑ 05F Substance Abuse Services ❑ 05Q Subsistence Payments ❑ 05G Battered and Abused Spouses ❑ 05R Homeownership Assistance (Not Direct) ❑ 05H Employment Training ❑ 05S Rental Housing Subsidies (HOME-TBRA) ❑ 05I Crime Awareness/Prevention ❑ 05T SecurityDeposits ® 05J Fair Housing Activities PARTICIPATIONOF •WOMEN Board of Directors = ees Total 11 16 Number of Minorities 9 9 Number of Women 4 9 Percentage of Minorities 82.00% 56.00% Percentage of Women 36.00% 56.00% Page 5 • Internal Revenue Service Date: DEC 0 91999 Orange County Fair Housing 201 S. Broadway Santa Ana, CA 92701 Dear Sir or Madam: Department of the Treasury P. 0. Box 2508 Cincinnati, OH 45201 Person to Contact: John Kennedy 31-07297 Customer Service Representative Telephone Number.: 877-829-5500 Fax Number: 513-263-3756 Federal Identification Number: 95-2538829 This letter is in response to your request for a copy of your organization's determination letter. This letter will take the place of the copy you requested. Our records indicate that a determination letter issued in December 1969 granted your organization exemption from federal income tex under section 501(c)(3) of the Internal Revenue Code. That letter is still in effect. • Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in section 509(a)(2). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support,'or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are -normally more'than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not.private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, • legacies, devises,- transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. -2- Orange County Fair Housing 95-2538829 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on. the Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The law requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return. You are also required to make available for public inspection a copy of your organization's exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (World Wide Web). You may be liable'for a penalty of $20 a day for each day you do not make these documents available for public inspection (up to a maximum of $10,000 in the case of an annual return). • Because this letter could help resolve any questions about your organization's exempt status and foundation 4tatus, you should keep it with the organization's permanent records. If you have any questions, please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status. Sincerely, Robert C. Padilla Manager, Customer Service r, Form 9 9 0 Return of Organization Exempt From Income Tax c� Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black, lung 0005 Department of the Treasury benefit trust or private foundation) ternal Revenue service ► The organization may have to use a copy of this return to satisfy state reporting requirements. For the 2005 calendar year, or tax year be innin 07/01 2005 and endin 06 30 2006 Clinkaapprnbk: Please C Name of organization D Employer IdenOfication number Merin us•IRS elanpa label or FAIR HOUSING COUNCIL OF ORANGE COUNTY 95-2536629 Name than" pant or Number and street (or P.O. box If mail Is not delivered to street address) Room/suite E Telephone number InkldnWan type. Final roban spe�loc 201 S BROADWAY 714 569-0823 AmandaE AccunW,p .lure Instruc- City or town, state or country, and ZIP + 4 - ma,hvd: Cash X Apctual vnliinttisn tons. SAN A ANA CA 92701 Other s ec ► fti a Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable H and l are not applicable to sect/on 527 organrzatkns. trusts must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for aRlliates? ❑ Yes O No G Webslte: ► NIA H(b) If"Yes;' enter numberof affllates ► J Organization type (check only one)►X 501(c)(3 )(Insert no.) I 14947(a)(l)or 527 H(c) Are all afflllales Included? Yes�No K Check here ► If the organlzatioNs gross receipts are normaly not more than $26,000. The (Ithismse arch,tach list See Instructions.) i I H(d) Is thbasepanb romm abd by en organization need not file a return with the IRS; but if the organization chooses to file a return, be or anlzatbn cowma a ma roan 2 r7l Yes Ex No sure to file a complete return. some states require a complete return. 1 Grou F�eem lion Number ► M Check ► X I If the organization is not required L Gross receipts: Add lines 6b, 8b, 9b, and 10b to line 12 ► 968 300. to attach Sch B (Form 990, 990.EZ, or 990-pF), o...,....... e.,.aa.ae and Channae In Mof aeenfe nr Fund Ralanrpe /Rpp thn Inelnrrrinnc 1 1 Contributions, gifts, grants, and similar amounts received: a Direct public support . . . . . . .. . . . . . .......... 1 a . 35 000. b Indirect public support , , , , , , , , , , , ,,, , , ,, , • . • , 11til- C Government contributions (grants) ; , , , , , , . , , , . • , , , , 11cl 889,926. of Total (add lines la through 1q) (manS 1 924,.926. noncashS ). fell 924,926. 2 42,229. 2 Program service revenue Including government fees and contracts (from Part VII, line 93). , , , , , , , 3 - 3 Membership dues and assessments , , , , , , , , , , , , , , , ,,,, • , . , . , , , , , , .. 4 1,145. . 4 Interest on savings and temporary cash Investments ....... . . . . . .. . . . ....... 5 5 Dividends and Interest from securities , , , 6a Gross rents . . . . . . . . ... . . . . . ........... 6a bLess: rental expenses , , , , , , , , , , , , , , , , , , , , , j6bj Bc c Net rental income or (loss) (subtract line 6b from line Sal , , , , , , , , , , , , , , , , , , , , , , , 7 7 Other investment Income (describe ► Y a: 8 a Gross amount from sales of assets other (A) Securltles IS) Other than Inventory , , , , , , , , , , , , , sa b Less: cost or other basis and sales expense, Bill c Gain or (loss) (attach schedule), , , , , , , 8c If Net gain or (loss) (combine line So. columns (A) and (B)).................. . 9 Special events and activities (attach schedule). If any amount Is fromgaming, check here ► ❑ 8d a Gross revenue (not including $ of contributions reported on line 1a), , , , , , , , , , , , , , , , , 9a b Less: direct expenses other than fundraising expenses, , , , , , , , 96 c Net income or (loss) from special events (subtract line 9b from line 9a) ............. 90 10 a Gross sales of Inventory• less returns and allowances , , , , , , , , lioal b Less: cost of goods sold , , , , , , , , , , , , , ,, , , , , , • ob e Gross profit or (loss) from sales of Inventory (attach schedule) (subtract line 10b from line 10a) , , , , , 1 oc 11 Other revenue (from Part VII, line 103) , , , , , , , , , , , , 12 968 300. 12 Total revenue add lines 1d 2 3 4 5 6c 7 8d 9c 10c and 11 .................. 13 Program services (from line 44, column (B)) , , , , , , , , 13 814,369 14 82,954. 14 Management and general (from line 44, column (C))......... 15 29,782. 15 Fundraising (from line 44, column (D)) :: : ::: a :: : 18 ly 16 Payments to affiliates (attach schedule), , , , , , , , , , , , , , ,,, , , • .... , . , . , , .. 17 927 105. 17 Total expenses add lines 16 and 44 column(A))*......................... 18 Excess or (deflo t)'for the year (subtract line 17 from line 12), , , , , , , ,,,,,,,, , , , , , , , , 18 41,195. 19 632,234. w t z" 19 Net assets or fund balances at beginning of year (from line 73, column (A)), , , , , , , , , , , , , , , 20 Other changes in net assets or fund balances (attach explanation), , , , , , , , , , , , , , , , 21 Net assets or fund balances at end of year combine lines 18 19 and 20 20 21 673,429 For Privacy Act and Paperwork Reduction Act Notice, see the separate Instructions. JSA SE1010 2.000 93651 Fo1m990 (2005) EM Statement of All organizations must complete column (A). Columns (8), (C), and (D) are required for section 501(c)(3) and (4) Functional Expenses organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others. (See the Instructlons.) Do not Include or"reported on line milk 6 66 96 06 o h of Partl (A) Total (e) Program semces (C) Management and neml (D) Fundraising IFGrants and allocations (attach schedule) (cash f noncash f If this amount Includes foreign grants, check here . 23 Specific assistance to )ndividuals(attach schedule) , , , 24 Benefits paid to or for members (attach schedule) . 26 Other salaries and wages, , , , . , 27 Pension plan contributions . , . . , , 28 Other employee benefits , , , , , , , 25 Compensation of officers, directors, etc.F3328.109.1 29 Payroll taxes,,,,,, , , , , , , , , 30 Professional fundralsing fees , , , , , 31 Accounting fees , , , , , , , , , , , , 32 Legal fees , , , , , , , , , , , , , , , 33 Supplies , , , , , , , , , , , , , , , , 34 Telephone , , , , , , , , , , , , , , , 35 Postage and shipping , , , , .... , 36 Occupancy, , , , , , , 37 Equipment rental and maintenance, , 38 Printing and publications , , , , , , , 39 Travel,,,,,,,,,,,,,,,,,, 40 Conferences, conventions, and meetings . 41 Interest . . . . ............. 141 42 Depreciation, depletion, etc. (attach schedule) 142 IoOther expenses not covered above (itemize): n INSURANCE ----------------- BOTHER COSTS o DUES AND SUBSCRIPTIONS ) 22 ` p ........,.m..............:.................M.......m,.......,.. 2,875 ; x x t ,. 23 24 3. 72 266. 6.980. 1. 456 032. 44,242. 18,217 5. 22,180. 2,143. 882. 4. 34,456, 31328. 1,370. 8. 48,618. 4 696. 1 934. 2. 23 212. 6 690. 9. 24.736.1 2.389. 984. 34 1 34,345.1 30,224.1 2,919.1 1,202. 35 36 37 36 39 4.089. 3,598. 348. 143. 40 1 3 93G.1 1 3,936. 1 28.943.1 25,470.1 2,460. 1,013. 43a 7 432. 6 540. 632. 260. 3b 25,784. 22 69i. 2,191. 902. 3c 4,415 4,415. -------------------------- d COMMUNITY_OUTREP.CH_g_EDUC_ a ATMIL DEVELOPNMT 3d 32,379. 32,379. 5,550 5,550. ----- ____43e f--------------------------43f 9--------------------------43 44 Total functional expenses. Add lines 22 through 43. (Organizations completing columns @B (D), carry these totals to )Ines 13-15).................. 44 1 ,927,105.1 814,369.1 82,954. 29,782. Joint Costs. Check ► if you are fallowing SOP 98-2. Are any joint costs from a combined educational campaign and fundralsing solicitation reported In(B) Program services? ► ❑yes ❑X No If "Yea," enter(l)the aggregate amount of these joint costs $l ; (11)the amount allocated to Program services $ (III) the amount allocated to Management and general $ ; and (iv)the amount allocated to Fundraising $ E JSA 5E70202.000 Foon990 (2005) 93651 Form 990 e, Tor some people, serves as the primary or sole source or Information aoout a s an organization In such cases may be determined by the information presented return is complete and accurate and fully describes, in Part III, the organizations What Is the organization's primary exempt purpose?►SEE STATEMENT 1________________________ Program service Expenses All organizations must describe their exempt purpose achievements in a clear and concise manner, State the number (Required for 501(c)(3) and of clients served, publications Issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4) (4)orgs.,and 4s47(a)(1) organizations and 4947 a 1 nonexempt charitable trusts must also enter the amount of rants and allocations to others. ( )O p 9 ) trusts; but opticnel for others. a PROVIDING THE HANDLING —OF LANDLORD TENENT_DISPUTES.__H_O_U_S_I_N_G___________ DESCRIMINATION—COMPLANINTS AND HOUSING COUNSELING ____________________ _____________________ SERVICES_ ------ ---------------------------------------- ----------------------------------------- ----------------------------- ------------------------=--------------------------------------------- ---------------------------------------------------------------------- (Grants and allocations $ ) If this amount Includes foreign grants, check here ► S19 369. b---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- (Grants and allocations $ ) If this amount includes foreign grants, check here ► c - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---------------------------------------------------------------------- ---------------------------------------------------------------------- -------------------------- -------------------------------------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------------------------------------------------------------------- )- . (Grants end allocations $ If —this—mouant includes foreign grants, check here ► d ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- (Grants and allocations $ ) If this amount includes foreign grants, check here ► a Other program services (attach schedule) (Grants and allocations $ ) If this amount,Includes foreign grants, check here ► f Total of Program Service Expene • JSA MOM U00 Form 990 4 Note: Where required, attached schedules and amounts within the description column should be for end -of -year amounts only. 45 Cash - non -Interest -bearing , , , , , , , , , , , , , , , , , , , , , , , 46 Savings and temporary cash investments, , , , , , , , , , , , , , , , , , , , 47a Accounts receivable , , , , , , , , b Less: allowance for doubtful accounts , , , , , , 48a Pledges receivable , , , 48a b Less: allowance for doubtful accounts, , , , , , , 48b 49 Grants receivable,,,,,, ,,,,, ,,,, ,,,, ,,,,,,,,, 50 Receivables from officers, directors, trustees, and key employees (attach schedule),,,, ,,, ,,,,,,,,,,,,,,,,,,,, 51 a Other notes and loans receivable (attach schedule) , 51a d b Less: allowance for doubtful accounts 51 b 52 Inventories for sale or use,,,,,,,,,,,,,,,,,,,,,,,,,,,, 63 Prepaid expenses and deferred charges........ ... STMT. 2. . 54 Investments - securities (attach schedule), , , , , , ► ❑ Cost ❑ FMV 55a Investments - land, buildings, and equipment: basis 55a b Less: accumulated depreciation (attach schedule) , , , , , , , , 55b 66 Investments - other (attach schedule) , 57a Land, buildings, and equipment basis, STMT. 6 57a 574 882. b Less: accumulated depreciation (attach schedule), ,,,,,,,,,,,,,,, 57b 221 684. 58 Other assets (describe ► ) 60 Accounts payable and accrued expenses , , , , , , , , , , , , , , , , , , , , 61 Grants payable ................................. . 62 Deferred revenue . . .............................. . 63 Loans from officers, directors, trustees, and key employees (attach s schedule) 64a Tax-exempt bond liabilities (attach schedule) , , , , , , , , , , , , , , , , , , b Mortgages and other notes payable (attach schedule) , , , , , , $;Ti4T, ;l, 65 Other liabilities (describe ► ) Beginning of year 57c 63 (B) End of year 253 867. 181 159. NONE 353,198. 66 Total Ilablllties.Add lines 60 through 65 .................... 124,294.1 66 1 114 795. Organizations that follow SFAS 117, check here ► LXJ and complete lines 67 through 69 and lines 73 and 74. 67 Unrestricted , , , , , , , , , , , , , , , , , , , , , , , , , , , , 632 234, 67 673 429. - 68 e68 Temporarily restricted,,,,,,,,,,,,,,,,,,,,,,,,,,,,, a 69 Permanently restricted .............................. 69 Organizations that do not follow SFAS 117, check here ►❑ and o complete lines 70 through 74. c70 Capital stock, trust principal, or current funds, , , , , , , , , , 70 , , , , , , , , 71 Paid -in or capital surplus, or land, building, and equipment fund, , , , 71 72 N72 Retained earnings, endowment, accumulated income, or other funds, , , , 73 Total net assets or fund balances(add lines 67 through 69 or lines d 70 through 72; 1 z column (A) must equal Tine 19; column (B) must equal line 21) , , , , , , , 632 234. 73 673,429 756. 52R _ 701 7RR _ 99A ,, 4 Total Ilabiiitles and net . assets/fund balances: Add lines 66 and 73., .- . Fonn990 (2005) 15A 1e1030 i.aua 93651 Form 990 5 per Audited Financial Statements With Revenue per 41 Total revenue, gains, and other support per audited financial statements .................. . Amounts Included on line a but not on Part I, line 12: 1 Net unrealized gains on Investments ................ ....... bl 2 Donated services and use of facilities ...................... • .. b2 3 Recoveries of prior year grants ............................ b3 4 Other (specify):--------------------------------------------- ------------------------------------------------------- b Add Imes b1 through b4 ...................... ..................... . c Subtract line b from line a ........................................... . d Amounts Included on Part I, line 12, but not on line a: 1 Investment expenses not included on Part I, line 6b................. IdIl 2 Other (specify):--------------------------------------------- d2 ------------------------------------------------------- Addlines dland d2................................................ a Total expenses and losses per audited financial statements ............... ...::....... . b Amounts Included on line a but not on Part I, line 17: 1 Donated services and use of facilities ......................... b1 2 Prior year adjustments reported on Part I, line 20 ............ I ..... b2 3 Losses reported on Part I, line 20........................... 3 4 Other (specify):-------------------------------------------- ----------------------------- Add Imes bl through b4 ......................... . .... • ............. . c Subtract line b from line a ...................... ................... . Amounts Included on Part I, line 17, but not on line a: Investment expenses not Included on Part 1, line 6b................ . d1 _ 2 Other (specify): ---- dland d2 ....... •••••.••.•••...•.... a enses (Part I, line 17). Add ilnesc andd.. .► a 927,105. Irrent Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee, or key em to ee at any rime during me year even n iney were noxcompensaieojjsee me instructions. ' (A) Name and address (s) the and average hour pe week devoted to iMn (c) comper�setlon (If not paid, entef -0. tolc.mdmnm.. t. e.,plgva b...ft phu a Gimd ..mpen..IM pimp (E) EX ewe account and other allowances SEE STATEMENT 4 82,123. 5.249. NONE ------------------------------------------ ------------------------------------------ ------------------------------------------ ------------------------------------------ ------------------------------------------ ------------------------------------------ ------------------------------------------ JSA 5E1040 1.000 93651 Form 990 (2005) Fnnn 09n 19nnR1 oc_Oc�oo�o ,a„..a Current Officers, Directors, Trustees, and Key Employees (continued) Yes No 75a Enter the total number of officers, directors, and trustees permitted to vote on organization, business at board 7 ' meetings........................................... ► b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated € employees listed In Schedule A, Part I, or highest compensated professional and other independent t contractors listed in Schedule A, Part II -A or II-B, related to each other through family or business relationships? If "Yes," attach a statement that identifies the individuals and explains the relationship(s) . . . . . . 75b X c Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II -A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to this organization through common supervision or common control? '. •• ...... Note. Related organizations include section 509(a)(3) supporting organizations. 75c X If "Yes," attach a statement that identifies the individuals, explains the relationship between this organization and the other organization(s), and describes the compensation arrangements, including amounts paid to each I Individual by each related orgehization. 1.— f d Does the organization have a written conflict of interest policy? ............................ 75d X Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during the year, list that person below and enter the amount of compensation or other benefits in the appropriate column. See the Instructions.) (A)Name and address (B)Loans antl Advances (C)Compensa8on Ia)Can ft.tlone la am�qyee beneSt plenetb/erteQ ...penutkn plem (� FJQ)ell5a account and other allowances __________________________________________ __________________________________________ _______—"________________________________ ------------------------------------------ ------------------------------------------ ------------------------------------------ ------------------------------------------- ------------------------------------------- ORIN Other Information See the instructions. Yes I No 76 77 78a b 79 80a 81 a b Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity ....................... ... ... ........ Were any changes made in the organizing or governing documents but not reported to the IRS? .......... If "Yes," attach a conformed copy of the changes. Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return?.. .......................................... If "Yes," has it filed a tax return onForm 990-T for this year? .............................. Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "(as," attach a statement....................................................... Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt 'eUa organization?....................................................... . If "Yes," enter the name of the organization► ______________________ -�—)- __________________________________________ and check whether Itis�exemptorL__Inonexempt Enter direct and indirect political expenditures. (See line 61 instructions.)......... Did the organization file Form 1120•POL for thisyear? 78 M -• X 77 X -- 78a -• X w 78 b N '•"^ 79` � X YX `• X „ 81 b I'S" 5E10422.000 93651 Fo m 990 (2005) 82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge •. or at substantially less than fair rental value? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 82a X "Yes," you may Indicate the Value of these Items here. Do not Include this amount f N s revenue In Part I or as an expense in Part II. (See Instructions in Part III.) .............. 82b A ,'......:. '.. 83 a Did the organization comply with the public Inspection requirements for returns and exemption applications?, , , , , , , , , , , 83a X 83b X le Did the organization comply with the disclosure requirements relating to quid pro quo contributions?, , , , , , , , , , , , , , , , 84a X 94 a Did the organization solicit any contributions or gifts that.were not lax deductible?, , , , , , , , , , , , , , , , , •84b ,• le if "Yes;' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? , , , , , , , , , , , , , , , , , ... .. .. .... ... ... . .. .... N 85a N 96 501(e)(4), (5), or (6) organizations, a Were substantially all dues nondeductible by members?, , , , , , , , , , , , , , 86b N b Did the organization make only in-house lobbying expenditures of $2,000 or less? , , , , , , , , , , _ , , , If "Yes" was answered to either 85a or 85b,do not complete 85c through 85h below unless the organization received a waiver for proxy'tax owed for the prior year. c Dues, assessments, and similar amounts from members, , , , , , , , , , , , , , , , , , , , , , , 86c d Section 162(e) lobbying and political expenditures , , , , , , , , , , , , , , , , , , , , , , 86d N A e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices , , , , , , , , , , , , , , , He N/A •. •. .: ; :• f Taxable amount of lobbying and political expenditures (line 85d less 85e) , , , , , , , , , , , , , , 85f N A "' • " g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? , , , , , , , , , , , , , , , , , , , , , , , 86 N h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to Its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax ye ar2 . . , .. , ... 86h NIL as 501(c)(7) orgs. Enter: a Initiation fees and capital contributions Included on line 12 , , , , , , , , , 86a N/A ' le Gross receipts, Included on line 12, for public use of club facilities , , , , , , , , , , , , , , , , • 86b NIA 87 501(c)(12) orgs. Enter: a Gross Income from members or shareholders , , , , , , , , , , , , 87a NIA le Gross Income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) , , , , , , , , , , , , , , , , , , , , , , , , 8715 N/A as At any time during the year, did the organization own a 50% or greater Interest In a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? if "Yes;' complete Part IX 1(c)(3) organizations. Enter: Amount of tax Imposed on the organization during the year under. 88 X action 4911 )1 N/A ;section 4912 ► N/A ;section 4955 ► N A b 501(e)(3) and 501(c)(4) orgs. Did the organization engage in any section 4958 excess benefit transaction during the year or did It become aware of an excess benefit transaction from a prior year? If "Yes," attach . a statement explaining each transaction , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 896 X c Enter: Amount of tax Imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 , , , , , , , , , , , , , , , , , , , , , , , , , , , , ► N/A N/A d Enter., Amount of tax on line 89c, above, reimbursed by the organization , , ► 90 a List the states with which a copy of this return Is filed ► CALIFORNIA 1 17 b Number of employees employed In the pay period that Includes March 12, 2005 (See Instructions.), , , , , , , ... , , •, , , , , 190b 91aThebooksareincamof ► D ELIZABETH PIERSON Telephoneno. ► 714-569-0825 Locatedet► 201 S. BROADWAY, SANTA ANA, CA ZIP +4 ► 92701 b At any time during the calendar year, did the organization have an Interest In or a signature or other authority over Yes No a financial account In a foreign country (such as a bank account, securities account, or other financial account)?............ L9b X If"Yes,"enter the name of the foreign country► ---------------------------------------------------See the Instructions for exceptions and filing requirements forForm TD F $0.22.1, Report of Foreign Bank and Financial Accounts. c At any time during the calendar year, did the organization maintain an office outside of the United States? ............... X If "Yea," enter the name of the foreign country►___________________________________________________ 92 Section 4947(a)(1) nonexempt charitable trusts filing Form 9901n l/eu ofForm 1041- Check here , , , , , , , , , , , , , , , , , , , , , , , ►� and enter the amount of tax-exempt Interest received or accrued during the tax year . ► 1 92 1 N/A Form 990 (2006) SSA 6E1041 2.000 93651 Form990 2005 95-2538829 e8 • .. Analvsis of Income -Producing Activities (See the instructions.) 1 1 1 1 1 105 Total (add line 104, columns (B), (0), and (E)) ............................. . emote: Line 105 Plus line id. Part I. should equal the amount on line 12. Pert I. Note: Enter gross amounts unless otherwise Indicated, 193 Program service revenue: a LIIGATION A OTHERS Unrelated business income Excluded by section 512, 513, or514 (E) Related or exempt function Income (A) BusinesscodeAmount (B) (C) Exclusbncode (D) Amount 42,229. b c d e f Medicare/Medicaid payments, , . , , , - g Fees and contracts from government agencies , 94 Membership dues and assessments .. . 96 Interest on savings and temporary cash Investments 96 Dividends and Interest from securities .. 97' Net rental Income or (loss) from real estate: a debt -financed property ....... . b not debt -financed property ..... . 98 Net rental Income or(loa) from personal property , 99 Other Investment Income ...... . 00 asin or these) from sales of assets utherthan Inventory• 01 Net Income or (loss) from special events , 02 Gross profit or (loss) from sales of Inventory , , 03 Olherrevenue:a 14 1,145. ' ' b ' c d e 04 Subtotal (add columns (B), (D), and (E)).. 1,145. 42,229. ► 43,374. Relationship of Activities to the Accomplishment of Exempt Purposes See the instructions. Line No. Explain how each activity for which Income is reported in column (E) of Part VII contributed Importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). 93A THIS REPRESENTS INCOME DERIVED FROM EXEMPT ACTIVITIES AND ' IS USED TO FUND OPERATIONS. Wfh17�)7 Information Reaardino Taxable Subsidiaries and Disreaarded Entities (Seethe instructions.) (A) Name, address, end EIN of corporation, adhershl or dlsre artled entl (B) Percemoge of ownershipInterest (c) Nature of activftles (D) Total Income Et End ear aeseYs o� o� o� o� FOR" Information Reaardino Transfers Associated with Personal Benefit Contracts (Seethe instructions.) (a) Did the organization, during the year, receive any funds, directly or Indirectly, to pay premiums on personal benefit contract? Yes X No (b) Did the organization, during the year, pay premiums, directly or Indirectly, on a personal benefit contract? Yes X No Note: If"Yes" to (b), file Form 8870 and Form 4720 (see instructions). Under penallles of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and bellef, It Is true, correct, and complete. Declaration of preparer (other than officer) is based on all Information of which preparer has err/ knowledge. Please Sign Here d eparees Use Only Signature of officer I Date / Type or print name and title. Pfeparefs Date�'� � I,wCheckl( Prepareie SSNor PTIN(See Gen.instw) signature R /l a self. LJ (U1 ^ llnn ►I I Sd5-4 Q_1 tR1 Firm's name (or ou ' if self-employed), address, and ZIP+ 4 Phone no. ► JSA W05a 1.000 93651 Form990 (2005) SCHEDULEA Organization Exempt Under Section 601(c)(3) (Form 990 or 990-EZ) (Except Private Foundation) and Section 601(e), 601(f), 601(k), 501(n), or 4947(a)(1) Nonexempt Charitable Trust Depart nloflheTreasury SupplementaryInformation- (See separate instructions.) Interne l Revenue Service ► MUST be com letT by the above organizations and attached to their Form 990 or 5 Vim e of the organization FAIR HOUSING COUNCIL OF ORANGE COUNTY Compensation of the Five Highest Paid Employees Other Than Officers, Din (See Daae t of the instructions. List each one. If there are none, enter "None:? OMB No, 1545.0047 20005 and Trustees (a) Name and address of each employee paid more than $50,000 (b)Title and average hours per week devoted to position (c) Compensation (d) Contribolons to employee benefit plans & deferred compensation (a) Expense account and other allowances NONE------------------------------ . ---------------------------------- .. ---------------------------------- ---------------------------------- Total number of other employees paid over $50,000.. ► NONE compensation of the rive riignest rasa maepenaent contractors for vrotessionai services (See page 2 of the instructions. List each one (whether individuals or firms). If there are none, enter "None:) (a) Name and address of each Independent contractor paid more than $50,DOD (b)'rype of service , (c) Compensation ------------------------------------------------- NONE ------------------------------------------------- ------------------------------------------------ .. Total number of others receiving over $50,000 for professional services , . ► NONE ' Compensation of the Five Highest Paid Independent Contractors for Other Services (List each contractor who performed services other than professional services, whether individuals or firms. If there are none, enter "None." See page 2 of the instructions.) (a) Name and address of each Independent contractor paid more than $50,000 (b)Type of service (c) Compensation ------------------------------------------------ Total number of other contractors receiving over $50,000 for other services , , , , , , , , , , , , , , , ► NONE For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990.EZ) 2005 J$A 5F1210 1.00D 93651 Schedule A 1 During the year, has the organization attempted to Influence national, state, or local legislation, including any attempt to Influence public opinion on a legislative matter or referendum? If 'Yes," enter the total expenses paid or Incurred In connection with the lobbying activities ► $ (Must equal amounts on line 38, Part VI -A, or line I of Part VI-B.) , ,.. , , .. , , .. , , ........... ... .. ............ , , . 1 X Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI -A. Other organizations checking "Yes" must complete Part WE AND attach a statement giving a detailed description of the lobbying activities. ` 2 During the year, has the organization, either directly or Indirectly, engaged in any of the following acts with any •• substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person Is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question Is "Yes," attach a detailed statement explaining the transactlons.) ••2a • .. �.X . it Sale, exchange, or leasing of property? ........................................... 2b X b Lending of money or other extension of credit? ....................................... 2c X c Furnishing of goods, services, or facilities? ......................................... 2d d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?..SE13. k'4rtM. 9SQ .... , 2e e Transfer of any part of Its Income or assets7........................................ 3a Do you make grants for scholarships, fellowships, student loans, ele.7 (If 'Yes," attach an explanation of how you determine that recipients qualify to receive payments.) ...................... . .......... 3a 3 b IX b Do you have a section 4O3(b) annuity plan for your employees? ................................ 3c c , During the year, did the organization receive a contribution of qualified real property Interest under section 170(h)?...... 4a Did you maintain any separate account for participating donors where donors have the right to provide advice on the use or distribution of funds? , , , , , , , , , , , , , , ,, , 4a 46 b Do you provide credit counseling, debt management, credit repair, or�debt negotiation services?.. Reason for Non -Private Foundation Status (Seepages 3 through 6 of the instructions.) Tha or anizotian Is not a private foundation because it is: (Please check only ONE applicable box.) A church, convention of churches, or association of churches. Section 170(b)(1)(A)(I). 9 A school. Section 17O(b)(1)(A)(II). (Also complete Part V.) 7 A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(110. 8 A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v). 9 A medical research organization operated In conjunction with a hospital. Section 17O(b)(1)(A)(I11).Enter the hospital's name, city„ and state ►___________________________ 10 ❑ An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 17O(b)(1)(A)(Iv). (Also complete the Support Schedule in Part IV -A.) 11 a ❑X An organization that normally receives a substantial part of its support from a governmental unit or from the general public. Section 170(b)(1)(A)(vi). (Also complete thesupport Schedule In Part IV -A.) 11 b A community trust. Section 170(b)(1)(A)(vh. (Also complete theSupport schedule In Part N-A.) 12 An organization that normally recelves:(1) more than 331/3°% of Its support from contributions, membership fees, and gross receipts from activities related to Its charitable, etc., functions - subject to certain exceptions, ane(2) no more than 33 1/3% of Its support from gross Investment Income and unrelated business taxable Income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Also complete theSupport Schedule In Part IV -A.) 13 ❑ An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described In: (1) lines 5 through 12 above; or(2) section 501(c)(4). (5), or (6), tf they meet the test of section 509(a)(2).Check the box that describes the type of supporting organization: ► nType 1_ n Type 2 n Type 3 Provide the following Information about the supported organizations. (See page 6 of the instructions.) (a) Name(s) of supported organizations) I (b) Line number from above - I I An organization organized and operated to test for public safety. Section 509(a)(4). (See page 6 of the Instructions.) Schedule A (Form 990 or 990•Ez) 2005 JSA 6E1220 1.000 93651 Schedule A (Form 990 or 990-EZ) 2005 95-2538829 Page 3 Support Schedule (Complete only if you checked a box online 10, 11, or 12.) Use cash methodofaccoundng. Note: You may use the worksheet in the Instructions for converting from the accrual to the cash method of accounting. Calendar year(or fiscal year beginning In ► a 2004 b 2003 c 2002 d 2001 a Total Gifts, grants, and contributions received. (Do of Include unusual grants. See line 28.) . 1 043 508. 900 984. 691 641. 705,145 3,341,278. 16 Membership fees received . . 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities In any activity that is related to the organization's charitable, etc., purpose , , 18 133. 49 431. 1 67,564. 18 Gross Income from Interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (Jess ' section 511 taxes) from businesses acquired by the organization after June30,1975 BOB: 1,208. 94. 3,706. 5,83.6. 16 Net Income from unrelated business activities not Included In line 18 . 20 Tex revenues levied for the organization's benefit and either paid to It or expended on Its behalf , ................... 21 The value of services or facilities furnished to the organization by a governmental unit , without charge. Do not Include the value of , services or facilities generally furnished to the public without charge ............. . 22 Other Income. Attach a schedule. Do not Include gain or (loss) from sale of capital assets 23 Total of lines 15 through 22 , .......... 1 062 449. 951 623. 691 735. 708 851. 3,414,658. 2 ............. e 23 minus line 17.. 1 044 316. 902 192. 691 735. 708,851.1 3,347,094. 2 FWnter1%of line 23................ 10,624. 1 9,516. 6 917. 7 089. 26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (a), line 24 , , , , , , , , , , , , , , ►[26 66,942. b Prepare a list for your records to show the name of and amount contributed by each person (other than a ' governmental unit or publicly supported organization) whose total gifts for•2001 through 2004 exceeded the , amount shown In line 26a. Do not file this list with your return. Enter the total of all these excess amounts ► 3 347 099 . c Total support for section 509(a)(1) test: Enter line 24, column (a) ► d Add: Amounts from column (a) for lines: 18 5,816 19 22 26b , , , , , , , , , , , , ► 5,816. 3.341.278. a Public support (line 26c minus line 26d total) , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ► 26f 99.8262 % f Public support percentage line 26e numerator divided b line 26c denominator . ►I 27 Organizations described on line 12: a ror amounts incluoea in lines 10, 11f, and 1( trial were received from a "disqualified person,' prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person." Do not file this list with your return. Enter the sum of such amounts for each year: NOT APPLICABLE (2004)---------------- (2003)------------------. (2002)------------------. (2001) ......-------- b For any amount Included in line 17 that was received from each. person (other than "disqualified persons"), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include In the list organizations described In lines 5 through 11. as well as Individuals.) Do not file this list with your return. After computing the difference between the amount received and the larger amount described In (1) or•(2), enter the *um of these differences (the excess amounts) for each year: (2004) ---------------- (2003)------------------. (2002)------------------. (2001)--------------- c Add: Amounts from column (a) for lines: 15 16 17 20 21 ........... lb-27c d Add: Line 27a total. . , and line 27b total .. ......... . ► 27d e Public support (line 27c total minus line 27d total) ........................ ...... 0-27e sal support for section 509(a)(2) test: Enter amount from line 23, column (a) .......... ►. . He support percentage (line 27e (numerator) divided by line 27f (denominator)) .. . ► 27 % 28 Unusual Grants: For an organization described in fine 10, 11, or 12 that received any unusual grants during 2001 through 2004, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief descriotlon of the nature of the Brant. Do not Ole this list with vour return. Do not Include these grants In line 15. JSA SE1221 1.000 93651 Schedule A (Form 990 or 990-EZ) 2005 95-2538829 Page 4 Private School Questionnaire (See page 7 of the instructions.) NOT APPLICABLE To be completed ONLY by schools that checked the box on line 6 in Part 1 29 Does the organization have a racially nondiscriminatory policy toward students by statement in As charter, bylaws, Yes No 29 other governing instrument, or In a resolutiori of its governing body? , , , , , , , , , , , , , , , , , , , , , , , , , 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? 30 31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no iolicitation•program, In a way that makes the policy known to all parts of the general community it serves?, , , , , , , , , , , , , , , , , , , , , 31 If "Yes," please describe; If "No," please explain. (If you need more space, attach a separate statement) --------------------- ------------------------------------------------------- ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- 32 Does tha organization maintain the following: a Records Indicating the racial composition of the student body, faculty, and administrative staff? b Records documenting that scholarships and other financial assistance are awarded on a raclally nondiscriminatory 32a basis? , , ......... .... ... ... ................. . 32b .............. c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships?, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 32c 32d d Copies of all material used by the organization or on its behalf to solicit contributions? . . ....... . . .... If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.) ----------------------------------------------------------------------------- Doasthe organization discriminate by race in any way with respect to: a Students' rights or privileges? , , , , , , ,,,, , , , , , ,,, , , ,, , , , , , , ,, , , , , , , , , , , , , , , , b Admissions policies? . . . . ........ . .... . c Employment of faculty or administrative staff? . . . . . . .............................. . d Scholarships or other financial assistance? e Educational policies? ... ................................. . . f Use of facilities? ..................................................... gAthletic programs? ................................................... . h Other extracurricular activities? , , , , , , „ , , , , , , , , , , , , , , , , , , , , , , , , , , , 33 If you answered "Yes" to any of the above, please explain. (If you need more space, attach a separate statement) ----------------------------------------------------------------------------- 34 a Does the organization receive any financial aid or assistance from a governmental agency?, , , , , , , , Has the organization's right to such aid ever been revoked or suspended? , , , , , , ... ....... .. If you answered "Yes" to either 34a or b, please explain using an attached statement 35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 JSA ee1239 t.eee 93651 Schedule A (Form 990 or 999.EZ) 2005 r L f Lobbying Expenditures by Electing Public Charities (Seepage 9 of the instructions) (To be completed ONLY by an eligible organization that filed Form 5768) NOT APPLICABLE heck ► a I I If the organization belongs to an affiliated group. L:necK ► b I I It yotieneCKee -a- an0 "llmneo cc trot provisions apply. Limits on Lobbying Expenditures Affiliated group To be completed (The term "expenditures" means amounts paid or incurred,) • totals for ALL electing organizations 36 Total lobbying expenditures to influence public opinion (grassroots lobbying) , , , 36 37 37 Total lobbying expenditures to Influence a legislative body (direct lobbying)... , 38 38 Total lobbying expenditures (add lines 36 and 37), , , , , , , , , , , , , , , , , , 39. 39 Other exempt purpose expenditures., •, , , , , , , , ... , , , , , , , , , , , , ; , 40 40 Total exempt purpose expenditures (add lines 38 and 39) , . , , , .... , 41 Lobbying nontaxable amount. Enter the amount from the following table - If the amount on line 40 Is - The lobbying nontaxable amount Is - Not over $500,000 , , , , , , , , , , , , 20°A of the amount on line 40 , , , , , , , , •• • . Over $500,000 but not over $1,000,000 , , , $100,000 plus 15% of the excess over$500,000 _ •, •, • „ Over $1,000,000 but not over $1,500,000 , , $175,000 plus 10% of the excess over $1,000,0D0 41 , Over $1,500,000 but not over $17,000,000 , , $225,000 plus 5°% of the excess over$1,5D0,000 Over$17,000,000 $1,000.000 , , , , , , , , , , , , .. .. 42 Grassroots nontaxable amount (enter 25% of line 41), , , , , , , , , , , , , , , , 42 43 43 Subtract line 42 from line 36. Enter -0- If line 42 is more than line 36 , _ , , , A4 44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 , , , , , , Caution: If there is an amount on either line 43 orline 44you must file Form 4720. 4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 45 through 50 on page 11 of the instructions.) Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal year beginning in ► (a) 2005 (b) 2004 (c) 2003 (d) 2002 (e) Total 45 Lobbying nontaxable amount 48 Lobbying ceiling amount 150% of line 45 e 47 Total lobbying ex endltures 48 Grassroots nontaxable amount 40 Grassroots ceiling amount 150% of line 48 e Grassroots lobbying ex endltures. . Lobbying Activity by Nonelecting For reporting only by organizations Public Charities that did not complete Part VI -A) See page NOT APPLICABLE 11 of the instructions. During the year, did the organization attempt to Influence national, state or local legislation, Including any attempt to Influence public opinion on a legislative matter or referendum, through the use of: a Volunteers b Paid staff or management (include compensation in expenses reported on linesc through h.) c Media advertisements „ ,,,,,,,,,,,,,,,,,,,,,,,,,,, d Mailings t0 members, legislators, or the public , , , , , , , , , , , , , , , , , , , , , , , a Publications, or published or broadcast statements , , , , , , , , , , , , , , , , , , , , , , , f Grants to other organizations for lobbying purposes , , , , , , , , , , , , , , , •, , , ; , g Direct contact with legislators, their staffs, government officials, or a legislative body Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means, , , Total lobbying expenditures (Add lines 'c through h.)• , ; , , , , , ; , , , , , , , , , , , , , , , , , , , , , , Yes No Amount 0 1.000 also 990 or 99D•FS) 2005 93651 Information Regarding Transfers To and Transactions and Relationships With Nonchantable Exempt Organizations (See page 12 of the instructions.) 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section•527, relating to political organizations? •a Transfers from the reporting organization to a noncharitable exempt organization of Yes No (I) Cash ................................................. 51ai X (11) Otherassets................................................. ail X b Other transactions: (i) Sales or exchanges of assets with a noncharitable exempt organization, , , , , , , , , , , , , , , .... , , , b I X (11) Purchases of assets from a noncharitable exempt organization , , , , , , , , , , , , , , , , , , , , , , , , bill) X (i11) Rental of facilities, equipment, or other assets, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , b lii X (Iv) Reimbursement arrangements , , , , , , , , ............................. b iv X (v) Loans or loan guarantees, , , , , , , , , , , , , , , , , , , , , , , b v X (vl) Performance of services or membership or fundraising solicitations, , , , , , , , , , , , , , , , , , , , , b vl X c Sharing of facilities, equipment, mailing lists, other assets, or paid employees, , , , , , , , , , , , , , , , , , c X d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization: If the organization received less than fair market value In any transaction or sharino arrangement, show In column (d) the value of the goods, other assets, or services received: ' (a) I (b) I (c) I (d) Line no. Amount involved Name of nonchadlable exempt organItation Description of iramfem, transactions, and sharing arrangerrenls 52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?, , , , , , , , , , ► ❑ Yes ❑X No r, a ev.... o ,........ie.e .r.e s,.u..,.a.... �..tia.r, ao• (a) I (b) I (c) Name of organtzation Type of organization Description of relationship Schedule A JSA (Form 990 or 990-EZ) 2006 6E1 3E146a 1.00e 93651 FAIR HOUSING COUNCIL OF ORANGE COUNTY 95-2538829 FORM 990, PART III - ORGANIZATION'S PRIMARY EXEMPT PURPOSE PROMOTE/EXTEND EQUAL HOUSING OPPORTUNITES. 93651 STATEMENT I FAIR HOUSING COUNCIL OF ORANGE COUNTY 95-2538829 FORM 990, PART IV - PREPAID EXPENSES AND DEFERRED CHARGES IISCRIPTION PREPAID EXPENSE • • BOOK VALUE 2,158. --------------- TOTALS 2,158. 93651 STATEMENT 2 FAIR HOUSING COUNCIL OF ORANGE'COUNTY 95-2538829 990, PART IV - MORTGAGES AND OTHER NOTES PAYABLE LENDER: US BANK MORTGAGES BEGINNING BALANCE DUE ..................................... ENDING BALANCE DUE ........................................ TOTAL BEGINNING MORTGAGES AND OTHER NOTES PAYABLE TOTAL ENDING MORTGAGES AND OTHER NOTES PAYABLE • • 89,706. 50,636. --------------- 89,706. 50,636. --------------- --------------- --- ---•- --•�+ ..vvar�.tL UE UkLgN(iE: COUNTY FORM 99• pART V-A - CURRENT OFFICERS, DIRECTORS, TRUSTEES 95-2538829 . WAYNE ANTHONY WARD 201 S BROADWAY SANTA ANA, CA 92701 AIDEE LOPEZ 201 S BROADWAY SANTA ANA, CA 92701 EMMA HIGHTOWER 201 S BROADWAY SANTA ANA, CA 92701 RAMON DIAZ 201 S BROADWAY SANTA ANA, CA 92701 D. ELIZABETH PIERSON 201 S BROADWAY SANTA ANA, CA 92701 JEFFREY L. BIRD 201 S BROADWAY SANTA ANA, CA 92701 G. CHRIS BROWN 201 S BROADWAY SANTA ANA, CA 92701 EARL, D_ DEARING 201 S BROADWAY SANTA ANA, CA 92701 TITLE AND TIME CONTRIBUTIONS EXPENSE ACCT TO EMPLOYEE AND OTHER DEVOTED TO POSITION COMPENSATION BENEFIT PLANS ALLOWANCES ------------------------------- VICE-CHAIR NONE NONE 1+ NONE DIRECTOR 1+ SECRETARY 1+ DIRECTOR 1+ PRES/CEO 40+ DIRECTOR 1+ DIRECTOR 1+ TREASURER 1+ NONE NONE NONE 82,123_ NONE NONE NONE NONE NONE NONE 5,249. NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE 93651 .STATEMENT 4 rl-llx riUU31NG COUNCIL OF ORANGE COUNTY FORM 99•PART V-A. - CURRENT OFFICERS, DIRECTORS, 0 TRUSTEES NAME AND ADDRESS TITLE AND TIME ---___ DEVOTED TO POSITION CHRISTINE MC GUIRE DIRECTOR 201 S BROADWAY 1+ SANTA ANA, CA 92701 ANA MUNOZ CHAIR 201 S BROADWAY 1+ SANTA ANA, CA 92701 HERM PERLMUTTER, CHES DIRECTOR 201 S BROADWAY 1+ SANTA ANA, CA 92701 WAYMOND RODGERS, PH.D., CPA DIRECTOR 201 S BROADWAY 1+ SANTA ANA, CA 92701 REYNA M. VILLARREAL DIRECTOR 201 S BROADWAY 1+ SANTA ANA, CA 92701 GRAND TOTALS 95-2538829 COMPENSATION NONE NONE NONE NONE NONE CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS NONE HUM NONE NONE NONE • EXPENSE ACCT AND OTHER ALLOWANCES NONE NONE NONE NONE NONE 82,123. 5,249. NONE 93651 STATEMENT 5 FAIR HOUSING COUNCIL OF ORANGE COUNTY 95-2538829 DERAL FOOTNOTES FORM 990, PART IV, LINE 57A & 57B. LAND BUILDING BUILDING IMPROVEMENTS FURNITURE & EQUIPMENT LESS: ACCUMULATED DEPRECIATION TOTAL LAND, BUILDINGS, AND EQUIPMENT • C� LAND, BUILDINGS, AND EQUIPMENT: BEGINNING END $150, 000 $150, 000 232,353 232,353 94,283 115,337 77,192 -------- 77,192 -------- 553,828 $574,882 (192,741) -------- (221,684) $361,087 -------- -------- -------- $353,198 -------- -------- 93651 STATEMENT 6 • 0 0 Board of Directors Fair Housing Council of Orange County Chair Wayne Anthony Ward G. Chris Brown Home: (949) 363-6553 Home: (949) 552-0529 Cell: (949) 202-8191 Work: (714) 278-2757 Fax: Cell: (949) 230-3392 w1ward5254@sbcglobal.net (home) Fax: (949) 559-5706 nlalcebrown@cox.net Vice -Chair Aidee Lopez Finance Earl D. Dearing Finance Home: (714) 776-5406 Home: (714) 835-0801 Work: (714) 775-3090 Work: (714) 543-6479 Fax: (714) 775-1778 Cell: (714) 349-7226 aidee.lopez.194v@statefarm.com edear47796@aol.com Secretary Emma Hightower FVance Christine McGuire Finance Home: (562) 947-5986 Home: (714) 527-7655 Cell: (714) 745-5844 Cell- (714) 323-5270 Work: (714) 637-5900 Fax: (714) 527-7655 Fax: (714) 637-5940 christine59@hotmail.com emma@emmahiahtower.com Treasurer Ramon Diaz Finance Henn Perlmutter, CHES Home: (949) 661-2940 Home: (949) 699-1950 Cell: (714) 904-0212 Work: (714) 834-2904 Fax: Fax. (714) 796.8261 ramond9@netzero.net hperhnutter@ochca.com President/CEO D. Elizabeth Pierson Finance Waymond Rodgers, Ph.D., CPA Finance Wk Cell: (714) 721-3436 Home: (949) 856-0632 Home: (951) 244-5844 Work: (951) 787-4786 Cell: (951) 264-5844 Cell: (949) 300-7766 Fax: (951) 244-0088 Mg3Mond.rodgers@ucr.edu DFlizabethPierson@msn.com Jeffrey L. Bird Finance Reyna M. Villarreal Home: (949) 597-0617 Home: (714) 520-0278 Work: (213) 989-4300 Work: (714) 480-1611 Fax: (213) 989-4565 Cell: (714) 904-8097 Tbird@foursguare.org Fax: (714) 480-1616 Vllarreal@kimco.com HUMAN OPTIONS RESTORING HOPE. REBUILDING LIVES. •ielping battered women and their families. P.O. Box 53745 • Irvine, CA 92619 • Phone (949) 737-5242 • Fax (949) 737-5244 • www.humanoptions.org • Tax IN 95-3667817 January 17, 2008 City of Newport Beach Planning Department 3300 Newport Boulevard Newport Beach, CA 92658 Attn: Ms. Sharon Wood, Assistant City Manager Dear Ms. Wood: Human Options' mission is to help battered women, their families and our community break the cycle of domestic violence. We are requesting $20,000 from the City of Newport Beach CDBG funding to offer bilingual counseling services and, if needed, legal advocacy and emergency • shelter to low -moderate eligible Newport Beach residents caught in the cycle of domestic violence. Last year Human Options provided these services to 43 Newport Beach residents. Over the past 26 years, Human Options has developed a full continuum of programs and services which offer safety, support and education in order to change and save lives. Family violence affects the whole community from family members and neighbors to law enforcement, employers and educational institutions. We offer counseling and legal services f6r women and children at our Community Resource Center in Costa Mesa as well as emergency shelter services in Irvine. These services are provided in both English and Spanish by staff members with professional degrees. ltzw Maricela Rios, LCSW Chief Operations Officer 0 • • CITY OF NEWPORT BEACH Planning Department Public Service Agency Application for CDBG Project Funding All persons or agencies wishing to apply for 2008-2009 Community Development Block Grant (CDBG) funds must complete an application form in order to be considered. All applications are due by no later than 12:00 p.m. on Wednesday. January 23, 2008. Late applications will not be accepted. NO EXCEPTIONS. In order to be considered for funding, all sections of the application must be completed: Any sections that do not apply should be marked N/A on the form. AGENCY INFORMATION Department/Agency Name: Contact Person: Human Option, Inc. Maricela Rios Agency Status (Check One): Contact Title: ® Non -Profit ❑ For -Profit ❑ Public (City) Chief Operations Officer Agency Address Telephone No.: Address: P.O. Box 53745 949-737-5242, ext. 320 City, State, Zip: Irvine, CA 92619 Facsimile No. 949-737-5244 Federal Tax ID No.: E-mail Address: 95-3667817 mrios@humaaopdons.org Dun and Bradstreet No. (Required as of Oct. 1, 2003).: Name of Person Signing Contracts: 806923306 Maricela Rios Founded in 19B1, Human Options' mission is "To help battered women, their families and our community break the cycle of domestic violece." Over its 26-year history Human Options has expanded its services to meet the growing needs of its clients. Human Options' comprehensive services include a 24-hour crisis hotline, new 40-bed emergency shelter, Second Step transitional housing program, Community Resource Center with outreach programs, 52-week batterers intervention program, community education and violence prevention programs, individual, group and family counseling services and elder abuse prevention services. * The original emergency shelter and 24-hour hotline were started in 1981 (49,020 callers. The 24-hour hotline provides bilingual telephone crisis intervention, crisis counseling and shelter intake (49,020 callers to date). * The emergency shelter was newly built in 1996 in an unprecedented public -private partnership; the successful Capital Campaign brought together several homebuilders, the City of Irvine, and community leaders to raise $4.2 million. Women and their children stay for 30-45 days (2,300 women and 2,867 children to date). The Family Healing Center, part of the emergency shelter complex, houses families and provides services for an additional 90 days. * The Second Step Transitional Housing/long-term case management program opened in 1993 and has become a model program for other transitional housing programs (365 women and 664 children to date). * The Community Resource Center, opened in 1997, is a walk-in facility offering long-term individual and group counseling, support programs for both adults and children, parenting classes, Personal Empowerment Program, and legal advocacy (6,918 women and 771 children total to date). * The Community Education/prevention program was initiated in 1984, offering prevention presentations for students K -12th grade through Hands Are Not For Hitting, Love Is Not Supposed To Hurt and Jason's Story. Program has reached 196,989 students to date. See page la for additional Agency Background information Page 1 • Human Center 0 - Other Address: 1500 Adams Avenue, Suite 206 City, State, Zip: Costa Mesa, CA 92626 Z Yes ❑ No j Benefits Low -and Moderate Income Persons Provide a detailed description of the proposed project and activity (attach additional sheets ifuece-sag): Human Options' Community Resource Center offers a wide variety of counseling and educationalFrograms to help victims and their family members deal with the effects of domestic violence. Proposed services include the following. *Crisis intervention *Individual counseling for adults *Support groups *Legaladvocacy *Personal Empowerment Program (PEP) *Children's individual counseling *Parenting education groups *Parent -Child Intemction Therapy and Trauma Therapy *Information and referrals *Intake to Human Options' emergency shelter All services are offered in English and Spanish The Newport Beach Police Department received 221 Domestic Violence Related Calls for Assistance in calendar year 2007. In FY 2006-2007, 43 Newport Beach residents received services at the Community Resource center through crisis intervention and individual counseling, legal advocacy, Personal Empowerment Program, children's counseling, parenting education, and Parent -Child Intemction Therapy. Of these clients, three entered into the emergency shelter. We expect to serve approximately the same number of clients (40) during the new grant year The Community Resource Center is housed in a 2,200 square foot suite. It consists of a reception area, front office, legal advocate office, child therapy room, child care room, two counseling rooms, conference/group meeting room, small kitchen , bathroom, two administrative/counseling rooms. Persons implementing the project The academic credentials for the bilingual counselor position includes a Master Degree in behavioral science field, three years counseling experience, understanding of domestic violence, knowledge of the principles of crisis counseling, bilingual English/Spanish, computer skills, excellent written and verbal communication, completion of the state approved 40-Hour Domestic Violence Training. Evelyn Rios, MSW, ACSW has more than 3 years experince working with high risk populations and communities. She has completed the state approved 40-Hour Domestic Violence Training and is a preceptor for Master in Social Work students. Evelyn Rios is supervised by Chandinie Parasram, a MSW, ACSW who has over 3 years experience working with high risk populations and the severly emotionally disturbed populations. She has been responsible for the day-to-day operations of the Community Resource Center, including monitoring files and maintaining accurate records. Additionally, Chandinie has completed the Field Instructor certification and the state approved 40-Hour Domestic Violence Training. Page 2 11 • ® Citywide (Entire City ofNewport Beacb)) ❑ Specific Target Area (provide map of target area) ❑ Low -Mod Census Tracts (CDBG Target Area) ❑ Specific Census Tracts (list CensnaTracts below) PROJECT BUDGET (The /kgenqT, understands that no . be incurred before a contract has been fully exectned) Formula Grant Cost Category Overall Budgeted Newport Beach CDBG Funds Personnel Costs $294,899.00 $20,000.00 Non -Personnel Costs (supplies, consultants, etc. $72,615.00 $0.00 Capital Improvement Costs $0.0 $0.00 Total r $367,514.00 $20,000.00 Describe any other funding sources (and the amount of the other funding source) that will be used in the execution of the project: Orange County CDBG $ 68,760 secured United Way $12,500 secured Client and court ordered fees $ 63,860 expected Foundation grants $11,500 secured General Fund/individual and event donatio s $ 210,894 expected Vote: The City of Newnort Beach only funds personnel costs associated with the delivery of nublic services. However. in order to evaluate the entire program, all project costs must be provided and categorized under one of the three categories. Page 3 E PROGRAM ACCOMPLISHMENTS ' Newport Beach Total Clients Number of clients actually served under this program in 2006-2007 43 805 Number of clients expected to be served under this program in 2076-2008 40 800 Number of clients proposed to be served under this program in 2008-2009 45 800 Describe how the program benefits low -moderate income eligible residents in Newport Beach: 40 low -moderate income eligible Newport Beach clients will receive free or low cost services to deal with domestic violence problems through group or individual counseling. Program effectiveness will be measured be pre and post tests/questionnaires. The assessment tool is based on a Lichert scale that evaluates the following 11 indicators: Physical abuse/violence, verbal abuse, sexual abuse, financial abuse, child or dependent/elder abuse, social support, suicidal ideation and/or attempts, depression, anxiety, self-esteem and current safety plan. Upon completion of the counseling/program,100% of clients will have a safety plan; 85%will have an understanding of the dynamics of domestic violence; 55% will have a legal plan and 67% of clients will.know the effects of domestic violence on children. The new knowledge and behaviors will help clients lead healthier lives and make for a safer community. Counseling services by private therapists cost between $100 and $125 per visit and are not affordable to low income clients. We see a client on avaerage for 10 to 15 visits. Since more than 90% of our clients, including those from Newport Beach, are low income eligible, these services are provided free. Very few clients pay on a sliding scale based on their income. Even then, those fees are only a fraction of what would be charged by a private therapist for the same service. iNmc; me numum or cuents noceu m me mule auove must not exceeu me row -moderate income mans as noreu In me 2006 HUD Income Limits table below, I person 2 person 3 person 4 person 5 person 6 person 7 person 8 person Very Low Income (30%) 18,200 20,800 23,400 26,000 28,100 30,150 32,250 34,300 Low Income (50%) 30,300 34,650 38,950 43,300 46,750 50,250 53,700 57,150 Low -Moderate Income (80%) 48,500 55,450 62,350 69,300 74,850 80,400 85,950 91,500 Page 4 • 0 ❑ 05 Public Services (General) ❑ 05K Tenant/Landlord Counseling ❑ 05A Senior Services ❑ 05L Child Care Services ❑ 05B Services for the Disabled ❑ 05M Health Services ❑ 05C Legal Services ❑ 05N Abused and Neglected Children ❑ 05D Youth Services ❑ 050 Mental Health Services ❑ 05E Transportation Services ❑ 05P Screen for Lead -Based Paint/Lead Hazard ❑ 05F Substance Abuse Services ❑ 05Q Subsistence Payments ® 05G Battered and Abused Spouses ❑ 05R Homeownership Assistance (Not Direct) ❑ 05H Employment Training ❑ 05S Rental Housing Subsidies(HOM&TBRA) ❑ 05I Crime Awareness/Prevention ❑ 05T Security Deposits ❑ 05J Fair Housing Activities PARTICIPATIONOF • AND WOMEN Boa;dofDitcgio'- Em 1o.,oes, • .' Total 32 80 Number of Minorities 4 54 Number of Women 22 75 Percentage of Minorities 1360"/o 68?00Yov Percentage of Women 69.000 0 9,4.00% • Internal Revenu~• Service' District Director Date: MAR 10 1982 P Human Options, YnC. P.O.Box 53745 Ixvine,CA 926.19 Qepartment of the Treasury Ehrploydr-ldent ncation Number. 95-3667817 Aceol ihting Adnbc(�ndinge June 30 Fotm•AAb Reydired: n Yes El' No Petton to Contacit B.Brewer Contact Telephone Number. (.213•) 688-4889 Dear Applicant: Based on information supplied, and' assuming your operations will be as 'stated' in your •application for recognition of exemption, we have determined you are exempt from Federal income 'tax'vndDr section 501(c)(3) of the Internal Revenue Code. We have further detdr�k-n§df: tfiat' ydu -are not a private foundation within the •meaning of section 509(a) of the'Code,. because ybu areran organization -described in section 170(b) (1) (A) (vi) and 509 ('a) (1) . If your sources of support, -or yogr.purposes, character, or method of operation change, please let us know so We can consider the effect of the change on your exempt status and foundation status. Also, you should 'inform us of all changes in your name or address.' Generally, you are not liable for social security (FICA) taxes unless you file a waiver of exemption certificate as provided in the Federal Insurance Contributions Act. If. you have paid FICA taxes without filing the waiver, you should contact us. You are not liable for the -tax imposed under the Federal Unemployment Tax Act (FUTA). Since you are not a private* foundation, you are not subject to the excise taxes under Chapter 42 of the Code. However, you are riot automatically exempt from other Federal excise taxes. If you have any questions about excise, employment,•or other Federal taxes, please let us know. Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, 'transfers,' or gifts to you or for your use are deductible for Federal estate and gift tax purposes i•f•they-meet the applicable pTpvisions of sections 2055, 2106, and 2522 of the Code. The box checked ln'the heading of this letter shows whether you must file orm 990, Return of Organization Exempt from Income tax. If Yes is checked, you are required to file Form 990 only if your gross- receipts each year are normally more than $10,000. If a return is required, it must be filed by the 16th day of of the fifth month after the and of your annual accounting period. The law imposes a penalty of $10 a day, up to a maximum of $5,000, when a return is filed late, unless there is reasonable cause for the delay. ^ m_.. noen ') . e Annalnc. calif_ 90053 (over) Letter947(DO) (5-77) r • C. Y'ou 'ars nat regiu�ired to file F`ede•ral• income tam reisurns. unless �c�ij' a�� 'Sti��t��t' ` to the tax on unrelated busAness income under. section 511 o.f the- Code. lt$' SSclur.� subject to this tax, you must file an income tax return on Form- 990.-T. Z11 thta letter, we are. not determining whather any of your present or proposed-. aottv,itfea are un•related:..tpade,ar defined in section 513 of the. Code.. _!, : } ftfi•� You need an..Ekmj,);Lp�pq�.•ideptification, number even if you have no. emol;ogees. Sf.;an employeT- d� }j �tlon number was not entered on your appU atiana number will be ag§issgnad to you and you will be, adv:;sed of it. $lease• use. th,xt number on all returns you. ike and in all correspondence with the•lnkanna. R'evenue­ Service. Because this; latter aould• help resolve any questions about your exenipt status- and.foundation status, you. should&, keep it in. your permanent records. If you have. any questions, Please contaat the. person whose name and' telephon`e: number are shown in the heading of this I0ter. 5incemly yraudtm. Letter 947(QO) (5,77): HUMAN OPTIONS 2008 BOARD OF DIRECTORS • January 1, 2008 Eve Barker, Community Volunteer Second Term, Third Year — 2003 Board Development Committee Co -Chair O.C. United Way: Former Account Manager, Leadership Giving and New Account Development. O.C. United Way's Women's Philanthropy Fund: Founding Member. UC Irvine Alumni Association: Lifetime Member. Charter Member, Dean's Leadership Circle at UCIrvine's Merage School of Business. Association of Fundraising Professionals: Member. Former Co -Chair External Relations and Co -Chair, 2006 Shareholders at UCIrvine's Merage School of Business. Nora Caldwell, Business Owner Second Term, Second Year - 2004 Program Committee Co -Chair Association of Fund Raising Professionals: Member. Human Options: Board ofDirectors 1996-2000. Steve Churm, Business Owner First Term, Second Year - 2007 Irvine Chamber of Commerce: Executive Board ofDirectors Victoria Collins, Ph.D., CFP Third Term, First Year — 2002 President Elect Involvements with Girls Inc., Center Club Executive Women's Committee, Angels of the Arts. Women's Investment Strategies Conference: Founder. The Trusteeship: Board Member. Women's Opportunities Center: Board Member • Ann Crane, Business Owner Third Term, Third Year — 2000 Secretary Girl Scout Council of Orange County: Nominating and Fund Development Committee. STOP- GAP: Past member Board ofDirectors. Newport Harbor Area Chamber of Commerce: Past member, Board of Directors, Division President. Leadership Tomorrow: Past President, Board ofDirectors. Youth Employment Service Harbor Area: Past President, Board ofDirectors. Volunteer Center of Greater Orange County: Past member, Advisory Committee Nancy W. Dahan, Esq., Attorney Second Term, Second Year — 2004 Orange County Bar Association, Family Law Section. Trial Lawyers Association: Member. Involvements with Planned Parenthood, Girls Inc., Women in Leadership (W.I.L) Jeff Dodd, Senior Vice President First Term, Third Year - 2006 Celina Doka, CPA Fifth Term, First Year -1996 Finance Committee Chair Member and former Chair of the Advisory Council to the UCI Graduate School Program in Real Estate Management. Member and former Board Member and Chief Financial Officer of the Newport Harbor Area Chamber of Commerce. Member ofAmerican Institute of Certified Public Accountants. Member of California Society of Certified Public Accountants. Kate Duchene, VP Human Resources Human Resources Committee Chair Los Angeles County Bar Association: Member. • Marc Franklin, Chief Operating Officer Men's Task Force Chair Junior Statesmen Foundation: President. Third Term, Second Year - 2001 Junior League of Pasadena: Member. Fourth Term, Second Year -1998 Tracy Friedmann, Director of Sales and Marketing Second Term, Second Year — 2004 Artyu Gardner, Community Volunteer First Term, Second Year — 2007 • Program Committee Co -Chair Duke University Alumni Board member. Women's Philanthropy Fund: Member. OC United Way Community Investment Cabinet: Member. OC United Way Women's Empowerment Portfolio Leadership Council: Member. Duke University Alumni Admissions Advisory Committee: Member. Duke University Financial Aide Initiative Development Committee: Member. Menlo School Alumni Parent Board: Member. Retired college counselorfor high school athletes. Denise Giambalvo, Nurse Executive First Term, Third Year — 2006 Susan Giusto, Community Volunteer Third Term, Second Year — 2001 University of California, -Los Angeles, Alumni Association: Member. University of San Francisco Alumni Association: Member. David Hendryx, Director of Residential Real Estate Second Term, First Year — 2005 Fund Development Co -Chair Building lndustryAssociation: Member. Urban Land Institute: Member. Orange County Business Council: Member. United Way of Orange County: Member. Julie Hill, CEO & President Fifth Term, First Year -1996 Strategic Planning Committee Co -Chair, Past Board President Corporate Boards of Directors: WellPoint, Inc.; Resources Connection; Lord Abbett Family of Mutual Funds; Holcim (US). Orange County Community Foundation: Board Member. Past Chair, Human Options. Past Chair, UCI CEO Roundtable. UCI Foundation Board. UCI Graduate School of Management, Co -Chair of Board of Directors. Member, Trusteeship of the International Women's Forum. • James Jaeger, Managing Partner Second Term, First Year - 2005 South Coast Repertory: Board Member; American Institute for Certified Public Accountant: Member; California Society of Certifed Public Accountants: Member; Jonathan Club of Los Angeles: Member; University of Notre Dame: Alumni Association. DeeDee Jones, Ph.D., Psychologist First Term, Second Year - 2007 Visionaries, Orange County Museum of Art: Board Member. Barclay Theater: Board Member. Mariposa Women and Family Center: Board Member. Shady Canyon Ladies Club: Board Member. KOCE: Outreach Committee Member. Andrew Lerner, Community Volunteer Social Enterprise Committee Co -Chair Young Entrepreneurs Organization: Member Betty Mower Potalivo, President Endowment Committee Chair KOCE: Board of Directors and Executive Committee; O.C. Margi Murray, Counselor Program Committee Co -Chair Women's Opportunities Center, Scripps College. Second Term, First Year — 2005 First Term, Third Year — 2006 United Way's Women's Philanthropy Fund. Fourth Term, First Year -1999 Susanna Openshaw, Community Volunteer Second Term, Third Year - 2003 Audit Committee Chair • Orange County Technology Foundation: Board Member. St. Margaret's Episcopal School: Board Member. St. Margaret's Episcopal Church: Vestry Member. Marcos Ramirez, Program Officer First Term, Second Year — 2007 Social Enterprise Committee Co -Chair Peter F. Drucker Alumni Association: Board President. Peter F. Drucker Board of Visitors: Member. Oakview Development Partnership: Board Member. Kidworks: Advisory Board Member. Orange County Community Relations Council: Board Member. Diocese of Orange's Institute for Pastoral Ministry: Faculty. Barbara Roberts, Community Volunteer Second Term, Second Year— 2004 Philharmonic Society of Orange County, Women's Committees: Member. Orange County Museum of Art: Docent. Assistance League of Newport -Mesa; Opera Guild; Friends of the Library: Member. Linda Schilling, Attorney First Term, First Year - 2008 Public Law Center: Board of Directors. The Kline School: Supporter. Ellen K. Shockro, Ph.D., Professor Fourth Term, Second Year -1998 Board Co -President, Board Development Committee Co -Chair President and Co-founder of El Viento Foundation. Past Board Member and officer, Girls Inc. National. Past Board Member and officer, Women at Work, Pasadena. Past Board Member, Stanford University Athletic Board. Past Board Member, Pacific Crest Outward Bound School. Past Board Member, Foothill Family Service, San Gabriel Valley. Board of Overseers, Wellesley College Centers for Women. Daniel Sonenshine, President Third Term, First Year — 2002 Social Enterprise Committee Co -Chair Kerri Sonenshine, Director of Marketing First Term, Third Year — 2006 Fund Development Co -Chair • Bravo! Young Professionalsfor the Orange County Performing Arts Center: Founder and Board Member,VPof Events. UCLA Anderson —Class of200 Board of Directors. Les Thomas, Community Volunteer Fourth Term, First Year -1999 Strategic Planning Committee Co -Chair HomeAid Orange County: President. Building Industry Legal Defense Foundation: Board ofDirectors. Building Industry Association of Southern California Political Action Committee: Chairman. Building Industry Association of Orange County: Board of Directors, former member. Builder Captain for 1999 remodel of Interval House. Bob Warmington, President Second Term, First Year - 2005 SOS— Share Our Selves: Member. UCIrvine Global Peace ad the Environment: Member. Newport Water Polo Foundation: Member. Jean Weiss, Community Volunteer Fourth Term, First Year -1999 Board Co -President Emerald Bay Community: Board of Directors. Philanthropist. Kelly Wells, Business Owner First Term, First Year - 2008 Court Appointed Special Advocate (CASA). Surfrider Foundation: Member. American Cancer Society: Member. Southern California Olympians. Newport Coast Elementary School. Updated 01/03/08 a We No. IM-0047 L Form 990 epadment of the Treasury The Vernal Revenue Service Pt For the 2006 calendar ea B Check d applicable: Please Address change IRSIeb, orpgin Name change or type Initial return Sea spaem, I instru, Final return Lions. Amended return I Return of Organization E(xe)mpt From Income Tax Under section t 61a(ckrlungr henef t trust or private foundation) a Code ,nization may have to use a copy of this return to satisfy state reporting req HUMAN OPTIONS, INC. P.O. BOX 53745 IRVINE, CA 92619-3745 u Application pending •section 501(c)3) organizations and 4947(aF4 nonexempt charitable trusts must attach a completed Schedule A (Form 990 or 990-EZ). r_ we1. are. ► GTCgfnT HriMATJnPTTONS . ORG 1 Organization ty e check only nl one ........ ► X soft,) 3 4 (insert nod 4947(a)(1) or F1 s27 K Check here ► if the organization is not a 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000. A return is not required, but if the i f fi a rof„rn he sure to file a complete return. L Gross receipts: Add lines 6b 8b 9b and 10b to line 12.. 2006 Open to Public Inspection 67817 number F MAN u i"" uCash uAccrual n I I Cth.r (sPecify) � Hand] are not applicable to section 527 organizations. H (a) Is this a group return for affiliates?:... Yos [K No H (b) ff'Yes; enter number of affiliates i" H (C) Are all affiliates included?.......... yes El No (if 'No,' attach a lust. See Instruction.) H (d) Is this a separate return filed by an II�� II organization covered by a group ruling? I f-1 lyes nx No Group Exem tion Number... "' Check ► if the organization is not required to attach Schedule B (Form 990, 990-Et, or 990-PF). Revenue Expenses, and Changes in Net Assets or tuna tsaiances aee fne insrrucuuns. ' R E v E N ° E 1 Contributions, gifts, grants, and similar amounts received: a Contributions to donor advised funds ..................................... I 1 a 1,802,392. b Direct public support (not included on line 1a)............................ 1 b 848 171. c Indirect public support (not included on line 1a)........................... 1 c 115 364. d Government contributions (grants) (not included on line ta)............... 1 1 'Ij 1 587 121. e Ta`,rS2dgViTlwsh $ 3, 817, 224. noneash $ 535, 824. )...................... 2 Program service revenue including government fees and contracts (from Part VII, line 93)............... 3 Membership dues and assessments................................................................. 4 Interest on savings and temporary cash investments .................................................. 5 Dividends and interest from securities................................................................ 6a Gross rents .............................................. I............. I 6a bLess: rental expenses ................................................... 6b c Net rental income or (loss). Subtract line 6b from line 6a.............................................. 7 Other investment income (describe....... ► Sa Gross amount from sales of assets other (A) Securities (B) Other than inventory .................................... 454 130. 8a b Less: cost or other basis and sales expenses....... 422 540. 8b e Gain or (loss) (attach schedule) ........ STATEMENT..1. 31,590. 8c d Net gain or (loss). Combine line tic, columns (A) and(B)....................................�� .....I 9 Special events and activities (attach schedule). If any amount is from gaming, check here ... a Gross revenue (not including $ of contributions reported on line 1b)..................................................... 9a 1 370 080. b Less: direct expenses other than fundraising expenses .................... 9b 260 049. c Net income or (loss) from special events. Subtract line 9b from line 9a..... — STA2721.590.E 10a Gross sales of inventory, less returns and allowances...............g 4,353,048. le 2 217 257 . 4 5 26,043. 6c 7 70,322. 31, 590. 1 110 031. 9c {I v14 E N s E s A e s T Er s b Less: cost of goods sold ................................................ 10b c Gross profit or (loss) from sales of inventory (attach schedule). Subtract line i0b from line 10a............ STATEMENT. 9 11 Other revenue (from Part Vll,line 103)............................................................... 12 Total revenue. Add lines 1e 2 3, 4, 5, Go, 7, 8d, Sic, IOc, and 11...................................... 13 Program services (from line 44, column(B)).......................................................... Management and general (from line 44, column(C)).................................................. 15 Fundraising (from line 44, column(D)):.............................................................. 16 Payments to affiliates (attach schedule).............................................................. ..................................... 17 Total expenses. Add lines 16 and 44 column A ............. ... 18 Excess or (deficit) for the year. Subtract line 17 from line 12.......................................... 19 Net assets or fund balances at beginning of year (from line 73, column(A))............................ 20 Other changes in net assets or fund balances (attach explanation) ..................................... 91 mm ,ssofs er f ,nri hnlnnrps at and of vear. Combine lines 18, 19, and 20 .............................. 10e 272 590 . 11 12 13 6,080,881. 3 499 676. 14 501 ,992. 15 336 967. 16 17 18 4 340 635�. 1, 740 246. 19 8,607,657. 20 21 101347 03. BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEAD109L 01122107 Form 990 (2006) 14 Statement of,Functional Ex�lenses, All organizations must complele column (A). Columns (B), (C), and (D) are area u�„ Fm r�ic31 and 41 ornanizations and section 4947(a)(1) nonexempt cf(Tlaritable trusts but optional for others. Do not include amounts reported on line 66 86 9b 106 or 16 of Part 1. 2a Grants paid from donor advised funds (attach sch)4,uiyr;'#'^v`is,' (cash non -cash If this amount includes foreign grants, check here.. �..... Other grants and allocations (att sch) (cash non -cash If this amount includes foreign grants, check here.. ► Q.... Specificassistance.. individuals 23 (attach schedule)..................... 24 Benefits paid to or for members (attach schedule) ..................... 22a (A) Total (B) Program services (C) Management and eneral .r I "r,4 i .. 1q'» �S, �� (D) Fundraising " i NO) v „ " . :,vl22b y s ; "a ` p" �r �'w M 22b 23 24 25a 245 965. 183,44 21,359. 41 160. 25a Compensation of current officers, directors, key employyees, etc listed in Part V-A(a%chsch)................. 25b 0. 0. 0. 0. b Compensation of former officers, directors, keYY employyees, etc listed in Part V-B(attabhschZ................. c Compensation and other distributions, not Included above, to disqualified arsons (as defined under section 495 1 and persons described In section 4958(c 3 1) (attach schedule) ......................... 25c 0. 0. 0. 0. 26 Salaries and wages of employees not included on lines 25a, b, and a........ 26 2 682 545. 2 188 358. 280 524. 213 763. 27 Pension plan contributions not 0included on lines 25a, b, and c ........ 27 28 Employee benefits not included on lines 25a - 27......................... 28 29 29 Payroll taxes ......................... 30 30 Professional fundraising fees.......... 31 Accounting fees ...................... 31 26,139. 26.139. 32 32 Legalfees ............................ 33 Supplies ............................. 34 Telephone ............................ 35 Postage and shipping ................. 36 Occupancy ........................... 37 Equipment rental and maintenance.... 38 Printing and publications .............. 39 Travel ............................... 40 Conferences, conventions, and meetings........ 33 42,453. 30,231. 6 974, 5,248. 34 32,105. 28,747. 3,349. 9. 35 10 882. 2 999. 2,866, 5,017. 36 117 217. 106 697. 6 442. 4 078. 37 237 990. 208 087. 18,314. 11,589. 38 40,002. 27,358. 4,526.1 8,118.. 39 20,260. 18,689. 784. 787. 40 56.676. 26,478. 11,770. 18,428. 41 41 Interest .............................. 42 Depreciation, depletion, etc (attach schedule).... 42 164 389. 112 393. 51,996. 43a 663 912. 566 193. 66,949. 30 770. 43 Other expenses not covered above 0temize): a SEE STATEMENT 4 43b ------------------- b------------------- 43c c------------------- d------------------- 43d 43e e------------------- f------------------- 43f 43 g------------------- 44 Total f(unctional expenses. Add lines 22a throw h 43g. (Or anizatians complebng columns In B - D carryfhesetotalstolinesIT-15..... 44 4,340,635. 3 499 676. 501 992. 338 967. "Oloint Costs. Check. ► if you are following SOP 98.2. Are any joint costs from a combined educational campaign and fundraising solicitation reported in(B) Program services?....... I`❑ Yes QX No If 'Yes,' enter (1) the aggregate amount of these joint costs $ ; 00 the amount allocated to Program services $ ; 011) the amount allocated to Management and general $ ; and Ov) the amount allocated to Fundratsin $ Form 990 (2006) BAA TEEA0102L 01/23107 Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a Base make sure the rhe eturn is completves e and accurate anon ind ful y descries bes n Part I determined, thorganizatio saprograms and acn its com What is the organization's primary exempt purpose? ► Prot qqp organizations m. ust describe their exempt purpose achievements in a claar and concise manner. State the number of clle0is served, puhlications issued, etc. Discuss achievements that are not measurable. #Section 501lfc)�d) artd (4) organ- izations and 4947 a 1 nonexempt charitable trusts must also enter the amount o rants an a ocahons to others. a SEE STATEMENT 5------------------------------------------ ------------------------------------------------------ --------------- -------------------------- [7 — ._—--..--..—-----------------w � i$ nay �mn, int lnrludec fnreinn nrants. check here .. ►s b------------------------------------------------ ------------------------------------------------------ -------------- ____ -- _h ------------ :--------------s,:-: _ ....�: ..Ld �fnminn nrenle re_r4_hcro ._I 1 c------------------------------------------------------ — — — — — — -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —• — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — — — — — — — -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — (Grants and allocations $ ) If this amount includes foreign grants, check here .. ►—� - d----- ------------------------------------------------- ------------------------------------------------------ ----------------------------------------------------- 7 a Other program services .............................. BAA Service Form 990 (2006) TEEA0103L 01118107 Note: Where required, attached schedules and amounts within the description I Beginning)of year column should be for end -of -year amounts only. • 45 Cash — non -interest -bearing ..............................................•••• 46 Savings and temporary cash investments ...................................... 47a Accounts receivable. .............................. b Less: allowance for doubtful accounts .............. 48a Pledges receivable. ............................... b Less: allowance for doubtful accounts .............. F48bF 49 Grants receivable ................................................... 50 a Receivables from current and former officers, directors •••••• , trustees, and key employees (attach schedule) .................................................. to Receivables from other disqualified persons ((as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)9) (attach schedule) ................ 51 a Other notes and loans receivable (attach schedule) ................................. 51 a _ b Less: allowance for doubtful accounts .............. 51 b 52 Inventories for sale or use ..................................................... 53 Prepaid expenses and deferred charges ........................................ 54a Investments — publicly -traded securities ... STMT..6.... ► Cost Z FMV b Investments — other securities (attach sch)... STMT..7... 10 HCost JXJFIVIV 55a Investments — land, buildings, & equipment: basis.. 1 55al b Less: accumulated depreciation (attach schedule) ................................. 55b 56 Investments — other (attach schedule)........................SEE..STMT..8.. 57a Land, buildings, and equipment: basis ............. 1 57al 6, 047, 099. b Less: accumulated depreciation (attach schedule) ......... .... STATEMENT .9... I 57b 1 691 520. 58 Other assets, including program -related investments (describe ► SEE STATEMENT 10-----------------) �,. r_._, ---- ,.: , ,.,....,, 0... 7A% AAd linee AS ihrnunh 58...................... 60 Accounts payable and accrued expenses ....................................... 61 Grants payable............................................................... 62 Deferred revenue............................................................. 63 Loans from officers, directors, trustees, and key employees (attach schedule) .................................................. 64a Tax-exempt bond liabilities (attach schedule) ................................... b Mortgages and other notes payable (attach schedule) ...................................... 65 Other liabilities (describe ! ..-------_ ) • • -------------- Organizations that follow SFAS 117, check here ► 1Xf and complete lines 67 through 69 and lines 73 and 74. 67 Unrestricted.................................................................. BAA 68 Temporarily restricted......................................................... 69 Permanently restricted........................................................ )rganizations that do not follow SFAS 117, check here ► and complete lines 70 through 74. 70 Capital stock, trust principal, or current.funds................................... 71 Paid -in or capital surplus, or land, building, and equipment fund ................. 72 Retained earnings, endowment, accumulated income, or other funds ............. 73 Total net assets or fund balances. Add lines 67 through 69 or lines 70 through 72. (Column (A) must equal line 19 and column (B) must equal line 21)......... B End or year 1,123,516. 1,592 342. 301 733. Form 990 (2006) TEEA0109L 01118/07 per per ITotal revenue, gains, and other support per audited financial statements .................................... a 6,080,88 b Amounts included on line a but not on Part 1, line 12: 1 Net unrealized gains on investments ........................................... I b1 2Donated services and use of facilities .......................................... b2 31Recoverles of prior year grants ................................................ b3 40ther (specify): — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --------------------------------------- Addlines b1 through b4.................................................................................. Subtract line b from line a............................................................................... Amounts included on Part I, line 12, but not on line a: 1 Investment expenses not included on Part I, line 6b ............................ d1 20ther (specify): — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — d2 --------------------------------------- Addlines d1 and d2..................................................................................... Total expenses and losses per audited financial statements ................................................ Amounts included on line a but not on Part I, line 17: 1 Donated services and use of facilities .......................................... b1 2Prioryear adjustments reported on Part I, line 20 ............................... b2 31-osses reported on Part 1,line 20............................................. b3 40ther(specify):— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — �A • — — — — — — — .. — — — — — Add lines b1 through b4 ............ .... — — .................... Subtract line b from line a............................................................................... d Amounts included on Part I, line 17, but not on line a: 1 Investment expenses not included on Part I, line 6b ............................ d1 20ther (specify):------------------------------ L --------------------------------------- Addlines d1 and d2..................................................................................... s Total 0% ense5 vari I, une 17 . Auu uueo c m,u u..................................... ." Current Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee, _- ,._.. __..L.,,......+ 2..,,,:me d„r:nn the veer even if thev were not compensated.) (See the instructions.) (A) Name and address (B) Title and average hours per week devoted to position (C) Compensation Qf not paid, enter-0-) (D) Contributions to employee benefit cplans and deferred mpensation plans (E) Expense account and other allowances ---------------------- - -------------------- SEE STATEMENT 11 --------------------- --------------------- 245 965. 0. 0. --------------------- --------------------- --------------------- --------------------- `-------------------- ---------------------- - ---- SAA TEEA0105L 01/18/07 OIIII 77V \Gwv/ 95-3 75 a Enter the total number of officers, directors, and trustees permitted to vote on organization business as board meetings. 1" 34 b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated emplo ees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II -.A or 11-B, related to each other through family or business relationships? If Yes,' attach a statement that 75b X identifies the individuals and explains the relationship(s)............................................................ c Do any officers, directors, trustees, or key employees listed in form 990, Part V-A, or highest compensated, employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II -A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related 1111 to the organization? See the instructions for the definition of 'related organization..................................... 75c X If 'Yes,' attach a statement that includes the information described in the instructions. A n.,.,.. 4r.,. writfan rnnflirt of interest nolicv?...................................................... 75d X Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during the yyear, list that person below and enter the amount of compensation or other benefits in the appropriate column. See the instructions.) (c) Compensation (D) Contributions to (E) Expense A Name and address (B) Loans and (if not paid, employee benefit account and other () Advances enter -0-) plans and deferred allowances compensation plans NONE -------------------- ------------------------- ------------------------ ------------------------- ------------------------- ------------------------- ------------------------- ------------------------- ------------------------ ------------------------- - 76 Did the organization make a change in its activities or methods of conducting activities? If'Yes,' attach a detailed statement of each change................................................................ 77 Were any changes made in the organizing or governing documents but not reported to the IRS? ....................... If 'Yes,' attach a conformed copy of the changes. 78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? .. b If 'Yes,' has it filed a tax return on Form 990-T for this year? ........................................................ 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If 'Yes,' attach a statement.................................................................................. 80a Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization.. ................ bIf'Yes,' enter the name of the organization ► N/k -------------- ^---------------------------- and check whether it is exempt or nonexempt. 81 a Enter direct and indirect political expenditures. (See line 81 instructions.) ................. 181211 0 • Form 990 (2006) TEEA0106L 01118107 :2 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental valueZ........................................................................... b If 'Yes,' you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an expense in Part 11. (See instructions in Part III.) ................ I 82bj N/i 83a Did the organization comply with the public inspection requirements for returns and exemption applications?........... b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? ................... 84a Did the organization solicit any contributions or gifts that were not tax deductible? .................................... b If 'Yes; did the organization include with every solicitation an express statement that such contributions or gifts were nottax deductible? ............................................................................................... 85 501(c)(4), (5), or (6) organizations, a Were substantially all dues nondeductible by members? ......................... b Did the organization make only in-house lobbying expenditures of $2,000 or less? .................................... If 'Yes' was answered to.eilher 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year. c Dues, assessments, and similar amounts from members ................................. 85cl N/F d Section 162(e) lobbying and political expenditures ....................................... 85d N/L e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices ................... 85e N/P f Taxable amount of lobbying and political expenditures (line 85d less 85e)................. 85f I N/P g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f?................................ In If section 6033(eX1)(A) dues notices were sent does the organization agree to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax yearn ............................................ 86 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line12................................................................................ 86a NIT. Gross receipts, included on line 12, for public use of club facilities ........................ 86b NIP. 87 501(c)(12) organizations. Enter: a Gross income from members or shareholders.........I 87al NIP. bGross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ........................................... 87b N/i of8 aAt any time during the year, did the organization own a 50% or greater interest in a taxable corporation or ppartnership, or an entity disregarded as separate from the organization under Regulations sections 301.7701.2 and 301.7701.3? If 'Yes,' complete Part IX ............. b At any time during the yyear did the organization, directly or indirectly, own a controlled entity within the meaning of r section 512(b)(13)? If'Yes,rcomplete Part XI .................................................................... 89a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under: section4911 0_ ; section 4912 ► _________ 0_ ; section 4955►______—__ 0. b 501(c)(3) and 501(c)[4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did 1t become aware of an excess benefit transaction from a prior year? If 'Yes,' attach a statement explaining each transaction....................................................................................... c Enter: Amount of tax impposed on the organization managers or disqualified persons during the 0 year under sections 4912, 4955, and 4958................................................. d Enter: Amount of tax on line 89c, above, reimbursed by the organization ..................... ► 0 e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?. f All organizations. Did the organization acquire a direct or indirect interest in any applicable insurance contract?........ g For supporting organizations and sponsoring organizations maintaining donor advised funds. Did the supporting ,n organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during theyear?......................................................................................................... 89 X 90 a List the states with which a copy of this return is filed ► NONE ---------------------------------- b Number of employees employed in the pay period that includes March 12, 2006 , , , , , , , 90b 74 (See instructions.)......................................................................................... 91 a The books are in care of ► MINDY — —WEINHEIMER1—ADMIN _ DIR._ Telephone number — _—— E --__ 3745 Locatedat► P.O. -- — —ZIP+4►---N—------------------- ------ T b At any, time duringthe calendar year, did the organization have an interest in or a signature or other authon over a financial account ia foreign country (such as a bank account, securities account, or other financial account ?......... If 'Yes,' enter the name of the foreign country... 0----------------------------------- See the instructions for exceptions and filing requirements for Form TD F 90.22.1, Report of Foreign Bank and Form 990 TEEA0107L 01/18/07 ri c At any time during the calendar year, did the organization maintain an office outside of the United States? ............. 191 c &It 'Yes,' enter the name of the foreign country... P-_________________________________________� 2 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041— Check here ....................... N/A... .. .. --_. ____:... I __ ___... A .,...:.... 11,_ #- „ems. 0.1 c9 I N/A al u untul u'u anmuut VII' An ...... -------- _. oducing Activities See the instructions. Note: Enter gross amounts unless otherwise indicated. 93 Program service revenue: a COURT ORDERED FINES Unrelated business income Excluded bv section 512 513 or 514 Related (orexempt function income (A) Business code (B) Amount (C) Exclusion code (D) Amount 79 452. b SHELTER CLIENT FEES 121 386. c SHELTER RENTAL FEES 16,419. d e f Medicare/Medicaid payments........ g Fees & contracts from government agencies... 94 Membership dues and assessments.. 95 Interest on savings & temporary cash invmnts . 96 Dividends & interest from securities.. 97 Net rental income or (loss) from real estate: a debt -financed property ............... b not debt -financed property........... 98 Net rental Income or (loss) from pens prop... . 99 Other Investment income............ 100 Gain or (loss) from sales of assets other than inventory ................. 101 Net income or (loss) from special events ..... 1102 Gross profit or (lass) from sales of Inventory ....5 103 Other revenue: a b c 14 26.043. �'s^' " "' 't ,'":"` x ° °f'"'Tll' '` 18 70,322. 31,590. 1 11110,031. 272 590. ,r: `? a'r,. `, ` !3 _a,:r's;; d e 104 Subtotal (add columns (8), (D), and (E)....... , ,5 ^; ; ,c^ - .. ' .,n,,• 1 478 986. 248 847 . 105 Total (add line 104, columns (B), (D), and.(E))........................................................ 1, 14 1, aaa. Note: Line 705 lus line I? , Part 1, should a ual the amount on line 12, Part 1. _� w _ s_'L A__Rki ant of Fvamnf PltrnncPc r.RPp the irmir11Ctlnns.) IMBR%Ml I Line No, nG1alIUJI[ JIIIJ VI AVUY 61 � w . -r.....­- - Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). 104 AID TO BATTERED WOMEN AND CHILDREN: HOUSING AND COUNSELING SERVICES. MATMI Information Re ardin Taxable (A) Name, address, and EIN of corporation, partnership, or disregarded entity Subsidiaries and Disregarded Entities See the instructions. (B) Percentage of ownership interest (c) Nature of activities (D) Total income (E7 End -of -year assets N/A RE Information RegardingNegarding Transfers Associated with Personal Benefit Contracts See the instructiontNo Ia Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ................. 1, ni,r Il,e „r,.�.,l,�rl„r, ,r„rinn rhP vPar. nav oremiums. directly or indirectly, on a personal benefit contract? .......... Yes Yes Note: If 'Yes, to (b), fit SAA r L XI' Information Regarding Transfers To and From Controlled Entities. Complete only if the nrn�nhnSnn to a nnnfrnllrnn nrnnni7afinn as rlefined in section 512(b)(13). 106 Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) of the Code? If 'Yes,' com fete the schedule below for each controlled entity ........................................................ Yes No X A Name, address, of each controlled entity B Employer Identification Number Descr p ion of ICt transfer ) (Df Amount o 'transfer a------------------------- ------------------------- b ------------------------- ------------------------- c ------------------------- ------------------------- Totals 'VM1l fr. vrtM��v^Itl'+S�"� Y?4iryflitOt•tE'£$$i��>1•"a iy.b. i4.t.e.1.t� 107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If 'Yes,' complete the schedule below for each controlled entit.................... .............(..)................ ....... .. Yes No X Name, address, of each controlled entity Employer Identification Number Description of transfer ) pmount(D transfer a— ------------------------- — — — — — — — — — — — — — — — — — — — — — — — — b— -------- ------------------ — — — — — — — — — — — — — — — — — — — — — — — — c— ------------------------- — — — — — — — — — — — — — — — — — — — — — — — — Totals p('Y:,re32j4,:,t�T'.vl; '�1 T.:41 N:Y. ..V?. ��. atr`id;?L 108 Did the organization have a bindingg written contract in effect on August 17, 2006, covering the interest, rents, royalties, and annuities esrrihed in nuestion 107 above2............................................................................ Yes No X Please Sign Here ► V \-lfl&113\ ► VIVIAN CLECAK EXECUTIVE DIRECTOR Type or print name 'd Iitle. knowledge and belief, it Is Paid Prers epar y� q e Date / �8 Check it self - Ga e a Ins uc on Wj Pre- signature ► LISA N. RYSSEL �(• employed ► X N/A Flrm's name (or LISA N. RYSSEL CPA Darer's Se yours ifsjf ► 1736 HOOVER PLACE ON ► N/A Only Only ad PLACENTIA CA 92870-5439 Phoneno. ► (714) 961-051 BAA Form 990 • TEEA0110L 01/19107 r L SCHEDULEA (Form 990 or990-M artmenl of the Treasury rnal Revenue Service Name of the olganIntion m * MUST be Organization Exempt Under Section 501(c)(3) (Except Private Foundation) and Section 501(e), 501(f), 501(k), ZUU6 501(n), or 4947(a)('I) Nonexempt Charitah�le Trust Supplementary Information — (See separate Instructions.) unleted by the above organizations and attached to their Form 990 or 990•EZ. If there are. none. P.rlter 'None.') number 1JWU It IJLI UVL,VIIJ. ..�J. v.....11 —. (a) Name and address of each - .. ...—._ _.._ . _..-. -_.- (b) Title and average (c) Compensation t(d) Cont a benefit (e) Expense account and other employee paid more than $50,000 hours per week devoted to position Ians and deferred p compensation allowances SEE STATEMENT 12------------ 441 113. 0. 0. ------------------------- ------------------------- ------------------------- ------------------------- �� Total number of other employees paid ► over $50,000. 3 e'r '4 Compensation of the Five Highest Paid independent contractors Tor rrofessronal Zervlcas I ice+ onnh nne fwhether inrlivlAuals or firms). If there are none, enter 'None.') (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation ONE------------------------------------ ---------------------------------------- ------------------------------- --------- ---------------------------------------- Total number of others receivingover gn nnn fnr nmfBSSInnnI services ......... ► 0 �x .fi 4 i 4 1 ! ..�" x'i si' - +' i• , . f3ia Compensation of the Five Highest Paid Independent Contractors for Other Services ((List each contractor who performed services other than professional services, whether individuals or i:. 1F +Morn ern none onter'NnnP' SPP instructions.) w ulm n a ­, — _ (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation NONE --------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- Total number of other contractors receiving► nvur 4Fn nnn fnr nfhar sPYViCP.S .. ... ...... ir :a:'ti .x ..5:_: � ,�,- : � • k- . BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990.EZ. Schedule A (Form 990 or 990-EZ) 2aUb TEEAD401L 01/19/07 _HUMAN OPTI( Statements About Activities (See instructions.) Yes No During the year, has the organization attempted to influence national, state, or local legislation, including any attempt 01 to influence public opinion on a legislative matter or referendum? If'Yes,' enter the total expenses paid or incurred in connection with the lobbying activities...,}. ► $ N/A (Must equal amounts on line 38, Part VI -A, or line i of Part VI•B,).................. 1 X descr pVIA er Part VI B HNO attach a statement giving deta I dPart Yes'emust tioon of the Obbyi gti t sichecking complete 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable any such person is affiliated as an officer, director, trustee, majority owner, or principal organization with which beneficiary? (if the answer to any question is 'Yes,' attach a detailed statement explaining the transactions,) a Sale, exchange, or leasing of property?........... bLending of money or other extension of credit?..................................................................... c Furnishing of goods, services, or facilities?......................................................................... d Payment of compensation (or payment or reimbursement of expenses if more than$1,000)?.......................... e Transfer of any part of its income or assets?....................................................................... 3a Did the organization make grants for scholarships, fellowships, student loans, etc? (If 'Yes,' attach an explanation of how the organization determines that recipients qualify to receive payments.) .......................... to Did the organization have a section 403(b) annuity plan for its employees? ........................................... c Did the organization receive or hold an easement for conservation purposes, including easements •to preserve open space, the environment, historic land areas or historic structures? If 'Yes,' attach a detailed statement.................................................................................. d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? .......... 4a Did the organization maintain any donor advised funds? If 'Yes,' complete lines 4b through 4g. If 'No; complete lines 4fand 4g........................................................................................................ b Did the organization make any taxable distributions under section 4966?............................................. 1 401 WA c Did the organization make a distribution to a donor, donor advisor, or related person? ................................ I Rc N A d Enter the total number of donor advised funds owned at the end of the tax year ............................... ► N/A e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year........... ► N/A f Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included on line 4d) where donors have the right to provide advice on the distribution or investment of 0 amounts in such funds or accounts......................................................................... ► g Enter the aggregate value of assets held in all funds or accounts included on line 4f at the end of the tax year.. ► 0. BAA IEEA0402L 04I M07 Schedule A (Form 990 or Form 990LEZ) 2006 Schedule A (Form 990 or 990 EZ 2006 HUMAN OPTIONS INC 95-3667817 Page 3 F�J� Reason for Non -Private Foundation Status (See instructions.) that the organization is not a private foundation because it is: (Please check only ONE applicable box.) 5 A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i). 6 R A school. Section 170(b)(1)(A)(ii). (Also complete Part V.) 7 n A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(ii). 6 n A federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v). 9 ❑ A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospital's name, city, andstate► 1------------------------------------------------------- 10 ❑ An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv). (Also complete the Support Schedule in Part IV -A.) 11 a ❑ Section 170(b)(1)(A vi). normally the Support Schedulesup npPart from V A.) governmental unit or from the general public. 11 b ❑ A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV -A,) 12 X_1An organization that normally receives: (1) more than 33.113% of its support from contributions, membership fees, and grass receipts from activities related to its charitable, etc, functions — s=,ct to certain exceptions, and (2) no more than 33.113/0 of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV -A.) 13 • An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets the requirements of section 509(a)(3). Check the box that describes the type of supporting organization: nType I nType II nType III -Functionally Integrated nType Ill -Other Provide the following information about the supported organizations. (See instructions.) (a) Name(s) of supported organization(s) (b) Employer identification number(EIN) (c) Type of organization (described in lines 5 through 12 . above or IRC section) (d) Is the supported organization listed in the supporting organization's governing documents? (a) Amount of support Yes No ► 0 Total............ ............................................. .................................................. 14 n An organization organized and operated to test for public safety. Section 509(a)(4). (See instructions.) BAA Schedule A (Form 990 or 990-EZ) 2006 • TEEAD407L Orr22107 r V,A' Support Schedule (Complete only if you checked a box online 10, 11, or 12.) Use cash method of accounting. .._._..._.. __.. use.�_ ....._,...a_.,a :_ sw,.:.,�..,,..n..r,� s ha.,, thn areruat M the rash method of accounting. Ilendar year (or fiscal year ginning in) ..................... ► ((a) 2005 ((b) 2004 ((c) A& ((d)) 2002 (a) Total 15 Gifts, grants, and contributions unusual (aants Seeclinee28.... 4 077 744. 3,317,781. 2,930,452. 2,767,396. 13 093 373. 16 Membership fees received ..... 0 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable etc ur ose............. 234 774. 437 387. 440, 939. 443 403. 1,556,503. 18 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated bus ness taxable Income (less section 511 taxes) from businesses acquired by the organ- izationafter June 301975........... 675 209. 130 911. 224 478. —22 689. 1,007,909. 19 Net Income from unrelated business 0 activities not included In line 18....... 20 Tax revenues levied for the organization's benefit and either to it or expended ppaid 0 on its behalt.................. 21 The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to 0. the public without char a ...... 22 Other income. Attach a schedule. Do not include gain or (loss) from sale of 0 capital assets ................. 3 Total of lines 15 through 22.... 4,987,727. 3,886,079. 3, 95,869. 3 188 110. 15 657 785. 24 Line 23 minus line 17.......... 4,752,953. 3,448,692. 3,154,930. 2,744,707. 14 101 282. 25 Enter 1 % of line 23............ 49,877.1 38 861. 35 959. 31 881..,.."%>il 26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (a), line 24 ...... N/A ► 26a . � . . ,y; •� ,,. , , b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 2002 through 2005 exceeded the amount shown in line 26a. Do not file this list with your um. Enter the total of all these excess amounts► 26b 26c re ................................................................. c Total support for section 509(a)(1) test: Enter line 24, column(e)......................................... ► = ,^'."' "11 °- `1 ' ° d Add: Amounts from column (a) for lines: 18 19 26d 22 26b 26e e Public support (line 26c minus line 26d total) ............................................................ ► 26f f anhile cunnnrf nerrentane (line 26e (numerator) divided byline 26c (denominator)) ...................... b-.j 27 Organizations described on Ilne 12: a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' pre are a list for your records to show the name of, and total amounts received in each year from, each disqualified person.' Do not file ihis list with your return. Enter the sum of such amounts for each year: (2005) ______546_433_ (2004)_____ 268,186_(2003)_____ 133L5_ _ (2002)___________0 _ bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to show the name of, and amount received for each year, that was more than the largerof (1) the amount on are 25 for the year or (2) $5,000. (Include in the list organizations described in lines 5 through 11 b, as well as individuals.) Do not file this list with your return. After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year: (2005) 1631_176_ (2004)______ 54L258_(2003)______ 57_574_ (2002)___________0.— c Add: Amounts from column (e) for lines: 1s 13, 093, 373. 16 17 1,556,503. 20 21 27c 14 649 876. d Add: Line 27a total..... 948,122. and line 27b total............ 275, 008. 27d 1,223,130 e Public support (line 27c total minus line 27d total) ............. .......................................... ► 27e 13 426 746. • f Total support for section 509(a)(2) test: Enter amount from line 23, column (a)... ► 27f 15 657 785. J!L7L W 5 g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ....................... ► C AA a 28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2002 through 2005, prepare a nct fnr vmv rnrnrrtc to chnw. Mr each vear. the name of the contributor, the date and amount of the grant, and a brief description of the TEEAD403L 01/19107 Schedule A (Form 990 or 990•EZ) 2006 5-36 checked the box on line 6 in Part No 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of its governing body? ................................................. 30 Does the organization include a statement of its racially nondiscriminato policy toward students in all its brochures, catalogues, and other written communications with the public dealing witlK student admissions, programs, andscholarships?................................................................................................ 31 Has the organization publicized its racially nondiscriminatory policy, through newspaper orbroadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? ............................................. If 'Yes,' please describe; if 'No,' please explain. (If you need more space, attach a separate statement.) --------------------------------------------------------- -------------------------------------------------------- --------------------------------------------------------- --------------------------------------------------------- 32 Does the organization maintain the following: a Records indicating the racial composition of the student body, faculty, and administrative staff? ....................... b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis?.......................................................................................... c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships?.............................................................. dCopies of all material used by the organization or on its behalf to solicit contributions? ................................ If you answered 'No' to any of the above, please explain. (If you need more space, attach a separate statement.) --------------------------------------------------------- --------------------------------------------------------- •33 Does the organization discriminate by race in anyway with respect to: a Students' rights or privileges?..................................................................................... bAdmissions policies7.............................................................................— — ............ c Employment of faculty or administrative staff?.....................:................................................ dScholarships or other financial assistance?......................................................................... eEducational policies?............................................................................................. fUse of facilities?.................................................................................................. gAthletic programs?................................................................................................ hOther extracurricular activities?.................................................................................... If you answered 'Yes' to any of the above, please explain. (If you need more space, attach a separate statement.) -------------------------------------------------------- -------------------------------------------------------- -------------------------------------------------------- 34a Does the organization receive any financial aid or assistance from a governmental agency? ........................... • b Has the organization's right to such aid ever been revoked or suspended? ........................................... If you answered 'Yes' to either 34a or b, please explain using an attached statement. 35 Does the or anization certify that it has cogpplied with the apppplicable requirements of enntinns 4.ogi throunh 4.05 of Rev Proc 75-50, 1975.2 C.B. ! 7, covering racial nonmscrimmaaon, if M GUUq, m, cnY wn.......................... im TEEA0404L 01/19/07 ichedule A Form 990 or 990•EZ 2006 nuc5ruv uriiviva uv�. rt Vl- . ` : Lobbying Expenditures by ElectingPubiic Charities (see instructions.) (To be completed ONLY by an eligible organization that filed Form 5768) eck ► a if the organization belongs to an affiliated group. Check ► b if you checke Limits on Lobbying Expenditures (rhe term 'expenditures' means amounts paid or incurred.) 36 37 38 39 40 41 Total lobbying expenditures to influence public opinion (grassroots lobbying)......... Total lobbying expenditures to influence a legislative body (direct lobbying).......... Total lobbying expenditures (add lines 36 and 37).................................. Other exempt purpose expenditures ............................................... Total exempt purpose expenditures (add lines 38 and 39)........................... Lobbying nontaxable amount. Enter the amount from the following table — If the amount on line 40 Is — The lobbying nontaxable amount is — Not over $500,000...................... 20% of the amount on line 40..... Over $500,000 but not over $1,000,000........... $100,000 plus 15% of the excess over $500,000 0 Over $1,000,000 but not over $1,500,000.......... $175,000 plus 10 /o of the excess over $1,000,000 36 37 38 39 40 :W 41 Over $1,500,000 but not over $17,000,000......... W5,000 plus 5% of the excess over $1,500,000 42 43 44 Over$17,000,000.......................$1,000,000.......................�t.. Grassroots nontaxable amount (enter 25% of line 41) ............................... Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36................ Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38................ .._...,__. ,F.A_.n ;n n,. n arrtior rrme as nr line 44. you must file Form 4720. 42 43 44 :aaaF .. Affiliate a group totals tAk To be far a 4 -Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 45 through 50.) Lobbying Expenditures During 4-Year Averaging Period (b) year (a) (b) (c) (d) (e) 'Calendar (or fiscal year 2006 2005 2004 2003 Total beginning In) ► 45 Lobbying nontaxable amount........... 46 Lobb Ingceilingamount ;; .,, 1 , , _r•+ .:. 1500 of line 5(e)) 47 Total lobbying expenditures ......... 48 Grassroots non- taxable amount...... ,R i::1 49 Grassroots ceiling amount ';vAL�«: $r ,.. ,;ta i'ir,;-i. •3,,:1F.w,nr, o,: 150%of line48e 8 rGi,: ,.,; 50 Grassroots lobbying expenditures ......... Lobbying Activity by Nonelecting:Public Charittiieslri n, reap Incrr„rrinnc.l rein tror repurung unry uy u,yanmau�na . , _•��. -- ••r•-._ . -.... During the year, did the organization attempt to influence national, state or local legislation, incivaing any attempt to Influence public opinion on a legislative matter or referendum, through the use of: aVolunteers.................................................................................. . .... b Paid staff or management (Include compensation in expenses reported on lines c through h.)......... c Media advertisements............................................................................ d Mailings to members, legislators, or the public ..................................................... e Publications, or published or broadcast statements ................................................. f Grants to other organizations for lobbying purposes ................................................ g Direct contact with legislators, their staffs, government officials, or a legislative body .................. .h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means .............. 1 Total lobbying expenditures (add lines c through h.) ..................... Amount A (Form 990 or 02 TEEA0405L 01119107 Transfers To and Transactions and Relationships With {r1 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) // of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting organization to a nonchantable exempt organization of: Yes No (i)Cash..................................................................................................... 51a X (II)Other assets.............................................................................................. ail X b Other transactions: (i)Sales or exchanges of assets with a noncharitable exempt organization ....................................... b (i) X (II)Purchases of assets from a noncharitable exempt organization ............................................... b t X (HI)Rental of facilities, equipment, or other assets ........................................ . ...................... b Oil X ov)Reimbursement arrangements.............................................................................. b v X (v)Loans or loan guarantees.................................................................................. b v X (vi)Performance of services or membership or fundraising solicitations ........................................... b vi X c Sharing of facilities, equipment, mailing lists, other assets, or paid employees .................................... c X d If the answer to any of the above is 'Yes,' complete thefollowing schedule. Column (b) should glwa s show, the fair market value of the eoods. other assets. or services given by the reporting organization.,lf,the organzation recerverJYless than fair market value in Linea b ( d no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements 52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations yes XQ No described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527.. . . . ............. . (a) (b) (c) Name of organization Type of organization Description of relationship Schedule A (Form 990 or 990•EZ) 2006 TEEA0406L 01119/07 2006 FEDERAL STATEMENTS PAGE 1 .LIENT HUMAN HUMAN OPTIONS, INC. 95-3667817 1 /02/08 09:45AM STATEMENT1 FORM 990, PART I, LINE 8 NET GAIN (LOSS) FROM NONINVENTORY SALES PUBLICLY TRADED SECURITIES GROSS SALES PRICE: 454,130. COST OR OTHER BASIS: 422,540. TOTAL GAIN (LOSS) PUBLICLY TRADED SECURITIES 31,590. TOTAL NET GAIN (LOSS) FROM NONINVENTORY SALES 31,590. STATEMENT 2 FORM 990, PART 1, LINE 9 NET INCOME (LOSS) FROM SPECIAL EVENTS LESS LESS NET GROSS CONTRI- GROSS DIRECT INCOME SPECIAL EVENTS RECEIPTS BUTIONS REVENUE EXPENSES (LOSS) SERIOUS FUN 1,062,635. 0. 1,062,635. 193,106. 869,529. FALL EVENT 251,745. 0. 251,745. 64,533. 187,212. OTHER EVENTS 1370080.0. 1370080. 260,049.s 1,110,031. TOTAL STATEMENT FORM 990, PART 1, LINE 10 GROSS PROFIT (LOSS) FROM SALES OF INVENTORY THRIFTSHOP SALES............................................................................... $ 272,590. 272, 590. GROSS SALES ................................ ............................................... I........ ol LESS RETURNS & ALLOWANCES........; .......................................................... $ 272, 590. NETSALES .......................................... LESSCOST OF GOODS SOLD...................................................................... ................................... I............. 272,59 0. GROSS PROFIT FROM SALES OF INVENTORY .................................................. STATEMENT 4 FORM 990, PART II, LINE 43 OTHER EXPENSES (A) (D) PROGRAM MANAGEMENT TOTAL SERVICES & GENERAL FUNDRAISING BANK CHARGES 32,478. 7,911. 10,397. 14,170. CHILD CARE PROGRAM SUPPLIES 9,534. 9,534. 5,802. 5,802. ISTANCE 128,753. 128,753. 99,119. 80,851. 9,610. 8,658. LFOODSCRIPTIONS 10,427. 799. 7,448. 2,180. CLIENT SUPPORT 227,982. 193,067. 34,915. SEHOLD SUPPLIES 42,063. 42,063. 2006 FUENT HUMAN FEDERAL STATEMENTS HUMAN OPTIONS, INC. PAGE 2 95.3667817 1 /02I08 09:45AM STATEMENT 4 (CONTINUED) FORM 990, PART II, LINE 43 OTHER EXPENSES (A) (D) PROGRAM MANAGEMENT TOTAL SERVICES & GENERAL FUNDRAISING INSURANCE 27,532. 24,261. 1,873. 1,398. SHELTER PROGRAMS UTILITIES 9,634. 9,634. 70 588. 63 518. TOTAL 663,912. 566,193. 2 706. 66,949. 4 364. 30,770. STATEMENTS FORM 990, PART III, LINE A STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM GRANTS AND SERVICE DESCRIPTION ALLOCATIONS EXPENSES RESIDENTIAL - EMERGENCY SHELTER OFFERS 30-45 DAY EMERGENCY CARE, COUNSELING CENTER, SHELTER, FOOD AND A 24 HOUR HOTLINE, AS WELL AS A 90-DAY TRANSITION PROGRAM. SECOND STEP PROVIDES LOW COST APARTMENT RENTAL FOR UP TO ONE YEAR AND AND FAMILY COUNSELING FORGRAMS AND 144 FAMILIESC(APPR (APPROXIMATELY 40� CLIENTS). 1,968,649. INCLUDES FOREIGN GRANTS: NO THRIFT SHOP - A THRIFT SHOP, "CLASSY SECONDS", OPERATES IN 224,136. COSTA MESA TO AUGMENT OPERATING INCLUDES FOREIGN GRANTS: NO COUNSELING CENTER - A COUNSELING CENTER IS OPERATED IN COSTA MESA UNDER THE UMBRELLA OF THE COMMUNITY RESOURCE CENTER. THE CENTER OFFERS INDIVIDUAL COUNSELING FOR VICTIMS AND 125,113. TREATMENT GROUPS FOR BATTERERS. INCLUDES FOREIGN GRANTS: NO COMMUNITY EDUCATION - A COMMUNITY EDUCATION PROGRAM SPONSORED BY THE ORGANIZATION EDUCATES THE PUBLIC REGARDING DOMESTIC VIOLENCE. THE MAIN PROGRAMS ARE "HANDS ARE NOT FOR HITTING" FOR ELEMENTARY SCHOOL CHILDREN AND DATE ABUSE EDUCATION FOR TEENS. THESE PROGRAMS SERVE OVER 10,000 YOUTH 198,605. EACH YEAR. INCLUDES FOREIGN GRANTS: NO COMMUNITY RESOURCE CENTER - A COMMUNITY RESOURCE CENTER OPERATES IN COSTA MESA. THE CENTER OFFERS CRISIS INTERVENTION, GROUP AND INDIVIDUAL COUNSELING FOR ADULTS AND 732,071. CHILDREN, PARENTING EDUCATION AND LEGAL LS FOREIGN GRANTS: NO CENTER FOR CHILDREN AND FAMILIES - THE CENTER FOR CHILDREN AND FAMILIES HOUSES THE ELDER ABUSE PROGRAM AND THE PARENT -CHILD INTERACTION THERAPY INC UDIT) CFNTER REI BUILDING. GRANTS: NO 251,102. �0. $3,499,676. r L r L 2006 FEDERAL STATEMENTS PAGE 3 LIENT HUMAN HUMAN OPTIONS, INC. 95-3667817 1/02/08 09;45AM STATEMENT6 FORM 990, PART IV, LINE 54A INVESTMENTS - PUBLICLY TRADED SECURITIES VALUATION OTHER PUBLICLY TRADED SECURITIES METHOD AMOUNT DEBT SECURITIES MARKET VALUE $ 22,616. EQUITY SECURITIES MARKET VALUE 1,359,388. TOTAL 1,382,004. VALUATION GOVERNMENT MENT OBLIGATIONS METHOD AMOUNT U.S. TREASURY NOTES MARKET VALUE 24,840. TOTAL 24,840. PUBLICLY TRADED SECURITIES 1,406,844. STATEMENT7 FORM 990 PART IV, LINE 54B INVESTMENTS - OTHER SECURITIES VALUATION OTHER SECURITIES METHOD AMOUNT MORTGAGE -BACKED SECURITIES MARKET VALUE $ 115,520. TOTAL 115,520. STATEMENT8 FORM 990, PART IV, LINE 56 INVESTMENTS - OTHER DESCRIPTION OF INVESTMENT VALUATION METHOD BOOK VALUE DEPOSIT WITH ORANGE COUNTY COMMUNITY FDN MARKET VALUE TOTAL 613,283. r L 4 r L 2006 FEDERAL STATEMENTS PAGE 4 LIENT HUMAN HUMAN OPTIONS, INC. 95-3667817. 1 /02/08 09:45AM STATEMENT9 FORM 990, PART IV, LINE 57 LAND, BUILDINGS, AND EQUIPMENT ACCUM. BOOK CATEGORY BASIS DEPREC. VALUE FURNITURE AND FIXTURES $ 363,825. $ 329,488. $ 34,337. MACHINERY AND EQUIPMENT 2311636. 179,198. 3,510,220. 1,172,679. 52,438. 2,337,541. BUILDINGS IMPROVEMENTS 23,651. 10,155. 13,496. LAND 1 917 767. TOTAL 6,047,099. x 1,691,520. 1 917 767. 4,355,579. STATEMENT10 FORM 990, PART IV, LINE 58 OTHER ASSETS BEN. INTEREST IN CHARITABLE REM. TRUST ............................................... $ 1 110 000. TOTAL 1, 10,000. STATEMENT 11 FORM 990, PART V-A LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TITLE AND CONTRI- EXPENSE AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/ NAME AND ADDRESS PER WEEK DEVOTED SATION EBP & DC OTHER VIVIAN CLECAK EXECUTIVE DIREC $ 181,205. $ 0. $ 0. P.O. BOX 53745 40 IRVINE, CA 92619-3745 MARICELA RIOS C00 64,760. 0. 0. P.O. BOX 53745 40 IRVINE, CA 92619-3745 EVE BARKER DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 NORA CALDWELL DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 STEVE CHURM DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 VICTORIA COLLINS, PH.D., CFP PRESIDENT ELECT 0. 0. 0. P.O. BOX 53745 IRVINE, CA 92619-3745 2006 FEDERAL STATEMENTS PAGE 5 CLIENT HUMAN HUMAN OPTIONS, INC. 95-3667817 STATEMENT 11 (CONTINUED) FORM 990, PART V-A LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TITLE AND CONTRI- EXPENSE AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/ NAME AND ADDRESS PER WEEK DEVOTED SATION EBP & DC OTHER ANN CRANE SECRETARY $ 0. $ 0. $ 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 NANCY DAHAN DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 JEFF DODD DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92610-3745 CELINA DOKA FINANCE CHAIR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 KATE DUCHENE DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 MARC FRANKLIN DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 TRACY FRIEDMANN DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 ARTYN GARDNER DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619 DENISE GIAMBALVO DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 SUSAN GIUSTO DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 DAVID HENDRYX DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 JULIE HILL DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 2006 FEDERAL STATEMENTS CLIENT HUMAN HUMAN OPTIONS, INC. PAGE 6 )5.3667817 /02/08 STATEMENT 11(CONTINUED) FORM 990, PART V-A LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TITLE AND CONTRI- EXPENSE AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/ NAME AND ADDRESS PER WEEK DEVOTED SATION EBP & DC OTHER JAMES M. JAEGER DIRECTOR $ 0. $ 0. $ 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 DEEDEE JONES, PH.D. DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 ANDREW LERNER DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 BETTY MOWER POTALIVO DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619 MARGI MURRAY DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 SUSANNA OPENSHAW DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 SHIRLEY QUACKENBUSH DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 MARCOS RAMIREZ DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 BARBARA ROBERTS DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 ELLEN K. SHOCKRO, PH.D. DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 DANIEL SONENSHINE DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 KERRI SONENSHINE DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 2006 LIENT HUMAN FEDERAL STATEMENTS HUMAN OPTIONS, INC. PAGE, 7 95.3667817 09:45AM 1 /02/08 STATEMENT 11(CONTINUED) FORM 990, PART V-A LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TITLE AND CONTRI- EXPENSE AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/ NAME AND ADDRESS PER WEEK DEVOTED SATION EBP & DC OTHER JOSEPH TAVAREZ DIRECTOR $ 0. $ 0. $ 0. P.O. BOX 53745 2 IRVINE, CA 92619-3745 LES THOMAS DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619 BOB WARMINGTON DIRECTOR 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619 JEAN WEISS PRESIDENT 0. 0. 0. P.O. BOX 53745 2 IRVINE, CA 92619 TOTAL 245,965. �•0 STATEMENT12 SCHEDULE A PARTI COMPENSAT16N OF FIVE HIGHEST PAID EMPLOYEES TITLE & AVERAGE COMPEN- CONTRIBUT. EBP & DC EXPENSE ACCOUNT NAME AND ADDRESS HOURS WORKED SATION VIVIAN CLECAK EXECUTIVE DIR. 181,205. 0. 0. P.O. BOX 53745 IRVINE, CA 40 92619-3745 ROE PICOLLI SHELTER DIRECT. 67,293. 0. 0. P.O. BOX 53745 IRVINE, CA 40 92619-3745 MARICELA RIOS C00 64,760. 0. 0. P.O. BOX 53745 IRVINE, CA 40 92619-3745 MINDY WEINHEIMER ADMIN. DIRECTOR 64,422. 0. 0. P.O. BOX 53745 IRVINE, CA 40 92619-3745 TONI TORNBERG PROGRAM COORD. 63,433. 0. 0• P.O. BOX 53745 IRVINE, CA 40 92619 TOTAL 441,113. 0. �• HUMAN OPTIONS, INC. STATEMENT A — DETAIL LISTING OF INVEMENTS • Nixed Income: Corporate Bonds SLM CORP FRN 2010 NOTES DUE 02/01/10 A2/BBB+ CURRENT YIELD 0% Fixed Income: U.S. Treasuries US TREAS NOTE 4.50%02/09 USTNOTE DUE 02/15/09 CURRENT YIELD 4.52901% Fixed Income: Government Obligations �ED FARM CR BK 5.2%11 NOTES DUE 01/24/11 CURRENT YIELD 5,24558% FED HOME LN BK 4.65%10 NOTES DUE 03/10/10 CURRENT YIELD 4.72238% FED HOME LN BK 5.33%12 NOTES DUE 03/06/12 CURRENT YIELD 5.36741% FED HOME LN BK 5.125%12 NOTES DUE 04/16/12 CURRENT YIELD 5.19883% Fixed Income: Mortgage Pools ENMAPL254916 5.5%23 DUE 09/01/23 FACTOR=.491461270 AMORT AMT=$12,286.53 CURRENT YIELD 5.63055% GNMA/1002675 7%28 DUE 11/20/28 FACTOR-.028864860 AMORT AMT=$2,164.86 CURRENT YIELD 6.77416% GNMA 11003042 8%31 DUE 02/20/31 FACTOR=.017537340 AMORT AMT=$876.87 CURRENT YIELD 7.62948% 0—MAII003189 7%32 ➢UE 01/20/32 FACTOR=.041329510 AMORT AMT=$1,446.53 CURRENT YIELD 6.7841% EIN 95-3667817 PAGEI Quantity Total Long/Short Latest Price Market Yalu6 25,000 L $ 90.4628 $ 22,615.70 25,000 L $ 99.3594 $ 24,839.85 25,000 ' L $ 99.1309 $ 24,782.73 25,000 L 98.4672 24,616.80 25,000 L 99.3030 24,825.75 25,000 L 98.5798 24,644.95 25,000 L $ 97.6813 S 12,001.64 75,000 L 103.3338 2,237.04 50,000 L 104.8563 919.45 35,000 L 103.1824 1,492.57 �ns,szo.93 EIN 95-3667817 HUMAN OPTIONS, INC. STATEMENT A - DETAIL LISTING OF INVEMENTS PAGE 2 _ - Quote - Swnbol — ' Quantity Long/Shod Latest Price Total MarAehPalue Description Equities ASP 138 L $ 33.4900 $ 4.621.62 ADWNISTAFF INC 1,165 L 40.1500 46,774.75 ADOBE SYSTEMS INC ADBE 1,965 L 36.9900 72,685.35 COMMERCE BANCORP INC NJ CBH 1,350 L 58.5200 79,002.00 COSTCO WHSL CORP NEW COST 3,885 L 28.5500 110,916.75 DELL INC DELL EBAY 2,745 L 32.1800 88.334.10 EBAY INC ERTS 1,640 L 47.3200 71,604.80 ELECTRONIC ARTS INC 2,400 L 41.3000 99.120.00 EXPEDITORS INTL WASH EXPD 1,210 L 30.0800 36,396.80 INTUIT INC WTU 960 L 61.6200 59.155.20 JOHNSON & JOHNSON JNJ 2,105 L 30.6900 64,602.45 LOWES COMPANIES INC LOW 840 L 62.2000 52,248.00 MOODYS CORP MCO 405 L 37.2700 15,094.35 DATTERSON COMPANIES PDCO 380 L 43.3900 16.488.20, QUALCOMM INC QCOM 1,905 L 26.2400 49,987.. - WVARBUCKSCORP SBUX 1,675 L 41.2500 69,093.75 PHARM INDS LTD ADRF TEVA SPONSORED ADR •-- — I ADR REP 10ORD --- _ •- -.. - _ ._ ._ .- _ - --- --- • - 1,215 -• --L •— $42.5100 $ 51,649.65 VARIAN MEDICAL SYSTEMS VARR 810 L 48.1100 38,969.10 WAL-MART STORES INC WMT 2195 L 43.5400 95,570.30 WALOREEN COMPANY WAG 3,250 L 20.8300 67,697.50 WESTERN UNION COMPANY WU 2,300 L 38.3000 88,090.00 WHOLE FOODS MARKET INC WFMI 2 775 L 27.1300 75,285.75 YHOO S 173 99,3 77.62 YAHOOINC Total Market Value of Equities HUMAN OPTIONS, INC. STATEMENT B - DEPRECIATION SCHEDULE . Date Deprec. Asset Acquired Method Life Asset Cost Ace Dep 6/30/2006 Annual BIN 95-3667817 PAGE 1 Ace Dep Book Value 6/30/2007 6/30/2007 FURNITURE & FIXTURES PRIOR TO 1993 Pre 1993 S/L - 19,254.00 19,254.00 19,254.00 - REFRIGERATOR 1993 S/L 5 674.44 674.44 674.44 REFRIGERATOR 1993 S/L 5 938.72 938.72 939.72 REFRIGERATOR 1993 S/L 5 170.00 170.00 170.00 FURNITURE 1993 S/L 5 471.95 471.95 471.95 FURNITURE 1993 S/L 5 228.30 228.30 228.30 R13FRIGERATOR 1993 S/L 5 813.65 813.65 - 813.65 - REFRIGERATOR 1993 S/L 5 490.48 490.48 490.48 FURNITURE 1993 S/L 5 100.00 100.00 100.00 SECURITY GATE 1993 S/L 5 1,543.04 1,543.04 1,543.04 REFRIGERATOR 1993 S/L 5 396.63 396.63 396.63 REFRIGERATOR 1993 S/L 5 427.77 427.77 - 427.77 SECURITY GATE 1993 S/L 5 1,785.00 1,785.00 - 1,785.00 REFRIGERATOR 1994 S/L 5 855.54 855.54 - 855.54 FURNITURE 1994 S/L 5 1,223.07 1,223.07 - 1,223.07 - REFRIGERATOR 1994 S/L 5 427.77 427.77 427.77 - REFRIGERATOR 1995 S/L 5 461.64 461.64 461.64 - AIR CONDITIONER 04/15/96 S/L 5 1,377.77 1,377.77 1,377.77 - TELEVISION 04/22/96 S/L 5 484.80 484.80 - 484.80 - OFFICE FURNITURE 05/16/96 S/L 5 2,183.00 2,183.00 - 2,183.00 OFFICE FURNITURE 06/27/96 S/L 5 241.36 241.36 - 241.36 FUNRITURE (DONATED) SHELTER 06/30/96 S/L 5 2,625.00 2,625.00 - 2,625.00 FURNITURE ADMIN 07/12/96 S/L 5 2,183.00 2,183.00 - 2,183.00 IMFICE SKS SHELTER 07/01/96 S/L 5 3,884.67 3,884.67 3,884.67 VARIOUS FUNRITURE SHELTER 07/01/96 S/L 5 128,256.57 128,256.57 - 128,256.57 OFFICE PICTURES ADMIN 08/14/96 S/L 5 1,058.30 1,058.30 - 1,058.30 OFFICE PICTURES ADMIN 09/10/96 S/L 5 3,283.95 3,283.95 - 3,283.95 - NMOR 10/09/96 S/L 5 550.00 550.00 - 550.00 - COUCH 10/21/96 S/L 5 1,500.00 1,500.00 1,500.00 - SAFE HOUSE FURNLSHD SHELTER 11/12/96 S/L 5 6,289.95 6,289.95 - 6,289.95 - FUNRITURE 2ND STEP 01/29/97 S/L 5 5,435.00 5,435.00 5,435.00 - OFFICE CHAIR ADMEN 01/29/97 S/L 5 500.00 500.00 500.00 - OFFICE DESKS, CHAIR ADMIN 01/24/97 S/L 5 969.65 969.65 969.65 - FUNRITURE (BUSN OFFI ADMIN 02/27/97 S/L 5 2,790.73 2,790.73 - 2,790.73 - DESK - FUND DEVELOPrADMIN 03/20/97 S/L 5 241.36 241.36 241.36 - AIRCONDITIONERS 2ND STEP 04/24/97 S/L 5 1,737.50 1,737.50 1,737.50 - AMCONDITIONERS 2ND STEP 05/15/97 S/L 5 1,737.50 1,737.50 - 1,737.50 - DESK ADMIN 07/01/97 S/L 5 250.00 250.00 - 250.00 FURNITURE CRC 08/15/97 S/L 5 3,867.59 3,867.59 - 3,867.59 FURNITURE CRC 09/25/97 S/L 5 3,867.60 3,867.60 - 3,867.60 - FURNITURE CRC 09/24/97 S/L 5 4,900.00 4,900.00 - 4,900.00 - FURNITURE CAC 10/08/97 S/L 5 541.68 541.68 - 541.68 CHAIRS CRC 10/24/97 S/L 5 646.50 646.50 - 646.50 FURNITURE CRC 10/30/97 S/L 5 376.80 376.80 - 376.80 FURNITURE CRC 11/06/97 S/L 5 632.50 632.50 - 632.50 FURNITURE CRC 11/12/97 S/L 5 600.00 600.00 - 600.00 - FURNITURE CRC 02/25/99 S/L 5 1,075.24 1,075.24 - 1,075.24 - OUCH SHELTER 03/11/99 S/L 5 743.44 743.44 743.44 - FRIGERATOR 2ND STEP 06/14/99 S/L 5 888.25 888.25 - 888.25 - URNITURE & mcrmf ADMEN 06/01/02 S/L 5 66,625.00 54,410.42 12,214.58 66,625.00 - LOCKING DOOR ADMIN 08/14/02 S/L 5 1,552.00 1,215.00 310.40 1,525.40 26.60 FURNITURE SHELTER 08/28/02 S/L 5 1,718.20 1,318.00 343.64 1,661.64 56.56 FIXTURES &ARTWORK ADMEN 07/01/02 S/L 5 20,000.00 16,000.00 4,000.00 20,000.00 - HUMAN OPTIONS, INC. BIN 95-3667817 STATEMENT B - DEPRECIATION SCHEDULE PAGE C#ents end Seltings\Ryssel\Desktop\WORKUHUMAN 0pnONS\pepmcietien Schedule.xlsj07.08 (2) Date Deprec. Asset Ace Dep Ace Dep Book Value Asset Acquired Method Life Cost 6/30/2006 Annual 6/30/2007 6/30/2007 FURNITURE&FIY- ADMIN 08/01/03 S/L 5 3,026.85 1,764.58 605.37 2,369.95 656.90 TABLES, CHAIRS & SOFe 2ND STEP 10/02/03 S/L 5 7,000.00 3,850.00 1,400.00 5,250.00 1,750.00 FURNTURE 2ND STEP 03/21/05 S/L 5 1,604.00 428.00 320.80 748.80 855.20 DESKS & CABINET PCrr 05/12/05 S/L 5 1,982.95 463.00 396.59 859.59 1,123.36 REPREIGERATOR CAC 06/07/05 S/L 5 517.19 112.00 103.44 215.44 301.75 CABINETS SHELTER 06/30/05 S/L 5 6,550.00 1,310.00 1,310.00 2,620.00 3,930.00 DIVING ROOM FURNITU SHELTER 06/30/05 S/L 5 4,892.90 979.00 978.58 1,957.58 2,935.32 CELLULAR SHADES SHELTER 06/30/05 S/L 5 2,596.00 519.00 519.20 1,038.20 1,557.80 SOFAS &CHAIRS SHELTER 08/18/05 S/L 5 5,600.00 1,027.00 1,120.00 2,147.00 3,453.00 DONATED ART SHELTER 08/31/05 S/L 5 4,500.00 825.00 900.00 1,725.00 2,775.00 SOFAS & CHAIRS SHELTER 09/15/05 S/L 5 5,510.94 918.00 1,102.19 2,020.19 3,490.75 FILE CABINETS ADMIN 10/06/05 S/L 5 1,260.68 189.00 252.14 441.14 819.54 FURNITURE 2ND STEP 12/31/05 S/L 5 5,550.00 555.00 1,110.00 1,665.00 3,885.00 REFRIGERATOR 2ND STEP 11/10/05 S/L 5 547.55 73.00 109.51 182.51 365.04 MICRO, DISH, WASH&LSHELTER 03/08/07 S/L 5 5,618.09 - 374.54 374.54 5,243.55 REFRIDG. & MICRO SHELTER 03/08/07 S/L 5 1,190.64 -.. 79.38 79.38 1,111.26 e¢ eon Al MACHINERY & EQUIPMENT 1995 S/L 5 8,005.00 8,005.00 - 8,005.00 SOFTWARE STEREO SYSTEM 03/10/96 S/L 5 398.66 398.66 - 398.66 A&SSETTERECORDER 03/10/96 S/L 5 1,179.98 1,179.98 - 1,179.98 TERS 02/18/97 S/L 5 1,443.80 1,443.80 1,443.80 VOICE MAIL SHELTER 07/03/97 S/L 5 7,369.31 7,369.31 - 7,369.31 VOICE MAIL 07/03/97 S/L 5 9,423.85 9,423.85 - 9,423.85 COMPUTER 2ND STEP 08/28/97 S/L 5 1,395.36 1,395.36 - 1,395.36 WASHER&DRYER 2ND STEP 09/23/97 S/L 5 4,500.00 4,500.00 - 4,500.00 COMPUTER CRC 10/09/97 S/L 5 4,202.25 4,202.25 - 4,202.25 COMPUTER SHELTER 10/09/97 S/L 5 204.73 204.73 - 204.73 - COMPUTER 2ND STEP 10/09/97 S/L 5 1,400.75 1,400.75 - 1,400.75 - PRINTERS 10/09/97 S/L 5 868.36 868.36 - 868.36 - COMPUTER 11/26/97 S/L 5 1,346.88 1,346.88 1,346.88 - PRINTERS 12/23/97 S/L 5 280.13 280.13 280.13 - COMPUTER 12/31/97 S/L 5 1,346,88 1,346.88 1,346.88 - PRINTERS 01/08/98 S/L 5 809.00 809.00 - 809.00 - COMPUTER 01/18/98 S/L 5 500.00 500.00 500.00 - COMPUTER 03/20/98 S/L 5 980.00 980.00 980.00 - COMPUTER 2ND STEP 03/17/98 S/L 5 2,000.00 2,000.00 2,000.00 - COMPUTER CRC 07/15/98 S/L 5 1,572.72 1,572.72 1,572.72 - COMPUTER 2ND STEP 07/15/98 S/L 5 1,572.72 1,572.72 1,572.72 - COMPUTER 07/15/98 S/L 5 4,152.91 4,152.91 4,152.91 - COMPUTER CRC 01/25/99 S/L 5 1,975.10 1,975.10 1,975.10 - EQUIPMENT 03/10/99 S/L 5 472.97 472.97 - 472.97 - COMPUTER CRC 04/27/99 S/L 5 807.04 807.04 - 807.04 - COMPUTER COUN. CTR 06/23/99 S/L 5 1,678.75 1,678.75 - 1,678.75 - COMPUTER CRC 09/30/99 S/L 5 1,432.98 1,432.98 - 1,432.98 - MPUTER 05/01/00 S/L 5 16,051.81 16,051.81 - 16,051.81 - UTER CRC 05/01/00 S/L 5 2,908.58 2,908.58 - 2,908.58 - MPUTER 05/01/00 S/L 5 1,608.46 1,608.46 1,608.46 COMPUTER CRC 05/01/00 S/L 5 140.00 140.00 - 140.00 - COMPUTER CRC 05/01/00 S/L 5 5,601.00 5,601.00 - 5,601.00 - COMPUTER SHELTER 05/01'/00 S/L 5 728.00 728.00 - 728.00 - HUMAN OPTIONS, INC. STATEMENT B - DEPRECIATION SCHEDULE O eIFnls end Seldngs\RysseRDcskmp\WORK�HOMAN OPTIONS\[Depreciaaon Schedule.xls]07.08 (2) Date Deprec. Asset Asset Acquired Method Life Cost Ace Dep 6/30/2006 Annual BIN 95-3667817 PAGE.3 Acc Dep Book Value 6/30/2007 6/30/2007 COMPUTER SHELTER 05/01/00 S/L 5 3,170.00 3,170.00 - 3,170.00 - COMPUTER CRC 03/16/00 S/L 5 1,825.69 1,825.69 - 1,825.69 - COMPUTER CRC 03/31/00 S/L 5 1,503.04 1,503.04 - 1,503.04 - COMPUTER COMM.ED. 03/31/00 S/L 5 1,152.90 1,152.90 - 1,152.90 - FAX MACHINE 04/13/00 S/L 5 242.44 242.44 - 242.44 - COMPUTERS 08/31/00 S/L 5 2,641.96 2,641.96 - 2,641.96 - COMPUTER SHELTER 10/16/00 S/L 5 3,000.00 3,000.00 - 3,000.00 - COMPUTER 2ND STEP 11/30/00 S/L 5 1,200.00 1,200.00 - 1,200.00 COMPUTER 11/30/00 S/L 5 4,495.14 4,495.14 - 4,495.14 COMPUTER SHELTER 11/30/00 S/L 5 600.00 600.00 - 600.00 COMPUTER SHELTER 02/01/01 S/L 5 1,067.00 1,067.00 - 1,067.00 COMPUTER CRC 02/15/01 S/L 5 645.00 645.00 - 645.00 COMPUTER 02/15/01 S/L 5 1,424.34 1,424.34 - 1,424.34 COMPUTER SHELTER 03/01/01 S/L 5 3,089.00 3,089.00 - 3,089.00 TELEPHONE SYSTEM CRC 06/28/01 S/L 5 5,738.50 5,738.50 5,738.50 - COMPUTER SHELTER 09/06/01 S/L 5 2,149.98 2,078.33 71.65 2,149.98 - COMPUTER SHELTER 01/10/02 S/L 5 967.49 869.25 98.24 967.49 - COMPUTER CAC 01/10/02 S/L 5 967.49 869.25 98.24 967.49 - COMPUTER 2ND STEP 01/10/02 S/L 5 967.49 869.25 98.24 967.49 - COMPUTER 2ND STEP 04/17/02 S/L 5 2,000.00 1,700.00 300.00 2,000.00 COMPUTER ADMIN 06/01/02 S/L 5 1,159.00 947.12 211.88 1,159.00 SYSTEM ADMIN 06/01/02 S/L 5 9,242.37 7,546.51 1,695.86 9,242.37 999.00 - 91.00 ALEPHONE MPUTERS ADMIN 12/06/02 S/L 5 5 1,090.00 7,213.32 781.00 4,208.43 218.00 1,442.66 5,651.09 1,562.23 EQUIPMENT CTR.4 CHILD & FAM 08/01/03 06/01/04 S/L S/L 5 5,940.28 2,475.00 1,188.06 3,663.06 2,277.22 COMPUTERS SHELTER 06/01/04 S/L 5 5,940.28 2,475.00 1,188.06 3,663.06 2,277.22 COMPUTERS COMPUTERS CRC 2ND STEP 06/01/04 S/L 5 7,425.34 3,094.00 1,485.07 4,579.07 2,846.27 COMPUTERS ADMN 06/01/04 S/L 5 2,970.14 1,238.00 594.03 1,832.03 916.01 1,138.11 569.06 COMPUTERS COMM.ED. 06/01/04 S/L 5 5 1,485.07 2,173.45 619.00 870.00 297.01 434.69 1,304.69 868.76 COMPUTERS COMM. ED. 07/08/04 07/19/04 S/L S/L 5 500.00 200.00 100.00 300.00 200.00 COMPUTERS ADMIN 09/30/04 S/L 5 2,000.00 700.00 400.00 1,100.00 900.00 COMPUTERS COMPUTERS ADMIN SHELTER 03/10/05 S/L 5 10,833.47 2,889.00 2,166.69 5,055.69 5,777.78 APPLIANCES SHELTER 06/30/05 S/L 5 5,959.15 1,192.00 1,191.83 2,383.83 3,575.32 TBLEPHONESYSTEM SHELTER 07/01/05 S/L 5 7,406.78 1,481.00 1,481.36 2,962.36 4,444.42 1,172.20 COMPUTER ELDER ABUSE 08/04/05 S/L 5 1,900.25 348.00 380.05 728.05 185.60 PRINTER SHELTER 08/04/05 S/L 5 300.75 55.00 55.00 60.15 60.10 115.15 115.10 185.40 PRINTER ADMEN 08/04/05 08/04/05 S/L S/L 5 5 300.50 1,905.94 349.00 381.19 730.19 1,175.75 COMPUTERS ADMIN 08/04/05 S/L 5 1,931.50 354.00 386.30 740.30 1,191.20 COMPUTER CRC/PCIT 08/04/05 S/L 5 952.96 175.00 190.59 365.59 587.37 COMPUTER CRC 08/04/05 S/L 5 952.97 175.00 190.59 365.59 587.38 COMPUTER OUTREACH 08/04/05 S/L 5 2,858.90 524.00 571.78 1,095.78 1,763.12 COMPUTERS PCIT 08/04/05 S/L 5 952.97 175.00 190.59 365.59 587.38 COMPUTER 2ND STEP 09/15/05 S/L 5 975.72 163.00 195.14 358.14 617.58 COMPUTER 2ND STEP 06/01/06 S/L 5 3,764.45 63.00 752.89 815.89 2,948.56 COMPUTER PCIT 06/01/06 S/L 5 1,721.24 29.00 344.25 373.25 1,347.99 MPUTER WMPUTER ADMIN 06/01/06 S/L 5 1,883.35 30.99 376.67 407.66 1,475.69 SHELTER 12/20/06 S/L 5 1,363.49 159.08 159.08 1,204.42 COMPUTER 2ND STEP CRC OUT REACH 03/08/07 S/L 5 2,717.28 181.15 181.15 2,536.13 COMPUTER 03/26/07 S/L 5 1,133.45 75.56 75.56 1,057.89 COMPUTER 2ND STEP CRC OUT REACH 04/04/07 S/L 5 1,740.81 87.04 87.04 1,653.77 COMPUTER 13E MAN OPTIONS, INC. STATEMENT B - DEPRECIATION SCHEDULE EIN 95-3667817 PAGE 4 C; enls end Seaings%ysscPDcskloplWORKEUMAN OP710NS4pcp=intion Schedtle.xlsj07.08(2) m) Date Deprec. Asset Acc Dep Acc Dep Book Value Asset Acquired Method Life Cast 6/30/2006 Annual 6/30/2007 6/30/2007 2 FLAT SCREENS 2ND STEP 05/04/07 S/L 5 380.20 - 12.67 12.67 367.53 LAPTOP & SOFTWARE 2ND STEP 06/04/07 S/L 5 2,625.55 - 43.76 43.76 2,581.79 COPY MACHINE CRC OUT REACH 06/15/07 S/L 5 2,082.56 - 34.71 34.71 2,047.85 COMPUTER CRC OUT REACH 06/29/07 S/L 5 647.43 10.79 -10.79 nn636.64 BUILDINGIMPROVENIENT - S/L 5 6,529.00 6,529.00 - 6,529.00 - PAYGROUNDRESURFACING 1996 S/L 5 3,240.82 3,240.82 - 3,240.82 - SHELTER-HVACIMPRCSHELTER 09/13/06 S/L 30 13,881.62 - 385.60 385.60 13,496.E BUILDING -IRVINESHEISHELTER 1996 S/L 30 2,014,398.04 671,467.21 67,146.60 738,613.81 1,275,784.23 BUILDING LMPROVBMEtSHELTER 07/01/03 S/L 30 44,779.56 4,479.00 1,492.65 5,971.65 38,807.91 BUILDING -APARTMENTS - S/L 30 532,783.00 253,307.75 17,759.43 271,067.18 261,715.82 BUILDING -ADMIN/PRGADMIN 05/18/02 S/L 30 918,258.74 126,417.62 30,608.62 157,026.24 761,232.50 3,510,219.34 1,055,671.58 117,007.30 1,172,678,88 2,337,540.46 LAND - APARTMENT BLDG 820,266.50 - - - 820,266.50 547,500.00 LAND- IRVINE SHELTER SHELTER 1995 547,500.00 - - 550,000.00 LAND -IRVINEADMN BLDG 05/18/02 550,000.00 1,917,766.50 1,917,766.50 6,047,098.34 1,643,824.23 164,389.88 1,809,309.11 4,473,367.23 P a • • CITY OF NEWPORT BEACH Planning Department Public Service Agency Application for CDBG Project Funding All persons or agencies wishing to apply for 2008-2009 Community Development Block Grant (CDBG) funds must complete an application form in order to be considered. All applications are due by no later than 12:00 p.m. on Wednesday, Tanuary 23, 2008. Late applications will not be accepted. NO EXCEPTIONS. In order to be considered for funding, all sections of the application must be completed. Any sections that do not apply should be marked N/A on the form. AGENCYIN • • Department/Agency Name: Contact Person: South County Senior Services, Inc Dr. Marilyn L. Ditty Agency Status (Check One): Contact Title: ® Non -Profit ❑ For -Profit ❑ Public(City) CEO Agency Address Telephone No.: Address: 24300 El Toro Rd., Bldg. A, Suite 2000 949 855-8033 City, State, Zip: Laguna Woods, CA 92637 Facsimile No. 949 855-8025 Federal Tax ID No.: E-mail Address: 93-1163563 mditty@south6ountyseniors.org Dun and Bradstreet No. (Required as of Oct. 1, 2003).: Name of Person Signing Contracts: 79-2315453 Dr. Marilyn L. Ditty Page 1 • Over the past 31 years, South County Senior Services, Inc. (SCSS) has provided critical services, resources, and programs for low-income seniors in South Orange County. We provide approximately 1,800+ seniors programs daily to meet their educational, nutritional, recreational, social, or human service needs at senior centers located throughout South Orange County communities, covering a 400-square mile service area from Newport Beach to Irvine and south to San Clemente. Our mission is "to prevent premature institutionalization and to maintain a modified community -based independence for the elderly and disabled". Our purpose is to be a service provider, a community resource, a consumer advocate for and a promoter of the general welfare of senior citizens in Orange County. Our community based services emphasize a continuum of care and include the following network of services: Adult Day Health Care and Alzheimer's Social Day Care, home delivered and congregate meals, with nutritional and administrative staff at thirteen sites in our region; case management; in -home support; a respite registry, transportation; and a health and wellness program. • • SCSS has administered grants and contracts for all levels of government, foundations, and research projects. We have been the Regional, provider for the planning and development of senior centers (Laguna Hills, Laguna Niguel, Laguna Beach, Rancho Santa Margarita, and currently managing a capital campaign for a new senior center in San Clemente) and core services in South Orange County. We have an excellent track record of proven administrative policies and procedures, and finance and accounting practices. Additionally, we have established ongoing formal and informal partnerships to promote healthy aging and empower seniors to improve their quality of life. Page 2 Project Title: Home -Delivered Meal Amount of CDBG Fund; $27,550.00 3 - Elderly Project Site Address: Expected Accomplishments: Address: 800 Marguerite Ave 108 unduplicated seniors receive 18,500 home - City, State, Zip: Corona Del Mar, CA 92635 delivered meals. Have You Received City Funds Before (Check I Meeting National Objective: One): Yes ❑ No le a detailed description of the Income Persons Home -delivered meals (I-MM) are distributed from the Oasis Senior Center Monday -Friday and are available to all residents of Newport Beach, Corona Del Mar, and Newport Coast who are 60 years of age and older. Our emphasis is in meeting the nutritional needs of the low-income elderly residing at the Seaview Housing Project. However, the majority of residents receiving HDM are only on the program for a short period of time due to one or more of the following: an illness and/or surgery, cannot drive because of medications and/or recovering from surgery, or have no family member living in the area to help prepare meals. Sixty (60) volunteer drivers deliver three meals daily (Monday -Friday) to the homebound frail elderly residents of the Newport Beach area. These meals help seniors to prevent malnutrition and allow them to remain independent in the comfort of their home. Page 3 r� L ® Citywide fEntirr ^=` `*'______.. n_ __,_n ❑ Specific Target 1 ❑ Low -Mod Censt Formula Grant Cost Personnel Costs Non -Personnel Costs Capital Imrovement Total Describe any other fu, execution of the proja Orange County - Pass USDA: Donations For Meal: Cities Pass - Thru Cc Fundraising Note: The City of Newpo • order to evaluate the entire r-1 •r1_!+ T_ __I.,_ _ I • L I PROGRAM• (Please con;plete the table belo. Newport Beach Total Clients Number of clients actually served under this program in 2006-2007 124 1523 Number of clients expected to be served under this program in 2076- 108 1552 2008 Number of clients proposed to be served under this program in 2008- 110 1580 2009 Describe how the program benefits low -moderate income eligible residents in Newport Beach: For the FY 06-07, South -County Senior Services, Inc. provided 22,464 Home -Delivered Meals (FIDM) to 124 homebound residents of Newport Beach. For the first six months of FY 2007-2008, we served 20,640 HDM to 91 unduplicated residents. Of the 90 residents, 50 are extremely low-income, 12 are very low income, and 18 are low income and 10 are moderate income. These residents are unable to drive, cannot prepare their own meals, and have no family member available who can help them shop or provide daily meals. Approximately fifty-eight (58) percent of the participants donate a minimal amount or are unable to donate. To help subsidize the food costs, fundraising efforts will continue through South County Senior Services' Annual Events, the Meals -on -Wheels Direct Mail Campaign, and grants. Funding from the City of Newport Beach subsidizes the salary for the HDM Coordinator and the assistant. Note: -1he number of clients noted in the table above must not exceed the low -moderate income limits as noted in the 2006 HUD Income Limits table below. 1 person 2 person 3 person 4 person 5 person Very Low Income (30%) 18,200 20,800 23,400 26,000 28,100 Low Income (50%) 30,300 34,650 38,950 43,300 46,750 Low -Moderate Income (80%) 48,500 55,450 62,350 69,300 74,950 6 person 7 person 8 person 30,150 32,250 34,300 50,250 53,700 57,150 80,400 85,950 91,500 Page 5 • • ❑ 05 Public Services (General) ❑ 05K ® 05A Senior Services ❑ 05L ❑ 05B Services for the Disabled ❑ 05M ❑ 05C Legal Services ❑ 05N ❑ 05D Youth Services ❑ 050 ❑ 05E Transportation Services ❑ 05P ❑ 05F Substance Abuse Services ❑ 05Q ❑ 05G Battered and Abused Spouses ❑ 05R ❑ 05H Employment Training ❑ 05S ❑ 05I Crime Awareness/Prevention ❑ 05T ❑ 05J Fair Housing Activities Tenant/Landlord Counseling Child Care Services Health Services Abused and Neglected Children Mental Health Services Screen for Lead -Based Paint/Lead Hazard Subsistence Payments Homeownership Assistance (Not Direct) Rental Housing Subsidies (HOM&TBRA) Security Deposits �ARTICIPATIbN OF •WOMEN Di'rGTI ector's Employees Total 27 78 Number of Minorities 1 27 Number of Women 8 60 Percentage of Minorities 4.00% `'35.00% Percentage of Women " j 30.00% 7.7:00% Page 7 Adult Day Services Alzheimer's Social Day Care Case Management In -Home Care Registry Meals on Wheels *I: (949) 855-8033 January 9, 2008 SOUTH COUNTY SENIOR SERVICES A Nonprofit, Non -Governmental, Charitable Organization Dedicated Exclusively to Orange County Seniors Since 1975 City of Newport Beach Planning Department 3300 Newport Boulevard Newport Beach, CA 92663 Dear Ms. Wood: Nutritional Services Senior Centers Transportation Volunteering Opportunities Fax: (949) 855.8025 We appreciate the opporhmity to submit an application to the City of Newport Beach for funding of $27,550. This funding would subsidize the salaries for the Home -Delivered Meal Program Coordinator, Berenice Barajas, and her assistant, Ken Notttle. Home delivered meals are provided to Newport Beach, Corona Del Mar, and Newport Coast residents distributed from the Oasis Senior Center. South County Senior Services, Inc. (SCSS) is a large umbrella agency that serves the largest geographical area in Orange County. Our purpose is to be a service provider, a community • resource, an advocate for and a promoter of the general welfare of senior citizens. Our community based services emphasize a continuum of care and include the following network of services: Adult Day Health Care and Alzheimer's Treatment Centers, home delivered and congregate meals, with nutritional and administrative staff at 13 sites in our region, case management, in - home support, a respite registry, transportation, and a health and wellness program. Our goal is to assist the elderly to become or remain self-reliant; to meet their over-all nutritional needs; to reduce or eliminate falls/injuries; and to provide access to programs and services. The objective of the Home -Delivered Program for the residents of Newport Beach, Corona Del Mar, and Newport Coast is to provide meals to 110 residents who have a need based on one or more of the following: an illness and/or surgery, cannot drive because of medications and/or recovering from surgery, or have no family member living in the area to help prepare meals. SCSS must raise approximately $400,000 to fill the gaps in the funding of our core programs --- adult day care, case management, nutrition, and transportation. Funding from the City of Newport Beach will help ensure your homebound residents receive home delivered meals Monday -Friday from 60 volunteer drivers. Your continued support of our Nutrition Program is greatly appreciated. Sincephief ely, n L. Ditty, D.P.A. xecutive Officer 24300 El Toro Road, Building A- Suite 2000 • Laguna Woods, CA 92637 www.soutlicotintyseniors.org 0 "The Senior Site to See" INTERNAL REVM41n'SERVICE DEPARTMENT Qp 'Tit 7p.,EAS-111 ky DISTRICT-P1R8CT6R P. 0, 80X,1Sqs 4'$j;C1,MAT1',j', PH 4 ��r Identi-ii63563lpyf ficatioft humb6,x: Date.* 1110 .311929,4400 SOUTI! CdU14TY SERIOTi''SERVtdEa iNC Co4tact ,P.ersoh:, 24i0b 'EL-, �'OAO 'RD BLD61 'A S'TE 2_0' 0"0' ' , " i 1 11 1 1 � I� - , T"ONE T 01AAS Te LAGXM;� H:rtLi, :CA �92053 'Contact ',_ lbpSone" Number: ,1-077) 8'29-55o0, P14;7,letter bated., 'April, 1995- A8dendum%Applirs. 0 Dear Applicant: This: 'modifies 'our .10I,k"te'r'othe a Oye date, in 'which we', stated thatycw would 66 kieatedas_,an,orqan1fa!ion that'is, not'a,priva n I a expiration dYour`,advance,rui'pei"0a Your exempt S,Patbs,'unaiir section n 5 Ufa) of the Internal ReVehue code -as, an ?rganizaition deVdribed'inr section 1':i effect.,, Based -owthe information you submitted,, - gubmitt,6d, 1�' e Ihave, 'dI'pfkim iLped "that �you'1ar'v pot, -a. private, fophailbn I fieaLnj%q sectipn­509 %ofjhe'6ode because'you4 id, a qrgani:iat4,on,6f tb6­type.described "in.aection'5o'9(a) (2);,., d;ran-tors and contribut6rs.may re'ly 'bn this determination unless 'the, - Internal;Revenge terv1qe:pu,blishef0­nbtice to , It I b� contr&x�y.. ., Howev I er, xf. you lose jpiqur tectlon,'S, I 09�(,a+ 1 (2) status,, I a , rancor con�,rih4tor ma'y not rely, on'• rq f6e,,, 'or,,was,aware,o this If �ietermination if �bq r:'z�e �vjab "did pa' the act .or failure -.to act;or the subs tantlail, .or materiai on Ehe part',of the Qi5rari12ation- that'r6sulted in Your'' loss of such status', gr"I f he or sb_e- acquired, knowledge 'thal the ;n ernal; Revenue Servide 'had given ' n ' 6 ' tice 'th-dt :You would no longer •bdt - d- sect:"Lon 55,6�-(W-) (2)' organization. dins",,df 1 this letteithat,an''addexid0m, applies,, the addendumvpclosed, is ani ,integral pa rt bi this S_f Because this letter could help resolve any qu6stions about'_y, ui 'p,rivate 0 ent foundation status, ioleasa, keep,itt,in' ecord;;,'- your perm&n -y6u. have -any "estiorjsqplease contact ,the•perspn, whose- name a'M' telephone riluffiber ate shown above, /Sincerely yours, District Director Letter 1050 (DO/CG) We have not received the 2006 Form 990; therefore, the Form 990 2005 is being submitted. The 2006 Form 990 will be sent to the City of Newport Beach when we receive the document in our office. L u r • 11 0 Form 990 I Return _,'Organization Exempt From Inca, .1 Tax Under section 501(c), 527, or4947(ax1) of the Internal Revenue Code (except black lung benefit trust or private folundation) n areal of Iho TIM Sal Revenue sorw The organization may have to use a copy of this return to satisfy state reporting I .. .. -..- oI ..__...._,.__.__.__ 1'A4 nn,,.- __'__Je__ e,f], GIM No. )539•ee47 ► 2005 Open to Public Inspection n , — .u1 ..w.+ •..+, .......... B Crnck if appilwble: D Employoridonuried.n Number Pl a el rdd,em change • IRSpplbSOUTH COUNTY SENIOR SERVICES, INC, 93-1163563 IRS Npmo chance or rypet 24300 EL TORO RD, BLDG A Q2000 E Tolephonenumber $90 LAGUNA WOODS, CA 92653 949-498-0400 Irceal rclmn ePecdic itons, A.ct9N!inp Final return dons. F method: Cash X Acttual Amendedreturn CUsr Opau )s- Appllcalloo pandkp isSection 501(%(3) organizations and 4947(ax1)nonoxempt Nand:aranof opplreabia to stew s2r mpznfea:0nr. A charitable trusts must attach a completed Schedule H (a) Is this a 9•oep return fur al5litles7... Ely.. x0 He (Form 990 or 990•EZ). H (b) II Yes.' enter numbcr of aed,ales 3` G Web site; `­ N/A H (e) Are an afalialos rncluded2.:....... yes No J organization typpe firm,zltatha list Saotasbuctlans) s X 3 t F1527 (check onl one}........ so,Ie) (imetroa 4947(a)(I)or H (d) Is lase a ren meaty an K Check here e- if the organizations gross receipts are normally not more than covento edrelby or9ankalian covered by a group ruangt Flea )( No $25,000, The orneed not file a return with the IRS; but if the organization EL to file a return, be sure to file a complete return. Some states require a 1 GroupExemption Number... '' complete return, M Check ifdteorganfra6enIsrat required L Gross receipts; Add'linea fib, 8b, 9b, and lob to tine 12 .. 6, 3 4 3. 9 96. to anacn Schedule B (form 590, Z-0 F2, or 9E0•Pfl• P,.art_h:;:i` Revenue Ex enses and Chan es in Net Assets or Fund Balances See instructions 1 Contributions, gifts, grants, and similar amounts received: , a Direct public support ..................................................... l a 2, 282, 667. ;_tip b Indirect public support .................................................. 16 84�, 576. c Government contributions (grants).......................................I 1cl 2,991,418. �y d t3•o hroW11.j(aah $, 5,358,661. rmnwm $ )........... .. id 5 358 661, 2 487, 775, 2 Program service revenue including government fees and contracts (from Part VII, line 93).............. 3 3 Membership dues and assessments................................................................. 4 2,008. 4 Interest on savings and temporary cash investments ............................................... :. 5 $ Dividends and interest from securities.............................................................. $1M 6a Gross rents. ... I .......... ....... ........ — ..... .................... 1 62 126 000. bLess: rental expenses ............. ..................................... fib 6c c Net rental income or (loss) (subtract line 6b from line 6a)..........................................,.. 126, 000. 7 R 7 Other investment income (describe....... _ 1- v 8a Gross amount from sates of assets other (A) Securities (B) Otherr>< xthan inventory ....... :....... ...................... 8a 2,500. s _._ b Less: cost or other basis and sales expenses....,.. 8b 1, 391. I. e Gain or (loss) (attach schedule).... STATEMENT. A..... 1 8 cl 1,109. d Net gain or (less) (combine line 8c, columns (A) and(8))............................................. 8d 11109. w 9 Special events and activities (attach schedule). If any amount is from gaming, check here..... R a Gross revenue (not including $ of contributions ` reported online la)........ •.;..•...................................... b Less: direct expenses other than fundralsing expense_c.................... 9b 218, 898. 9c c Net income or (loss) from special events�(sublract line 9b from line gal ............... STATEMENT..2 148,154. N� 10a Gross sales of inventory, less returns and allowances ..................... 10a fAis bLess: cost of goods sold ................................................. 10b c Gross profit of (loss) treat sales of inventory (attach schedule) (subtract line 10b from line 10a)...... . ..................... 10 e 11 11 Other revenue (from Part Vll,line 103).............................................................. 12 6,123,707. 12 Total revenue (add lines td, 2, 3, 4, 5, 6e, 7, 8d, 9c. 10c, and 11)..................................... 13 Program services (from line 44, column(B))......................................................... 13 5,323,151. 14 335 304. E x 14 Management and general (from line 44, column(C))................................................. 15 124 229. p 15 Fundraising (from line 44, column(D)).............................................................. 16 NE s 16 Payments to affiiiales (altact)schedule)............................................................. 17 5,782,684, E s 17 Total expenses add lines 16 and 44, column(A))...................... ............................... A 18 Excess or (deficit) for the year (subtract line 17 from line 12) .................. I ...................... 18 341 023 . 19 2,278,613. N s 19 Not assets or fund balances at beginning of year (from line 73, column (A)) ........................... T T 20 Other changes in net assets or fund balances (attach explanation) .............. SEE..STATERENT.3 20 -47 571, 21 2, 572, 065. s 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) ............................. BAA For PrivacyActat • i• • must complete r 4947(a)(1) no Do not Include amounts repoiled on Ane 6b, 8b, 96, lOb, or 16 of Part L :V;n (A)Total (B) Program services (C) Management and general (0)Fundratsing 22 Giants and allocations Call ) (Cash non -cash $ ) It this amount ntlncludes *cKN?a,K3�A foreign grairds, nis,checkhere.. �...., 23 SpJcilic ossislance to individuals (all Sch1........n•�ARf 24 Benefits paid to or for members (all sch)....... 25 Compensation orofficers, directors, etc ......... 26 Other salaries and wages .............. 27 Pension plan contributions ............. 28 Other employee benefits............. .. 29 Payroll taxes ......................... 30 Professional fundraising fees,.......... 31 Accounting fees ....................... 32 Legal fees ........... .1,....... I .... I. 33 Supplier.... : ......................... 34 Telephone ............................ 35 Postage and shipping ................. 36 Occupancy .......................... 37 Equipment rental and maintenance..... 38 Printing and publications .............. 39 Travel... .............................. 40 Conferences, conventions, and medings........ 41 Interest .............................. 42 Depreciation, depletion, etc (attach schedulo)... 43 'Other expenses not covered above (itemize): a SEE STATEMENT 4 — — — — — — — — ----------- b c d o------------------- f 9 --'---------------- 44 Totaf functianat exwpeases, Add lines 22 through �ai(thgese tolls to lines 13.151.........., 22 �.s},J,`✓.=r:: 'n�S,•`Y��,n:w;ipna'_,.'j, ViPlii .L/}1''L'.4 tq.+yW,rT � 'e; 9:1•,uu.Y,s`,:,� e '�""+°" t �t %P':xr�`'�!=F""''�s n2 1�iLy±,�-'�i�^ , to 1yX F ;: P,- $1-Cga;,�z`<='•*.Ki 24 25 103 066. 82,453. 10,307. 10 306. 26 1 949,319. Z,886 984. 39 553. 25,782. 27 28 293, 830. 285, 972. 5,371. 29 167 962. 161, 338. 3,671. 2 953. 30 31 46,593. 33,660. 10 783. 2,150. 32 12,922. 6,372, 6, 526. 24. 33 184 064. 166,773. 11,386.1 5,905. 34 35,025. 34,670. 355. 35 36 192 667, 48,811. 143 856. 37 38 39 3,632. 3,587. 45. 40 53,408. 27 782: 81018. 17,608. 41 17,531, 17,531. 42 89,430, 65,223. 24,207. 43a 2,633,235. 2,517,526. _ 58,740.1 56,969. 43b 43c 43d 43e 43f 43 44 5,782,684. 5,323,151.1 335 304. 129 229. Joint Costs. Check, >Q if you are following SOP '98-2. Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program servicest...... s[] Yes XQ No ]('Yes; enter (1) the aggregate amount of these joint costs $ ; () the amount allocated to Program services $ ; (Iit) the amount allocated to Management and general $ _;and 0v) the amount allocated to Fundrafsino $ f3AA Form 990 (2005) 7aEA0102t 111010 • 11 990 Form 990 is available for public inspection and, for some pegple, serves as the primary or sole source of information about a particular organization. How the public pereewes an organization in such cases may be determined by the information presented -on its return. Therefore, please make sure the return 1s complete and accurate and fully describes, in Part 111, the organization's programs and accomp0shments. What is the organization's primary exempt purpose?� SEE STATEMENT 5 Program Service Expenses ________ Ali organizations Tust de§cribe their exempt purpose acfilev ... m a clear end conpis 'i aAW r. Slate the number of le Caj G`,;,xa%i`stand� clients served, ppubecahons issued, etc. Discuss ackevements that are not rneasurable. (Section ..0t(c)(3) aqd 14) organ• as;;,_& arcs: mt rzalions and 4947(a)(i nonexem t charitable trusts must also enter the amount of rants and allacatons to others. r�twu or oenrsa a ADULT DAY HEALTH CARE (11477 PARTICIPANT DAYS SERVED FOR THE YEAR)___ ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ ---------------------------------------------------- (Grants and allocations $ ) If this amount includes foreign grants, check here.. r rf 1,028,692. b TITLE III CONGREGATE MEALS/HOME DELIVERED MEALS/SOCIAL SERVICES(543085 MEALS l9ERE SERVED_ 1568 UNITS_OF SERVICES FOR CASE MANAGEMENT AND 2005 - -- --- - -- ----- -- -- - - - -- - -- - - UNITS OF SERVICES FOR IN-R&T SOPPORT WERE PROVIDED FOR THE YEAR) ----------------------------------------------------- --------- --------------------------------------------- --------------------------------------------------- (Grants and allocations $ ) It this amount includes foreign rants, check here - .. r 2, 213, 018. c TRP.NSPORTATI04i_SERVILEaLAgOUT_-48000 RIDES SSERE PROVIDDED)___________. ------------------------------------------------------ -----------------------------------------------------' Grants and allocations- $ -�---- - ) if This amount iodides foreign rants, check here. ► '1, 402, 572. d OTHER SUPPORT FOR SERVICES SPEAKERS AND EDUCATIONAL CLASSES -----------------------------------------------------• - ------------------------------------------------I------- ---------------------------------------------------- Grants and allocations $ If this amount includes foreign grants, check here... °' 678, 869. eOther program services ............................. , Grants and allocations $ If this amount includes foreien grants, check here... y f Total of.Pro ram Service Expenses (should equal line 44, column (8), Program services) ...................... ► 5,323,151. SAA Form 990 (2005) TEEa0103L IOnu05 • • • Form 990 (2005) SOUTH COUNTY SENIOR SERVICES, INC. 93-1163563 Pace Part L,V..' Balance Sheets (See instructions) ' Note: Where required, attached schedules and amounts within the description column should be for end -of -year arrwants only, Beginning year g g Y End oB) year 45 Cash — non -interest -bearing ................................................ 125 447. 45 $4, 852. 15,331. 46 236. 46 Savings and temporary cash investments .................................... 47aAccounts receivable ............................. 47a 29,934. NIL _201, b Less: allowance for doubtful accounts..,......... 47b 99,812. 47c 29,434. 48a Pledges receivable ........................ I..... 48a ' _ b Less: allowance for doubtful accounts............ 48bi 48c 439, 833. 49 551,747 49 Grants receivable.......................................................... 50 A semployees E s 50 Receivables from officers, directors, trustees, and key , (attach schedule) ................................................ 51 a Other notes & loans receivable (attach sell) . .... . .......... 512 b Less: allowance for doubtful accounts ............ 1 51 bj 51 c 1,000. 52 11000. 52 Inventories for sale or use ............ . .......... . . .. . ...................... 53 5,884. 53 Prepaid expenses and deferred charges.................................I... 54 Investments — securities (attach schedule) ............... •0 cost Q FMV 54 55a Investments — land, buildings, & equipment: basis 55a. Is Less: accumulated depreciation (attach schedule) ............................. 1. 55b v 55c 56 56 Investments — other (attach schedule) ....................................... 57aland, buildings, and equipment: basis............ 57a 2,340,084. :i: b Less: accumulated depreciation (attach schedule)............ STATEMENT..G.... I 57b 731 210. 1,677,815. 57e 1,608,874. 1,147, 006, se 1, 058, 632. 58 Other assets (describe - SEE STATEMENT 7 ). 3, 506, 244. 59 3 541, 659. 59 Total assets (must equal line 74). Add lines 45 through 58 ................... 60 Accounts payable and accrued expenses................I..........I......... 06 403. 806................... 6o 717 148. 61 L 61 Grants payable............................................................. 68,480. 62 A62 1 I s Deferred revenue.......................................................... 63 Loons fromrof6cers, directors, trustees, and key employees (attach schedule).. SEE. STM..8.. 64 a Tax•exempl.bond liabilities (attach schedufa) ...... • ......................... b Mortgages and other notes payable (attach schedule) .................................... 65' Other liabilities (describe � SEE STATEMENT 9 ), 221,205. 63 _ 210,489. 64a 84,275. 64 b 47,268. 65 41,957. 1 227, 631. 66 969 594. 66 Total liabilities, Add lines 60 through 65..................................... §j Organizations that follow SFAS 117, check here ' X and complete lines 67 through 69 and lines 73 and 74. ,M���,'�q',T r rA ; A 67 Unrestricted......:......................................................... 68 Temporarily restricted...................................................... 1, 202, 982. 67 1,579,497. 1 075, 631. 6a 210, 048. 69 782 520. 69 Permanently restricted..................................................... T 70 as 6 Organizations that do not follow SFAS 117, check here - Eland complete lines 70 through 74. 70 Capital stock, trust principal, or current funds... . ........................... 71 Paid -in or capital surplus, or land, building, and equipment fund .............. 71 72 72 Retained earnings, endowment, accumulated income, or other funds.,..,..... 2,278,613. Mop 73 2, 572, 065. s 73 Total net assets or fund balances (add linesthrough or lines 70 through 72; column (A) must equal line 19; column (8) must equal line 2))............ 74 Total liabilities and net assets/fund balances. Add lines 66 and 73............1 3 506 244,174 1 3,541,659. SAA TEE1a1041, 110117105 Form 99b (2005) • per per a Total revenue, gains, and other support per audited financial statements .................. . ................. b Amounts included on line a but not on Part 1, line 12; 1 Net unrealized gains on investments ........................................... 67 —47, 571. 2 Donated services and use of facilities ................ I ........ ,.......... I .... . b2 3Recoveries of prior year grants ................................................ I b3 401her (specify): SEE STM 10 1 b4 218,898, Addlines bl through u4................................................................................I Subtractline b from line a............................................................................... Amounts included on Part I, line 12, but not on line a: IInvestment expenses not Included on Part 1,line 6b............................. 20ther(specify): _--------------------... -------- -------------------------------------- Addlines dl and d2..................................................................................... a Total expenses and losses per audited financial statements ................................................ b Amounts included on line a but not or, Part I, line 17: 1 Donated services and use of facilities .......................................... bl Mier year adjustments reported on Part I, line 20................. I ............. 62 3 Losses reported on Part 1,line 20.................................... .......... b3 4O1har (speeffy): SEE STMT 11 —___ b4 218 898. ------------------------- dTines 11 ihraugh 64............................................................ I..................... • c Subtract line b from line a. ..................................................... I ................ ......... d Amounts included on Part 1, line 17, but not on line a: I investment expenses not Included on Part 1, line 6b............................. d1 2O1her (specify): -------------'-------------"--- • ---------- ----- Addlines d1 and d2..................................................................................... Part WA": Current Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee, or key employee at any rime during the year even if they wore not compensated) (See the fisfructlans.) (A) Name and address (B) Title and average hours per week devoted to position (C) Compensation (if not paid, enter•0•) (D) Contributions to employee benefit plans and deferred compensation plans (E) Expense account and other allowances '--------------------- SEE STATEMENT 12 -- 103,066. 0. 0. ----- ------------------ --------------------- ---------------------- --------------------- ---------------------- --------------------- --------------------- SAA MEMIDSL 10117105 Form 900 (2005) Form 990 (2005) SOUTH COUNTY SENI09 SERVICES, INC. 93-1163563 Page 6 Pad V-P Current Officers Directors Trustees, and Key Em to ees. continue Yes No • 75a fnterthe total number of oftims, directors, and trustees permitted to vote an organization business as board meetings . ' 25__ _ _ _ _ _— _ g b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II -A or II•B, related to each other through family or business relationships? If 'Yes; attach a statement that identifies the individuals and explains the relationship(s)....................................... I.................... c Do any officers, directors, trustees, or key employees listed in form 990, Part V-A, or highest compensatedemployees ini listed Schedule A, Part I, or highest compensated professional and other independent contractors listed n Schedule A, Part II•A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to this organization through common supervision or common control? ................................................ Note. Related organizations include section 609 a 3 supporting organizations. If 'Yes,' attach a statement that identifies the individuals, explains the relationship between this organization and 111e other organiza8on(s), and describes the compensation arrangements, including amounts paid to each individual by each related organization d Does the orlIanization have a written conflict of interest policy? ..................................................... 75b 75c 75d •toine'S " ' ld.:.:1 "- X r M. ; J hvF X "• t's*•`I 'yti - erg 49"; 'S fiN 1;�;+ A'lu� I,Mlli Mx,!!, X Part V•B Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits (If any, former officer, director, trustee or key employee received compensation or other benefits (described below) during the year, list that person below and enter the amount of compensation or other benefits in the appropriate column. See the instructions.) ' (A) Name and address (B) Loans and Advances (C) Compensation (D) Contributions to employee benefit colmpensatonans and ferred plans (L) Expense ' account and other allowances — — — — — — — — — — — — — — — — — — — — — — — -- i ----------------------- - . ' ------------------------ I ' "-----------------------. • ------------------------ -------`---------------- ------------------------ i Pdit A I Other Information See the instructions.) Yes No 76 Did the organization engage in any activity not previously reported to the IRS? If'Yes; attach a detailed description of each activlty, ............................................................ ........... . 77 Were any changes made in the organizing or governing documents but not reported to the IRS? ....................... If 'Yes; attach a conformed copy of the changes. 78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return?... b If 'Yes; has it filed a tax return on Form 990-T for this yeart........................................................ 79 Was there a liquidation, dissolution, termination, or substantial contraction during thei4 year? If 'Yes,' attach a statement............................................................................. ..... 80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization? ................ bif'Yes,' enter the name of the organization- N/A_ ___________ and check whether it is exempt or nonexempt -----------------------------e„•,{ 81 a Enter direct and indirect political expenditures. (See line 81 instructions.) ................. 81,1 b Did the organization file Form 1120-POL for this ear?............................................................. 76• y F 'v4 X X ROM, X A X X * Tp.n X 77 78a X10 78b N 79 80a 'cr, 81 b SAA Form 990 (2005) IMA010M. 11M3105 try . • 82 a Did the organization receive donated services or the use of materials equipment or facilities at no charge or at substantially less than fair rental value?............................................................................ to If 'Yes; you may indicate the value of these items here. Do not include this amount as revenue In Part I or as an expense in Part II. (See instructions In Part III.) ................ I 82bl N/1 83a Did the organization comply with the public inspection requirements for returns and exemption applications?........... b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? ................... 84a Did the organization Solicit any contributions or gifts that were not tax deductible? .................................... 6If'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were nottax deductibleZ................................................................................................ E4b N A 85 501(c)(4), (5), or (6) organizations, a Were substantially all dues nondeductible by members? .......................... Sao N A b Did the organization make only in-house lobbying expenditures of $2,000 or less? .................................... 85b N A If 'Yes' was answered to either 85a or85b, do not complete 85c through 85h below unless the organization received a c �nz i' g- waiver for proxy lax owed for the prior year. .E;[#, • �e'? r ., c Dues, assessments, and similar amounts from members ................................. 85cl N/A dSection 162(e) lobbying and political expenditures ....................................... BSd N/A ^s i, rpf a Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices............ 85e N/A f Taxable amount of lobbying and political expenditures Oine 85d less SSe)................. 85f N/A g Does the organization elect to pay the section 6033(e) tax on the amount on line85M................................ SS N A h If section 60i1(eXiXA) dues notices ware sent, does the organizatmn agree to add the amount on Ilne SSf to its reasonable estimate at dues allocable to nondeductible lobbying and political expenditures for the following tax year? ...... ....................................... 85h N A 86 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on = •4 ;fcOpM line 12 ... tiIv S;tu b Gross receipts, Included on line 12, for public use of club facilities ...............:........ 86b N/A r• c L b,. 87 501(c)(ITj organizations. Enter., a Gross income from members or shareholders,......... 87a N/A �,�:; (: b Gross income from other sources. (Dofrom not net amounts due or paid to other sources -_tk` •l+s against amounts due or received from them.) ............................................ 87b N/A ��;;�; } 88 At any lime dudn, the year, did the organization own a 50% or greater interest in a taxable corporation or PPartnership, or an entity disregarded as separate from the organization under Regulations sections 301.7701.2 and 301.7701.3? If'Yes; completo Part M..................................................._...................................... a6 X 89 a 501 c O(3) organizations. Enter, Amount of tax imposed on the organization during the year under: section 4911 * 0. ,section 4912 __________0. ,section 4955 b 501(c)(3) and 501(c.(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or id rt become aware of an excess benefit transaction from a prior year? If 'Yes,' attach a statement explainingeach transaction....................................................................................... 891) X d Enter: Amount of tax imosed on the organization managers or disqualified persons during the year under sections 4913,4955, and 4958................................................................... 0. d Enter: Amount of tax on line 89c, above, reimbursed by the organization ........ .............................. } 0. 90a List the states with which a copy of this return is filed > — CA ---------------------------- -- ----- b Number of employees employed In the pay period that includes March 12, 2005 (See instructions.) .................... 90b 76 91 a The books are in care of � PRONG TRUONG -- Telephone number � 949-498-0400 l,ocatedaly 24300 EL TORO RD,_BLDG A,_#2000 LAG 1900D,--------ZIP'+4 � 92653 b At any time during the calendar year, did the organization have an interest, in or a signature or other authority over a Yes! No financial account in a foreign country (such as a bank account, securities account, or other financial account)?......... 91 b X If 'Yes,'enter the name of the foreign country.,,d---------------------------------- See the instructions for exceptions and filing requirements for Form TD F 90.22.1, Report of Foreign Bank and Financial Statements c At any time during the calendar year, did the organization maintain an office outside of the United Stales? ............. 91 c X If'Yes; enter the name of the foreign country... e---------------------------- 92 Section 4947&)(1) nonexempt charitable trusts riling Form 9901n lieu of Form 1041— Check here......................... N/A... YEEA0107u 02103/06 Form 990 (2005) 13 r Form 990 (2005) SOUTH COUNTY SENIOR SERVICES, INC, 93-1163563 Pane 8 Gar+%/It I An�h..... ,.f 7.. .,_0.n A, .r A,.4i.a6.. I__, Note: Enter gross amounts unless otherwise indicated. 93 Program service revenue: a CLIENT FEES FOR SERVI Unrelated business income Excluded by section 512.,513, or514 E Related of exempt function income (A) 8usines• codC (ej Amount (C) Exclusion code (D) Amount 374,400. b TRANSPORTATION SERVIC c 113,375. d a I Medicare/Medicaid payments ........ g Fees L contracts from government aOatrJes ... 94 Membership dues and assessments.. 95 Interest on savings 8 temporary cash irxmnts.. 96 Dividends a, interest from securities.. 97 Net rental income or loss from real estate: a debt -financed properly.............. . bnot debt -financed properly........... 98 Net rental income or (loss) from per$ prop.... 99 Other investment income............ 100 Gain or (loss) from sales of assets other than Inventory ................. 101 Net income or (loss) from special events...... 102 c�= proel or Voss) Imm sales el im enmry..... 103 Other revenue: a b 14 2,008. 'It!U;ui;Z';� ,..tZwt ;n:r�, x;,`T,i;;,,r";,. :t¢s%r; Ft;.-;•i .hrftn-: ,.,,. . r - 16 126 000. 18 11109. 1 148 154. ,_r;e$i i^S�D:=• :,8 -?? 5.;fsrte. .:I' cf .r5�_r 41_W4- 1.em' c d e 104 Subtotal (add column (B),(D), and (Q)..... . 277,271.1 487,775. leb War (add line 104, columns (8), (0), and(E))...... ..... ....... ....................................... ^ rob, 114b. Nola! Line Ins nluc /Mn ld Part L chnulrf pn,ral thr amnunr nn Iron IP Parr L Pak VIl) Rila-tionshin of Activities to the Accomplishment of Exernipt Purposes(Sao the instructions Line No. + Explain how each activity for which income Is reported in column (E) of Part Vii contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purpose's). 93 ALL REVENUES WERE RECEIVED IN THE EXERCISE AND PERFORMANCE OF THE ORGANIZATION'S MAIN PURPOSES IN PROVIDING MEALS HEALTH CARE AND OTHER SOCIAL SERVICES FOR THE ELDERLY. Part 1X' Information Reclardinq Taxable Subsidiaries and Disreclarded Entities See the•Inslructtons. (A) Name, address, and EIN of corporation, partnership, or disregarded entity (8) Percentage of ownership interest (c) Nature of activities (D) Total income (E) End -of. ear assets N/A -W I °s Pak X'.j Information Regarding Transfers Associated with Personal Benefit Contracts (See the irstnlcirans. a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal henett contract? ................ Lj Yes b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?.......... HYes N No X No Please Ie`/% r'Citi/zt . Sign Here Sfpnatwe of of onicer (--j(--,.• 0. / • CYpe or pool name xM bud. Paid Pre-V=n 9 ,iubs 1 •44 MICHAEL •pare is Use Only Flmr's self. or CBIZ AT) cnroloyr.7 lr- 2301 DUI ZIP.'2'"` IRVINE, 9 N - 34-1885304 mono.. (949) 474-202 TEEcmo&. lenaroa Form 050 . CERTIFICATE OF LIABILITY INSURANCE OP ID E DATE (MM OO/ SOUT-31 06 ACORD 2207 PRODUCER Pacific Shore Ins Services Inc CA LICENSE l StreetB97973 T. Bristol Street #200 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FICATE ONLY AND CONFERS NO HOLDER. THIS CERTIFICARTIE DOES NOT AMEND, EGHTS UPON THE XTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ELMesa CA 92626 ,,'ne--714-427-5989 Fax:714-427-5987 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Philadelphia Indemnity INSURER B: South County Senior Services Dan Palumbo 24300 El Toro Rd Suite A-2000 Laguna Woods CA 92637 INSURER C: INSURER D: INSURER E: GOvtl(AUIzb THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, row A NOUTLTR NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7x OCCUR POLICY NUMBER PHPK242398 DATE IdMIDD/YY 07/01/07 DATE MMIDD/YY 07/01/08 LIMITS EACH OCCURRENCE $ lOOOOOO PREMISES Eaoccurence S 100000 MED EXP(Any one person) $5000 PERSONAL& ADV INJURY $ 1000000 GENERAL AGGREGATE S 2000000 X PROF LIAB / ABUSE PRODUCTS -COMP/OPAGG s2000000 GEML AGGREGATE LIMITAPPLIES PER POLICY JEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S ANYAU70 ALLOWNEDAUTOS BODILY INJURY (Per person) S SCHEDULEDAUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNEOAUTOS PROPERTY DAMAGE (Peracciden0 $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHER THAN FA ACC AUTO ONLY: AGG S ANY AUTO S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE $ OCCUR CLAIMS MADE S S DEDUCTIBLE S RETENTION S WORKERS COMPENSATION AND _ TORYLIMITS ER E.L. EACH ACCIDENT S EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNERJEXECUTNE OFFICER/MEMBER EXCLUDED? EL DISEASE -EA EMPLOYEd S E.L. DISEASE -POLICY LIMIT S Il yes. desclba under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERT HOLDER NAMED ADDITIONAL INSURED IN RESPECTS TO INSURED'S CONTRACT WITH CITY. CG2026 CERTIFICATE HOLDER CANCELLATION NEWPORT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION • DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CITY OF NEWPORT BEACH NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMUNITY PLANNING DEPT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIN D UPON THE INSURER ITS AGENTS OR DAN TRIMBLE REPRESENTATIVES. P.O. BOX 1768 AUTHOR D RED S NTATIVE NEWPORT BEACH CA 92659 0 i 0 POLICY NUMBER: PHPK2472398 COMMERCIAL GENERAL LIABILITY CG 20 28 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations City of Newport Beach Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section If — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any 'occurrence" which takes place after the equipment lease expires. CG 20 28 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ ACORD CERTIFICATE OF LIABILITY INSURANCE OPID S DATE(MMIDDNYYY) SOUTH07 08 13 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO Chapman &Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE icense #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW .asadena CA 91117-0455 Phone: 626-405-8031 Fax: 626-405-0585 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A- Everest National INSURER 8 South County senior Services 24300 E1 Toro Rd Bldg A Laguna Woods CA 62637 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPEOFINSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DOIYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR EACH OCCURRENCE $ PREMISES Ea ocenencn S MED EXP(Any one person) S PERSONAL S ADV INJURY $ GENERAL AGGREGATE E GENL AGGREGATE LIMITAPPLIES PER: 17 POLICY PRO• JECT LOC PRODUCTS-COMP/OP AGG S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS COMBINED SINGLE LIMIT (Ea acadenl) E BOOILYINJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) E GARAGELIABIL17Y ANYAUTO AUTO ONLY• EA ACCIDENT E OTHER THAN EAACC AUTO ONLY: AGO E S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E EACH OCCURRENCE $ AGGREGATE E S S S A WORKERS COMPENSATION AND EMPLOYERLIABILITY ANY PROPRIEMRIPARTNER/EXECURVE6600000505071 OFFICER/MEMSER EXCLUDED? R yea, desenbe under SPECIAL PROVISIONS below 07/01/07 07/01/08 0111-1 X TORY LIMITS ER E.LEACH ACCIDENT S 1000000 EL DISEASE- EAEMPLOYE 11200000 E,L DISEASE -POLICY UMR EIOOOOOO OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS Evidence of Coverage. 10 days notice of cancellation for non-payment of premium. City of Newport Beach Asst City Manager CDBG Project PO Box 1768 Newport Beach, CA 92658 CITYN—1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER; ITS AGENTS OR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the Issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ENDORSED FILED ii the amce 01 the $'"'1 0131ah of the State 01 CaiifOmta • CERTIFICATE OF AMENDMENT SEP 16 1996 OF ARTICLES OF INCORPORATION -7A�` AP The undersigned certify that: NLL ME, St iy01state 1. They are president and secretary, respectively, of SOUTH COUNTY SENIOR SERVICES, INC., a California corporation. 2. Article VI, of the Articles of Incorporation of this corporation is amended to redd.as follows: The property of this Corporation is irrevocable, dedicated to charitable purposes only and no part of the net income or assets of this organization shall ever inure to the benefit of any Director, Officer, or member thereof or to the benefit of any private individual. Upon the dissolution of winding up of the corporation, its assets remaining after payment of, or provisions for payment, of all debts and liabilities of this Corporation, shall be distributed to a nonprofit foundation or corporation which is organized -and operated exclusively for charitable purposes and which has established its tax exempt status under Section 501 (c) (3) of the Internal Revenue Code. • 3. The foregoing amendment of Articles of Incorporation has been duly approved by the board of directors. 4. The foregoing amendment of Articles of Incorporation has been duly approved by the required vote of the members. We further declare under penalty of perjury under the laws of the State'of California that the matters set forth in this certificate are true and correct of our own knowledge. Date: alph en, President Pauline Leonard,.Secretary t * 1 COUNTY SENIOR SERVICES. INC. y SAS 1 CLEMENT-E. CA 92574 • LJ I�• ARTICLES OF INCORPORATION OF SOUTH COUNTY SENIOR SERVICES, INC. — I — 1756287 E N 0 g F I E 0 In Iho office of ma seefdtry of $1,18 of Ihn $laic of Cellfoinlq ' 'JAN - 5 1995 SILL JONES, 5t ry al III The name of this corporation shall be South County Senior. Services, Inc- — II — (A) This corporation is a nonprofit public benefit corporation and is not organized for the private gain of' -any person. It is organized under the Nonprofit Public Benefit Corporation Law for Charitable purposes. (B) The'purooses for which this corporation is formed are: (a) The specific and primary purposes are to operate Senior Services and to provide services related to the welfare within the service area. (b) The general purposes and powers are to have and exercise all rights and powers conferred on nonprofit corporations under the laws of California, including the power to contract, rent, buy or sell personal or real property, provided, however, that this corporation shall not except to an insubstantial decree engage in any activities or exercise anv powers that are not in furtherance of the primary purposes of this corporation. (c) No substantial part of the activities of this corporation shall consist of carrying on propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate or intervene in any political campaign (including the publishing or • distribution of statements) on behalf of any candidate for public office. -III- The name and address in the State of California of this corporation's initial agent for service of process is: Marilyn L. Ditty, D.P.A., 930 Calle Negocio; Suite C, San Clemente, CA•92673. -IV - This corporation is organized and operated exclusively for charitable purposes within the meaning of Section 501 (a)(3) of the Internal Revenue Code. No substantial part of the activities of this corporation •shall consist of carrying on propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate or I�• intervene in any political campaign (including the publishing or distribution of statements) on behalf' of any candidate for public office. -V- The General Management of the affairs of this corporation shall be under the control, supervision and direction of the Board of Directors. The names and addresses of persons who are to act in the capacity of Directors, until the selection of their successors are: RALPH KLAASEN PAULINE LEONARD 405 CALLE FAMILIA 27589 BROOKSIDE LANE SAN CLEMENTE, CA SAN JUAN CAPISTRANO, CA 92672 - . 92675 We hereby declare that we are the persons who executed the foregoing Articles of Incorporation, which execution is our act and deed. 0 R 1pt� y dsan Sarah S. Posth.tll �. Byrotn O. Marshall Pauline K. Leonard Se1LLY POSTFiILL BYROti gARSH LL, JR. 341 AVENIDA ADOBE 801—H RONDA MENDOZA SMI CLENENTE, CA LAGUNA NIGUEL, CA 92672 92653 - VI - The property of this Corporation is irrevocable, dedicated to charitable and social welfare and nr) part of the net income or this organization shall ever inure to the benefit of any assets Of of any Director, Officer, or member thereof or to the benefit private individual. Upon the dissolution of winding up of the assets remaining after payment of, or provisions corporation, its this Corporation,, for payment, of all debts and liabilities of shall be distributed to a nonprofit foundation or corporation which is organized and operated exclusively for charitable purposes and • which.has established its tax exempt status under Section 501 (c) (3) of the Internal Revenue Code. I11 WITNESS WHEREOF, the undersigned have executed these Articles of Incorporation, this 26th day of October, 1994. Ralp 4_1 sen Sarah S. POsthill Byribn 0. Marshall Pauline K. Leonara 0 • AMENDMENT TO BYLAWS OF SOUTH COUNTY SENIOR SERVICES, INC. A California Non -Profit Corporation Corporation Organized Pursuant to the California Corporations Code of 1977. as Amended The following Article XIV is hereby added to the Bylaws of South County Senior Services, Inc., a California non-profit corporation, pursuant to the vote of a majority of the Members of South County Senior Services. Inc. effective as of August 30, 2001: ARTICLE XIV _ • INDEMNIFICATION OF CORPORATE OFFICERS AND DIRECTORS Section 1. INDEMNIFICATION PURSUANT TO SECTION 5238 OF THE CALIFORNIA CORPORATIONS CODE South County Senior Services, Inc. shall indemnify any "Agent" as defined in Section 6 of this Article who was or is a party or is threatened to be made a party to any proceeding (other than an action by or in the right of the Corporation to procure a judgment in its favor, an action brought under Section 5233 of the California Corporations Code, or an action by the Attorney General or a person granted relator status by the Attorney General for any breach of duty relating to assets held in charitable trusts) by reason of the fact that such person is or was an Agent of the Corporation against all expenses, judgments fines, settlements and other amounts actually and reasonably incurred in connection with such proceeding provided such person acted in good faith and in a manner such person reasonably believed to be in the best interests of the Corporation and, in the case of a criminal proceeding, had no reasonable cause to believe the conduct of such person was unlawful. The termination of any proceeding by,judgmenl, order, • settlement. conviction or upon a plea of polo contendere or its equivalent shall not, of itself; sob count y Scnur semces, Inc AMMIL1111e11 m I111n1%1 Aupt,,O 0. 2001 • create a presumption that the Agent did not act in good faith and in a manner in which the Agent reasonably believed to be in the best interests of the Corporation or that the Agent had reasonable cause to believe that the person's conduct was unlawful. Section 2. ADDITIONAL INDEMNIFICATION PURSUANT 'r0 SECTION 5233(c) OF CALIFORNIA CORPORATIONS CODE South County Senior Services shall further indemnify any Agent who was or is a party or is threatened to be a party to any threatened, pending, or completed action by or in the right of the Corporation. or brought under Section 5233, or brought by the Attorney General or a person granted relator status by the Attorney General for breach of duty relating to assets held in charitable trusts, to procure a judgment in its favor by reason of the fact that such Agent is or was an Agent of the Corporation, against all expenses actually and reasonably incurred by such Agent in comnection with the defense or settlement of such action provided such Agent acted in good faith, in a manner such Agent believed to be in the best interests of the Corporation and with such care, including reasonable inquiry, as an ordinarily prudent person in a like position would use tinder similar circumstances. • r. The Corporation shall not indemnify any Agent under this Section 2 with respect to the following: (a) In respect to any claim, issue or matter as to which such Agent shall have been adjudged to be liable to the Corporation in the performance of such Agents duty to the Corporation. unless and only to the extent that the court in which such proceeding is or was pending shall determine upon application that, in view of all the circumstances of the case. such Agent is fairly and reasonably entitled to indemnity for the expenses which such court shall determine. (b) Of amounts paid in settling or otherwise disposing of a threatened or pending action. Nvith or without court approval; or (c) Of expenses incurred in defending a threatened or pending action which is settled or otherwise disposed 'of without court approval unless it is settled with the approval of the Attorney General. Section 3. INDEMNIFICATION WHERE SUCCESSFUL ON MERIT • To the extent that an Agent of South County Senior Services, Inc. has been successful on the merits and defense of any proceeding referred to in Sections I or 2, or in -I)- Snulh Cunng• Semen SM]CM Inc Amendm¢ni m Il\Imps Angnq 10, 1(IUI • defense of any claim, issue or matter therein, the Agent shall be indemnified against expenses actually and reasonably incurred by the agent in connection therewith. Section 4. DETERMINATION OF RIGHTS TO INDEMNIFICATION Except as provided in Section 3, any indemnification pursuant to this Article \IV shall be made by South County Senior Services. Inc. only if authorized in the specific case, upon a determination that indemnification of the Agent is proper in the circumstances because the Assent has met the applicable standard of conduct set forth in Section I or 2 by: (a) A majority vote of a quorum consisting of directors who are now parties to such proceedings: (b) Approval of the Members (Section 5034 of the California Corporations Code) with the Members to be indemnified not being entitled to vote thereon; or (c) The court in which such proceeding is or was pending upon application made by the Corporation or the Agent; o the attorney or other person rendering serviges in connection with the defense, whether or not such application by the Agent, attorney or other person is opposed by the Corporation. • Section 5. DIRECTORS' AND OFFICERS' LIABILITY INSURANCE South County Senior Services, Inc. shall purchase and maintain directors' and office>;s' liability insurance on behalf of any agent of the Corporation, as defined in Section 6 of . this Article, against any liability asserted against or incurred by the Agent in such capacity or arising out of the Agent's status as such whether or not the Corporation shall have the power to indemnify the Agent against such liability under the provisions of this Section: provided, however, that South County Senior Services shall have no power to purchase and maintain such insurance to indemnify any Agent of the Corporation for a violation of Section 523.3. Section 6. "AGENT" DEFINED For purposes of this Article, "Agent" means any person who is or was a director. officer, employee or agent of the Corporation or is or was serving at the request or the Corporation as a director, officer, employee or agent of another foreign or domestic corporation, partnership. .joint venture, trust or other enterprise. or was a director, officer, employee or agent of a foreign or domestic corporation which was a predecessor corporation of the Corporation or • of another enterprise at the request of such predecessor corporation. Soul I, Coumr Scmor Smicee, hm Anlcudumnl to 14%Lree Aupwo 30. 2001 • Section 7. "PROCEEDING" DEFINED , For purposes of this Article, "Proceeding" means any threatened, pending or completed action or proceeding whether civil, criminal, administrative, or investigative. Section 8. "EXPENSES" DEFINED For purposes of this Article, "Expenses" includes without limitation attorney fees and any expenses of establishing a right to indemnification under Section 4. Section 9, CALIFORNIA LAW To the extent that this Article XIV is inconsistent with Section 5238 of the California Corporation Code, Section 5238 or its successor statutes shall govern. It is the intent of South County Senior Services, Inc, to provide the maximum indemnification which can be provided pursuant to California law to its Agents to encourage persons to devote their time, energy and efforts to South County Senior Services, Inc. and to protect such Agents from any personal risk or liability. The undersigned secretary of the Corporation hereby certifies that the foregoing 'is a true • and correct copy of the Amendment to the Bylaws of the Corporation adopted as of August 30, • 2001 by a majority of the Members of the Corporation. Dated: August 30, 2001 Normm B. Schmeltzer, III Secrets. -4- Soulh County Senior Scrvices, Inc. Amendment l0 Byla.,s August J0, 2001 • CONSENT Of MEMBERS Ice AMENDNIENT TO CORPORATE BYLAN1'S OF SOUTI•t COUNTY SENIOR SERVICES, INC. A California Non -Profit Corporation August 30, 2001 The undersigned Members of South County Senior Services. Inc.. a California Non -Profit Corporation. declare as follows: I am a Member in good standing of South County Senior Services.. Inc. 2. I have had an opportunity to review the proposed Amendment to the BJ'laws' of South Count} Senior Services. Inc. to provide indemnification of the corporate isofficers,and directors as provided in Section 5238 of the California Corporations Code. 3. I hereby approve the Amendment to the Bylaws of the Corporation in the foam attached hereto as Exhibit "A" and incorporated herein by reference. &. 1 aaree'that the Amendment to the Bylaws shall be effective as of Au4USt 30. 2001 and shall apply to any claim that might thereafter arise. irrespective of when the act which gives rise to the claim is alleged to have occurred. and that the Corporation shall thereafter conduct business pursuant to such Amendment. 5. 1 waive prior notice of the proposed Amendment to the Bylaws and consent to the adoption of the proposed Amendment to the Bylaws at the regularly scheduled annual meeting of the Members of the Corporation on August 30. 2001. Executed this 30"' day of August. 2001. at Dana Point. California. L� CONSENT Or AIEMBFRS 1E$ AMENDMENT TO CORPORATE BYLAWS OF SOUTH COUNTY SENIOR SERVICES, INC. A California Non -Profit Corporation August 3012001 The undersigned Members of South County Senior Services. Inc., a California Non -Profit Corporation, declare as follows: 1 am a Member in good standing of South County Senior Services. Inc. 2. 1 have had an opportunity to review the proposed Amendment to the Bylaws of South County Senior Services. Inc. to provide indemnification of the corporate • :; officers and directors as provided in Section 5238 of the California Corporations Code. 3. I hereby approve the Amendment to the Bylaws of the Corporation in the form attached hereto as Exhibit "A"and incorporated herein by reference. 4. 30. 2001 and shall ap which gives rise to the claim is alleged to have conduct business pursuant to such Amendment. I agree that the Amendment to the Bylaws shall ply to any claim that might thereafter arise, irr be effective as of August effective of when the act occurred, and that the Corporation shall thercafter 5. 1 waive prior notice of the proposed Amendment to the Bylaws and consent to the adoption of the proposed Amendment to the Bylaws at the regularly scheduled annual meeting of the Members of the Corporation on August 30, 2001. Executed this 30"' day of August, 2001, at Dana Point, California. Z—A % J^vl_•�Iu A..2 CUL-tAi Q ,�� � • CONSENT OP IMEMBERS TO AINIENDNIENT TO CORPORATE BYLAWS Or SOUTH COUNTY SENIOR SERVICES, INC. A California Non-Protit Corporation August 30, 2001 The undersigned Members of South County Senior Services, Inc.. a California Non -Profit Corporation, declare as follows: 1. I am a Member in good standing of South County Senior Services, Inc. 2. I have had an opportunity to review the proposed Amendment to the Bylaws of South County Senior Services. Inc. to provide indemnification of the corporate • officers and directors as provided in Section 5238 of the California Corporations Code. 3. I hereby approve the Amendment to the Bylaws of the Corporation in the form attached hereto as Exhibit "A" and incorporated herein by reference. d. I agree that the Amendment to the Bylaws shall be effective as of August 30. 2001 and shall apply to any claim that might thereafter arise, irrespective of when the act which gives rise to the claim is alleged- to have occurred. and that the Corporation shall thereafter conduct business pursuant to such Amendment. �. I waive prior notice of the proposed Amendment to the Bylaws and consent to the adoption of the proposed Amendment to the Bylaws at the regularly scheduled annual meeting of the Members of the Corporation on August 30, 2001. Executed this 30"' day of August. 2001. at Dana Point. California. 7 CI Consent of Members to Amendment to Bylaws Au_ust 30. 2001 Page 3 i/ ' • 0 Consent o1'Members to Amendment to Bylaws August 30.2001 T. �7 i Consent of Menibers to Amendment to Bylaws August 30.2001 Page 4 • • 11 Consent of Members to Amendmcnt to Bylaws AUflUSI =0. 2001 J'a;e j • • Consent of Members to Amendment to Bylaws. AUHIISt +0. 2001 Page 6 ���1 G�-1L�tti./ ✓! 1�.Lt�'l,zJci� / 7`GGc� � ✓ r CGS/r2� C�����JQ�2G • Consent of Members to Amendment to Bylaws A tIQIISI 10. 2001 Page 14!) V lLuc2c.uL � -� Consent of Members to Amendment to Bylaws AUflUSI 30. 2001, Page S • n LJ Consent of Members to Amendment to Bylaws August 10. 2001 Page 9 I- L-1 n �J Consent of Members to Amendment to Bylaws August 30. 2001 Page 10 • CJ Consent of Members to Amendment to Bylaws August 30. 2001 Page 11 0 Consent of Mcnibers to Amendment to Bylaws Au.yust 30. 2001 Pace 12 E Consent of Members to Amendment to Bylaws August 30. 2001 Pase 13 J�{ �iLfJ i I(, ff77 ii ire 0 0 Consent of Members to Amendment to Bylaws August 10. 2001 Pnue I i i f AI/A Aw . I SOUTH COUNTY SENIOR SERVICES • BOARD OF DIRECTORS Administrative Offices: 24300 El Toro Road, Building A, Suite 2000, Laguna Woods, CA 92637 Telephone: 9491855.8033 FAX: 9491855.8025 Bob Stegner 22471 Canyon Crest Drive Home: 949/457-3490 (Sr. VP North American Marketing) Mission Viejo, CA 92692 Cell: 949/257-7672 President Committees: Executive & Special Events bobst(c)svnnex.com Steve Moyer Aloha Restaurants Work: 949/250-4688 (Owner Restaurant Business) 17320 Red Hill Avenue, Suite 190 FAX: 949/250-5735 Vice President Irvine, CA 92614 Committee: Executive & Nutrition alohasmover(oaol.com Website: www.AlohaRestaurants.com Ralph Klaasen * 405 Calle Familia Home: 949/492-8053 (Retired Bank Executive) San Clemente, CA92672 FAX: 9491481-9211 Past President e-mail: cnile405 a(�,cox.net mitlees: Executive, Finance, Advocacy, Transportation, David N. Rasmussen, CPA Rasmussen & Eich Work: 714/565-7794 (Certified Public Accountano Certified Public Accountants FAX: 714/565-7797 Treasurer 2101 East 4th Street, Suite 115-A Santa Ana, CA 92705-3831 Committees: Executive, Finance davena.recoas.com Norman B. Schmeltzer, III O'Connor & Schmeltzer Work: 949/753-0700 (Attorney at Law) 8001 Irvine Center Drive, Suite 1550 FAX: 9491753-8069 Secretary Irvine, CA 92618 Assistant: Patty McIntyre @ X212 Committee: Executive, Finance norm.schmeltzer(d).osrlaw.com Membership /Nominating • Board of Directors\BOD Roster 1/9/20089.35AM 1 SOUTH COUNTY SENIOR SERVICES BOARD OF DIRECTORS • Administrative Offices: 24300 El Toro Road, Building A, Suite 2000, Laguna Woods, CA 92637 Telephone: 949/855-8033 FAX: 9491855-8025 Marilyn Ditty, DPA 24300 El Toro Road, Bldg. A, Suite 2000 Work: 949/ 855-8033 Executive Director Laguna Woods, CA 92637 FAX: 949/855-8025 mdittv(southcountyseniors.org Anna T. Boyce, RN * 24831 Lagrima Work: 949/837-5484 (Registered Nurse, Senior Legislator) Mission Viejo, CA 92692-2326 FAX: 949/597-0378 Committees: SCADS Advisory Board; Special Events & Transportation atboviceRN(Dcs.com Helen Charles P.O. Box 3400 Telephone 9491951-1599 Committees: Nutrition Laguna Hills, CA 92653 Ray Chicoine Monarch Health Care Work: 949/923-3200 Ext 3206 (Chief OperatingOffrcer) 7 Technology FAX: 949/923-3498 Irvine, CA 92618 Committee: Case Management Fund Development rchicoine(cDmhealth.com Roger N. Cregg First Bank, WMG Work: 949/ 475-6322 (V.P. Wealth Advisor) 4301 MacArthur Blvd., First Floor FAX: 949/476-5517 Newport Beach, CA 92660 Committee: Fund Development rogeccregg(.fbol.com Executive Daniel J. Davis Orange County Health Care Agency Work: 714/834-6110 405 West 5th Street, 6th Floor Committee: SCADS Advisory Santa Ana, CA 92701 ddavis(c)ochca.com Richard Davis Attentive Home Care Work: 714/516-9200 (OwnerAttenlive Home Care) 1234 W. Chapman Ave. Suite 106 FAX: 714/516-4979 Orange, CA 92868 Committee: Golf Tournament homecare(a) prodigy. net Fund Development Jacqueline DuPont DuPont Residential Care/Assured Horizons Work: 949/462-4071 MSG, MPH, PhD P.O. Box 3168 FAX: 949/443-4297 (Ass/stedLiving) Dana Point, CA 92629 emlttee: Special Events lacgldupont aeaol.com Board of Directors\BOD Roster 1/9120089:35 AM 2 SOUTH COUNTY SENIOR SERVICES • BOARD OF DIRECTORS Administrative Offices: 24300 El Toro Road, Building A, Suite 2000, Laguna Woods, CA 92637 Telephone: 949/855-8033 FAX: 949/855-8025 Beth Gibbons Bristol Park Medical Group Mail To: Work: 949/437-9002 (RN, BSN, Director) Director of Medical Management FAX: 949/798-4465 2501 S. Pullman Street Committee: ADHC Advisory Board Santa Ana, CA 92705 baibbons(cDbristolparkmed.com Executive,Fund Development Gamma Heffernan * Lake Forest Nursing Center Work: 949/380-9380 x3129 (MSWILCSw) 25652 Old Trabuco Road FAX: 949/380-1499 Committees: Special Events Lake Forest, CA 92630 ADHC Advisory Board oemmaheffernan(D)cox.net Sandy Lassiter, RN, BSN 17 Elkader Work: 949/230-6203 (Home Health Care Entrepreneudowner) Dove Canyon, CA 92679 FAX: 949/766-7986 Committees: ADHC Advisory Board RNLassie(cDaol.com Fund Developmenht Dan Levine * Home: 949/472-0211 (Retired Business Executive) 28232Zurburan Mission Viejo, CA 92692 Committees: Transportation, Special Events Kim Luu ** Merrill Lynch Work: 949/223-6203 Business Financial Advisor 4695 MacArthur Court, Ste. 1600 Newport Beach, CA 92660 FAX 949/955-6147 Committees: Fund Development klm luu(cDML.com Nermine Morcos Senior Care & Medical Associates Work: 949/588-7262 (Gerial ilion) 23521 Paseo de Valencia, Suite 108 Laguna Hills, CA 92653 FAX: 949/588-7260 Office Manager: Cindy Jamlang Committees: ADHC Advisory Board morcosmd(c—bvahoo.com Robert Myers ' Wells Fargo Bank Work: 9491756-3575 (SVP/Market President/Regional 2030 Main Street, Suite 1100 Irvine, CA 92614 FAX: 949/250-1957 0Ittee: Fund Development Robert.W.Mvers(cDWellsfargo.com Board of DlrectorsWl SOUTH COUNTY SENIOR SERVICES BOARD OF DIRECTORS Administrative Offices: 24300 El Toro Road, Building A, Suite 2000, Laguna Woods, CA 92637 Telephone: 949/855.8033 FAX: 9491855-8025 Neil P. O'Connor O'Connor Mortuary Work: 949/326-0143 (President & Owner) 25301 Alicia Parkway FAX: 949/325-0150 Laguna Hills, CA 92653 Committees: Fund Development neil(0)oconnormortuarV.com Seniors Prom Website: www.oconnormortuary.com Gwyn Parry, MD Hoag Hospital Work: 949/764-5724 Director of Community Medicine One Hoag Drive, P.O. Box 6100 FAX: 949/631-4271 Newport Beach, CA 92658-6100 Committees: ADHC Advisory Board Gparrvmd(cDhoaghospitai.org Robert Rosenberg United States ElderCare Referral Agency, Inc. Work: 714/424-6161 (President Eldercare Referral) 1525 Mesa Verde, Suite 210 FAX: 714/424-6162 Costa Mesa, CA 92626 Secretary: Linda Committees: Fund Development useldercare((Daol.com Local # 949/581-8100 Website: www.eldercareinfo.com Sanders, CPA ViewSonic Corporation Work: 909/444-8679 (Chief Financial Officer) 31 Brea Canyon Road FAX: Walnut, CA 91789 Committees: Audit ted.sanders(o)viewsonic.com Ed Schrum * VITAS Healthcare Corporation Work: 714/921-2273 (Director of Admissions) 220 Commerce, Suite 100 FAX: 949/831-8335 Committees: Fund Development Irvine, CA 92606 Nominating edwardischrum()cox.net James Strecker 2310 B Via Puerta Telephone 949/340-7231 (Project Manager, Boeing) Laguna Woods, CA 92637 FAX: 949/340-2537 Committees: Nutrition streck1(o)comiine.com Leonard Todisco Staples National Advantage Work: 909/937-7810 (Business Executive) 45 Cedar Lane Committees: Golf & Fund Development Englewood, NJ 07631 len(7o.todlscocorp.Com Douglas E. Zielasko 24232 Via Madrugada Telephone 949/465-9523 (V,P. sales) Mission Viejo, CA 92692 111tees: Fund Development 9 Zlelasko(o)cox.net * 60 years old ** Minority Board of DlrectorslBOD Roster 119120089:35 AM 4 SPIN SERVING PEOPLE IN NEED January 17, 2008 OFFICERS OFTNESMRO Ric�harld F. Crawford TMH.iwdEowwCoTm a DeOmssl ThMer Ms. Sharon Wood PatriciaA. Benson Assistant City Manager Ne" 80*"A City of Newport Beach DIRECTORS 3300 Newport Blvd. Jasonrson Newport Beach, CA 92658 p.mBaeddyge C � c;ies"a Dear Ms. Wood, ,,Illy Katie Flamson `a" On behalf of SPIN's Board of Director's, I am pleased to submit SPIN's request for CDBG TThommascladia nos LaWAD"funding for fiscal year 2008-2009 for its Substance Abuse Rehabilitation Program (SARP). Dannl R�eumin tWGilchdst This program will meet HUD's guidelines by offering services to homeless and low - Bradford Hall income individuals in Newport Beach residing in Newport Beach, as well as serving a Rdaame m John special needs population an two of HUD's top priorities, the chronically homeless and Heffernan Meow substance abusers. The program also offers a link to permanent housing for those that are F11W M. successful, another priority to HUD. RJ Mayor masA.Miller SPIN is a non-profit that was founded in Newport Beach and to this da although, its P P Y, g ,p,t ACC offices are now in Costa Mesa, its roots remain in the City. One of its programs continues Sue McGraw """ram' to have its base of operations at Our Lady Queen of Angels Church and of the 21 Board Brad Morgan members, 12 live and/or -work in the City of Newport Beach. In 2007, 10,048 volunteer Ras chef Owens hours were donated to SPIN and the vast majority came from residents of the City. Mary L uShattuck SPIN has met and exceeded its goals for the City each year it was funded and its grant files Marge Shllllnpton have been found by your contracted agency, LDM, to be in excellent order. SPIN staff has Iran d1D,D ao) Tag Ig�a�?h• D. attended all HUD trainings and is well -versed in the HUD HMIS data base to track clients. Laren Weber SPIN has received CDBG funding since 1990 and is well informed on CDBG program oaw,.paarse.un requirements and compliance issues. ADVISORTeOARO M e . Cooper SPIN is requesting $10,000 for its Substance Abuse Rehabilitation Program for the Paul C. Heeschen RwG C program year 2008-2009. Although we have noted the following in our grant request, I Cindy Hugaeeaae hes would like to reiterate that SPIN does not work with any recovery homes in Newport Ra•mnrrmace� Frank Listl Beach. Codws"11,0* Karen VwINichol Thank you for your consideration of our request. Sabrina Traverse Satz Slnc John Simon �I rwm Simon hlYNrdrwMm Taylor Jea .Wegener w� rarl0f Ex e Director Robert L Wynn IV". Mel EXECUTIVE DIRECTOR 1511(almus,11-2•Cosla Mesa,DA92626 • TELEPHONE(714) 751.1101 FAX(714)751.3332 • m ,spinocorg•Taxl.A#33-0329687 Jean H. Wegener 'Guiding Orange Countys homeless to Permanent Housing, Substance Abuse Recovery and Self -Sufficiency' • • .. :�.w ...»n '„u:w CITY OF NEWPORT BEACH P�Departrnent Public Service Agency Application for CDBG Project Funding All persons or agencies wishing to apply for 2008-2009 Community Development Block Grant (CDBG) funds must complete an application form in order to be considered. All applications are due by no later than 12:00 p.m. on Wednesday. January a 2008. Late applications will not be accepted. NO EXCEPTIONS. In order to be considered for funding, all sections of the application must be completed. Any sections that do not apply should be marked N/A on the form. AGENCY INFORMATION Department/Agency None: Contact Person: Serving People In Need Jean H. Wegener Agency Status (Check Ones Contact Tide: ® Non -Profit ❑ For -Profit ❑ Public (City) Executive Director Agency Address Telephone No.: Address: 151 Kilmus, H-2 714-751-1101, ext. 12 Facsimile No. City, State, Zip: Costa Mesa, CA 92626 714-751-3332 Federal Tax ID No.: E-mail Address: 33-0329687 jeanw@spinoc.org Dun and Bradstreet No. (Regrdred as of Oct. 1, 2003).: Name of Person Signing Contracts: 179244173 Jean H. Wegener Mission Statement: To provide low-income and homeless families and individuals with comprehensive programs and financial assistancce, which is designed to enable clients to become housed, self-sufficient and no longer dependent on public support. SPIN was founded by Sam Boyce, a Newport Beach resident, in 1987 and six of his friends who were concerned about the plight of the homeless and low-income residents of Newport Beach and in general. In 1989, SPIN incorporated and one year later, in 1990, launched its two main programs, the Guided Assistance to Permanent Placement Housing Program (GAPP) and the Substance Abuse Rehabilitation Program (SARP). SPIN's Street Services Program, its third program, provides outreach to the homeless and more than 21,000 meals each year to the homeless and low income living on the streets of Orange County. Volunteers basically inn the program -- they shop for the food, prepare the sack meals, drive the SPIN van, distribute the food and also gather donated clothing and hygiene kits to give out with the sack meals. The Street Services program reaches homeless children, youth, the elderly, veterans, the chronically homeless, the special needs populations and the working poor. For 19 years, SPIN has worked to improve the quality oflife of the homeless and low-income in Orange County through programs that teach self-sufficiency, while addressing the root causes of homelessness. Two of the recurring and serious causes of homelessness are substance abuse and the lack of sufficient funds to pay for the move -in costs to housing. In addition to providing for housing for low-income families and individuals and access to substance abuse recovery, SPIN believes long term, personalized, comprehensive case management is critical in order to address the lack of fife skills that consistently interfere with the ability to break the cycle of homelessness. SPIN's outstanding success rate for our clients over the years has proved this is a winning combination. See attached page Page 1 • Serving People In Need: City of Newport Beach Public Service Agency Application for CDBG Project Funding: 2008-2009 Agency Background Continued from Page 1 SPIN's Substance Abuse Rehabilitation Program provides rent in a recovery home with which SPIN works while the client seeks employment (and then assumes his/her own rent). SPIN also provides on -going case management for up to 24 months, bus coupons to locate employment, job development, emergency medical and dental assistance, professional counseling, food, hygiene kits, etc. SPIN works closely with Hoag Hospital, Orange County Mental Health, Social Services, detox facilities, etc. Clients are low- income, homeless, chronically homeless, disabled by substance abuse, between the ages of 18 or older and sometimes are veterans. SPIN's Guided Assistance to Permanent Placement Housing Program (GAPP) provides move -in costs to permanent housing to homeless and low-income families with children and graduates of the SARP program. It also provides long-term, comprehensive and personalized case management and support services designed to assist clients in achieving self-sufficiency. Clients work with their case managers and volunteers to increase their skills and ability to manage their finances. Clients range in age from children, ages 1 or less, to the elderly, ages 55 and over. • In 2006, SPIN started the THP program or Transitional Housing Program, at the request of several cities, in an effort to better prepare families exiting shelters and motels to enter permanent housing. SPIN pays the move -in costs to housing and assists with the on- going rental costs over a period of months on a decreasing scale and heavily stresses assistance with managing budgets, cleaning up past credit, maintaining employment, increasing income, going back to school or getting basic education completed, etc. All case management services are provided in SPIN's offices, at the client's home or a mutually convenient location. Housing is located throughout Orange County at apartment houses. Housing for substance abuse recovery is also provided throughout Orange County althou8h no recovery homes are located in Newport Beach. All housing must pass HUD habitability guidelines. LJ . Project Tide: This Request is for a (Cheek Onef. Substance Abuse Rehabilitation Program (SARP) ❑ New Project ® Ems ting Project Amount of CDBG Funds Being Requested: Performance Indicator. $10,000.00 14 - Persons with Special Needs Project Site Address: Expected Accomplishments: Address: 151 K.almus, H-2 7 individuals will receive substance abuse services and 7 City, State, Zip: Costa Mesa, CA 92626 individuals will increase their income Have You Received City Funds Before (Check Onef. Meeting National Objective: ® Yes ❑ No I Benefits Low -:rod Moderate Income Persons The Substance Abuse Rehabilitation Program (SARP) provides access to substance abuse recovery to those least able to afford it -- the homeless and low income substance abuser. The population not only meets HUD's special needs critertia, but also serves the chronically homeless, a HUD PRIORITY. SPIN would also like to note that it has met its goals for the City of Newport Beach every year and in fact, has always EXCEEDED them. The SARP program targets substance abusers who have a sincere desire to change the direction of their lives. Potential cliens go through an initial intake process with one of the four SARP case managers. If the intake is satisfactory, an interview is scheduled and mn application is completed at that time. All information must be verified. If the information is correct and the applicsunt is accepted into the program, they are immediately referred to a recovery home with which SPIN works. Please note: SPIN does not work with any recovery homes in Newport Beach. Information on the client is maintained in SPIN's database and in the client file. All SPIN case managers are fully trained on HMIS database system. After a client is accepted into the SARP program, SPIN pays for rent in a recovery home while the client seeks • employment so that he/she may seek employment -- i.e. invest in his own recovery. Case management is personalized for each client and includes goal setting, employment counseling, etc. Case management lasts for up to 2 months. Other support services are also available, if a client maintains sobriety and include, professional counseling, medical/dental assistance, clothing, hygiene kits, food, bus coupons to locate employment, etc. All clients must obtain a sponsor, maintain sobriety, follow house rules, locate a job, attend AA meetings and maintain contact with their case manager during the first phase of the program, in order to remain in the program. SPIN believes that if a client begins to pay his own rent after he has obtained employment, he will have sun investment in his own recovery. Each client also has his/her needs assessed by his case manager to make sure they are provided the services relevant to their addiction. The second phase of the program begins when the client has located employment and begins to set goals and address his personal needs. At this point, clients begin to take the steps necessary for life long sobriety and their case managers refer clients for services such as medical/dental assistance mid professional counseling. SARP clients who remain sober, employed, active in AA, NA, etc. and who have participated in all aspects of the SARP program and case management for 12 months or longer, may apply to SPIN's permanent housing program, which is a key component of HUD's overall stategy -- a link to permanent housing. SPIN is very proud of the quality of our programs and the strength of our case management Our programs have an excellent reputation and strong community support. It is very important to the Board of Directors and our supporters that in 2006, 93% of funds went directly to our programs and 86% or the clients assisted in 2007 were successful in becoming self-sufficient. • Page 2 folioPROJECT SERVICE AREA INFORMATION (01,eck one of the ning that best describes your ® Citywide(EuthvCityoofNesportBeacb� ❑ Specific Census Tracts (#st Census Tracts below) ❑ Specific Target Area (prordde map of taqet area) ❑ Low -Mod Census Tracts (CDBGTargetArea) (The Agency understands that no expenditu res tnay he incurred before a contract has been fully execute PROJECT BUDGET SUMMARY Note. The City of Newport Beach only funds personnel costs associated with die delivery of public services. However, hi order to evaluate die entire program, all project costs mist be provided and categorized under one of die dime categories. Page 3 • Formula Grant Cost Category Overall Budgeted Newport Beach CDBG Funds Personnel Costs $228,821.94 $800.00 Non -Personnel Costs (supplies, consultants, etc. $394,090.13 $9,�0.00 Capital Improvement Costs Total $622,912.07 $10,000.00 Describe any other funding sources (and the -amount of the other funding source) that will be used in the execution of the project Department of Housing &Urban Development $412,053.70 Community Development Block Grants: $133,228.03 Foundations/Corporations: Marisla Foundation, $77,630.34 Hoag Family Foundation, Irvine Health Foundation, The Irvine Health Foundation, Richard F. Crawford Co., Annenberg Foundation, i (Please complete the table belon) • PROGRAM ACCOMPLISHMENTS 2006 HUD Income Limits table below. I •INCOME 1 person 2 person 3 person 4 person 5 person 6 person 7 person 8 person Very Low Income (30°/n) 18,200 20,800 23,400 26,000 28,100 30,150 32,250 34,300 Low Income (50°/u) 30,300 34,650 38,950 43,300 46,750 50,250 53,700 57,150 LIMITS Low -Moderate Income (80%) 48,500 55,450 62,350 69,300 74,850 80,400 85,950 91,500 Page 4 • Newport Beach Total Cli ents Number of clients actuallyserved under this program in 2006-2007 14 585 Number of clients expected to be served under this program in 2076-2008 7 390" Number of clients proposed to be served under this program in 2008-2009 7 425 Describe how the program benefits low -moderate income eligible residents in Newport Beach: The Substance Abuse Rehabilitation Program benefits ]ow -moderate income eligible residents in Newport Beach. Most, if not all, are homeless in Newport Beach or are not working at the time of entry into the SARP program. They have no pace to sleep, no income or insufficient income to pay their rent. All clients must meet HUD's eligibility guidelines in order to be a program participant and document their eligibility. SPIN client files have always been found to have all backup required for client eligibility at the time of monitorvtg:md are considered to be of the highest standard. The SARP program benefits this population by providingaccess to substance abuse services, housing, food, extensive support services, as well as the link to permanent housing which HUD wants to see. NO RECOVERY HOMES ARE LOCATED IN NEWPORT BEACH. r The number of clients to be served lowers sigru6c:mdy From 2007-2008 because a SuperNOFA grant ends. ote• The number of clients noted in the table above must not exceed the low -moderate income limits as noted in the 0 • 11 ❑ 05 Public Services (General) ❑ 05K Tenant/Ltuidlord Counseling ❑ 05A Senior Services ❑ 05L Child Care Services ❑ 05B Services for the Disabled ❑ 05M Health Services ❑ 05C Legal Services ❑ 05N Abused and Neglected Children ❑ 05D Youth Services ❑ 050 Mental Health Services ❑ 05E Transportation Services ❑ 05P Screen for Lead -Based Paint/Lead Hazard ® 05F Substance Abuse Services ❑ 05Q Subsistence Payments ❑ 05G Battered and Abused Spouses ❑ 05R Homeownership Assistance (Not Direct) ❑ 05H Employment Training ❑ 05S Rental Housing Subsidies (HOME-TBRA) ❑ 051 Crime Awareness/Prevention ❑ 05T Security Deposits ❑ 05J Fair Housing Activities PARTICIPATIONOF •'WOMEN Board ofDim4uoks Em 14 00@ Total 22 11 Number of Minorities 0 3 Number of Women 8 9 Percentage of Minorities 0 Q% 27M% Percentage of Women 8no% rin!:t#tafnevenue Service Department of the Treasury �.,.•=4 s.Z .,x .,� O. Box 2508 Cincinnati, OH 45201 Date: March 13, 2002 Person to Contact: • ' Michael Dutcher Serving People'in Need, Inc, Customer Service Specialist 2000 Bristol St Ste H106 Toil Free Telephone Number. ' Costa Mesa, CA 02620-7916 dt00 °•" iG 6:30 p.m. EST 877-829.5500 Fax Number: ' 61$.263.3756 Federal Identification Number: 33.0329687 „ Dear Madam: This fetter is in response to your request for a copy of your organization's determination le take the place of the copy you requested. tter. This leite Our records Indicate that a determination letter Issued in May 1994 granted your organizaljori exerrrptiori federal Income tax under section 501(c)(3) of the Internal Reven%ue Code. That letter is still in effect.*' Based on Information subsequently submitted, we classified your organization as one tha"is not a gBvatr foundation within the meaning of section 509(a) of the Code because it is sections 509(a)(1) and 170(b)(1)(A)(vi) . an organization described in This ciassificatlon was based on the assumption that your organization's operations would, continue as st • n the application. If your organization's sources of support, orits character, method of operations; or." Purposes have changed, please let us know so we -can consider the effect of the change on the exempt status and foundation status of your organization. Your organization h required to rile Form 990, Return of Organization Exempt from Income Tax, *only if its gross rccblpts each year are normally more than $26,000. If a return is required, it mustbe tiled by the 1. day of the fifth month after the end of the organization's annual accounting period. The taw imposes a causeof he a day, up to a maximum of $10,000, Wren a return is filed late, unless there is reasonable cause For the delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar. year. Your organization is not liable for the tax imposed under the Federal Unertiploymerit Tax E (FU7A). Organizations that are not private foundations are not subject to the excise taxes under Chapter42 of the Code. However, these organizalions are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170'of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes If they, meet the applicable provisions of sections 2055, 2106, and 2522 of the Cbde'. 0 ,2- Serving i?eople in Need, Inc, . . 33-0328687 !I 1 J Your organization is not required to fife federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an ' income tax return on the Form 990-T, Exempt Organization Business Income Tax Retum. ln.this letter, we are not determining whether any of your.organlzation's present or proposed activities are unrelated trade - business as defined in section 513.of the Code. or The law requires you to make your organization's annual return available for public Inspection• without charge for three years after the due date of the return. You are also required to make available for public inspection a copy of your organization's exemption application, any supporting documents and the exemption letter to any Individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materiels. the- laiv does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Iniemet (World Wide Web). You may be liable for a penally of $20 a day for each day you do not stake tfiese :. documents available for public inspection (up to a maximum of $40,000 in the case of an annual return): Because this letter could help resolve any questions about your organlzauon's exempt status and fo 'status, you should keep it with the organization's perri anent records, undation If you have any questions, please call us at the tolephone number shown In the heading of this letter. This letter affirms your organlzalion's exempt status, Sincerely, John E, RickQtts, Director, TE/GE CustomerAC60unt Services • '• :2 •CUPM1J), CIRCLE ' !MNI•TGM"PARK, 15R5-7406 r Octet ••. .. • III till" 1 2.. HIM ' SMV1110 P%OPLR xN' 11T CD 4921 BXRCll ST SUXTC -190: 111 WPORT IIBACIt, CA 92G60-2144 C7e'ar Appli,enttl• t • mni)loycr xdentification'Ntimber: 57-0129607 Cane Number: 9:;40'17022 Corituct Porsont Trim xzuMx Contact '1'6lephorlo. Ntimbart (710 •026-11N,12 Our LetL•dr •Dateill ' C<uno 09 Addendum Appliont No Thin modifien our letter or., the a1)ove would be trentod an an-or.0nnizal:Lon thne in ,expiration of your ncivance ru.Linq per.Loct. c1nL•r. itt which we otntcc tllnE ybu' not: n private founclati.on until tl 'Your exempt ntatun under traction 501(rt) of Lha Xntcrnal Rovenuo Cotla'uu organization deacribed in Dilation 501(c)(l) in uL'ill in effect. .'.named on th information yott nubmitted, we have detorminecl that you'arc not a privat:a foundation within -tile meaning of nection 509 (a) of tile` Code .becaune you :Lire orgnnizntion of t1te:.typc denbribecl -in mectlort 5o9 (a) (a.) iutd 170 (f;) (7.) (A) .(yi) Crnntorn and contrlbutorn may rcly.on.titin determination unlenn t:te�!. XnteYnnl Revenue Service ptlbl,inht n ndticc I:o Lilt, contrary, ItoweVer,• :it *you loan your nection 509 (a) (1) ntatun, n •gr:nnt.or or contributor may''not rely on thin determination if:ltc•"or On Wan- in part renponnible for, ox-wam aware of the not or failure to:act, or the nubatnntial or material' change"*on�bhe.'pnrt the org'nnization tbat'renulted in ,your, lone of ouch otatun1• Or;i-.•he or :she acquired knowledge.tb!\t.the Xntornftl.Revenue Scrvice•:had.givon tioti•ce that), would no longer be'cl,aoaified no n nection 509(a)(.I) organizatidn. it we have lnc)icated in the'hending of Chia letter tlat an,'addondum applien,, the addendum onelonocl in an integral part at 'this letter.' ,% ne.nunn thin lottcr could help ronolvc ttny cfucutiono nboub..your privaL', foundation ntntun, pkaltno keep It in your purmnnnnt Yccorda. Xf you have aby'•qucntionn, plennc contltct the pormon whome:•nameand tolophone number are,nhown above, -rely yourn, C I4�. Ilicltnrcl tl. Orouao� Dintrict Director Letter 1050 (DC •' • ��Istlict�Dtroctor ' . , aalr MAR • sRnv>;rlc rt;opt,r zrl Mrru,•Lu1c, 4921 DIRCit S'rr 190 MFt7POR'r RRACIC, CA 92GGU-2144 .. .. 114"1 u I lu I IL U I UIQ IIUUSUFY ; EaplaymmlldutNlleatlonllumbar, 33-0329G07 •• Paraon to Canlae4 •• • ROMP Coordi.nntor' •Conlacl ialapham lfum6art., (213) "n94--2399 1nt.mA W MILIA L da sacUon: •Sai(CH:1) Dear Taxltnyor: Thank you for oubwlttlna Lilo inrorcntlon allown bcicw or an tho anolaauratto kayo clado it a pnrt or yattr rtlo. Tho ahangaa LkLoatod':do not AdYoraoly nffooL your oxampt atatu: and tho oxawpticr lottor laauod to you conttnuna Lde rfoat. Plaaao lot ua know about any ' futuro cltcngo 'In' t110 oharacLor oparatLona aaao or addroaa of purpaao,".aothod'ut Your argnnLzntLoll. Tltia La a roquiraaont for: ratalping oxowpt•atatua: Thank you for.your cocporntlon. /Slncoroly',yatira, ti r ly �I it a Itam•Chanas—d From -TO OIAMr) 9'1'ilrl:'r 1'1;01'l.r 'LM 10i1) (SRC Allon', P,O, 0ox 2350, L ai Angolot, CA :9U059 Lot(or 970(00) (Rov. .d 9!i ANULES. , CA' , 9005323 t•:I+'` pater APR. `17's 1909 , STREET ParjPl.E IN NEED •. 14921 BIRCH ST -SUITE 19() NEHP.DRT BEAM;. CA 9ZGc0' • 0 Employnr ldanL-i:Flcnkl"on tlumb'or.: Cava- I►umbor: Conlnck Person: TYRONE THOKAS Conl;nct Tnlnphono'Numbpr: Accounl•Ing Parlod Endingi Docambnr 31 rounda�ion Status Clnsslrlcatlon: Son Atlachnd Advnnco Minn P.,rt,,.t E cl Clear lot. now I. n: Applicant:, • ' Based on•lnfornatlolt q'uppl loci, and :tasumlrtg your operations HI11 lio-•na skated In your nppllcation for recognition of oxnmpklgn, Ha havn detnr'mined • you are estgnpk from I°adoral Incomn tax under necklon 501(d) (3),'of:<kho Intornt . Revenue Coils. • ., , . ....: .• . . . I)ecauna yotr *aro n �nouly crnnknd orgnrtir,n-l•lon, .ttri.aro;i canlc;in'j-`n final dnItnrminaklon 'of -your 'fouridak.lon slnlua under -agcklon'S08:(a.)„ of"i:hn ' Cods, lioHnvor, tin hnvn <loknrmlrincl that• you can rosaonaltly 6e expectacl'to'bn a putt Icly supported ,orgnnlzal•Inn 'closcrlbnd In ancklorts 509Gx) il),�and Accordingly, you trill Its tr•anl•nd tit; a publicly nupporlod organlzal•►on, and not an it Itrlvnkn fotrnclal•I,on, during nrt advnncn ruling porlotl::• This ndvanco rtrl Ing pnrlod Itnrllnn on..Um cjaL•rt of your Incnitkl,pn and nrtda 'on tits dots nhotrn abovn. • . . FII1.1tIn.9D cloys nt!-knr•L•hn and of your advnncn ruling pnrlotl; iyou must- s •• ubmit to un Information rtnndnd to dptnrminn I+holhnr you hnvn •nnL tits - - •requirmmnnEa of alto aprllcabin aupporl• lonl• during L•Itn advanco rlaiing perlod .If you oaknbllnh thatyou I'tavn boon a•publicly nupporkod organlzaklon, you lclil be cl000lflad an •ri nocl•lon 509(a) (1) or !109(a) (2) organization an Fong an you cnnL•Ihun to nonl• lhn rnqulrmmonla of l'l+n nppltcabin auppor•L• knot..•-1F you •do not anet klin public nupporl• rnqulrmmnnl•s durinD L•Itn ndvoricn ruling period, you H111 lto clnnal,fincl no n privalo Foundal•lon for futuro porlodn. hlsor If you nro classified as n privaln foundation, you ttlll bq'.kraatnd tia• prlvaka foundation from tits dnlo of your lrtcoptlon for purpoadn of soc•tlona 507 (d) anti 4940. - Grnnkorn' and donors nay rely on L•hr. dnl•orminukion khat you ura not a private foundation unkll 90 dnya nfkor lhn and of your ndvnncq ruling pq'rlod If you submit tlta rnqulrnd lrtformaklon }rilhln kits 90 clays, grankors and,dono STREET PEOPLE? IN NEED • nay continue to rely on lha advancn dntorminablon unLtl t'ho Service mak on, a ' final daborminutlon of your foundation abnbvc. llounvor, if notico'thaL• you H11.1•.no longer be troabod an n nncUon 509(a)(1)'organlxaL••lon In publlaliod.•In' bho•Inlorna1'.Ravenun DuIIaHn,--:'grantors:and donora:may:nab •roly•:on.thla datarnlnatIon.artar.tho data -.or:.ouch. pub IIcab I on. ";AIno'i%a'•ia'ranbor:o"r''donor''." '. hay .not rely an•thla dobarmInatlon 1F••hn -or chn-'Frcn•In parb•rosponalbIo-for, or Hats aHard of, the act or falturn L•o acb•Lhab•ronutbad -in your loan or aacbIon 509(a) (1)'•abatua,.or .acquIrad knoriIadgn •that the .Internal .Rovanuo 54irvlce had :givan notico that you 'HouId bn romovad Fro m.Clnee IfIcnbion an a section 509(a)(1) oraunizatlon. If your aourcan'of nupporb, or your purpoann,.churactor, or method of 'operablon 6ango, pleaao•Inb us knoH•no'Hn can conaldor the effect of bha changa on your oxanpb nbatus and.Foundal•lon atatua. (11ao, you should' Inf•orn ua or all chungon In your namo or addrnsa. As of January 1', 190'4, you are Ilable for taxon under the Fadaral Inauranca L'onbributiona Nct (aoclnl nocurlL•y taxaa).oii renunoratlon;of t100 or more you pny to'nach•of-your amployean•during a cnlendal••yenr. You `r . riot Ilablo For the .tall'lm'posod under the Fadora`I-Unomployment Tax Act.(Furs)•: OrGanlzablons- bhat•ara not p'rIvaL•a Foundablone are not suljocL•to axclso taxes under Chaptai AZ of the Code. IloHovor, you ore not aubomnblcaily nxompb From otliar Fndaral axclan baxoa. If you have any giroatlonn about_"" oxcisn, amploymontl- or o.bhnr Federal'tnxac, ploaaa tnb;un knoll. • Donorn may dnducl•'canbrlbut•lona L'o you an provfdnd In sacblon:170 VF"bhe Cado. Doquabba, lo0aclen, d6vinon,.Lrannforai or gtrta bo you or For your.une era doducblbla For Fednrnl oul:nbo and girl• t'a'x purponna IF'tlioy mnab the uppilcnbin provlaloria of socblona 2055, 210G, and 7,.ri22'of thn Coda: You nrn roqulrnd be rlln Form 990-1 Rnturn of.Organlxa,tlon Exnmpt from Inconn Tnx, only Ir your groan rncnlpl•u anrh your a m nornnlly morn than 425,000. If a return In roquirod, It, munl i>n Filed by Ulu 151:11 (lay of kiln •• fifth month afto'r thn and of your unnual accounting pnrlod. The lull lmposos a penalty of'S10:a day,•.up to a ma)(lmun of *v-)1000, Hhon a roburh Is filed- IaL'n, unlnss thnro 'In rnneonabin cauno ror Win doiny. You nro nob roqulrod to fllo Fedor:al Income be)( roturns unloaa you,ara nubjact to the tax 'an unralnkad bunlnoms Incomn undor'sncblon 511.or the Codo. If you are, nubjocb be this Lax, you muub flIn an Income-tax return on corm 990—T, Exnnpt OrganlxaL•lon Dunlnnna Incomn Tax Roturn. In thin Ieb'tor, rin••aro not deborrxlning vihothor any of your'pronont• or propound nct'lvlbloa• urn unrelated brndo or buslnnan as doflnnd in cect•lon 517 of the Codn: You nood an employer Idrnl•Iflcatlon number neon If you have no omployooa. If an employer ldontlflcgtlon number Iran nod ontorad on your applicublon, a ' - number HIII be aaalgnad to you and you idi l bn advland of It. Ploano use bha( number on all rnturns you Ella and In n11 corrnapondnncn HILh Lho',InLornal Revenue Service. Lo btor'•10.15 (C0 f ice••: • 4• .. ! •.. . '9TRtET PEOPLE •IN NEED • Dccauao thin lattar;•could halp• roaolvo ❑ny•qucntlona about your,.axampt +ctatun and roundatlan ctatua, you should konp IE In your pnrnnnnnt rocord'a. If th(-i haAdIng�oF.thI-o'.Iattor.:IndIcnt'os%1hat:.n•:cnveab,.app1:1del l;>:Nha.::cavaal . bal"OH or'oti :thm oncloauro:..l2:nn:ln'toarai•iparl''of•..tlils':Icttar. If, you Nava nny quint Iono,:Plonno•moribuct :tlin,pnroon•.Hlioea.•numo�and talaphonc•numbar arm .choHn In.tha..handl�.r) or'L•hla IaL•L•ar. Sincoraly yours,' 'rrndnrlck C. Nlolnan ' •DIctrict DIractor. SIREET'PEOPLE IN NEED FOUNDATION STAT USt 170 (b) (I) Wjyl ) +•19 ,., a .. and 609 • r 5 ' Form 990 Return of Organization Exempt From Income Tax Under sect on'601(c), 527, or4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) ► The organization may have to use a copy of this return to satisfy state reporting requirements. A Forthe2006 calendar year, or tax year beginning at • 9 check a eppllcabte: Addrasa Dc,ance Dchanita tualm =roIniti OFI eI aium 0 =dad DPpol peen rreasa use IRS label or prIntorServing Sea spac1110151 Instmc- dons. C Name of organization People In Need Inc. Number and street (or P.O. box if mail is not delivered to street address) Kalmus City or town, state or country, and ZIP +4 Costa Mesa CA 92626 a Section must 501(c)(3) organizations and 4947(a)(1) nonexemptcharitable trusts attach a completed Schedule A (Farm 990 or 990-EZ). • K Check here ►U if the organization is not a 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000. A return is not required, but if the organization chooses to file a return, be sure to file a complete return. D Employer Identification number Rcold/suite I E Telephone number LT-1 1 71A 751— F AccountingmaNad: "cash L2LJ A=al H and I are not applicable to section 527 organ¢ations. H(a) Is this a group return for affiliates? DYes ® No H(b) If 'Yes,' enter number of affiliates► N/A H(c) Are r NlllaatlgcesIncluded? nc j ed? N/A DYes DNo (IfH(d) Is this a separate return filed byanor- Check►U If the organization Is not -required to attach L Grossrecelpts• Add lines 6h 86 9b and 10b to line 12► I , 43'7 , b U 4 . I _scn. u tl-orm syu, ssu-cq or uuu-t-ri. r —i n., e.. ...r nr.�..�e� i., No+ Accats nr Fnnd Ralanras Y'1 Contributions, gifts, grants, and similar amounts received: a b Contributions to donor advised funds......................................................... 1a Direct public support (not Included on[Inc Is) ............................................. 14 387 578. c it e 2 3 4 6 Indirect public support (not Included online ia).......................................... 1c Government contributions (grants) (not included online 1a) ........................... 1d . Total (add lines isthrough id)(cash$ 1,110,540. noncash$ Program service revenue Including government fees and contracts (from PartVll, line 93) 1.................................. Membership dues and assessments........................................................................................................... Interest on savings and temporary cash Investments........................................................ ....................................... Dividends and Interest from securities ....... .................................... ..................Ba 722,962. ),•, '• Is 1 110 540. 2 3 4 148. 6 6 a Gross rents b Less: rental expenses .................................................... 'c it a 7 8 a Net rental Income or (loss). Subtract line 6b from line 6a................................................................................. Other investment Income (describe ► Gross amount from sales of assets other A Securities than Inventory ................................................ ea 1 B Other 60 7 )`'-:'-', :. .; . b e d 9 A b a 10 a Less: cost or other basis and sales expenses ......... 86 Gain or(loss)(attach schedule) ,,,,,,,,,,,,,,,,,,,,,,,,,,, Bc Net gain or (loss). Combine line So, columns (A) and (B)...................................•............................................. Special events and activities (attach schedule). If any amount is from gaming, check here ► D Gross evenue(nottodudina5 0. ofeontdbuaonsnpodedonlinefp) „ I 9a 326 816. Less: direct expenses other than fundraising expenses,,,,I 96 1 163 218 . Net Income or (loss) from special events. Subtract line 9b from line 9a •••,,,,,,,,,,,,See„ S teteM%Rt,j Gross sales of Inventory, less returns and allowances t0a .................................... • • •• f ed go -- 163,598. bLess. .......................................................:................... 10b c 11 12 Gross profit or (loss) from sales of inventory (attach schedule). Subtractline 10b from line 10a .............................. Other revenue (from Part VII, line 103)........................................................................................................ Total revenue. Add lines Is, 2 3 4 5 6c 7 8d 9c 10% and 11 ............................................................ ioc 11 12 1,274 286 . 13 14 15 Program services (from line 44, column (B))................................................................................................ Managementand general (from line 44, column (C)).................................................................................... Fundraising (from line 44, column (D)) 13 1,117 364 . 14 81 1 800 . 16 'uf 16 17 Payments to affiliates (attach schedule)...................................................................................................... Total expenses. Add lines 16 and 44 column A................................................................... 17 .1 • 207 406 . m m Z� 18 19 20 21 Excess or (defici() for the year. Subtract line 17 from line 12••,•,,,•,,,,,•................................................. Net assets or fund balances at beginning of year (from line 73, column (A)) .................................... Other changes in net assets or fund balances attach explanation Net assets or fund balances at end of year. Combine lines 18,19,and 20„ ............. ............ . ......... 18 66 880 . 19 213 950 . 20 0 . 21 280 830. MQUI01.18-0Form sse ([uuti) 7 LHA Far PrivaeyAct and Paperwork Reduction Act Notice, see the separate Instructions. Polit-11:.1 Statement of All organizations must complete column (A). Columns (B), (0), and (D) are required for section 501(c)(3) Functional Expenses and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others. • • Do notinclude amounts reported on line 6b, 84, 9b, 10b, or 16 of part 1. (p) Total (B) Program services (0) Management and general (D) FundraisinA 22a Grants paid from donor advised funds (attach schedule) ....................................... ""'° a •, ; y, a "t' (ueh a 0 • nonashS 0.- If thfaemount Includes foralgn grants, cho& here o-0 22a •' • " ' 22b Other grants and allocations (attach schedule (cash s 0 . nonash S 0 . If this mount Includes foreign grants, check has jt►1 22b 23 Specific assistance to individuals (attach schedule) ................................................... 23 24 Benefits paid to or for members (attach schedule) ................................................... 24 25a 0. 0. 0. 0. 25a Compensation of current officers, directors, key employees, etc. listed In Part V-A ,,,,,,,,,,,,,,,,,,,,, 25b 0 . 0. 0. 0. b Compensation of former officers, directors, key employees, etc. listed In PartV-B ...............•..... o Compensation and other distributions, not Included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 495e(c)(3)(B).................................... 25c 26 455 647. 395 593. 56,367. 3,687. 26 Salaries and wages of employees not Included on lines 25a, b, and c .................. , 27 Pension plan contributions not included on lines 25a, b, and c.................................... 27 - 28 Employee benefits not Included on lines 25a• 27...................................................... 28 29 29 30 31 Payroll taxes ............................................. Professional fundralsing fees ..................... Accounting fees ....................................... 30 31 21 539. 12 562. 8 977. 32 32 33 34 35 38 37 38 Legal fees ................................................ Supplies ................................................... Telephone ................................................ Postage and shipping ................................. Occupancy ......................................... :...... Equipment rental and maintenance ............ Printing and publications ......................... 33 7 405. 6 249. 11156. 34 5 683. 5 114. 5.69. 35 2 215. 1 952. 248. 15. 38 73 490.. 68.949. 4,541. 37 8 1619. 7,523. 11096. 38 2,598. 1,851. 20�. 544. 39 39 Travel ...................................................... 40. 40 Conferences, conventions, and meetings ... 41 41 42 Interest...................................................... Depreciation, depletion,etc.(attachschedule) 421 8,961. 7,528. 1,165. 268. 43 Other expenses not covered above (itemize): a 43e b 43b a 43c it 43d e 43e f Of g See Statement 2 431 621 249. 610 043. 7 478. 3,728. 44 Total funbtlonal expenses. Add lines 22athrough• 43g. (Organizations completing columns (B)-(D), carry these totals to lines13-15 ................... 144 1 207 406. 1, 17,364. 81 800. 8,242. Joint Costs. Check ► 0 if you are following SOP 98.2. •Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? ► 0 Yes ® No If'Yes; enter (1) the aggregate amount ofthese joint costs $ N/A;(iI) the amountallocated toProgram services $ N/A ; (2006) 3 • • • Form 990 is available for public Inspection and, for some people, serves as the primary or sole source of Information about a particular organization. How the public perceives an organization In such cases may be determined by the Information presented on its return. Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments. What is the organization'sprimary exempt Purpose? ► See Statement 3 Prcgram Expensesice All organizations must describe their exempt purpose achievements in a clear and concise manner. State number of clients served, publications Issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4) organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.) (Required for 501(c)(3) and (4) orgs., and 947 a1 trusts; but 4optlona(I far others.) a Guaranteed Housing sup -port Pro ram: Assess reasons for homelessness and assist families by -providing seminars volunteer advisors and no -interest loans. Grants and allocations $ If this amount includes foreign grants, check he b Substance use Rehabilitation Program: Offers -financial assistance for emer enov & transitional housin to homeless entering recoverV for sustance abuse sponsors AA meetings. 306,411.. Grants and allocations If this amount includes foreign grants, check he c Street Services Pro ram: Distributes sack lunches blankets sock & riene kits to homeless individuals provide a 'ob referral service to aid them in finding work. 747,975. y Grants and allocations $ If this amount Includes fore) n grants, check he ► d 62 978. Grants and allocations If this amount includes foreign grants, check here 9 Other program services (attach schedule) • ,. 1 irthi4 amount includes foreign grants, check here 3rams and anocauuna I " ""' - - 1,117,364. f Total of Program Service Expenses (should equal line 44 column (B) Program services) . , Form 990 (MG) 523021 e1.1e-07 �orm990 zoos Serving People In Need Inc. 33-0329687 page 4 • • • jNM%,(,,j ance Sheets (see the rnstruchons.) Note: Where required, attached schedules and amounts within the description column should be for end-of-Yeeramounts only, Beginn(A)ofyear End oB)year 40 Cash •non-Interest-beadng..........................................„ ............................... 46 Savings and temporary cash Investments...................................................... 151 294. 46 153 734. 46 479 Accounts receivable.................I....47a 119,032. b Less: allowance for doubtful accounts.............. 47b ,49 921. 47c 119 032. kt 48 a Pledges receivable ....................................... 48a b Less: allowance for doubtful accounts 48b ................. 49 Grants receivable............................................................... .......... 60 a Receivables from current and former officers, directors, trustees, and key employees ............. ....... b Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3 (B) ............................. 61 a Other notes and loans receivable 6111 b Less: allowance for doubtful accounts ,,,,,,,,616 62 Inventories for sale or use .................................................................. ............ 63 Prepaid expenses and deferred charges ...................................................... 54 a Investments • publicly -traded securities ► Cost 0 FMV b Investments • other securities ................................. ► 0 Cost 0 FMV 48c 49 50a •• 61c 52 ' 53 54a 55 a Investments - land, buildings, and equipment: basis ................................. ,,,,,,,,, 56a b Less: accumulated depreciation .................. 65b 56 Investments • other...................................................................................... 67 a Land, buildings, and equipment: basis ... ... 67a 101 9 5 6 . b Less: accumulated depreclationSt;tt... 4.... 576 86,371. 58 Other assets, Including program -related Investments (describe ► SECURITY DEPOSITS ) 59 Total asses must equal fine 74). Add lines 45 through 58 60 Accounts payable and accrued expenses...................................................... 61 Grants payable............................................................................................. 5Bc 56 _ 200. • l' 67c 15 585. y16 7,693. 225 108. 11 15 8-. •5e 5s 6o 7 6 3. 296 044. 15,214. 61 62 a jli 62 Deferred revenue.......................................................................................... 63 Loans from officers, directors, trustees, and key employees ........................... 64 a,Taxexempt bond liabilities ........................................................................... Mortgages and other notes payable............................................................... 65 Other Ilabili8es (describe ► ) 63 64e 64b 66 Add lines 60 through 65 • 11,158, 66 15 214. 68 Total liabilities. Organizations that follow SFAS 117, check here ► ® and complete lines 67 through 69 and lines 73 and 74. 172 674. 67 unrestricted ................................................................. """""""""""""""' 144 022. 67 69,928. 66 108,156. m68 rB u- Temporarily restricted.................................................................................... 69 Permanently restricted ............................ Organizations that do not follow SFAS 117, check here ► 0 and complete lines 70 through 74. 70 Capital stock, trust principal, or current funds ........................ ....... 71 Paid -in or capital surplus, or land, building, and equipment fund .......... 69 " 70 71 Z 72 Retained earnings, endowment, accumulated income, or other funds.... 73 Total nat assets a fund balances. Add lines 67 through 69 or lines 70 through 72 (Column (A) must equal line 19 and column (B) must equal'Iine 21) ........................... 72 213 950. 7a 2 8 0 830. 8 74 Total liabilities and net assets/fund balances. Add lines 66 and 73 2 2 5 10 . 74 e,..m OQrI ronnrsi 12a031 ei-20.07 �ormsgo•2oo6 Servin Peo le In Need Inc. 33-01 PaftSfY'.-A Reconci lation of Revenue per Audited Financial Statements With Revenue per Retu fnstructlons.) A Total revenue, gains, and other support per audited financial statements.................................................................. a Y^ b Amounts included on line a but not on Part I, line 12: 1 • Net unrealized gains on Investments................................................................................ lit b2 59 977.:;; r, 2 Donated services and use of facilities .............................................................................. a Recoveries of prior year grants ........................ ......••••• b9 . 4 Other (specify): Addlines b1 through b4............................................................................................................:........................... b cSubtract line to from line a.................................................................................................................................... a d Amounts included on Part I, line 12, but not on line a: 1 Investment expenses not included on Part I, line 6b......................................................... I di 2 Other (specify): d2 Add lines di and d2 ............................... .................. d • 10 a Total expenses and losses per audited financial statements,,,,,_,...•••.•..................................................................... b Amounts included on line a but not on Part 1, line 17: 1 Donated services and use of facilities,,,,,,,••,•••••,.,••.......................................................... 2 Prior year adjustments reported on Part I, line 20.................................................. 9 Losses reported on Part I, line 20 4 other (specify): Addlines bi through b4........................................................................................................................I................. cSubtract line b from line a........................................................................................................ d Amounts Included on Part 1, line 17, but not on line a: 1 Investment expenses not included on Part I, line 6b 2 Other (specify): hi 59,977. a •' ; JL b2 b4 d1 o 01 Addlines d1 and d2.............................................................................................. d �• Current officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee, _..____..__s......... ...,,.,,,•,.,....,.e...�+.,i% Goa the lnstmctfons.] (A) Name and address (B)Title and averagehours perweekdevotedto positien O)Compensation �Ifnotpaid,enter -0-. (D)Oantdbutlonato epI 3-aLdef-meed �m eneellon kno (E)Expense account and otherallowances --------------------------------- ee Statement 5 0. 0. 0. ---------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- - ----------------------------------------------------------------- --------------------------------- 1123041 01-18-07 Form aav tcuuur • • • �orm990 2006 Servin Peo le In Need Inc. 33-0329687 ra 9u Current Officers, Directors, Trustees, and Key Employees (continued) Yes No 76 a Enter the total number of officers, directors, and trustees permitted to vote on organization business at board meetings.................................................................................................................................... 17 b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees : "• ,• <% ° ,. Ilsted in Schedule A Part I, or highest compensated professional and other independent contractors listed in Schedule A, •"•• " Part II -A dr II"B, related to each otherthrough family or business relationships? If "Yes,' attach a statement that identifies - _ the Individuals and explains the relationship(s)..................................................................................................................... 75b X .... - c Do any officers, directors, trustees, or key employees listed In Form 990, Part V-A, or highest compensated employees listed In Schedule A, Part I, or highest compensated professional and other independent contractors listed In Schedule A, Part II -A or ii-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization? Seethe Instructions for the definition of "related organization.°..................................................... 75o X .If "Yes," attach a statement that includes the Information described in the instructions. d Does the o anization have a written conflict of interest olic ?............ Y..... ......... ...... .............. t T tees and Key Em to ees That Received Compensation 75d or Other X Part -13 I Former Officers, Direc ors, rus , Benefits (if any former officer, director, trustee, or key employee received compensation or other benefits (described below) during .... ,..,I..,.. end enter A,e emn„nr of nmmnnnsation or other benefits in the aoorooriate column. See the instructions.) u,o year, ua. .,,e.,. o,....,..._._.. ...._ _...- ----'--- -- --_., (A Name and address ) 'None (B)Loans and Advances - (G)Compensatfon (if not paid, enter-0-) (0)Contibuaonato employmbenefit Plana a deferred MM ensatlon PIMS (E)Expense accountand other allowances --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- R j --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- --------------------------------- Part.V - Other Information (See the instructlons.) Yes No 76 Did the organization make a change in its activities or methods of conducting activities? If 'Yes," attach a detailed statementof each change................................................................................................................................................ 77 Were any changes made in the organizing oi� governing documents but not reported to the IRS? .......................................... If 'Yes," attach a conformed copy of the changes. 78 a Did the organization have unrelated business gross Income of $1,000 or more during the year covered bythis retum? ......... It If "Yes," has Itfiled a tax retum on Form 990-T for this year? NSA ...................................................................................... . 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If 'Yes,' attach a statement ...... 80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? .............................. b If 'Yes," enter the name of the organization► N/A and check whether it IsEl exempt or Elnonexempt 81 a Enter direct or Indirect political expenditures. (See line 81 Instructions.) .............................. I 81a 1 0. 6 N.i tl,e nrnenhetinn Ain Cnrm rlon.pnt fnrfhicvAPr? _. ............................................ ........ 76 X 77 X 78a X 786 79 X 80a X 81b ; X 8231E1/01.18A7 Form 990 (2006) 82 a Did the organization receive donated services orthe use of materials, equipment, orfacllities at no charge or at substantially lessthan fair rental value?................................................................................................................................................ b If "Yes," you may indicate the value of these items here. Do not Include this • amount as revenue in Part I or as an expense in Part 11. (See Instructions in Part III.)................................................................................................ 182b I N/A 83 a Did the organization comply with the.public Inspection requirements for returns and exemption applications? ........................ b Did the organization comply with the disclosure requirements relating to quld pro quo ccntributions7...:................................ 84 a Did the organization solicit any contributions or gifts that were not tax deductible? .......................... ..:.............................. .... b If "Yes," did the organization Include with every solicitation an express statement that such contributions or gifts were not taxdeductible?................................................................................................................................................K/.fie......... 85 501(c)(4), (5), or organ¢ations. a Were substantially all dues nondeductible by members?,,,,,,,,,,,,,,,,,,,,,,,,,,,,,K/A......... b Did the organization make only in-house lobbying expenditures of $2,000 or less?,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,X/,.A......... If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year. cDues, assessments, and similar amounts from members......................................................1 850 d Section 162(e) lobbying and political expenditures............................................................... 85d e Aggregate nondeductible amount of section 6b33(e)(1)(A) dues notices ,,,,,,,,,,85e f Taxable amount of lobbying and political expenditures (line 85d less 85e) ,,,,,,,,,,,,,,,,,,,,,,,,,,, 85f p Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? ............................. It Ifsection 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the followingtax year?.............................................................................................. 86 501(c)(7) organizations. Ester. a Initiation fees and capital contributions included on line 12 .............................................................................................................................. 187b . r b Gross receipts, Included on line 12, foupublic use of club facilities ,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,, NIP, 87 501(c)(12) organizations. Enter. a Gross income from members or'shareholders ..................... N P. b Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.)...........................................................'~....... N P. 88 a At any time during the year, did the organization own a 50'96 or greater interest in ataxable corporation or partnership, • or an entity disregarded as separate from the organization under Regulations sections 301.7701.2"and 301.7701a? If'Yes,' complete Part IX......................................................................................................................................... b At anytime during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)It3)? If "Yes,,, complete Part XI .......... :................................................................................................ 89 a 501(c)(3) organzations. Ester. Amount of tax imposed on the organization during the year under. section 491110.0 . ; section 4912 ► 0 . ; section 4955 ► b 501(c)(3) and 501(c)(4) organizations. Did the organization engage In any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? • 4 88a X ► 88b X If'Yes," attach a statement explaining each transaction....................................................................................................... c Enter. Amount of tax Imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958............................................................................................. ► 0. d Enter. Amount of tax on line 89c, above, reimbursed by the organization ................................. ► 0. e All organlzsNons. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? ......... f All organizations. Did the organization acquire a direct or indirect interest In any applicable Insurance contract? ..................... p Forsupporting organizations and sponsorfng organizations maintaining donor advised funds. Did the supporting organization, or afund maintained by a sponsoring organization, have excess business holdings at any time during the year? .................. 90 a List the states with which a copy of this return Is filed ►CA b Number of employees employed In the pay period that Includes March 12, 2008....................................... 90b et a The books are in care of 0- JEAN WEGENER , EXEC. DIRECTOR Telephone no.► 714 Locatedat► 151 KALMUS H-2 COSTA MESA, CA ZIP+4►! b At anytime 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)? .................. If "Yes," enter the name of the foreign country ► N/A Seethe Instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank 823182 /01-18-07 Farm FA (2006) • • o At anytime during the calendar year, did the organization maintain an office outside of the United States? I g1c I I } If "Yes," enter the name of the foreign country ► N/A 92 Section 4947(a)(1) nonexemptcharitable trusts riling Form 9901n lieu of Form iD41- Check here.................1........I........................... ► 'Pat Not Indi Indic 93 a b c d e f 9 94 96 1 96 97 h 98 99 100 101 102 103 a b c it e 104 e; Entergross amounts unless otherwise Unrelated business Income Excluded b section 512 513 w614 (E) (A) (B) E�a�. (D) Related or exempt B usiness Amount Sion Amount Program service revenue: function income Medicare/Medicaid payments .......................... Fees and contracts from government agencies ... Membership dues and assessments .................. nterest an savings and temporary cash Investments',,, 148. 14 Dividends and Interest from securities ............... ' Net rental income or Coss) from real estate: debt -financed property ....................................... not debt -financed property ................................. Net rental Income or Coss) from personal property Other Investment Income ................................. Gain or (loss) from sales of assets other than Inventory .......................................... Net income or Coss) from special events ............. 163,598. Gross profit or Coss) from sales of inventory ..... _ Other revenue: !t' 148. =:'. 0. 163,598. Subtotal (add columns (B), (D), and (�) ,,,,,,,,,,,,,,, ' : ` .• =� °'r •' ' 105 Total (add line 104, columns (B), (D), and (4)......................................................................................................... ► ' 163 . 746 . Note: Line 105 plus line le, Part 1, should•equal the amounton line 12, Part k ._ ...... � .- n .. ••_ _!. _ _ at _ .Y 1 L���L �L G..�•.-�L I]••..•n•.�'.. /[tin {Fn Innln,n{inns l Line No. Explain how each activity forwhich Incoma is reported in column (E) of PartVll contributed importantly to the accomplishment of the organlzation's exempt purposes (other than by providing funds for such purposes). 101 To provide housing assistance and rehabilitation program for 101 homelessness. Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (see the instructions.) B E Name, address, and EIN of corAoration, Percentage of Nature of activitles Total Income End -of- ear aitnershi or disre arded en0 ownershlD interest assets N A % Part X I Information Regarding I ransterS ASSOCiatea wnn t ersonai t0eneni lionvacis tOen latl H1dUYO°UMi (a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ..., ...... 0 Yes ®No (b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ,,,,,,,,,,,,,,,,,•..................... 0 Yes ® No Note: If 'Yes' to (b) file Form 8870 and Form 4720 (see instructions). Form 990 (2006) e23153 01.1e-07 105 Total (add line 104, columns (B), (D), and (4)......................................................................................................... ► ' 163 . 746 . Note: Line 105 plus line le, Part 1, should•equal the amounton line 12, Part k ._ ...... � .- n .. ••_ _!. _ _ at _ .Y 1 L���L �L G..�•.-�L I]••..•n•.�'.. /[tin {Fn Innln,n{inns l Line No. Explain how each activity forwhich Incoma is reported in column (E) of PartVll contributed importantly to the accomplishment of the organlzation's exempt purposes (other than by providing funds for such purposes). 101 To provide housing assistance and rehabilitation program for 101 homelessness. Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (see the instructions.) B E Name, address, and EIN of corAoration, Percentage of Nature of activitles Total Income End -of- ear aitnershi or disre arded en0 ownershlD interest assets N A % Part X I Information Regarding I ransterS ASSOCiatea wnn t ersonai t0eneni lionvacis tOen latl H1dUYO°UMi (a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ..., ...... 0 Yes ®No (b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ,,,,,,,,,,,,,,,,,•..................... 0 Yes ® No Note: If 'Yes' to (b) file Form 8870 and Form 4720 (see instructions). Form 990 (2006) e23153 01.1e-07 Part X I Information Regarding I ransterS ASSOCiatea wnn t ersonai t0eneni lionvacis tOen latl H1dUYO°UMi (a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ..., ...... 0 Yes ®No (b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ,,,,,,,,,,,,,,,,,•..................... 0 Yes ® No Note: If 'Yes' to (b) file Form 8870 and Form 4720 (see instructions). Form 990 (2006) e23153 01.1e-07 nnntmllinn amanizedon as defined in section 512(b)(13). N / A 0 0 1LJ Yes No 106 Did the reporting organization make any transfers to a controlled entity as defined In section 512(b)(13) of the Code? If 'Yes," , com tote the schedule below for each controlled ent@ . (A) (C) (D) Name, address, of each p(6) Emtltl,Ioyer Wen kation Description of Amount of controlled entity Number transfer transfer a--------------------------------- ---------------------------------' b— --------------------------------- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — c--------------------------------- --------------------------------- Totals Yes No 107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If "Yes," com letethe''schadulebelowforeachcontrolledent' (A) (6) (C) (D) Name, address, of each Employer Id Description of Amount of controlled entity Number transfer transfer a— ---------------------------------' — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — b--------------------------------- --------------------------------- k D— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Totals' tt ' i 1 ; u' �•. "Laf%- Yes No 108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest, rents, royalties, and annuities desc' in estton 107 above? Underpen ea errpa 1d ere that l have ex nod is , including; accompan Ing schedules end statements, end to the best of my knowledge end belief, It Is We, coned, end complete Dal ar(at paa(other th on all infarmeticn of which preperer hen anyknawledga Please ` 7 q a 7 . Sign g atureofofOcer Date Hare /21eAPW"xP/%T O G/>< i.e-/»id cl ' Type or print namaa3ld title Check if PapereeSSN vPT N(ese Gen. InaL ) Paid Preparar's / Date self - signature r 07 11 07 em to ed ►01 Preparers Flnn'sneme(or Ste hens, Re'dinger & Be11er LLP EIN► UeeDnly eoun If elfromployed),'1301 Dove Street, Suite 400 vP+;e'Ne ort Beach CA 92660 Phone no. ► 949 752-7400 $231e4/01.2e•07 SCHEDULEA I . Organization Exempt under Section oul(c)(u) • • 11 (Form OW or 9W-EZ) (Except Private Foundation) and Section 501(e), 60Ili), 601(k), 6oi(n), or 4947(a)(1) Nonexempt Charitable Trust operanentoru,e Treasury Supplementary Information -(See separate instructions.) Inremel Revenueearvlce ► MUST be completed by the above organizations and attached to their Form 990 or 990-EZ 2006 Part•i Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees 'See a 2 of the instructions List each one. If there are none, enter'None' ' P a Name and address of each employee paid O more than $50,000 (b) Tme and ave age hours per week devoted to osition (c) Compensation rm oontr ou ons m P`ian's$ ca & °,at mmaensaecn (e) xpense. acc(bunt and other allowances --------------------------------- None ----------------- ---------------- --------------------------------- --------------------------------- --------------------------------- Total number of other employees paid over 50000 ► 0 I?affl ap: Compensation of the Five Highest Paid Independent Contractors for Professional Services ._ - ... .. ,._._ _,. _e..u_.,.__....l.. ... f.....n\ It,Fn.n nrn none enfedAinno9 ,iea panU L UI IIIC IIIUU UUUUII.I. LM COW V110 Yv1,OYl Y1 I&IY,vlu uu,.> u, ,,,,.,v . n ,n.., .. u..........., (a) Name and address of each Independent contractor paid more than $60,000 v...v. ....... (b) Type of service (a) Compensation -------------------- ---------------------,_-- None -------------------------------------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Total number of others receiving over $50,000 for professional services .. ... 0 nf`,:'r(r:; '};`,,'.<''",.1,,•.:,'' '',;Ew;•r'•"i;>S: ,;'rt_la`••+d?• Ss• c.td8' :>Y. ,>{iAf..='r ^ ' .: _ 4•\.n< 1v,.4 a•. drt'IL-g* Compensation of the Five Highest Paid Independent Contractors for Other Services (List each contractor who performed services other than professional services, whether individuals or firms If there are none enter 'None.' See nage 2 ofthe Instructions. (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation -------------------------------- ------------ None -------------------------------------------- -------------------------------------------- -------------------------------------------- Total number of other contractors receiving over $50,000 for other services ................................. 023101/01.18.07 LHA For Paperwork ReductionAct Notice, seethe Instructions for Form 990 and Form 990-EZ. Schedule A(Ferm 990 or 990-EZ) 2006 • • Statements About Activities (See page 2 of the Instructions.) 1 During the year, has the organization attempted to Influence national, state, or local legislation, Including any attempt to Influence public opinion on a legislative matter or referendum? If'Yes; enter the total expenses paid or Incurred In connection with the lobbying activities ► $ $ (Must equal amounts on line 38, PartVI-A, or line I of Part VI-B.) Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI -A. Other organizations checking 'Yes' must complete PartVi-B AND attach a statement giving a detailed description of the lobbying activities. 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any s0betantial contributors, trustees, directors, officers, creators, key employees, ortymembers of their families, dr with any taxable organization with which any such attach ss affiliate liat d statement exl plaln(ng thteefrmajor! asecfions owner, or principal benegclary'1(If the answer to any question is °Yes, ° a Sale, exchange, or leasing of property?...................................................................................................................................... b Lending of money or other extension of credit?........................................................................................................................... c Furnishing of goods, services, or facilities?................................................................................................................................. d Payment of compensation (or payment ar reimbursement of expenses if more than $1,000)? ...•„..........................••••...•......................... e Transfer of any part of Its Income or assets?........................................................................................................................... 3 a Did the organization make grants for scholarships, fellowships, student loans, etc.? (If 'Yes; attach an explanation of how the organization determines that recipients qualify toreceivepayments.)... .......................... .............................................................. b Ddthe organization have asection 403(ti)annuity plan for Its employees? ..............•„•••••..•...•..•••..••••.••.,••••......................................... c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the•environmen% historic land areas or historic structures? If 'Yes," attach a detailed statement..................„......,•„•................................ d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? .•••„........ 4 a Did the organization maintain any donor advised funds? If'Yes; complete lines 4b through 4g. If 'No,' complete lines 4f M and4g................................................................................................................................................................................. 4a n b Did the organization make any taxable distributions under section 4966?.............................••.....••..•...•.•••••.•.••..................................... 4b X c Did the organization make a distribution to a donor, donor advisor, or related person? ............•.•...•••....••.••..... -• ......................................I 4c X d Enter the total number of donor advised funds owned at the end of the tax year .......................•,••.••...•.•...•-•••.................................. ► 0 e Enter the aggregate value of assets held in all donor ailvised funds owned at the end of the tax year .................................•................. ► 0 . f Enter the total number of separate funds or accounts owned at the end of the year (excluding donor advised funds Included on line 4d) where donors have the right to provide advice on the distribution or investment of amounts In such funds or accounts ............... ► 0 . g Enter the aggregate value of assets in all funds or accounts included on line 4f at the and of the tax year , `.............•........................ ► 0 . e23111 01-18.07 Schedule A (Form 990 or 990-EZ) 2006 $chsdulo (Form99Oor990-EZ)2006 Servincr People In Need Inc. 33-0329687 Page3 Pa('t,.jV Reason for Non -Private Foundation Status (Seepages 4 through 7 of the Instructions.) I certify that the organization Is not a private foundation because It Is: (Please check only ONE -applicable box.) 5 A church, convention of churches, or association of churches. Section 170(b)(1)(A)(I). 6 A school. Section 170(b)(1)(A)@). (Also complete PartV.) 7 A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(111). 6 0 Afederal, state, or local government or governmental unit Section 170(b)(1)(A)(v). 9 A medical research organization'operated in conjunction with a hospital. Section 170(b)(1)(A)(111). Enter tffe hospital's name, city, and state ► 10 0 An organization operated far the benefit of a college or university owned or operated by a governmental unit Section 170(b)(l)(A)(Iv). (Also complete the Support Schedule in Part IV -A.) 1 is ® An organization that normally receives a substantial part of Its supportfrom a governmental unit or from the general public. Section 170(b)(1)(A)(vi). (Also completethe SupportSchedule in Part IV -A.) lib A communitytrust Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV -A.) 12 An organization that normally receives: (1) more than 331/3% of Its supportfrom contributions, membership fees, and gross receipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2) no more than 331/3% of its supportfrom gross Investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30,1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV -A.) • • 13 0 An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets the requirements of section 509(a)(3). Check the box that describes the type of supporting organization: 0 Type I 0 Type II 0 Type III -Functionally Integrated Type III -Other Provide the foilowino Information about the supported organizations. (See page 7 of the instructions.) (a) Name(s) of supported organization(s) (b) Employer Identification number(EIN) (c) Type of organization (described in lines 5 through 12 above or IRC section) (d) Is the supported organization listed in the supporting organization's governing documents? (a) Amountof support Yes No ♦ y Total................................................................................................ ............ ..................................... ► 14 E71 An organization organized and operated to test for public safety. Section 509(a)(4). (See page 7 of the Instructions.) Schedule A (Form 990 or990-EZ) 2006 823121 01-1a-07 6cheduleA(Form990or990-EZ)2006 Serving People In Need Inc. AI:[ SupportSchedule�Comp�taon�yrffou,ohteckedaboxo��(gNno'f'rn°fha' • • M0 Innin ndaryetr(or fiscal year be in .............................. ► a 2005 b 2004 c 2003 d 2002 a Total 16 recefveu wonotincludeuunusual ' ranls.See line 28. 1,139,772. 1,20 078. 892 972. 939 015. 4,180,837. 16 Membershipfees received ......... 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facllites In any activity that is related to the organtzabon's charitable, etc., purpose ""...... 13,900. 8 000. 3.750. 9,200. 34,850. 18 Gross income from interest, dividends, amounts received from payments on securities loans (sec- tion 512(a)(5)), rents, royalties, and unrelatedd business taxable income (lessis 511 m acquireon d he organization after June 30,1975 10 9. 87. 338. 401. 935. 19 Not Income from unrelated business activities not included in line 18 ... 20 taxrevenues leviedforthe orpanitation's benefit andeither old to it or expended on its behalf , 21 The value of services or facilities furnished to the organization by a governmental unitwithcut charge. Do not Include the value of services or facilities generally furnished to the public without chE 22 Other Income. Attacle. Do not Include gainom sale of capital asset23 Total of lines16hr 1 153 781. 1' 217 165. 897 060. 948 616. 4 216 622. 24 Line23minusline..... 1 139 881. 1,209,165. 893 310. 939 416. 4 181 772. 26 Enter l%of line 23 11 538. 12,172. 8 971: 9. 486.= ' "rt?�-.'•>c:'<i' L. 26 Organizations described an lines 10 or 11: a Enter 21/6 of amount in column (a), line 24,,,,,-"...................................... ► 26a ". 83 635. s Yeti b Prepare a list for your records to show the name of and amount contributed byeachperson (other than agovernmental :_ ._. - unitor publicly supported organization) whose total gifts for 2002 through 2005 exceeded the amountshown In line 26a. ?a.: )' :. :.)'... ; ➢I, Do not file this list with your return. Enter the total of all these excess amounts.......................................................... ► 26b 0. 4 181 772. c Total support for section 509(a)(1) test Enter line 24, column (e).............................................................................. ►. 260 , d Add: Amounts from column (a) for lines: 18 935. ,19 22 26b ,,,,IN-26a935. ,,,,. 26e 4 180 8 3 7 . e Public support (line 26c minus line 26d total) .................................... :................. ► 26f 1 9 9 . 977 6% md.m .0 .,. ementa ➢ nIn➢ 26. 1.1 ➢ra Ora InVrllBrr by line He (denominator)) _ ................................ ► ex C 27 Organizations described on line 12: a For amounts Included in lines 15, 16, and 17 that were received from a'dlsquallfied person; prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified person.' Do not file this list with your return. Enter the sum of such amounts for each year. N/A ived from ach person (other than ersons'), prepare a list for ords o show the name b For andany amount amc nt receiveluded In line 17 d for each year, that was more than theela larger of (1) he amount 'disqualified n I line fi25 for the year or (2) $5,000. (Include in hetllst organizations of, described In lines 5 through 11b, as well as Individuals.) Do not file his I[at with your return. After computing the difference between the amount received and the larger amount described In (1) or (2), enter the sum of these differences (the excess amounts) for each year. N/A (2005)....................................... (2004).......................................... (2003)....................................... (2002)................................ c Add: Amounts from column (a) for lines: 15 16 17 20 21 ► 27c N/A d Add: Line 27a total ... and line 271b total .................. ... ► 27d N/A a Public support (line 27c total minus line 27d total).............................................................................................. ► 27e NIA f Total support for section 509(a)(2) test Enter amount on line 23, column (e) ......... ► 27f N A g Public support percentage (line 27e (numerator) divided byline 27f (denominator)) ................................. ► 27 N/A n Inves[ment income oarueruduu imigI ------ --- • 28 Unusual Grants: For an organization described in line 10,11, or 12 that received any unusual grants during 2l)02 through-2005, prepare a list for your records to show, for eachyear, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this Iistwith your return. Do not include these grants in line 15. 823031 e1to-07 None schedule A lFoe➢ sso m 920-M)2000 E> it 1i Private School Questionnaire '(See page 9 of the insWoil ns.) N/A (To be completed ONLY by schools that checked the box on line 6 in Part I� Yes No 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing Instrumen4 or In a resolution of Its governing body?..................................:.................................................................................. 30 Does the organization Include a statement of Its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? .................................... 30 31 Has the organization publicized Its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, Ina way that makes.ths policy known to all parts of the general communityIt serves? .................. .................. ... ........................ .................:................................... 31 If'Yes,' please describe; if'No; Please explain. (if you need more space, attach a separate statement) 32 Does the organization maintain the following: a Records Indicating the racial composition of the student body, faculty, and administrative staff?........................................................... b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? ......0................. c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships?..................................................................................................................0.........0.... d Copies of all material used by the organization or on its behalf to solicit contributions? ................................................................0...... If you answered To' to any of the above, please explain. (if you need more space, attach a separate statament) 32a 32b 32c 32_d f`�" ` '' 33 Does the organization discriminate by race In any way with respect to: a Students' rights or privileges? ..................... .............. ............................................................................................I............ bAdmissions policies? ................................................................................ ..................................................................4..... c Employment of faculty or administrative staff? .......... .............. ....................... ........... 0..... ;....................................4................... d Scholarships or other financial assistance?......................................................................................................0...........4...0...4..... eEducational policies? .......... ...... ........... ........... ..... .............. ......... .......... .............. ........... .:... y...... ..................... ................. .... .......................................... • f Use of facilities? .... .................. ................................................. .................... ......... ........... -...... .' p. Athlete programs? .............................................................................................................................................................4. h Other extracurricular activities?.......................................................................................................................0........................ If you answered'Yes'to any of the above, please explain. (If you need more space; attach a separate statement) 33a 33h 33c 33d 338 33f 33 33h Ill^y • �t �I:� 4�. fj ,84 a Does the organization receive any financial aid or assistance from a governmental agency? ,,,,,;,,,,,,,,,,,,,,,,,,,,,,,•,..., ......... 0........... ....... b Has the organization's right to such aid ever been revoked or suspended?....................................................................................... If you answered "Yes' to either 34a or b, please explain using an attached statement 35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75-50, 1975-2 C.B.587, covering racial nondiscrimination? If'No; attach an explanation ........ ............ ,,,; ...... ............ 34a 34b d • 35 =:• :_ .:1. Schedule A (Form 990 or990-EZ) 2006 823141 01-1e417 A(Form990or990-EZ 2006 ServingPeo -L n=A' Lobbying Expenditures by Electing ONLY Limits on Lobbying Expenditures • (The term -expenditures' means amounts paid or incur • Lnc. ��— (See page 10 of the instrucflons.) if ouchecked°a-and'iimitedcontrol' r (a) Affiliated group totals N/A Be Total lobbying expenditures to Influence public opinion (grassroots lobbying) .... ...................... 36 37 Total lobbying expenditures to Influence a legislative body (direct lobbying) ,,,•„•...................... 37 38 Total lobbying expenditures (add lines 36 and 37) ....................................................... 38 39 Other exempt purpose expenditures................................................................................ 39 40 Total exempt purpose expenditures (add lines 38 and 39)..... ......................... ................. 40 41 Lobbying nontaxable amount Enter the amount from the following table - If the amount on line 40 is - The lobbying nontaxable amount is - Not ova $500,OOD................................... 20% of the amount on line 40 ............................... ' over$500,000 but not over$1,000,000 ........... $100,000 plus 15% of the exoesv evrf$500,000 ......„• over$1.000.000 but net Over$1,500.000 ........ $175,000 plus 10% of the excess over$1,000,000......... 41 Over$1,500,000 but not Over $17,000.000......... $225,00061118 5% of the excess over$1,500,000 ......... - ` 42 43 Over$i7,000,000..................................$1,000,000...................... :............................... Grassroots nontaxable amount (enter 26% of line 41) ••••.................................................. Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36„I,,,,,,,,,,,,,,,• .................. '" 42 43 44 Subtract line 41 from line 38. Enter-0- if line 41 is more than line 38„a„•,•••••••••....................... 44 If there is an amount on eftherfine 43 orline 44, you must rife Form 4720. 4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. tee the Instructions for lines 45 through 50 on page 13 of the instructions.) A (b) To be completed for all electing organizations Lobbying Expenditures During 4-Year Averaging Period M/A Calendar year (or (a) (b) (c) ` (d) (a) flacal year beginning In) 10- 2006 2005 2004 2003 Total 46 Lobbying nontaxable 0. amount '•(-. "C ' "' ...,.. 46 Lobbying calling amount : -gyp ;a' •'.r`%.:_,. ".-;.;;t ' " x=• `4 ;:, ^. ` 150% of line 45 e 3 E,. ; t;.^ y.,,'•:FS: ;.y: : „l�il• ill•.. 47 Total lobbying 0 . expenditures ........... 48 Grassroots nontaxable 0. amount ................... ,�' •,^i `«.:'s :' '-T, r••',,t S.y -° t,e.YIj•'n�:�.'°'': �9 1• �.S'�w .r:i'.";'csis�f'�i^. ceilingamount 49 Grassroots4 �` . - •.k. ' :; ,a..; .. .r %�-•.,,.a pis,'=�`:x.`�' 150%af line 480)). %r x).[ 'F ; , ^ %^,r.`. .=vrn n ': s,..,• u,i.r r'r; :,,�•x . r rro 0 . 50 Grassroots lobbying 0. expenditures . PertlVl=B` Lobbying Activity by Nonetecting vuouc unanues rnnr rannAfnn only by ornan'aations that did not complete Part VI -A) (See page 13 of the Instructions.) N/A During the year, did the organization allemptto influence national, state or local legislation, including any attempt to Influence public opinion on a legislative matter or referendum, through the use of aVolunteers................................................................................................................................................ b Paid staff or management (include compensation in expenses reported an lines c through h.).................................... cMedia advertisements ................................................................................................................................. it Mailings to members, legislators, or the public,,,,,,,,,,,,,,,,,••.....•....................................................................... e Publications, or published or broadcast statements.......................................................................................... f Grants to other organizations for lobbying purposes,,,,,•..•..•.••.......................................................................... g Direct contact with legislators, their staffs, government officials, or a legislative body ............................................ .... h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means ........... • i Total lobbying expenditures (Add lines c through h.).......................................................................................... If'Yes'to any of the above, also attach a statement giving a detailed description of the lobbying activities. Amount Schedule A (Form 990 or 990-EZ) 2006 ScheduleA(Farm990or990-EZ)2006 Servin People In NeecLInc. aa—uaz7001 pirrik VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 13 of the instructions) -- - _ 61 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting organization to a noncharitable exempt organization of (1) Cash ....................................................... :................................................................................................................... (II) Other assets........................................................................................... Yes No file I X a II X b Other transactions: I ' (I)' Sales or exchanges of assets with a noncharitable exempt organization ................................................................................... (i1) Purchases of assets from a noncharitable exempt organization .........................................................:..................................... (111) Rental of facilities, equipment, or other assets .............. ...................................................................................................... (iv) Reimbursement arrangements .................................................................................................................................. (v) Loans or loan guarantees ............................................................................................................................................ (vi) Performance of services or membership or fundraising solicitations...........••••........................................................................ c Sharing of facilities, equipment, mailing lists, other assets, or paid employees ............................................................................. d If the answer to any of the above Is "Yes; complete the following schedule. Column (b) should always show the fair market value of the ,.,,,,de nfhnr n�cnN nr snmirns ntvnn by the renorlinc orcanization. If the organization received less than fair market value in any b i X bill X 'biii X b iv X b v X b vi X c X 0 52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations aescrioeu in secuun ou itcr ui LIM Code (other than secton 501(c)(3)) or In section 5277.............••....•............................................... 10 Yes ®•No .................................. 0 Schedule B (Form 990, 990-E7, or 990-PF) Schedule of Contributors Supplementary Information for line 1 of Form 990, 990-E24 and 990-PF (see Instructions) Name of organization •Serving Organization type (check one): Filers of: Section: Form 990 or 990•EZ ® 501(c)( 3 ) (enter number) organization Q 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF 501(c)(3) exempt private foundation = 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation Employer identification number Check If your organization is covered by the General Rule Ora Special Rule. (Note:•Only a section 501(c)(7), (8), or(lo) organization can check boxes forboth the General Rule and a Special Rule -see instructions.) General Rule - For organizations filing'Forn 990, 990-EL, or 990-PF that received, during the year, $5,000 or -more (in money, or property) from anyone contributor. (Complete Parts I and II.) - • Special Rules- • ® For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 331/3% support test of the regulations under sections 509(a)(1)1170(b)(1)(A)(vi), and received from anyone contributor, during the year, a contribution of the greater of $5,000 or2% of the amount on line 1 of these forms. (Complete Parts I and II.) 0 For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from anyone contributor, during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, orthe prevention of cruelty to children or animals. (Complete Parts I, II, and III.) For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-FZ, that received from anyone contributor, during the year, some contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not aggregate to more than $1,000. (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the Parts unless the General Rule applies to this organization because It received nonexclusively religious, charitable, etc., contributions of $S,OOD or more during the year.) ........................... $ Caution: Organizations thatare not covered by the General Rule andlorthe Special Rules do not file Schedule B (Form 990, 990-F2, or990-PF), but they must check the box in the heading of their Form 990, Forth 990-FZ, oron line 2 of their Form 990-PF, to certify that they do not meet the riling requirements of Schedule B (Forth 990, 990-EZ, or990-PF). LHA For Paperwork Reduction Act Notice, see the Instructions . for Form 990, Form 990-EZ, and Form 990-PF. 023451 03-19-07 Schedule 8 (Form 990, 990-EZ, or 990-PF) (2008) Name of organization Employer identification number • • Contributors (See Specific Instructlons.) No. (b) Name, address and ZIP +4 (c) Ag2regate contributions (CO —. Type of contribution 1 Ceres Foundation $ 50,000. Person Payroll Noncash 0 (Complete Part II if there is a noncash contribution.) 2049 Century Park East Suite 1150 Los Angeles CA 90067. • (a) No. (b) Name, address, and ZIP +4 (c) Aggre ate contributions (d) Type of contribution 2 Croul Family Foundation $ 25,000. Person Payroll Q Noncash (Complete Part II ifthere is anoncashcontribution.) 1901 Bavadere Terrace Corona Del Mar, CA 92625 (a) No. (b) Name address and ZIP +4 (c) Aqgregate contributions (d) Type of contribution 3 HUD — County of Orange $ 164,308. Person Payroll Noncash (Complete Part II if there is a noncash contribution.) 1770 North Broadway Santa Ana CA 92706 " (a) No. (b) Name address and ZIP +4 (c) A re ate contributtons (d) Type of contribution 4 HUD — SHP SPIN $ 527,305. Person EE Payroll 0 Noncash (Complete Part II If there is a noncash contdbution.) 1770 North Broadway • Santa Ana CA 92706 (a) No. (b) Name address and ZIP +4 (a) Aggregate contributions (CO Type of contribution 5 RJ Mayer $ 25,000. Person • E2:1 Payroll 0 Noncash 0 (Complete Part II if there is a noncash contribution.) 660 Newport Center Drive Ste. 1050 Newport Beach Ca 92660 (a) No. (b) Name, address and ZIP +4 (a) Aggregate contributions (d) Type of contribution 6 United Way Grants/Private Donations $ 69,574. Person Payroll Q Noncash (Complete Part If if there is a noncash contribution.) 18012 S. Mitchell Ave. Irvine Ca 92614 023482 01-1M7 SOY Vi1Nj YGVj/•wu .••a. Y.u��I �� r Form 990 Special Events and Activities Statement 1 Gross Contribut. Gross Direct Net •scription of Event Receipts Included Revenue Expenses Income Fundraising 326,816. 326,816, 163218. 163,598. To Fm 990, Part I, line 9 326,816. 326,816. 163218. 163,598. Form 990 Other Expenses Statement 2 (A) (B) (C) (D) I Program Management Description Total Services and General Fundraising TRANSITIONAL HOUSING •274,194. 274,194. GUARANTEED APARTMENT PAYMENTS 86,554. 84,354. 2,200. FOOD 24,175. 2A,175. SUPPORT SERVICES 110,147. 108,570. 1,577. COUNSELING 37,148. 37,148. INSURANCE 6,831. 6,378. 453. UTILITIES 5,641. 5,077. 564. TRANSPORTATION 57,800. 57,751: 49. DUES & SUBSCRIPTIONS 136. 70. } 8. 58. INK AND MERCHANT IWARGES 3,462. 331. 163. 2,968. SECURITY 596. 596. VOLUNTEER APPRECIATION 3,607. 1,500. 1,474. 633. MISCELLANEOUS 10,958, 9,899. 1,039. 20. Total to Fm 990•, In 43 621,249. 610,043. 7,478. 3,728. Form 990 Statement of organization's Primary Exempt Purpose Statement 3 Part III Explanation Assist disadvantaged individuals and low income families in becoming self-sufficient. • Statement(s) 1, 2, 3 Form 990 Depreciation of Assets Not Held for Investment Statement 4 . scription Office Furniture Computer Computer Cannon copier Minolta copier Computer Computer software IBM PC Monitor Computer with monitor Office Furniture Office Furniture Computer Furniture Leasehold Improvement Voice Mail System Webdite Minolta Copier Office Furniture Dell Computer Computer 96 Chevy Van Photocopier Voice Mail System 405 Computer lephones Leather Chairs Conference Table Computer 5 Dell computers Computer and Chairs Total to Form 990, Part IV, In 57 Cost or Other Basis 4,500. 4,746. 2,096. 1,130. 2,000. 900. 778. 1,597. 2,000. 1,190. 2,570. 2,500. 2,260. 1,255. .4,585. 20,000. 600. 1,575. 3,006. 8,185. 14,262. 3,500. 5,363. 3,071. 250. 531. 2,242. 693. 3,806. 826. Accumulated Depreciation 4,425. .4,746. 2,096. 1,130- 2,000. 900. 778. 1,597. 2,000. 1,190. 2,570. 2,500. 2,200. 1,255. 3,008. 20,000. 600. 1,575. •3,006. 8,185. 13,622. 3,4,04. 1,983. 1,536. 42. 4. 19. 92. 381. 28. Book Value 75. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 1,577. 0. 0. 0. 0. 0. 640. 96. 3,380. 1,535. 208. 527. 2,223. 601. 3,425. 798. 101,957.. 8.6,872. 15,085. Statement(s) 4 r ' Form 990 Part V-A - List of Current Officers, Directors, Statement 5 Trustees and Key Employees Name and Address Richard F. Crawford 245 Fisher Avenue; Suite B1 Costa Mesa, CA 92626 Al DeGrassi 1901 Main Street; Suite 100 Irvine, CA 92614 Patricia A. Benson 2030 Main Street, 11th Floor Irvine, CA 92614 Kevin Baldridge 110 Innovation Drive Irvine, CA 92617 Chloe Blom 3732 E. Pacific Coast Highway Corona del Mar, CA 92625 Matthew B. Cooper it0 Newport Center Drive; #.750 wport Beach, CA 92660 Michael Flynn 660 Newport Center Drive; Suite 1600 Newport Beach, CA 92660 Danni Remington Gilchrist 19200 Von Karman Ave; Suite 140 Irvine, CA 92612 Bradford L. Hall 16140 Sand Canyon Ave; Suite 100 Irvine, CA 92618 Linda Howit 2340 Vista Ridge Lane Signal Hill, CA 90755 • Title and Compen- Avrg Hrs/Wh sati(in. President/Board Chariman 2.00 0. Treasurer 2.00 Secretary 2.00 Director 2.00 Director 2.00 Director A 2.00 Director 2.00 Director 2.00 Director 2.00 Director 2.0.0 0. 0. 0. 0. 0. 0. 0. 0. 0. Employee Ben Plan Expense Contrib Account 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. Statement(s) 5 r _ Paul J. Irving Director 2.00 0. 0. 0. 575 Anton Blvd.; Suite 635 Costa Mesa, CA 92626 Listi Director Wnk 301 Von Kerman Avenue; Suite 2.00 0• 0. 0' 1100 Irvine, CA 92612 RJ Mayer Director 660 Newport Center Drive; Suite 2.00 0. 0. 0• 1050 Newport Beach, CA 92660 Thomas A. Miller Director 0• 0• 0' 2049 Century Park East; Suite 3700 2.00 Los Angeles, CA 90067 John Simon Director 2.00 0. 0• 0' 650 Town Center Drive; 4th'Floor Costa Mesa, CA 92626 Richard Weber Director 2.00 0. 0• 0' 4101 Birch Street; Suite 150 Newport Beach, CA 92660 Jean H. Wegener Executive Director 0. 0. 0' 151 Kalmus; H-2 40.00 _ Costa Mesa, CA 92626 Morgan Director ' 0. 0. 0. Dad 01 East Coast Highway Suite 200 2.00 Corona del Mar, CA 92625 Sue McGraw Director 2.00 0• 0. 0' 16923 Roundhill Huntington Beach, Ca 92649 Mary Lou Shattuck Director 0. 0• 0' 6545 Park Royal Circle 2.00 Huntington Beach, Ca 92648 Marge Shillington Director 0• 0. 0' 1939 Killdeer Circle 2.00 Costa Mesa, CA 92626 Totals Included on Form 990, Part V-A 0. 0' 0' C� Statement(S) 5 •Form 456Z I Depreciation and Amortization D90 (Including Information on Listed Property) See • • shown an return Part 1 Maximum amount. See the Instructions fora higher limit for certain businesses 2 Total cost of section 179 property placed in service (see instructions) ............ 3 Threshold cost of section 179 property before reduction In limitation .............• 4 Reduction In limitation. Subtract line 3 from line 2. If zero or.less, enter -0• ...... 6 Dollar limitation for taro year. Subtract line 4 horn line f. If zero a less, enter •o•. If marred filing separately ., WD.t I.tion of graneft I (b)Cost (t 7 Listed property. Enter the amountfrom line 29.......................................................... 1 8 Total elected cost of section 179 property. Add amounts In column (c), lines 6 and 7 ............ 9 Tentative deduction. Enter the smaller of line 5 or line 8...................................................... 10 Carryover of disallowed deduction from line 13 of your 2005 Form 4562 .............................. 11 Business Income limitation. Enter the smaller of business Income (not less than zero) or line 5 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 Nete: Do not use Pert If or Part 111 below forl/sted property. Instead, use Hart v. 14 Special allowance for qualified Now York Liberty or placed in service during the tax year 16 Property subject to section 168(f)(1) election Zone property (other than listed y Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2006 (c)Elected cost - - .w,n T-_ V. --I I-t- . ♦A., R ofnnn - (a) Classification ofpropedy (b)Month and Yl—placed c)Bosle for dapreclallon Us �asinassee (d)Recovary period (a)Convengon (QMethod (q)Deprecletlon tleduction lnstivat 19a 3-year property 5�•':?v' •y :�/ ,.3 '- '•.., b 5-year property, 0 Tyaar property d 10• ear property�'; (•-°�•-" e 15• ear property- 3(6:,, 25• ear roe 25 rs. S/L / 27.5 yrs. MM S/L / 27.5 rs. MM� S/L In Residential rental property / 39 Virs. MM S/L i Nonresidential real property / MM S/L 20a Class life - • •• SI- b 12-year 12 yrs. S/L c 40-year / 40 yrs. MM S/L 21 Listed property. Enter amount from line 28............................................................................. 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see ins 23 For assets shown above and placed in service during the current year, enter the F 7 LHA For Paperwork -Reduction Act Notice, see separate Instructions. Form 4562 (2006) 2 Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreaP���n,ora s pent, Note: Forany vefrufc�a or hfeh you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A - Depreciation and Other.information (Caution: See the instructions for limits forpassengerautomobiles.) b c Tye of property Date Business/ Cost or (Ilstvahicles first placed in Investment other basis service use percentage (0) I (1 I (g) (h) Basis for deprodatlon Recovery Method/ Depreciation (buslnoss�invostmenl period fonvantion deduction 25 Special allowance for quallged Now York Liberty or Gulf Opportunity Zone property placed In service during the 26 Property used more than 5U% m a uaimeo ousmess usn. 27 Pro a used 50M or less in a qualified business use: S/L. 9n Arlri amnimts in eniumn 1h). lines 25 throuah 27. Enter here and on line 21, page 1 29 Add amounts in column 6,line 26Ester here and on line 7 page 1 ........... 29 Section B - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner,' or related person. If you provided vehicles to your employees, first answer the questions in Section C td see If you meet an exception to completing this section for thnsa vahir_les. ' ----.___. 3o Total buslness4nvestment miles driven during the year (do not include commuting miles) ................... 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven.............................................................. 33 Total miles driven during the year. Add lines 30 through 32............. ...................... 34 Was the vehicle available for personal use during off -duty, hours? .................................... 35 Was the vehicle used primadly by a more than 5% owner or related person? .................. 36 Is another vehicle available for personal use? (a) Vehicle (b) Vehicle (c) Vehicle (d) Vehicle (a) Vehicle (ti9 Vehicle r Yes No Yes No Yes No Yes No Yes No Yes No Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your Yes • No employees? ................................ .................................................................................................................................... :............ 36 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the Instructions for vehicles used by corporate officers, directors, or 1% or more owners .................................... 39 Do you treat all use of vehicles by employees as personal use?.•.,••,••.......................................................................................... 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received?,,,,,,,,•..,,.•..•„••„•................................................................................ Not : Ifyouranswer to 37, 38, 39, 40, or41 qualified automobile demonstration use? ..........••is 'Yes,' do not complete Section B for the cove 41 Do you meet the requirements concerning red vehicles. Amortization of war$ •43 Amortization of costs that began before your 2006 tax year AA. Tntal. Add amounts In column it). Seethe instructions for v 015252/10-17-0e to Form 4562 (2006) Serving People In Need, Inc. Aat No. Descdption Date Acquired Method LiFe wa w. UnadNsted CostmBasis Busy. Fxcl Reduction In -Basis Basis For Depreciation Accumulated Depreciation Current See179 LLrterdYear Deduction F urniture & Fixtures . , r•f^,, • �Yr - " _ _ f' '.ice .y .l :.• y�ff; 'Hi1 ': i"i "fir-X"`v' •'t i•,Ns "t .a`' ! 9. .C�` r%�Z:'-'r �y,s k+v .,y�•nF py, _ � �iY= TES•._--r Z+t y:l e:v l- i •.`fin_-f-! ffice Furniture;5Q0'•= _ 4,500. 4,425. i0 10 ffice Furniture 1231963L 3.00 16 1 0 1,_ 9 11190. 1,190. 0 Z•'$� . `. -y`v�,ly - ..� i-L'-+�ifxo- ��i 2 _ Y!~ ,fiK.t✓�.. ldrik$�i^kgrl '.'L:1r�i.- rc:•_.r." �S.F `-y •� ..- r. _ .. - 'v•4',r� "/T♦iq^A•Yr Pi ^"'TL ua.� 1- 1 ffice Furniture - _. ' "t+• 0 �y U y 9. 'C'^ i:-4 - E;'z Y�,�LiW' 314 ' -_ 6 tiG •..:-�.=..e'%N. 2, 57a. 2,570. 1•.urniture 080398 L 3.00 16 2 200. 2,200. 2,200. 0 " - ... •i'. t�% •.=i •�%rl��_=••V'. 'fi - _:7 R'N.-_' "'�.1v:' µ _ .0 :at�-rrr.•^.s -•.. �raa Y' 19 ffice Furniture J " THQ" I;,>,.;3�Q0 6: -: 7a:r 1,.575: 1,575. * 990 Page 2 Total Furniture & Fixtures 12 035. 0. 12,035. 11,960 0. 0 ....r' r•..Y'� i'i: �;^+?1Z;}'n',.•'% Fi i%y�•` �r'�" 'p yr Ts` n ". )ttLi. �y r`w Fi: •:`; JL.•�s. 5t�'+-'i+'t� �r _ _ .. • ."; '. ` .�su',�,'^ -"�i^ 1j'.K, S �Y�. .rG "t.'iJ!tt''^. )Jn•� v`•,-vrL l`.y) achinery k'"Equ=pment,5 '``a41- f • F N t<F:•=: `':sS`x _Y ,'j,.`,i:.•a. 2 omputer 123191SL 5 00 6 4,746. 4,746 4,746. 0S �- - - ..!'.'!Ci'i i '= } b) °t M •,.Z,ii�,^R -:.�� ��.2,'i%h a•; -§�•i[ ::j +iyyM,,. F s y i"rt: .. ,t _ _ i.`T,Y:'!':•{t:C� ^ 3 Pcater om x0;5Z0�3 c3rM:5.ET0 9� S_,-3� 7ba � 9.+f w 2';046. 2„0,06:"iq annon copier ._ -; x.. is^�=?ay y`•'.,+�� 1 ry 139 [4 wo L r;T°�; t;M1j 5.00 _F 6 _ 1 130 n• . �t^.e 7t Z th'c'=` :'^ 3a";'c 1 130. _ �� r s 1,130. _ . - , �, w.'e. �•' _.t-: 7.`3," 0 .`.�Ary �.'rta f 5 'nolta co pier .0,825-' y t `x.t10` -,.-�f• t6'"r, 2,000. 2,0'0f}. z:0 :OETtx: p - omputer '.• 061 9 L 3:00 16 900 900 900 0 '!r ?s�i'iS. t r• `,� -3 �1.w•'��Z l F.r�-'.. ' _ r 1. a}oa ._. ; - .L '_-1 ,-; fir` -. xv .` ..•. = Rl. omputer so%tware _ 0 19 : < 3:00:1f ,=' �:1,8'' - 778. 778. s • 8 PC Monitor L 3.00 16 1 597 1,597. 1,597. 0r , -BM r —M1 � r'r+�Yj G�-�'F.f� ' .•.to-... f.,t6$ )070197 5�:µ,'F 'L,. rs� :•�', •TF �f dtti i'4* t .+{t �. yy���r�[L 'r F .rv-f�$l ry ��yAt�i". ir_•-`yy..in:� t.: -..�`!"'lii=�-[<.rT,'7.`nii.-Y'k:�Y•Ll�+f�'-4.-•.rF. y 9 omputer` with monxto=.,103097 ter... � s ' � Nb00'; o �: r" 2. Q00. 2 UQG _. . , , 13 omputer "-ri'"'`�"S'aUM 309 L 3.00 16 2,500. 2/ 500. 2 500 0 •:r. - �Ci x , 16 oice Mail stem ;Io10 L • = J�O'Ek=t6::T>t�= 8=` -=r5•'�3 .se,M m ze_as (D) -Asset disposed * FTC, Section 179, Salvage, Bonus, -Commercial Revitaltm on Deduction, GO Za 2w6 DEPRECIATION AND AMORTIZATION REPORT - CIIMUM YEAR FEDERAL - Serving People In Need, Inc. Asset Description Date Acquind Method[5.00 1."rfe � Unadrysted Cos[OrBasis Busy. Fxcl Reduction In 8asis Basis For Depreciation Accumulated Depreciation Current See179 CurreRtYear Deduction 1 ebsite 00 L 16 20,000. 20,000. 17,000_ 3,000 ry0 18 'nolta Copier ' (F9r8 ;.Q0' F,"; - '6QQ: 600. 600. 0 •20 ell, Computerp08300_ 00 3_,2006 3,,006. - 3,006. 0 ?L ry 33 '_ {6 2 omputer ` ' 23 Ir::r<t3:Qaryi6.. ;.,.,8,18c -. 8,185. 8,185_ -... Q 23 hotocopier 0909033L 3.00 16 3,500. 3,-500. 2,626. 778 q • ..�- .:.-'.^;^, - �Yj•o' tfrW''S^' e • :.r. i5",w,� 2 .��"- oice Mail Systea$*26n, �aY :;'�a'-.� --±`.�;�.-.��r.�Trx:'X:.,.- I :6. :5;�3�3=' a5,363. 1,313., 67Q '252005 Computer 0 300 L,r 3.00 16 3,071. 3,071. 512. ,024 r * 990 'Page 2 +'oaf al MOM x y .,t s• :.± , _ � achineSc Equipmeat ry -; .�•- �:="r:_ ;' ; :� ' ._ 5 (F. 66,057. 53,424t•6,'(L45 Transportation ,ns ,:0.57. quipment, w&'!,' __. d!:•Y ��' ;:ii "•y+ ^s'° .i�'!,.E '7 ig hi','uv..,,,. 2296 ,LL Chevy van ;40' 0 Q°.5�UEL'2'?,62_ s-t4e�kY'ZY' cY'Ce ht _ 14�26'2_ 10,77'Q. *"990 Page 2 Total ransportation Eguipm 14 262. - 0 14,262. 10,770. _ 0. 2,85e' '�1,5Uh1'A' 1 S. T�•• �r YFT>ri`+. yy �.54'.J'J\t" ryy/� 'Y?'Ny 'fit! .I, 1 [ S1;N4w In B•t' :�•$ J - rSF •�YJ- .'I•'� fi Cher •,s 15 easehold Improvement 0 2000 L 5.00 16 255. 1,255. 1,255. f • • _ .tly .. `: Q.,%r,•=?:+++±xY<;�""iL Ytv C`. 'J ,1 . Y .s ',.Y`^'i O� a' _ . , .. ".y-?; r:: ]� t" Y f4 ^"QJ _ s. h: ;.::ram 26 relephones -250. t 27 eather Chairs 20 0 L 10.0016 531. 531. I _,...._. onfeienceabi~ a'^"•„ ..z. 'W&s i. a' �3 i•" .i;M: � -c - ,,;.._ '" -`„i'= . _ �+,�ye., -_ ..;*5' v`E>•r„�ro-� ->aw..�"' 28 airs 120 Q_. F;._„Yfk E ;s 15• s::: -'. "` F 4 s .,': 2,242. I 29 om_puter 05090153L 5.00 16 693. 693. I -.-M- _ 305 Dell 'com ut( 0 EL Ei� x 5.*(k0 '6'- 9 �8Ek6:' ^' 3 806 meioz or-ss-oe P) - Asset disposed ' RC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction, GO D REPOFM Serving People in Need, Inc. a� ao. Description Date Acquired Method Life LNe NM Unadjusted Cost Or Basis Busy. Excl Reductionin Basis Basis For Depreciation Accumulated Depreciation Current See179 Current Year Deduction 3 omputer 103 0 L 5.00 16 826 826. 0 * `194D 1age^=2 otal'=' MV .:1r� `s3: ';"`S O ther ,: �{03: 0. 9,603. 1,255. 0. -. =164 * Grand Total 990 Page 2 Depr 101,957 0. 101,957. 77,409. 0. 8,961. 's: •J s;L= :y�:;o',"./t:}�•A �y:''M+e = '?._ n"' •. -r-•"->cu::::x: Y' '.,•>[3'R •Sh-' .,•Si.:tP ,4;,t`E,,: -:.Ya,"'` ° a .:y ":rS St. ,�.. _ .. ..- ..�'� •�•p ' .'t.Y -... t:.�:, '�,+. �i t, - ;`c\' �'�5, • ;, xs t",R "z �d3i} a �� �^e '3�4✓ �?i -ri', ; r f �.%�`.;•^Ma�i't'.i ;` r" i�i"�ff�L ' �'-{':`-_r`'id' ..� w :eSx'=F5•'�,E`,-.H•wW'.e,i,•,�`d`,�'i''•. �{_^�. .ew�Fi'+v.--i`-'�°$'y�'i�; ..--i:._ ... .. s'• .^v�,i.v t-..rr ,`•.� :.Y •• - �.: r; i>i'1'"x4p•�a-CY.la�3mc i,c+r-3•.xsx r:. �!roax +' °.; �1at �• �' h,. i -!a 'r Y•� �•� .�`."i,�" yX',, 'r%x, K � {• i-� .}.i �v'�`�•r_v . t.: �.ci, "cs'!•"" _ _ _ ., 3',. v.15..�..ist. '`i •?;: •. :-4;+� 5{ Y •.a•S:`,:t? � �'fiE • .,t� i`i �.9•.� e` =.•4-J'S Arch `=�i�t'•._.;.i`it::s� r 3v;.:f `:*r-`�' .il:`.".: .:�+y. a '1 _ - a. �'�i �.1 !j�y':§i.� 44t j" q?��'.O'.-� t, ,Wlt1}'Fo-(I YAnij - ..I •� '. 4i 'y','Z,•v'v' P y+'�' •1:, \-` may! y•�' OR .-`lwly�u �{ \. _+y y, A � _ � � a� %'-•'`'�•�F:' '•. 9 1qt ��.�FFEW, n'N'.t [� r �Y • e•r.1 y.T •,"'�}� �7 `'.� "' _X riY •^'` f.. �;,i a� ','$ 3a 114 t`.•' i •'fZf _S :,�T'S� �en•,4's";t ,33u'1�,f.'-c ++wyy�� ��' 3- �.: ":.y',=, l.• ..: T,r .. ,y"y.t1,•ti 5 is s',( . .. .s'�e'"'t"'4E . - .. y yj �.�>• _ �;-i•i•_Y `.'i: '� F .!>ry....,ZS 1:% i; _ �� I�4_ e - -7J a'v} �t-�' yfr`R''� ;••k2" •��-. ,i'" "?;Si `p ,.C. 'Y.. _ 3"4-: n>iy s_-'�• Fit., ..�- ,: .. '`r. ,�'t'FS'i i'yt.-•^;;., ?i'c... R_^rnY"'� -�.�.=s� •s ;4`�. 'a .. '-"N 3 � ag •� ,, ��±•'w-, =•i.:�i`"g,+,Lf.' •.u`.z� s .{. ':.u't".n"T .:... .i .if .ti>: .� .:`a, . ... . '....=, ,, °_3 ai= _ -° • -: is?"3';�=T.•8+_.Y•�t'F;i;'+�"i -fie: 'fi _ �t:,,j x�,.� -w:� "..a+i_ t uc'; „an: • t. .,� •-• .._.w .x9'». �. dry ��c... a-C'.. ,'Y'r.�sY.P't'..`?.dM.i p; •i�l%:11:'a�sn ..rv� , •}1,� y�•'Y':` .'iII? '`. .yam'--."N'ki�1��• .. ... i ..�.f .t'�L '�V � A .y.L,fJrhY.,• y:+-FF ' .Yd�f R+.,3, F. - - 'r�r tG .h� 1a�• k�, zr 1„.. Y:r ¢. �:q�-'hrt a Y:t.l.A=.� °ice _ - - r_'.�.F'�✓'Tli -1 - e=�t_ _ - ,� W81M e7-� A - Asset disposed • ITC, Section 179, Salvage, Bonus, Commercial Revitaru ation Deduction, GO Zen form 8868 Application for Extension of Time To File an (Rev. December2006) I Exempt Organization Return - OMB Ne.154s-17o9 File a for • If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box .................................................. • If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part 11(on page 2 of this form). • Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868. Part 1 I Automatic 3-Month Extension of Time. Only submit original (no copies needed). MR Section 501(c)(3) corporations required to file Form 990-T and requesting an automatic 6-month extensigh - check this box andcomplete Part I only..................................................................................................................................................................... ► 0 All other corporations including f 120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file Income tax returns. Electronic Filing (a -file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file one of the returns noted below (6 months for section 501(c)(3) corporations required to file Form 990-T). However, you cannot file Form 8868 electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group returns, or a composite or consolidated Form 990-Trs. Instead, you must submit the and click on ,-fuel fullycompleted Ch leted a Nonprodtpage 2 (Part 11) of Form 8868. For more details on the electronic filing of this form, I it 9 vs Type or Name of Exempt Organization Employer identification number print ServingPeople In Need Inc. 33-0320` Flb byte, th* Number, street, and room or suite no. If a P.O. box, see instructions. due date Acing Your 151 Kalmus No. H-2 return. See instructions. City, town or post office, state, and ZIP code. For a foreign address, see instructions. Costa Mesa CA 92626 Check type of return to be filed (file a separate application for each return): ® Form 990 0 Form 990-T (corporation) Form 4720 Q Form 990-13L = Form 990-T (sec. 401(a) or 408(a) trust) •0 Form 5227 0 Form 990-EZ 0 Form 990-T (trust other than above) 0 Form 6069 Form 990-PF 0 Form 1041-A �.. Form 8870 •• The books are In the care of ► JEAN WEGENER EXEC. DIRECTOR " , TelephoneNo.► (714) 751-1101 FAXNo.► (714) 75.1-3332 • If the organization does not have an office or place of business in the United States, check this box .......................................... ► • If this Is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box ► 0 . if it Is for part of the group, check this box ► = and attach a list with the names and EINs of all members the extension will cover. • 1 I request an automatic 3-month (6-months for a section Sol (c)(3) corporation required to file Form 990.1) extension of time until A11Qust 15 2007 , to file the exempt organization return for the organization named above. The extension Is for the organization's return for. ►® calendar year 2006 or ► tax year beginning , and ending 2 If this tax year is for less than 12 months, check reason: E:1 Initial return Final retum 0 Change In accounting period 3a If this application is for Fore 990-BL, 990•PF, 990-T, 4720, or 6b69, enter the tentative tax, less any b If this application Is for Form 990-PF or 990-T, enter any refundable credits and estimated c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, If required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. 523831 e2-07-07 rurinumotnuv. ,G'cuvul TAX RETURN FILING INSTRUCTIONS 0 • • FOR THE YEAR ENDING December...3.1...... 2.0.0.6. Prepared for Serving People Iri Need, Inc. 151 Kalmus No. H-2 Costa Mesa, CA 92626 Prepared by Stephens, Reidinger & Beller LLP 1301 Dove Street,, Suite 400 Newport Beach, CA 92660 Amount due Not applicable or refund Make check Not applicable payable to Mail tax return andcheck,(if internal Revenue Service Center applicable)to Ogden, UT 84201-0027 , Return must be August 15, 2007 mailed on or before Special Instructions The return should be signed and dated. 8W041 0S01.05 Serving People In Need Board of Directors •---------------------------2008 Officers of the Board --------------------------- • L J Richard F. Crawford Chairman and President The Richard F. Crawford Company 245 Fischer Avenue, Suite B 1 Costa Mesa, CA 92626 Al DeGrassi Treasurer Alliance Bank 1901 Main Street Suite 100 Iryi0s CA",920114 Patricia A., Benson E' ! nSeer4tary : ii!S', Wells Fargo Bank, N.A. 2030 Main Street, I V' Floor JTvihe,'CAi92614 ---- Directors ---- JasonTi. Ande'son •, , BIngham,Mv utc�hen Plaza Tower 600 Anton Blvd., 18" Floor Costa Mesa, CA 1.92626-1924 Kevin.Bafdridpe The Irvine Company Apartii'en t Communities 11U Ihnovaaon IJnve, All. � 92617 ' Chloe Blom JohgL. Blom C,ustgm Photography 3732 E. Pacific'Coast Highway Corona del Mar, CA 9,2625 Katie Flamson United American Mortgage Corp. 197782 MacArthur Blvd. Suite 250 Irvine, -CA. 92612-2415 Thomas- Giddings Lehman Brothers 660 Newport Center Drive Newport Beach, CA 92660 Dann' Remington Gilchrist Senior Vice'President Premier -Commercial Bank 2201 DupontDrive,'Suife 140 Irvine, CA 92612 : • LJ Bradford L. Hall Hall & Company CPAs 540 Ward Street Irvine, CA 92618 John Heffernan Attorney 26 Corporate Plaza, Suite 100 Newport Beach, CA 92660 Paul Irving Partner Praetorian Advisors 2101 E. Coast Highway, Suite 200 Corona del Mar, CA 92625 RJ Mayer The Robert Mayer Corporation 660 Newport Center Drive, Suite 1050, NewportBeach, CA 92660 Thomas A. Miller Robins, Kaplan, Miller & Ciresi 2049 Century Park East, Suite 3700 Los Angeles, CA 90067-3211 Brad Morgan, Principal Morgan Advisory Group 2101 East Coast Highway, Suite 200 Corona del Mar, CA 92625 Sue McGraw 3297 Moritz Drive Huntington Beach, CA 92649 Mary Lou Shattuck 6545 Park Royal Circle Huntington Beach, CA 92648 Marge Shillington 1939 Killdeer Circle Costa Mesa, CA 92626 Francis D. (Doug) Tuggle, Ph.D. Insight Consulting 9891 Irvine Center Drive, Suite 100 Irvine, CA 92618 Loren J. Weber O'Melveny & Meyers LLP 610 Newport Center Drive, 17`s Floor Newport Beach, CA 92660-6429 ----- AdvisoryBoard ----- Matthew B. Cooper Beacon Pointe Advisors 500 Newport Center Drive, Suite 125 Newport Beach, CA 92660 Paul C. Heeschen Paul C. Heeschen Consulting 450 Newport Center Drive, Suite 450 Newport Beach, CA 92660 Cindy Hughes Legal Services Walsworth, Franklin, Bevins & McCall 1 City Boulevard West, 51 Floor Orange, CA 92868 Frank Listi Strategic Plannin$$ Golden State Fobr7s 18301 Von Karman Avenue, Suite 1100 Irvi$e, CA 92612' (I • ''1 1 'Karen Nit:hdl` Fundraising 14' Cypress Point Lane NewpdrtBekh, CA 92660 Joseph Obegi • Attorney atLaw• ' 4041 MacArthur Boulevard Newport Beach, CA 92660 Sabrina Traverse Satz. 2242 Aralia Newport'Beach, CA 92660 John'Simon ;Past Chairman;' Sheppard, Iviullin, Richter. & Hampton 650 Town Center Drive; 4"Fl6or Costa Mesa, CA 92626 IC'areIn Taylor • 1100' Devon Lane Newport Beach, CA 92660 Riibert L. Wynn" Wynn & Associates 1601 Dove Street, Suite 105 Newport Beach, CA 92660 Revised 1/10/2008 • L CITY OF NEWPORT BEACH Pixmin,-Department Public Service Agency Application for CDBG Project Funding All persons or agencies wishing to apply for 2008-2009 Community Development Block Grant (CDBG) funds must complete an application form in order to be considered. All applications are due by no later than 12:00 p.m. on Wednesday Jqnxialy 23 2008, Late applications will not be accepted. NO EXCEPTIONS. In order to be considered for funding, all sections of the application must be completed. Any sections that do not apply should be marked N/A on the form. A(;I:N(:N INFORMATION Department/Agency Name: Contact Person: Families'Forward Margie Wakeham Agency Status (Cheek One): Contact Tide: ® Non -Profit ❑ For -Profit ❑ Public (City) Executive Director Agency Address Telephone No.: Address: 9221 Irvine Blvd 949 552-2727 City, State, Zip: Irvine, CA 92618 Facsimile No. 949 552-2731 Federal Tax ID No.: E-mail Address: 33-0086043 mwakeham@families-forward.org Dun and Bradstreet No. (Required as of Oct. 1, 2003).: Name of Person Signing Contracts: 61-009-3825 Margie Wakeham Families Forward is anIrvine-based 501(c)(3) nonprofit organization that was founded in 1984 by a group of dedicated community members who shared the same vision of providing housing for families in crisis. For over 23 years, Families Forward has addressed the needs of low-income and homeless families in Orange County. Beginning with only five apartments and one part-time counselor, Families Forward has grown in response to the community need and now has three full-time masters level counselors and twenty-five transitional housing units (we will be acquiring an additional home by March 2008). The comprehensive array of services offered at Families Forward give families hope in regaining stability and self-sufficiency. To that end, the mission of Families Forward is to help families in need to achieve and maintain self-sufficiency through housing, counseling, education and other support services. Families Forward is committed to serving each family with the core values of dignity, empowerment, accountability, community spirit, and hope. Page 1 n CJ • Provide a detailed description of the proposed project and activity (attach additional sheets if necessary): The Families Forward Transitional Housing Program (THP) transitions struggling families from crisis to stability and self-sufficiency. Because there is no one size fits all solution to family homelessness, THP offers a comprehensive array of services that address their unique needs such as housing, counseling, food, education, and life -skills training. Families work one on one with masters -level case managers to develop individualized plans with specific goals and steps guiding each family towards self-sufficiency. Progress is monitored on a weekly basis at case management meetings. Goals THP has five primary goals, each of which supports the program's overarching goal of achieving familial self- sufficiency. Goals for the program include: 1) Families in need will be linked with appropriate supporting resources 2) Familial anxiety and levels of depression will decrease 3) Families will increase key life skills 4) Families will increase their annual income 5) Families will be able to secure and maintain housing Objectives To measure the successful achievement of these goals over the course of the program, Families Forward will look to these benchmarks to gauge program impact • 95% of families in the 2007 fiscal year will be linked with 1 or more appropriate resources • 70% of adults in families will decrease their level of anxiety and/or depression and/or increase their level of self-esteem • 80% of families will increase their life skills in areas such as money management, time management, decision -making, and problem -solving • 60% of the parents will increase or maintain their income to cover all financial obligations • 80% of families will secure housing after graduating the program and maintain it for at least six months Methods THP requires families to fully commit to making permanent changes in their lives that will result in achieving and maintaining self-sufficiency. When families first enter the program, they are immediately placed into one of the twenty-five transitional housing units owned by Families Forward and that are scattered across Irvine. By situating families separately, clients can maintain their confidentiality, helping them to better connect with their surrounding neighborhood and re -integrate into the community. Families can stay in the program for up to two years and are required to pay 30% of their income for rent as a way of establishing fiscal responsibility. After addressing the immediate need of housing, families then must work with Program Counselors to create individualized long and short-term goals to help them meet and address their specific needs. Through THP's comprehensive array of services in case management, emergency assistance, career coaching and life -skills training, families gain the tools they need to make permanent life-long changes so that future incidences of homelessness can be prevented. Participating parents must come to weekly counseling sessions, attend one -hour weekly group sessions, and maintain a monthly budget. Some of the life -skills topics cover parenting, budgeting, communicating, decision - making, and job retention. Patents are held accountable for accomplishing the goals they themselves drafted, and in doing so regain self-confidence and pride of accomplishment. Families leave the program with tools and.resources to assist them with the day-to-day fiscal and emotional challenges of thriving in a difficult job market. Evaluation Our success is directly related to the success of our clients in taking the right steps towards independence and self- sufficiency. Data is collected on each family throughout their advancement in the program through client self - reports, counselor reports, copies of income documentation, and clinical pre and post tests. Six -months after graduating from the program, counselors do a follow-up interview to gauge the ongoing progress of the family. THP consistently has an 80% success rate (as in, 80% of THP participants DO NOT become homeless again), which is much higher than the average homeless program, and underscores the preventative foundation of our program model. Page 3 0 • ❑ Citywide (Entire City ofNewport Beacb)) ® Specific Target Area (provide map of target area) ❑ Low -Mod Census Tracts (CDBG TargetArra) ❑ Specific Census Tracts (list Census Tracts below) PROJECT BUDGET Formula Grant Cost Category SUNMIAR) Overall Budgeted Newport Beach CDBG Funds Personnel Costs $380,760.00 $10,000.00 Non -Personnel Costs (suplies, consultants, etc. $490,843.00 $0.00 Capital Improvement Costs 0 0 Total $871,603.00 $10,000.00 Describe any other funding sources• (and the amount of the other funding source) that will be used in the execution of the project: The total operating budget for 2007-2008 is $2,289,223 with $871,603 allocated to the Transitional Housing Program. Families Forward runs an efficient administrative budget, with 82% of its total budget allotted towards direct housing and program expenses. As a fiscally responsible non-profit organization, Families Forward understands the importance of having a diverse funding base so that each development activity complements another. As a result, federal, state, and county funding comprises over one third of the agency's budget. In addition, numerous individual donors, private foundations, businesses and corporations support Families Forward through direct donations and through an annual fundraising event, Families Forward leverages all cash resources with other resources such as volunteer time and in -kind donations to operate the most cost effective agency possible. Funding Sources Include: Government Grants $ 210,942.00 Private & Corporate Foundations $ 222,688.69 Individual Contributions $ 437,972.31 Note: The City of Newport Beach only funds personnel costs associated with the delivery of public services. However, in order to evaluate the entire program, all project costs must be provided and categorized under one of the three categories. Page 4 Newport Beach Total Clients Number of clients actually served under this program in 2006-2007 71* 71 Number of clients expected to be served -under this program is 2076-2008 80* 80 Number of clients proposed to be served under this program in 2008-2009 83* 83 Describe how the program benefits low -moderate income eligible residents in Newport Beach: The Families Forward Transitional Housing Program (THP) is a decentralized, service -enriched transitional -housing program for Orange County homeless families with minor -aged children. THP provides homeless families with housing, allowing parents to focus on their work with case managers to improve life skills and achieve careeradvancement, so that they can break free from the cycle of poverty. Although there were 34,898 episodes of homelessness in Orange County last year alone, it is raze to see people sleeping on benches amongsttheix belongings or panhandling on the corner. Homelessness in Orange County does not fit this stereotype, and the majority of our homeless suffer unseen. Less than 8% of homeless in Orange County suffer from mental illness or substance abuse. The vast majority — 70%—are families with children under 18, who quietly blend in with the crowd during the day, and at night sleep on the sofa or the floor of a friend's house, in a run- down motel room, or huddled in their car. Countless other families, not yet homeless, do their best to get by, but are forced to go hungry in order to keep the lights on and the rent paid. A shortage of affordable housing and high rental costs in Orange County has lead to overcrowded living situations and increased homelessness. Many low-income families cannot afford the monthly payments, let alone the significant upfront costs of renting. The 2007 fair -market monthly rent for atwo-bedroom apartment in Orange County is $1,392. To afford this rent, two parents earning mtnimum wage would have to work 85 hours per week; there would be nothing left over to coves the expenses of child-care, transportation, food, and healthcare. THP is structured to create individualized programs for these low-income families who struggle to get by. Case managers work together with parents to set both short and long-term goals that the families can reach through them help of the Progxa's accompanying supportive services. These supportive services include career coaching, life -skills education, childcare, and food assistance. THP has an 83%success rate in educating families to be self-sufficient, ensuring that these families will never again have to endure the trauma of homelessness again. * The families we serve in our Transitional Housing Program are homeless families whose last city of residence was within Orange County, however, as these families impact the entire Orange County community, there is no one ci • Note: The number of clients noted in the table above must not exceed the low -moderate income limits as noted in the 2006 HUD Income Limits table below. 1 person 2 person 3 person 4 person 5 person 6 person 7 person 8 person Very Low Income (30%) 18,200 20,800 23,400 26,000 28,100 30,150 32,250 34,300 Low Income (50%) 30,300 34,650 38,950 43,300 46,750 50,250 53,700 57,150 Low -Moderate Income (80%) 48,500 55,450 62,350 69,300 74,850 80,400 85,950 91,500 ty • Page 5 1 • ® 05 Public Services (General) ❑ 05K Tenant/Landlord Counseling ❑ 05A Senior Services ❑ 05L Child Care Services ❑ 05B Services for the Disabled ❑ 05M Health Services ❑ 05C Legal Services ❑ 05N .Abused and Neglected Children ❑ 05D Youth Services ❑ 050 Mental Health Services ❑ 05E Transportation Services ❑ 05P Screen for Lead -Based Paint/Lead Hazard ❑ 05F Substance Abuse Services ❑ 05Q Subsistence Payments ❑ 05G Battered and Abused Spouses ❑ 05R. Homeownership Assistance (Not Direct) ❑ 05H Employment Training ❑ 05S Rental Housing Subsidies (HOME-TBRA) ❑ 05I Crime Awareness/Prevention ❑ 05T Security Deposits ❑ 05J Fair Housing Activities Board of Directors Employees • Total 28 21 Number of Minorities 2 3 Number of Women 12 19 Percentage of Minorities 7.00% 14.00% Percentage of Women 43.00% 90.00% Page 6 Attachment "A" 2008-2009 YEAR CDBG PROPOSALS ADMINISTRATION / PLANNING PROJECTS Title CDBG Program Administration Submitting OrganizationProject City of Newport Beach Funds will be used to administer the other CDBG-funded programs, prepare required reports, monitor subrecipients, and ensure overall program compliance with the relevant federal regulations. Past Year Funding $61,026 $65,000 Approved $ This project will provide fair housing education, counseling, and enforcement services to current or potential Newport Beach residents, coupled with landlord/tenant counseling services. These services impact and benefit target CDBG areas and the City's extremely -low to Fair Housing and Fair Housing Council of moderate income population. They help counteract unlawful housing Landlord/Tenant Orange County discrimination and assist CDBG target areas in reducing blight. We $12,960 $14,124 $14,Lrc Mediation facilitate the opportunity for landlords and tenants to correct wrongful housing policies or behavior. It is estimated that, in Newport Beach, this program will address 3 allegations of housing discrimination that result in the opening of a case file, and address about 780 landlord/tenant disputes, issues or concerns arising from about 195 households. TOTAL ADMINISTRATION / PLANNING REQUESTS $73,986 $79,124 $ Maximum Allowed by HUD: 20% of Current Year Allocation = (20%) X ($355,659) _ $ 71,131 Revised 2/20/2008 • "B" • Attachtnt 2008-2009 YEAR CDBG PROPOSALS PUBLIC SERVICE PROJECTS Title Submitting Past Year OrganizationApproved FundingProject . Human Options Community Resource Center offers a wide variety of counseling and education programs to help victims and their family members deal with the effects of domestic violence. Proposed services include the following; crisis Community Human Options intervention, individual counseling for adults, support groups, legal advocacy, p$5,000 $20,000 $ Resources Center personal empowerment program, children's individual counseling, parenting education groups, parent child interaction therapy and trauma therapy, information and referrals, intake to Human Options emergency shelter. All services are offered in English and Spanish. The Families Forward Transitional Housing Program (THP) transitions struggling families from crisis to stability and self sufficiency. THPhas five primary goals, Transitional each of which supports the programs overarching goal of achieving familial self Housing Program Families Forward sufficiency. Goals for the program include; families in need will be linked with $0 $10,000 $ appropriate supporting resources, anxiety and levels of depression will decrease, families will increase key life skills, families will increase their annual income, families will be able to secure and maintain housing. South County Senior Services, Inc (SCSS) will provide home -delivered meals to Home -Delivered South County Senior homebound senior citizens (ages 60 years or older) who are unable to prepare $ 27,550 $ 27,550 $ Meal Program Services, Inc meals forthemselves due to age, illness, or disability. Participants will receive three (3) subsidized daily meals Monday through Friday. SARP provides access to recovery programs to homeless and low-income individuals who cannot afford it otherwise. SPIN paysfor rent in a recovery home Substance Abuse Serving People in with which SPIN works while the client seeks employment. Case management Rehabilitation Need (SPIN) includes counseling, and supplemental services focused on employment, $13,000 $10,000 $ Program (SARP) medical assistance, and legal assistance. Funds will be used for case management, shelter costs, and operational costs. Program estimates serving 7 Newport residents and 425 Orange County residents overall. TOTAL ELIGIBLE FOR PUBLIC SERVICE PROJECTS $45,550 $ 67,550 $ Maximum Allowed by HUD: 15% of Current Year Allocation = (15%) x ($355,659) _ $ 53,348-12o Revised 2-1-08 Attachment "C" 2008 - 2009 YEAR CDBG PROPOSALS CAPITAL PROJECTS Submitting Past Year Funding Funding Title OrganizationProject RequestedApr Funds will be used to make improvements to public facilities to allow for ADA Sidewalk City of Newport Beach greater accessibility to Newport Beach residents with disabilities. $47 233 $ 34,926 $ Improvements Improvements will include curb cuts and installation of rampsthroughout the City. Funds will be used to repay the City's Section 108 Loan. The loan was Section 108 Loan used to partially fund public improvements to the Balboa Target Area Repayment City of Newport Beach totaling $8 million. The scope of work includes the Balboa Village $193,483 $196,254 $ tlle, (Required Funding) Pedestrian and Streetscape Plan, Street Improvements to Balboa Blvd., Pier Parking Lot, Pier Plaza and Lot A connecting access to Main Street. TOTAL ELIGIBLE CAPITAL PROJECTS $240,716 $231,180 $ * EXCLUDES PROPOSED PROGRAM ADMINISTRATION PROJECT ($ 71,131) EXCLUDES PROPOSED PUBLIC SERVICE PROJECTS 0 53,348) $ 231,180 AVAILABLE Pr Attachment "A" 2008-2009 YEAR CDBG PROPOSALS ADMINISTRATION / PLANNING PROJECTS Title CDBG Program Administration Submitting OrganizationProject City of Newport Beach Funds will be used to administer the other CDBG-funded programs, prepare required reports, monitor subrecipients, and ensure overall program compliance with the relevant federal regulations. Past Year $61,0261 Funding $65,000 Funding Approved $57,131 This project will provide fair housing education, counseling, and enforcement services to current or potential Newport Beach residents, coupled with landlord/tenant counseling services. These services impact and benefit target CDBG areas and the City's extremely -low to Fair Housing and Fair Housing Council of moderate income population. They help counteract unlawful housing Landlord/Tenant Orange County discrimination and assist CDBG target areas in reducing blight. We $12,960 $14,124 $14,000 Mediation facilitate the opportunity for landlords and tenants to correct wrongful housing policies or behavior. It is estimated that, in Newport Beach, this program will address 3 allegations of housing discrimination that result in the opening of a case file, and address about 780 landlord/tenant disputes, issues or concerns arising from about 195 households. TOTAL ADMINISTRATION / PLANNING REQUESTS $73,986 $79,124 $71,131 Maximum Allowed by HUD: 20% of Current Year Allocation = (20%) X ($355,659) _ $ 71,131 Qo Revised 2/26/2008 0 AttachAt "B" 40 2008-2009 YEAR CDBG PROPOSALS PUBLIC SERVICE PROJECTS Title I Submitting OrganizationApproved Past Year FundingProject . Human Options Community Resource Center offers a wide variety of counseling and education programs to help victims and their family members deal with the effects of domestic violence. Proposed services include the following; crisis Community Human Options intervention, individual counseling for adults, support groups, legal advocacy, $5,000 $20,000 $5,000 Resources Center personal empowerment program, children's individual counseling, parenting education groups, parent child interaction therapy and trauma therapy, information and referrals, intake to Human Options emergency shelter. All services are offered in English and Spanish. South County Senior Services, Inc (SCSS) will provide home -delivered meals to Home -Delivered South County Senior homebound senior citizens (ages 60 years or older) who are unable to prepare $ 27,550 $ 27,550 $28,348 Meal Program Services, Inc meals for themselves due to age, illness, or disability. Participants will receive three (3) subsidized daily meals Monday through Friday. SARP provides access to recovery programs to homeless and low-income individuals who cannot afford it otherwise. SPIN pays for rent in a recovery home Substance Abuse Serving People in with which SPIN works while the client seeks employment. Case management Rehabilitation Need (SPIN) includes counseling, and supplemental services focused on employment, g pp$13,000 $10,000 $10,000 Program (SARP) medical assistance, and legal assistance. Funds will be used for case management, shelter costs, and operational costs. Program estimates serving 7 Newport residents and 425 Orange County residents overall. The Families Forward Transitional Housing Program (THP) transitions struggling families from crisis to stability and self sufficiency. THP has five primary goals, Transitional each of which supports the programs overarching goal of achieving familial self Housing Program Families Forward sufficiency. Goals for the program include; families in need will be linked with $0 $10,000 $10,000 appropriate supporting resources, anxiety and levels of depression will decrease, families will increase key life skills, families will increase their annual income, families will be able to secure and maintain housing. TOTAL ELIGIBLE FOR PUBLIC SERVICE PROJECTS $45,550 $ 67,550 $53,348 Maximum Allowed by HUD: 15% of Current Year Allocation = (15%) x ($355,659) _ $ 53,348 Revised 2-26-08 i • • Attachment "C" 2008 - 2009 YEAR CDBG PROPOSALS CAPITAL PROJECTS Submitting Past Year . FundingProject Title OrganizationApproved Funds will be used to make improvements to public facilities to allowfor ADA Sidewalk City of Newport Beach greater accessibility to Newport Beach residents with disabilities. $47,233 $ 34,926 $34,926 Improvements Improvements will include curb cuts and installation of ramps throughout the City. Funds will be used to repay the City's Section 108 Loan. The loan was Section 108 Loan used to partially fund public improvements to the Balboa Target Area Repayment City of Newport Beach totaling $8 million. The scope of work includes the Balboa Village $193,483 $196,254 $196,254 (Required Funding) Pedestrian and Streetscape Plan, Street Improvements to Balboa Blvd., Pier Parking Lot, Pier Plaza and LotA connecting access to Main Street. TOTAL ELIGIBLE CAPITAL PROJECTS $240,716 $231,180 $231,180 * EXCLUDES PROPOSED PROGRAM ADMINISTRATION PROJECT ($ 71,131) EXCLUDES PROPOSED PUBLIC SERVICE PROJECTS ($ 53,348) $ 231,180 AVAILABLE (*) Revised 2-26-08