HomeMy WebLinkAboutHCDC Packet - October 2022If you will need disability-related accommodations to participate in this program or event, please contact Brianna Thul at brianna-
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Upcoming Housing & Community Development Commission Meetings
Regular: November 17
HOUSING & COMMUNITY DEVELOPMENT
COMMISSION (HCDC)
October 20, 2022
Regular Meeting – 6:30 PM
The Center Assembly Room
28 S Linn Street
AGENDA:
1.Call to Order
2.Welcome New Members
HCDC will welcome one new member, Michael Eckhardt. This item provides an opportunity
for new and existing Commissioners to introduce themselves.
3.Consideration of Meeting Minutes: September 15, 2022
4.Public Comment of Items not on the Agenda
Commentators shall address the Commission for no more than 5 minutes. Commissioners
shall not engage in discussion with the public concerning said items.
5.Legacy Aid to Agencies (A2A) Question & Answer (Q&A) Discussion
Joint Funding Applications were due September 15, 2022 at 5pm. The FY24 A2A Q&A
session was conducted in writing. Written responses from the Legacy Agencies are
available for review in the packet. During this meeting, HCDC will discuss the applications
and the written responses received. HCDC will not make funding recommendations at this
meeting.
6.Legacy Aid to Agencies Next Steps – Individual Scoring and Funding
Recommendations
Staff will explain next steps in the funding process for Legacy Aid to Agencies.
7.Staff & Commission Updates
This item includes an opportunity for brief updates from staff and Commissioners.
Commissioners shall not engage in discussion on updates.
8.Adjournment
Housing and Community Development Commission
September 15, 2022 Meeting Packet Contents
Agenda Item #2
• September 15, 2022 Draft HCDC Meeting Minutes
Agenda Item #5
• October 7, 2022 - Q&A Instructions for Legacy Agencies
• DVIP – No questions.
• Shelter House – No questions.
• Free Medical Center – No questions.
• Dream Center (Dream City) – Responses submitted 10/7/22.
• HACAP – Responses submitted 10/10/22.
• Big Brother Big Sisters – Responses and financial records submitted 10/11/22.
• Habitat for Humanity – Responses submitted 10/11/22.
• Horizons – Responses submitted 10/11/22.
• Houses into Homes – Responses submitted 10/11/22.
• 4Cs – Responses submitted 10/11/22.
• United Action for Youth – Responses submitted 10/11/22.
• NCJC - Responses submitted 10/12/22.
• Center for Worker Justice – Responses, financial records, and updated demographics
submitted 10/12/22.
• Table to Table – Responses submitted 10/13/22.
• CommUnity – Responses submitted 10/13/22.
• Aging Services (formerly Pathways) – Responses submitted 10/13/22.
• RVAP – Responses submitted 10/13/22.
• Arc – Responses and financial records submitted 10/13/22.
• Inside Out Reentry – Responses and financial records submitted 10/13/22.
• Community and Family Resources (formerly Prelude) – Responses submitted 10/13/22.
• Free Lunch Program – Responses and financial records submitted 10/13/22.
Agenda Item #5
• FY24 Legacy Aid to Agencies – Upcoming Tentative HCDC Dates
MINUTES PRELIMINARY
HOUSING AND COMMUNITY DEVELOPMENT COMMISSION
SEPTEMBER 15, 2022 – 6:30 PM
FORMAL MEETING
THE CENTER ASSEMBLY ROOM
MEMBERS PRESENT: Jennifer Haylett, Karol Krotz, Nasr Mohammed, Becci Reedus, Kyle
Vogel
MEMBERS ABSENT: Kaleb Beining, Maryann Dennis, Elizabeth Marilla-Kapp
STAFF PRESENT: Erica Kubly, Brianna Thul
OTHERS PRESENT: Debbie Ackerman (HACAP)
RECOMMENDATIONS TO CITY COUNCIL:
By a vote of 5-0 the Commission recommends approval of the Consolidated Annual Performance &
Evaluation Report (CAPER)
CALL MEETING TO ORDER:
Reedus called the meeting to order at 6:30 PM.
CONSIDERATION OF MEETING MINUTES: JULY 28, 2022:
Haylett moved to approve the minutes of July 28, 2022, Vogel seconded the motion. A vote was taken,
and the minutes were approved 4-1-1 (Krotz abstained).
PUBLIC COMMENT FOR TOPICS NOT ON THE AGENDA:
None.
CONSOLIDATED ANNUAL PERFORMANCE & EVALUATION REPORT (CAPER) AND UPDATE ON
CITY PROJECTS AND PROGRAMS:
Thul noted this year staff put a few slides to put together to talk about the report. She explained the
CAPER is an end of year report that tells HUD what they've done in the last fiscal year. This reports on
the Community Development Block Grant (CDBG) funds and the HOME Investment Partnership Program
funds. It's an assessment of the progress the City made on their Consolidated Plan goals. To
distinguish, the Annual Action Plan says what they are going to do in the upcoming year and then the
CAPER says what they did accomplish in the last year. The CAPER is due to HUD within 90 days of the
end of the fiscal year, which is at the end of September. Thul stated the main focus of this plan is the
City’s federally funded activities and HUD wants to know the impact of the federal dollars. In the report
they do talk about local programs and other local projects going on in some of the narrative fields, but the
main thing HUD wants to know is how the City is using those federal funds and what did they
accomplished with those. Staff sends this report to HUD through a database called IDIS so there are
some fields that are required that they don't have the flexibility to edit or try to make it more user friendly,
staff did label those tables in the CAPER report, the ones that are HUD required are called IDIS tables
and the ones that staff created are called City tables. Thul emphasized some of the highlights in the last
year, the City met their CDBG timeliness goal, HCDC talks about this a lot because when staff brings
updates about projects meeting their spending deadlines. The City was able to complete two
Agenda Item #3
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neighborhood improvement projects that experienced delays due to the pandemic and also the derecho.
Completing those last few projects contributed to goals in a prior Consolidated Plan. The City competed
21 CDBG-CV activities, the CDBG-CV funds were additional one-time funding from HUD to prepare,
prevent and respond to Coronavirus. The City did have some additional public outreach opportunities
and City staff went out to places like the food pantries and received feedback through a sticker survey.
People were asked what the most important housing needs were to them. Staff collected some
information and got to interact with the public. From that data they know that the projects and the
activities that are being undertaken are reaching beneficiaries that are non-white, people who are below
30% AMI and people with Hispanic or Latino ethnicities, which is great. Finally, in the FY22 mid-year-
round they funded the GreenState partnership program which was a homeownership down payment
assistance program and the first home was sold through that in FY22.
Reedus asked if there has only been just one down payment so far. Kubly confirmed there was just one
in FY22, but they had a second one recently so that second one will be reported in the next CAPER.
Thul noted some of the challenges in FY22, a lot of them carried over from the previous fiscal year such
as things stemming from the pandemic. The City did receive a lot of new funding sources such as
CGBG-CV and HOME-ARP. HOME-ARP was $1.8 million of additional funding that they didn't have
previously. Other challenges include rising cost of housing making it a challenge for non-profit agencies
to acquire housing for rental activities, lack of bids for construction and rehab projects, supply chain
volatility has made delays on projects, the strain on local agencies as people are taking on more projects.
Additional projects strains staff and their agency capacity. The City is also seeing a lot larger funding
requests which sometimes adds to the complexity like with the 501 project or some of the things that
they'll have to plan for the DVIP project that was just funded for FY23. Other challenges - rising mortgage
rates and also outcomes related to the current City Steps Plan being delayed as they catch up on the
backlog of projects - like the two parks projects finished up recently.
Thul next shared slides on CDBG and HOME spending. For FY22 they spent a little over $700,000 of
CDBG and just under $200,000 of HOME Investment Partnership Program funds, and about $67,000 in
CDBG-CV funds which does not include the additional funds that the City received from the State. Thul
next showed the impact from federally funded projects, these are programs and projects undertaken by
partners and the vast majority of these are completed by the subrecipients – these are agencies and
people that the Commission has heard from in meetings. Over 5,000 people assisted through the
completion of the neighborhood improvement projects, those are typically undertaken by the Parks and
Recreation staff, over 3,000 people were assisted through CDBG public services activities which is a
small portion of the Aid to Agencies funding and 67% of those beneficiaries were people experiencing
homelessness. An additional 1,500 people assisted through CDBG-CV, which was a project developed
by Shelter House to support coordinated entry. The City completed 17 homeowner rehab projects, The
Housing Fellowship completed a rental rehab project and assisted four households, the first home was
sold through the GreenState mortgage assistance program, and 20 small businesses were assisted
through the CDBG-CV program that was undertaken by ECICOG to combat financial impact of COVID-
19.81% of the total businesses assisted through the program were owned by women or people of color.
About 76% of beneficiaries served through the federal funding in FY22 were below 30% AMI.
Next Thul reviewed things on the horizon - the 501 Project is up and running now and that will fall in the
FY23 CAPER. The HVAC improvement project at Shelter House should be on track to be completed this
year after some delays, and then some bigger projects that were just funded through FY23 like the DVIP
shelter construction are upcoming. The HOME-ARP activities are on the horizon, and also the conclusion
of the CDBG-CV grants.
Kubly provided an update of City projects and programs. The City administered projects were the South
District program where the City has acquired three duplexes to rehab and sell as owner occupied for
home ownership, they put at least $35,000 in City rehab funds and do up to $25,000 in HOME down
payment assistance for the purchase. The City has sold four of those and have two available right now.
If anyone is interested, they should apply to the City. The price range is about $150,000 without those
subsidies. Again, through the GreenState partnership they have two sold homes. The neighborhood
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improvement program is an annual $75,000 allocation to partner with the Parks Department. Right now,
they're doing accessibility projects like curb ramp improvement so members of the community can access
the parks and one of the current projects is at Wetherby. CDBG and HOME rehab is an owner-occupied
rehab program that staff administers. It is things like emergency repairs, exterior repairs, or accessibility.
They can do projects in mobile homes. The City completed 17 of those projects last year. Lastly is
economic development, Kubly noted they are no longer doing small business loans right now through
their department because of staff capacity but they are doing grants for technical assistance for small
businesses. For example, they have an agreement with 4C's and they're assisting childcare and home
childcare providers by helping them start their businesses. This is a grant to assist those small
businesses.
Krotz asked what type of property the City still has for sale. Kubly explained the South District properties
are duplexes that have been rehabbed and converted them to condos, each side is an individual unit is
sold for around $150,000 which includes the $35,000 that the City put in for rehab that's forgiven if they
live there for 10 years. Additionally, the applicants based on underwriting would be eligible up to $25,000
in HOME down payment assistance so the loan is going to be this amount minus $60,000 potentially
which makes it pretty affordable.
Thul next presented a slide that shows the local impact of some of the other things that the City funded
outside of CDBG and HOME funds. Aid to Agencies does receive a small portion of CDBG funds but the
City does invest quite a bit of money in the Aid to Agencies program. They also invest money in the
General Rehabilitation and Improvement Program (GRIP) and were able to assist five homeowners in
FY22. The City partners with CommUnity for a security deposit program and in FY22 they were able to
assist 212 households. There is some additional funding that goes towards projects such as the Center
for Worker Justice which did a project in FY22 to help provide bilingual language assistance so people
could fill out applications for housing assistance. In FY22 there was also a project for weatherization of
Forest View mobile homes. Healthy Homes is a program to provide improvements in indoor air quality
and they were able to assist four households in the last fiscal year. Iowa City also invests $500,000 in the
Affordable Housing Fund which is administered by the Housing Trust Fund of Johnson County.
Reedus noted she likes seeing all partnerships with nonprofits, especially when City staff can't take on
more projects themselves, it's great to see the City invest in the non-profits to do that work for them.
Thul noted a huge portion of the CDBG-CV projects were undertaken by non-profits. The portion of funds
they received from the Iowa Economic Development Authority went to assist organizations such as 4Cs,
Community, Dream City, DVIP, Iowa Legal Aid, Shelter House, Table to Table and United Action for
Youth. Shelter House also administered a housing assistance program with CV money.
Thul sated the next steps in this process is staff is asking for HCDC’s approval to submit the plan to HUD.
If there's changes or comments HCDC would like to see, staff can certainly do that, staff will submit the
plan to HUD and then HUD has 45 days to review. HUD would then approve the plan and then they will
be starting soon again the process for FY24 by asking for applications towards the end of December.
Reedus asked about the down payment program at GreenState and if the higher interest rates were
making it more difficult or will it make it more difficult to meet that goal of however many houses they
wanted to fund. Kubly believes they were going to do seven or eight and hasn’t heard that being a barrier
yet but if it does, they could probably revise the program parameters a little bit.
Reedus had a question about funds given to CommUnity, and she knows that the City gave them more
than $178,000 so is this just reporting on CDBG related money. Kubly believes the additional funds were
through ARPA money and another portion is from the Affordable Housing Fund. Thul also mentioned that
the report shows funds expended rather than all funds allocated.
Reedus also noticed that in the report there were targets for number of services provided in some grants
to agencies and not all agencies met those numbers and does that matter. Thul replied that it depends,
there was one project, Neighborhood Centers of Johnson County, where they added a footnote under the
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table to note that they have two activities that they're completing. In FY22 they completed the Broadway
portion of the activities so those beneficiaries were reported in FY22 and then in FY23 the Pheasant
Ridge project will be done and that will contribute to their total beneficiaries assisted. Reedus was more
concerned about the Aid to Agencies rather than the public facilities, one she noted was 4Cs missed the
mark by quite a bit in terms of the services provided and she just wondered if that's a problem or not.
She does understand how that happens and lots of factors can affect the numbers served. Thul
explained that part of that CV project was for kids at home during the pandemic. The activity was virtual
learning support and at one point the agency was planning for students to be at home longer term and
then there was an order from the governor that sent everyone back to school early. They anticipated for
people to be at home a lot longer than they were, and the project ended early.
Haylett asked for explanation about the page four chart. Thul noted when they do the Consolidated Plan,
which is a five-year plan, they have to set goals for the next five years and every year they're tracking the
incremental progress that they've made towards those goals. This table has goals for the five-year plan
and then it is also reporting on the goals set for the Annual Action Plan. The caveat with that is that a lot
of the activities that they fund for the fiscal year aren't necessarily completed within the fiscal year. HOME
projects aren't going to be typically completed in that time frame - they may take two years.
Also, what's not shown are the completed projects that are contributing to the previous Consolidated Plan
- those don't show up in this table.
Haylett had another question about the minority business enterprises and women business enterprises,
she was curious what was going on there because she noticed there were no contracts to minority
business enterprises or for women business enterprises. Asked if it is just like a lack of people. Thul
stated HUD has staff track when people are doing public facility projects or housing projects to see if
they're effectively reaching minority-owned businesses or women-owned businesses. There's a database
for the state where agencies can search registered contractors for whatever project they're undertaking,
but it truly is just a shortage of construction companies like female owned operations. When they put
projects out to bid, they typically ask that agencies send the bid packet to at least one contractor that
meets those requirements but sometimes there's just not contractors available. Thul mentioned the
women in construction project. Kubly elaborated that one of the South District programs mentioned
previously was a rehab where they partnered with Kirkwood and did a Women's Confidence in
Construction course. Some of the work was done by this group of women learning the construction trade.
She believes they did the cabinets in the kitchen and learned floor tiling and that kind of work. They also
partner with a program through the high schools where students have a construction course, and they
built a deck on one of the properties, so the City is partnering with different groups to learn the trades as
they rehab these properties.
Mohammad asked about the economic development because he knows a lot of small businesses are
struggling and they mentioned that this is a grant for small businesses, he would like to know more about
this program. Kubly explained the City previously had a small business program called micro enterprise
loans for small business owners who are low income and have one or more staff but less than five staff.
The City recently discontinued that because they don't have staff to work through those programs but is
something they could pick up in the future after they catch up from all these pandemic grants that the City
is working on. The one economic development program that they have going on right now is technical
assistance for small businesses, so for example, a non-profit like 4C's who is helping for-profit small
businesses. Micro enterprises could get this grant for technical assistance. 4C’s is assisting in-home
childcare providers and helping them get set up with the DHS requirements so they can provide that
service.
Vogel noted staff mentioned in the PowerPoint that there were 20 small businesses assisted but it looked
like there were like 27 on City table E and some of the names don't match up with the PR26, the financial
summary report, so he was just curious what he was missing. Thul explained there's 27 total businesses
in the program but the program spanned multiple fiscal years so what they're reporting in this is the
activities that were completed in FY22. The previously completed activities would have been reported in
last year's CAPER. Vogel noted most of these look like they were all related to COVID assistance type
issues, but how much of that do they usually see in a non-COVID assistance related year, how many
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businesses do they really help with economic development funds on a regular basis with that usual
$50,000 set aside? Kubly stated the City has done several agreements with 4C's and they serve like
maybe 20 micro enterprises in a fiscal year span. When they were doing micro loans, it was maybe one
or two a year - it wasn't very many. If they don't spend that money within two years that set aside gets
rolled into the regular CDBG money. Kubly doesn't believe they've been spending the full $50,000 set
aside in recent years.
Vogel moved to approve the CAPER with the two typo corrections mentioned, seconded by Mohammed,
a vote was taken, and the motion passed 5-0.
LEGACY AID TO AGENCIES NEXT STEPS – Q&A SESSION
Staff meet with Beining and Dennis to talk through how to handle the Q&A process with so many
agencies being involved and how to manage it in a way that everyone's time is being used effectively.
They decided this year to try a written Q&A process. Today at five o'clock the applications were due
through United Way. Therefore, likely tomorrow, staff will be posting and sending out the Legacy Aid to
Agency submissions for the Commission to read. In the memo in the agenda packet, there's a timeline
where they are proposing three weeks for HCDC to review the submissions and submit written questions
to staff by October 6th. Staff will then send those written questions to the agencies and the agencies will
respond in writing. Staff will get that information to the Commissioners before October meeting, which is
October 20th, where they will have discussion.
Reedus likes this process and is sure the agencies appreciate that too. She thinks it's actually better for
them to submit written questions because then they get responded to because there's been a couple of
times where somebody hasn't been present, so questions were not answered.
Thul noted when they're asking questions about the submissions, they wanted to make sure that they're
related to the submission and not anything out of left field. They also are hoping that the amount of
questions is a reasonable number since they're asking people to respond in writing. She added it is
important that Commissioners at this point aren't having private discussions with agencies so that
everyone has the same information to consider during the funding process, and then finally just taking the
time to review the applications thoroughly before asking questions. Thul noted in her follow-up email
tomorrow she will send out an email asking if they want hard copies of the application materials. Thul
posed a question to the commission - if they are following this timeline for review and sending questions
to the agencies, how should staff handle it if the agencies do not respond by the deadline that is given?
Mohammed noted that's a good question and thinks they need to bring them here and then ask them the
questions.
Krotz doesn’t understand why somebody wouldn't answer or wouldn't respond in time or show up for a
question-and-answer period.
Reedus agrees but there aren’t any official rules about answering questions. The rules are to get the
application in by five o'clock today to be considered for funds, there's not a caveat that says if one doesn’t
answer questions they won't be considered. She feels maybe they should have a grace period so that
staff can review and if all the questions have not been answered then to send another email out to those
agencies and say please answer these questions it could affect the decision for funding.
Reedus asked for a timeline of when the Commission will be reviewing the applications and making
recommendations. Thul explained this process is a little bit longer than CDBG and HOME, so in general
the Commission will get those applications tomorrow and start reviewing them, they will do this Q&A
process up until the October meeting, and then at the October meeting the Commission will discuss the
questions and answers submitted. After that ideally the Commission would start to score. There are two
meetings to talk about funding recommendations so if for some reason they get to the end of this
question-and-answer session and feel like they need more information they could go back and ask
agencies more questions, but that would shorten the amount of time to talk about scores from two
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meetings to one. Scoring would be between October and November, ideally staff would compile all the
scores and everything for the November meeting to start those discussions as there is not a meeting in
December.
Reedus is concerned about the new agencies that were recently approved for Legacy funding. Reedus
thought they were going to present a budget item to City Council. Kubly stated the budget gets approved
in March and staff is starting the FY24 budget process in November. Reedus brings this up because she
always went to a budget workshop the first Saturday of January so there's still time though to make some
recommendation for funding. Kubly stated the budget workshop is Council's kickoff to working on the
budget but staff will be working on it this fall. Reedus just wants to make sure they have time to ask for
more funding since there are new agencies and are not going to slice the pie in more numbers but
actually request Council to give an increased amount of money to fund agencies. Reedus noted when
she voted to approve additional agencies it was only with that understanding that they would get
additional funding otherwise she doesn’t even think they ought to have a process for new agencies to
come into legacy, the process isn't working if they aren't going to get additional money. Reedus would
like to have a wider discussion in terms of how the whole funding process is happening and does it need
to be reviewed and revised because it's just not working.
Vogel stated the reality is they're going to have 22 legacy agencies that they're going to have to make
decisions on whether they believe they're going to get that additional amount from Council or not. He
voted against bringing in the new agencies, but they were approved and there was never a guarantee
that the pot wasn't going to get split up more ways with smaller pieces for everybody and that was a real
concern at the time.
Reedus agreed and this will then force them into is making decisions about who's not going to get money
and who's going to get cuts. Then what will happen is the agencies will go to City Council and City
Council will make decisions one by one, this has happened over and over again so she really thinks that
they have to make sure that Council knows that they want a different process and this is what she has
been asking for since she’s been on this Commission - to take a look at this entire process because if
they're not going to get additional money let's not bother to even entertain any more agencies who might
want to become Legacy agencies. She also questions when does Legacy Agency services become
obsolete for funding, and the minimum funding that's given - it should that be reviewed also. The whole
process needs to be reviewed and it's frustrating to her. She doesn’t have a problem with the timeline but
does have a problem if they're going to expect to slice that piece into more pieces with the same size of
funding. She has a real problem with that.
STAFF & COMMISSION UPDATES:
Thul noted Council did approve the change to the by-laws so that is official. The next meeting will be
October 20th and that will be the Q & A review of the written responses. Normally they would also do an
Unsuccessful and Delayed Projects checkpoint, but things are on track right now so that is good. The
Legacy process is starting up and those submissions will be available for review tomorrow.
ADJOURNMENT:
Haylett moved to adjourn, Vogel seconded the motion, a vote was taken, and the motion passed 5-0.
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September 15, 2022
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Housing and Community
Development Commission
Attendance Record 2022-2023
•Resigned from Commission
Key:
X = Present
O = Absent
O/E = Absent/Excused
--- = Vacant
Name Terms Exp. 5/18 6/23 7/21 9/15
Beining, Kaleb 6/30/24 O/E X X O/E
Dennis, Maryann 6/30/25 O/E X X O/E
Haylett, Jennifer 6/30/25 NA NA X X
Krotz, Karol 6/30/24 X X O/E X
Marilla-Kapp, Elizabeth 6/30/23 X X X O/E
Mohammed, Nasr 6/30/23 X O/E X X
Reedus, Becci 6/30/24 X X X X
Vogel, Kyle 6/30/23 X X O/E X
Vacancy
October 7, 2022
FY24 Legacy Aid to Agencies
HCDC Question and Answer (Q&A) Session
Instructions
The Q&A session provides an opportunity for commissioners to ask clarifying questions about
the applications submitted through United Way. Please provide written responses to the
questions attached. Written responses must be received by City staff no later than October 13,
2022 to be included in the October HCDC packet.
Written responses can be directed to Brianna Thul at bthul@iowa-city.org or dropped off at City
Hall (410 E Washington Street). Responses may also be mailed but must be received by the
deadline to be included.
Agencies are encouraged to attend the October 20, 2022 HCDC meeting, but should be aware
that the purpose of the meeting is for HCDC to discuss the written answers submitted in
advance. Agencies will not be asked to present their application. This adjustment is intended to
gather the information required to accurately score submissions, while also promoting the
effective use of time and resources for both agencies, and commissioners.
Tentative Timeline
September 15, 2022 Applications are due to United Way by 5pm.
September 16, 2022 Staff will share the submissions with HCDC as soon as they are
available from United Way – likely September 16, 2022.
September 30, 2022 Staff will provide HCDC summary sheets with suggestions for
questions (provides staff about 2 weeks to prepare).
October 6, 2022 Written questions due to staff (provides HCDC about 3 weeks to
review submissions). Questions should be relevant to the scoring
criteria established in advance.
October 7, 2022 Staff to compile and send questions from HCDC with written answers
due October 13, 2022 (provides about 1 week for agencies to respond
in writing). If HCDC does not have questions for an applicant, staff will
inform the agency.
October 14, 2022 HCDC packet posted with written responses from agencies (provides
about 1 week for HCDC to review responses).
October 20, 2022 HCDC Q&A Discussion Session. HCDC will discuss questions and
answers for each agency.
Agenda Item #5
October 7, 2022
Agency: DVIP
Questions:
•No questions were submitted for DVIP.
Agenda Item #5
DVIP
October 7, 2022
Agency: Shelter House
Questions:
•No questions were submitted for Shelter House.
Agenda Item #5
Shelter House
October 7, 2022
Agency: Free Medical Clinic
Questions:
•No questions were submitted for Free Medical Clinic.
Agenda Item #5
FMC
Agenda Item #5
Dream Center
October 7, 2022
Agency: HACAP
Questions:
1.The application indicates that the funding is for the Head Start program. The capacity of
the program listed online is different than what is listed in the application. How does
HACAP count the number of clients served?
HACAP is a full-service community action agency with five core programs and a variety of locally
funded services that vary by county. We utilized several grant-required software systems – for
example, all HUD- or VA-funded homeless services program are required to use the statewide HMIS
system – for our core programs, and a singular agency-wide data system to collect and to un-
duplicate our client characteristics at the individual and household level. The reported data in the
grant reflects client characteristic for all family-level services provided in Johnson County. Thus, the
3862 residents of Iowa City and the 5749 residents of Johnson County served om FY22 will have
received one or more of the following: Head Start services, weatherization, homeless housing
assistance, energy assistance, food assistance, crisis water assistance, disaster assistance or some
locally supported service (like holiday assistance). The application is to co-fund our Head Start
services in Johnson County. In the most recent program year, Head Start provided preschool and
other age-appropriate wraparound service to foster developmental growth in 168 children (living in
133 families), and provide supports to their parents to maintain employment or attend university (or
trade school).
2.Is Form C accurate? Revenue is listed as equal to expenses with no carryover balance
for the three years listed.
HACAP Head Start Early Head Start program is 100% grant funded by federal,
state and local funders. Grants awarded to the program are to be spent on
eligible activities and services within the specified grant period or the funds are
returned. As a result, there are no carryover funds.
Agenda Item #5
HACAP
October 7, 2022
Agency: Big Brothers Big Sisters
Questions:
1.Have the findings listed by the state auditor in the March 2022 letter submitted been
corrected? – Yes, please advise if there is any documentation that you require and what
that might be.
2.Please submit the most recent 990, audit, or financial statements for Big Brother Big
Sisters. Please see attached FY20 Audit (still have not rec’d FY21 from state auditor).
Also included are end of year FY22 financial reports regarding BBBSJC. Audit is
comprehensive of Johnson County Extension which include BBBSJC budget.
Agenda Item #5
BBBS
Big Brothers Big Sisters of Johnson County
FY 2022 Monthly Balance Sheet Summary
7/31/2021 8/31/2021 9/30/2021 10/31/2021 11/30/2021 12/31/2021 1/31/2022 2/28/2022 3/31/2022 4/30/2022 5/31/2022 6/30/2022
Assets
Cash
HB&T Checking 70,796 67,425 68,466 60,291 55,341 56,276 57,643 78,845 88,548 77,762 71,836 76,737
HB&T Money Market 205,521 189,191 184,715 203,521 192,518 180,493 177,603 185,969 186,225 187,914 176,185 142,599
GreenState Money Market 22,530 22,530 22,530 22,530 22,530 22,589 22,589 22,589 22,617 22,617 22,617 22,645
Total Cash 298,847 279,146 275,711 286,342 270,389 259,358 257,835 287,403 297,390 288,293 270,638 241,981
Certificates of Deposit - - - - - - - - -
- - -
Total Certificates of Deposit - - - - - - - - - - - -
Other Assets
Community Fund of Johnson Co.208,124 208,124 206,442 206,442 206,442 217,262 217,262 217,262 201,990 201,990 201,990 165,367
Community Fund of Johnson Co. - Ron Bohlkom 19,599 19,599 19,440 19,440 19,440 20,364 20,364 20,364 18,886 18,886 18,886 15,411
Other/4-H Foundation - - - - - 16,106 16,106 16,106
Total Other Assets 227,723 227,723 225,882 225,882 225,882 237,626 237,626 237,626 220,876 236,982 236,982 196,884
Total Assets 526,570 506,869 501,593 512,224 496,271 496,984 495,461 525,029 518,266 525,275 507,620 438,865
Liabilities
Payroll Liabilities
HB&T Visa Card - 2796 2,931 425 1,313 1,003 3,777 545 1,094 1,111 2,151 906 2,507
Accrued Vacation
Total Payroll Liabilities 2,931 425 1,313 1,003 3,777 545 1,094 1,111 2,151 906 2,507 -
Total Liabilities 2,931 425 1,313 1,003 3,777 545 1,094 1,111 2,151 906 2,507 -
Net Assets
With Restrictions
Unrestricted
YTD Net Income
Total Net Assets - - - - - - - - - - - -
Total Liabilities & Net Assets
Prepared by Big Brothers Big Sisters of Johnson County
Agenda Item #5
BBBS
Big Brothers Big Sisters of Johnson County
Statement of Changes in Net Assets
For the One Month Periods Ending August 31, 2021
Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21 Jan-22 Feb-22 Mar-22 Apr-22 May-22 Jun-22 YTD Total
Annual
Budget
$ Long
/(Short)
% Long
/(Short)
Revenues
Local Funding Sources
Johnson County 11,692$ -$ -$ 11,692$ -$ -$ 11,692$ -$ -$ 11,692$ -$ -$ 46,768$ 46,768$ -$ 0.00%
City of Iowa City - CDBG - - 6,530 - 6,530 - - - 6,530 - 6,530 - 26,120 24,924 1,196 4.80%
City of Coralville 5,167 - - - -- - - - - -- 5,167 5,167 - 0.00%
City of North Liberty 4,375 - - - -- - - - - -- 4,375 4,375 - 0.00%
Total Local Funding Sources 21,234 - 6,530 11,692 6,530 - 11,692 - 6,530 11,692 6,530 - 82,430 81,234 1,196 1.47%
-
Contributions
Corporate Gifts 500 21 1,000 100 100 13,470 600 3,100 834 1 520 7,300 27,546 16,073 11,473 71.38%
Individual Giving 347 1,142 397 233 442 6,939 1,398 82 696 256 1,185 253 13,370 12,483 887 7.11%
United Way Allocation w/focus area funds 3,699 3,688 3,688 3,688 3,688 3,688 3,688 3,688 3,688 3,840 3,688 3,688 44,419 44,268 151 0.34%
United Way Donor Designations - 30 - 9,127 - - - 141 - 720 - 469 10,487 9,711 776 7.99%
Total Contributions 4,546 4,881 5,085 13,148 4,230 24,097 5,686 7,011 5,218 4,817 5,393 11,710 95,822 82,535 13,287 16.10%
-
BBBS Sponsored Events
BFKS Pledges/50/50/- - - - - - 1,797 39,423 20,650 90 175 100 62,235 96,395 (34,160) -35.44%
BFKS Corporate Sponsors 250 - 1,500 - - 1,500 8,000 1,500 2,250 - - - 15,000 18,250 (3,250) -17.81%
Breakfast (RMM)166 166 89 716 616 116 116 116 39 116 716 1,522 4,494 5,000 (506) -10.12%
Breakfast Corporate Sponsors - - - - - - - - - - - - - - - 0.00%
Grocery Grab - - - - - - - - - - - - - - - 0.00%
Alternative Event/Big Bash - - 5,398 4,125 4,267 166 - - - - - - 13,956 20,000 (6,044) -30.22%
Total BBBS Sponsored Events 416 166 6,987 4,841 4,883 1,782 9,913 41,039 22,939 206 891 1,622 95,685 139,645 (43,960) -31.48%
Grants
West Branch - - - - - - - - - - - 7,000 7,000 3,300 3,700 112.12%
Juvenile Justice 6,280 - 1,120 2,160 - 6,481 2,820 2,553 7,295 4,394 6,937 20,533 60,573 61,536 (963) -1.56%
Community Foundation - - - 3,900 - -- - - - - - 3,900 18,613 (14,713) -79.05%
4-H Mentoring - - - - - -- - - - - - - - 0.00%
Misc. Grants - 2,000 2,780 - - 500 - - - - - 500 5,780 6,300 (520) -8.25%
PPP - -- - - - - - - - - - - - 0.00%
IDPH 2,206 1,861 5,941 12,714 6,084 - - 12,680 5,023 11,408 - 8,168 66,085 62,004 4,081 6.58%
Total Grants 8,486 3,861 9,841 18,774 6,084 6,981 2,820 15,233 12,318 15,802 6,937 36,201 143,338 151,753 (8,415) -5.55%
Other Income
Grants/Contracts/BBBSA - - - - - - 73 - - - - 2,548 2,621 - 2,621 0.00%
Other Income 125 - - - - - - - 1,355 - 431 1,911 900 1,011 112.33%
Interest Income - 45 20 21 21 79 20 19 51 - 43 47 366 552 (186) -33.70%
Volunteer Checks 139 69 274 374 33 210 104 174 138 174 274 132 2,095 3,148 (1,053) -33.45%
Total Other Income 264 114 294 395 54 289 197 193 189 1,529 317 3,158 6,993 4,600 2,393 52.02%
Total Revenues 34,946$ 9,022$ 28,737$ 48,850$ 21,781$ 33,149$ 30,308$ 63,476$ 47,194$ 34,046$ 20,068$ 52,691$ 424,268$ 459,767$ (35,499)$ -7.72%
Acutal Results for the One Month Period Ending:Variance from Budget
Prepared by Big Brothers Big Sisters of Johnson County
$16,106 revenue not reflected
diverted to Endowment
Big Brothers Big Sisters of Johnson County
Statement of Changes in Net Assets
For the One Month Periods Ending August 31, 2021
Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21 Jan-22 Feb-22 Mar-22 Apr-22 May-22 Jun-22 YTD Total
Annual
Budget
$ Long
/(Short)
% Long
/(Short)
Acutal Results for the One Month Period Ending:Variance from Budget
Expenses
Costs of Employment
Salaries & Wages 22,268$ 18,902$ 24,234$ 23,942$ 24,651$ 25,019$ 25,837$ 25,397$ 24,353$ 27,896$ 27,521$ 28,378$ 298,398$ 313,427$ (15,029)$ -4.80%
Health/Life/ADD Insurance 2,223 2,223 2,223 2,223 2,223 2,331 2,331 2,331 2,331 2,914 3,497 2,914 29,764 35,568 (5,804) -16.32%
Payroll Taxes 1,699 1,442 1,850 1,842 1,894 1,930 1,993 1,959 1,878 2,139 2,102 2,188 22,916 23,676 (760) -3.21%
IPERS/Retirement Contributions 2,001 1,784 2,288 2,279 2,342 2,384 2,462 2,420 2,320 2,660 2,633 2,721 28,294 29,292 (998) -3.41%
Contracted Serices - - - - - - - - - - - - - 0.00%
Total Costs of Employment 28,191 24,351 30,595 30,286 31,110 31,664 32,623 32,107 30,882 35,609 35,753 36,201 379,372 401,963 (22,591) -5.62%
-
Programs & Services
Promotion 5 75 - 510 645 250 - - - - 125 618 2,228 2,085 143 6.86%
Volunteer Screening - - - 470 343 86 513 161 281 221 263 358 2,696 6,348 (3,652) -57.53%
Mileage, Parking & Meals - 41 102 301 106 35 215 130 78 302 137 167 1,614 5,172 (3,558) -68.79%
Grant Expense (JJYD)1,059 521 - 17 299 2,511 247 572 871 364 431 13,959 20,851 12,660
Supplies & Program Expenses 225 175 735 67 79 191 - 224 385 470 154 1,073 3,778 1,956 1,822 93.15%
Total Programs & Services 1,289 812 837 1,365 1,472 3,073 975 1,087 1,615 1,357 1,110 16,175 31,167 28,221 (5,245) -18.59%
BBBS Sponsored Events Expense
BFKS Direct Expenses - - - - - - - 576 2,517 2,008 - - 5,101 6,000 (899) -14.98%
BFKS Promotion - - - - - - - 72 - - - 72 1,000 (928) -92.80%
Grocery Grab - - - - - - - - - - - - - 500 (500) -100.00%
Alternative Event - - - - 4,594 4,517 - - - - - - 9,111 10,000 (889) -8.89%
Breakfast Direct Expenses - 1,783 - - - - - - - - - - 1,783 - 1,783 0.00%
Breakfast Promotion - -- - - - - - - - - - - - - 0.00%
Miscellaneous 314 70 51 34 133 280 30 190 2,149 30 30 30 3,341 1,450 1,891 130.41%
Totoal BBBS Sponsored Events Expense 314 1,853 51 34 4,727 4,797 30 766 4,738 2,038 30 30 19,408 18,950 458 2.42%
purple = 4-H Endowment Start-up
General & Administrative
Bank Charges - 2 1 9 2 1 1 2 1 - 2 1 22 36 (14) -38.89%
Board Expenses - -- - - - - - - - - - - 50 (50) -100.00%
Computer Expense - 829 49 750 - - - - - 28 - 1,950 3,606 2,500 1,106 44.24%
Dues & Memberships 372 - - 5,388 - 5,388 - - - 4,381 - 4,761 20,290 21,932 (1,642) -7.49%
Equipment Maint/Purch 2,148 - 19 - 117 - - 94 - -125 - 2,503 1,500 1,003 66.87%
Job Advertising - 292 83 - -- - - - - - - 375 350 25 7.14%
Miscellaneous - -- - 139 - 215 - - - 46 34 434 544 (110) -20.22%
Postage - 220 - - - 589 - 175 - 237 10 - 1,231 1,465 (234) -15.97%
Printing & Copying - 46 - - - 1,215 - - - 311 135 - 1,707 1,725 (18) -1.04%
Staff Development - -- - - - 93 - - - 569 1,964 2,626 2,000 626 31.30%
Meetings - -83 - - - - - - - - - 83 50 33 66.00%
Telephone - 5 - 192 5 5 5 - 10 5 5 342 574 636 (62) -9.75%
Total General & Administrative 2,520 1,394 235 6,339 263 7,198 314 271 11 4,962 892 9,052 33,451 32,788 663 2.02%
Total Expenses 32,314$ 28,410$ 31,718$ 38,024$ 37,572$ 46,732$ 33,942$ 34,231$ 37,246$ 43,966$ 37,785$ 61,458$ 463,398$ 481,922$ (18,524)$ -3.84%
Change in Net Assets 2,632$ (19,388)$ (2,981)$ 10,826$ (15,791)$ (13,583)$ (3,634)$ 29,245$ 9,948$ (9,920)$ (17,717)$ (8,767)$ (39,130)$ (22,155)$ (16,975)$ 76.62%
Prepared by Big Brothers Big Sisters of Johnson County
Please note, $16,106 was diverted
to our Endowment @ Iowa 4-H
Foundation, adjusting actual deficit =
$23,024
Big Brothers Big Sisters of Johnson County
Statement of Changes in Net Assets
For the One Month Periods Ending August 31, 2021
Jul-21 Aug-21 Sep-21 Oct-21 Nov-21 Dec-21 Jan-22 Feb-22 Mar-22 Apr-22 May-22 Jun-22 YTD Total
Annual
Budget
$ Long
/(Short)
% Long
/(Short)
Acutal Results for the One Month Period Ending:Variance from Budget
Total Revenues 34,946 9,022 28,737 48,850 21,781 33,149 30,308 63,476 47,194 34,046 20,068 52,691 424,268 0.00%
Total Expenses 32,314 28,410 31,718 38,024 37,572 46,732 33,942 34,231 37,246 43,966 37,785 61,458 463,398 0.00%
Total Change in Net Assets 2,632 (19,388) (2,981) 10,826 (15,791) (13,583) (3,634) 29,245 9,948 (9,920) (17,717) (8,767) (39,130) 0.00%
Prepared by Big Brothers Big Sisters of Johnson County
Agenda Item #5
Habitat
October 7, 2022
Agency: Horizons
Questions:
1. Please explain projected fees for services of $620,053.
The projected fees for services include meals which we are contracted to provide under
the Older Americans Act (OAA), meals for which we provide catering services, all meals
covered under Medicaid, and billing to Linn County for the OAA meal gap. It is important
to note that we receive only half of what it costs to produce the meal under the OAA
contract ($4.32 vs. the $8.65 cost).
2. How many meals are served per week to the 177 Iowa City residents? What is the total
number of meals served (unduplicated)?
We provide on average 3,051 meals per month to Iowa City residents, which comes out
to approximately 705 meals a week (meals are billed per month). On the agency level,
we anticipate providing 280,332 meals in Fiscal Year 2023.
3. What specific efforts is Horizons making to reach minority and marginalized communities
in Iowa City?
Horizons was the subject of a University of Iowa practicum project on More Than a Meal.
This initiative seeks to impact the overall health outcomes of low-income, marginalized
seniors by elevating the impact of Meals on Wheels to support improved health and
safety outcomes including but not limited to care coordination and referral, housing
safety evaluations, mental health check-ins, socialization, reduced fall risks, and many
more. Horizons focused on collaborations to expand client access and reduce barriers
for marginalized communities; our partners include the Heritage Area Agency on Aging,
Johnson County Elderly Consortium, and soon Iowa Valley Habitat for Humanity.
Through these initiatives, Horizons is diligently working to address the social
determinants of health that disproportionately impact minority and marginalized
communities.
4. Audit submitted lists federal award findings. Have these findings been resolved?
The audit findings were resolved immediately upon notification of the deficiency.
Agenda Item #5
Horizons
Agenda Item #5
Houses into Homes
October 7, 2022
Agency: 4Cs
Questions:
1.Are there plans to offer staff benefits in the future?
4Cs offers benefits to all full time employees, including the full time teachers we employ
at Home Ties, our childcare center. We recognize that we are fortunate to provide that.
As a part of our advocacy on behalf of the childcare workforce, 4Cs participates in the
Johnson County Child Care Solutions Leadership Team. This group is currently working
on programming that would increase wages for the childcare workforce in Johnson
County. 4Cs has applied for state funding to facilitate a “shared services” model, which
includes a component of a benefits package for individuals in the childcare workforce.
4Cs also continues to look for ways to elevate the workforce and works with county and
city governments to find solutions to the childcare crisis, which impacts workforce. Our
mission is to level the playing field so that all children in Johnson County, regardless of
socio-economic status, receive a quality early educational experience that provides a
pathway to kindergarten readiness. We believe that a good “feeder system” leads to a
robust k-12 system and leads students on a path to future success. This starts with a
strong, skilled, educated workforce that pays a living wage and offers the amenities that
any career does (such as benefits).
Agenda Item #5
4Cs
October 7, 2022
Agency: United Action for Youth
Questions:
1.It looks like UAY may have lost ECR funding. Please elaborate on this.
UAY did not “lose” ECR funding. The grants that we had from ECR were one-time
grants, which ended at the end of the fiscal year, June 30, 2022.
2.Form C lists a carryover balance of more than $1.5 million. Is this accurate?
It is accurate, and primarily includes the value of the property UAY owns, including our
Eastdale spaces, downtown Youth Center, and homeless youth housing. It is not
reflective of a cash balance, or a balance that is available to be spent on programming
or other expenses.
Agenda Item #5
UAY
Agenda Item #5
NCJC
October 7, 2022
Agency:Center for Worker Justice
Questions:
1. How does their survey method of collecting client data ensure validity of the data
gathered?
CWJ collects client data through follow-up surveys that are given to clients after they
receive services or attend workshops or training sessions at CWJ’s office. Clients are
given iPads to complete the surveys. Regarding the reliability of the survey results, the
questionnaires are available in English and Spanish; Arabic translators and CWJ staff
are also available so clients can ask questions when filling out the surveys. Additionally,
individuals who attend workshops fill out a separate survey from those who receive
other forms of assistance. This allows CWJ to track what services individuals receive.
Moreover, the survey questions ensure the validity of our data as they ask specific
Agenda Item #5
CWJ
questions and list many answer options. For example, when asking about
demographics, our answer choices are diverse enough that they can provide detailed
information, and there is an “other” option if the individual does not identify with any of
the answer choices. Our questionnaire asks about race, gender, age, disability status,
income and education levels, and more.
2. Demographics do not appear to add up. Why is that? (Example: 1,288 reported under
gender, 521 under race, 759 under ethnicity, etc.) Please provide accurate demographic
information if this is not correct.
The inaccuracies in the demographic information is due to typing errors which
unfortunately spread throughout our demographic calculations. Please find attached a
document with the updated demographics data.
3. CWJ listed a number of activities such as education and advocacy they will be providing
with funding; however, it is unclear how they propose to use $45,000. Please elaborate on
specifically how the funds will be used.
Proposed Budget
Expense Cost (in USD)
Office Expenses (internet, percentage of rent,
office supplies, telephone services, etc.)
10,000
Education/Training Workshops (the workshop
leaders are paid, translators/translation
equipment in 3 different languages, food and
10,500
drinks for attendees, child care for attendees,
etc.)
Salaries (percent of CWJ staff members’
salaries)
22,500
Travel (travel expenses for handing out flyers
to the community, transporting people to and
from the workshop, and paying travel
expenses for presenters/workshop leaders,
etc.)
2,000
Total 45,000
4. This application was submitted after the deadline. What was the reason?
We had difficulties with the United Way application portal and submitted our proposal at 4:53
pm but the portal would not accept our upload. We had to call Patti Fields at United Way to help
with the technical difficulties and as she was attempting to help us, we were placed on hold
because other grant applicants were calling in at the same time because they were also facing
trouble with the portal.
5. CWJ describes the success of a program, My Home to Yours, and distributed $500,000 to
750 individuals and families. This amount does not appear to be reflected in the agency
budget. Why is that?
The FMHY program was created in 2020 and 100% of donations went to beneficiaries or
members as direct assistance. Zero percent of this money went into the operation costs/budget
of the CWJ. The $500,000 was also spread out over three years since 2020. The majority of
the funding was donated in 2020 and 2021; we have received few donations in 2022.
6. A letter referencing the 2020 fiscal year signed by an audit committee was submitted.
What is the role of the audit committee and is this an internal or external group?
The audit committee was created by CWJ’s bylaws. It is an internal group with one CWJ
member–the CWJ Vice President–who acts as a liaison for the organization and provides the
committee with any information they need while conducting the audit. The audit is conducted
by a volunteer certified accountant who checks the books and ensures that there aren’t any
discrepancies between the expenses and income.
7. Please also attach a copy of the most recent 990, audit, or board approved financials.
Please find attached the most recent Form 990.
Center for Worker Justice of Eastern Iowa
Profit and Loss
January - December 2021
Cash Basis Thursday, October 13, 2022 03:35 PM GMT-05:00 1/3
TOTAL
Income
GRANT FUNDING
Abelhard Foundation 10,000.00
Ben & Jerry's Foundation 25,000.00
CCHD Davenport 4,705.50
City of Iowa City 14,200.00
City of North Liberty 5,000.00
Clean Slate 47,200.00
EARN Grant 87,500.00
IWJ 15,600.00
Johnson County 58,959.37
Total GRANT FUNDING 268,164.87
GRASSROOTS FUNDRAISING
Arts Midwest, Incorporated NEA Big Read grant 11,347.50
COVID 19 102,916.00
Regency MHC fire damages 2,150.00
Social Enterprise -900.00
Total GRASSROOTS FUNDRAISING 115,513.50
INDIVIDUAL DONORS 84,006.16
INDIVIDUAL MEMBER DUES 884.74
IOWA SHARES 1,390.41
ORGANIZATION AFFILIATES
Labor 1,350.00
Misc Org Donations 400.00
Religious 7,465.00
Total ORGANIZATION AFFILIATES 9,215.00
Refunds-Allowances 32.82
RENT From TENANTS 17,100.00
Sales 30.00
Total Income $496,337.50
GROSS PROFIT $496,337.50
Expenses
Bank Charges 97.04
CONTRACTUAL & Professional Fees 2,239.25
Depreciation Expense 192.67
EQUIPMENT
Computer & Tech Equipment 328.33
Total EQUIPMENT 328.33
Agenda Item #5
CWJ
Center for Worker Justice of Eastern Iowa
Profit and Loss
January - December 2021
Cash Basis Thursday, October 13, 2022 03:35 PM GMT-05:00 2/3
TOTAL
Event Expense 300.00
FUNDRAISING / Development 215.50
Events / Outreach 70.00
Social Enterprises 3,915.97
Total Events / Outreach 3,985.97
Total FUNDRAISING / Development 4,201.47
MEMBER MEETING EXPENSES
Refreshments / Food 513.01
Total MEMBER MEETING EXPENSES 513.01
OFFICE EXPENSES (Consumable)237.86
Email /Text Communications 1,940.50
Communications Systems 201.29
Total Email /Text Communications 2,141.79
Internet / Phone / Data 376.48
Internet / Phone 2,694.17
Total Internet / Phone / Data 3,070.65
Payment Processing (Credit Cards)2,597.59
Postage 204.60
Campaigns 11.00
Fundraising 66.00
Total Postage 281.60
Printing 62.06
Ink Cartridges 1,515.05
Total Printing 1,577.11
Quickbooks Online 759.00
QB Payroll 423.00
Total Quickbooks Online 1,182.00
Supplies & Materials 731.41
Campaign Supplies 337.04
Cleaning Supplies 49.45
Total Supplies & Materials 1,117.90
Website Hosting / Security 391.25
Total OFFICE EXPENSES (Consumable)12,597.75
OTHER ORGANIZATIONAL EXPENSES 66.80
Dues/Affiliations (Other Groups)1,875.00
Insurance - Property 1,684.88
Leader Reimburesments 700.00
Center for Worker Justice of Eastern Iowa
Profit and Loss
January - December 2021
Cash Basis Thursday, October 13, 2022 03:35 PM GMT-05:00 3/3
TOTAL
Social Services Assistance 4,450.00
Arts Midwest NEA Big Read grant 6,131.56
Clean Slate Worker Community Safety Councils 19,535.95
COVID 19 144,731.60
Forest View 925.00
Johnson County Emergency Assistance Funding Grant 7,487.42
Juneteenth Celebration 2020 1,761.38
Regency Mobile Home Community Fire Damage 1,124.00
Robert Wood Johnson Foundation Grant ID 77303 358.16
Total Social Services Assistance 186,505.07
Total OTHER ORGANIZATIONAL EXPENSES 190,831.75
Payroll Expenses
Medical Ins Benefit 26,787.70
Payroll Expenses
Taxes 413.80
Total Payroll Expenses 413.80
Taxes 7,987.94
Wages 104,417.50
Total Payroll Expenses 139,606.94
Reimbursements 42.90
SPACE (Building Costs)
Grounds (Bldg-Maint)
Cleaning Services 622.50
Total Grounds (Bldg-Maint)622.50
Rent 29,721.96
Total SPACE (Building Costs)30,344.46
Total Expenses $381,295.57
NET OPERATING INCOME $115,041.93
Other Expenses
IRS Fees and Penalties 21,004.20
Reconciliation Discrepancies 23,127.61
Total Other Expenses $44,131.81
NET OTHER INCOME $ -44,131.81
NET INCOME $70,910.12
Agenda Item #5
CWJ
Agenda Item #5
CWJ
SCHEDULE O
(Form 990 or 990-
EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
▶Attach to Form 990 or 990-EZ.
▶ Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization Employer identification number
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat. No. 51056K Schedule O (Form 990 or 990-EZ) 2020
Schedule O (Form 990 or 990-EZ) 2020 Page 2
Name of the organization
Employer identification number
Schedule O (Form 990 or 990-EZ) 2020
Schedule O (Form 990 or 990-EZ) 2020
General Instructions
Section references are to the Internal
Revenue Code unless otherwise noted.
Future developments. For the latest
information about developments related to
Schedule O (Form 990 or 990-EZ), such as
legislation enacted after the schedule and
its instructions were published, go to
www.irs.gov/Form990.
Purpose of Schedule
An organization should use Schedule O
(Form 990 or 990-EZ), rather than separate
attachments, to provide the IRS with
narrative information required for
responses to specific questions on Form
990 or 990-EZ, and to explain the
organization’s operations or responses to
various questions. It allows organizations to
supplement information reported on Form
990 or 990-EZ.
Don’t use Schedule O to supplement
responses to questions in other schedules
of the Form 990 or 990-EZ. Each of the
other schedules includes a separate part
for supplemental information. Who Must
File
All organizations that file Form 990 and
certain organizations that file Form 990-EZ
must file Schedule O (Form 990 or 990-EZ).
At a minimum, the schedule must be used
to answer Form 990, Part VI, lines 11b and
19. If an organization isn’t required to file
Form 990 or 990-EZ but chooses to do so,
it must file a complete return and provide all
of the information requested, including the
required schedules.
Specific Instructions
Use as many continuation sheets of
Schedule O (Form 990 or 990-EZ) as
needed.
Complete the required information on the
appropriate line of Form 990 or 990-EZ
prior to using Schedule O (Form 990 or
990-EZ).
Identify clearly the specific part and
line(s) of Form 990 or 990-EZ to which each
response relates. Follow the part and line
sequence of Form 990 or 990-EZ.
Late return. If the return isn’t filed by the
due date (including any extension granted),
attach a separate statement giving the
reasons for not filing on time. Don’t use this
schedule to provide the late-filing
statement.
Amended return. If the organization
checked the Amended return box on Form
990, Heading, item B, or Form 990-EZ,
Heading, item B, use Schedule O (Form
990 or 990-EZ) to list each part or schedule
and line item of the Form 990 or 990-EZ
that was amended.
Group return. If the organization
answered “Yes” to Form 990, line H(a), but
“No” to line H(b), use a separate attachment
to list the name, address, and EIN of each
affiliated organization included in the group
return. Don’t use this schedule. See the
instructions for Form 990, I. Group Return.
Form 990, Parts III, V, VI, VII, IX, XI, and
XII.Use Schedule O (Form 990 or 990-EZ)
to provide any narrative information
required for the following questions in the
Form 990.
1. Part III, Statement of Program Service
Accomplishments.
a. “Yes” response to line 2.
b. “Yes” response to line 3.
c. Other program services on line 4d.
2. Part V, Statements Regarding Other
IRS Filings and Tax Compliance.
a. “No” response to line 3b.
b. “Yes” or “No” response to line 13a.
c. “No” response to line 14b.
3. Part VI, Governance, Management,
and Disclosure.
a. Material differences in voting
rights
among members of the governing body in
line 1a.
b. Delegation of governing board’s
authority to executive committee in line 1a.
c. “Yes” responses to lines 2
through 7b.
d. “No” responses to lines 8a, 8b,
and 10b.
e. “Yes” response to line 9.
f. Description of process for review
of Form 990, if any, in response to line
11b.
g. “Yes” response to line 12c.
h. Description of process for
determining compensation, in response to
lines 15a and 15b.
i. If applicable, in response to line
18,
an explanation as to why the organization
checked the Other box or didn’t make any
of Forms 1023, 1024, 1024-A, 990, or
990-T publicly available.
j. Description of public disclosure of
documents, in response to line 19.
4. Part VII, Compensation of Officers,
Directors, Trustees, Key Employees,
Highest Compensated Employees, and
Independent Contractors.
a. Explain if reporting of compensation
paid by a related organization is provided
only for the period during which the related
organization was related, not the entire
calendar year ending with or within the tax
year, and state the period during which the
related organization was related.
b. Description of reasonable efforts
undertaken to obtain information on
compensation paid by related
organizations, if the organization is unable
to obtain such information to report in
column (E).
5. Explanation for Part IX, Statement
of Functional Expenses, line 11g (other
fees
Page 3
for services), including the type and amount
of each expense included in line 11g, if the
amount in Part IX, line 11g, exceeds 10% of
the amount in Part IX, line 25 (total
functional expenses).
6. Explanation for Part IX, Statement
of Functional Expenses, line 24e (all other
expenses), including the type and amount
of each expense included in line 24e, if the
amount on line 24e exceeds 10% of the
amount in Part IX, line 25 (total functional
expenses).
7. Part XI, Reconciliation of Net
Assets. Explain any other changes in net
assets or fund balances reported on line 9.
8. Part XII, Financial Statements and
Reporting.
a. Change in accounting method or
description of other accounting method
used on line 1.
b. Change in committee oversight
review from prior year on line 2c.
c. “No” response to line 3b.
Form 990-EZ, Parts I, II, III, and V. Use
Schedule O (Form 990 or 990-EZ) to
provide any narrative information required
for the following questions.
1. Part I, Revenue, Expenses, and
Changes in Net Assets or Fund Balances.
a. Description of other revenue, in
response to line 8.
b. List of grants and similar amounts
paid, in response to line 10.
c. Description of other expenses, in
response to line 16.
d. Explanation of other changes in net
assets or fund balances, in response to line
20.
2. Part II, Balance Sheets.
a. Description of other assets, in
response to line 24.
b. Description of total liabilities, in
response to line 26.
3. Description of other program
services, in response to Part III, Statement
of Program Service Accomplishments, line
31.
4. Part V, Other Information.
a. “Yes” response to line 33.
b. “Yes” response to line 34.
c. Explanation of why organization
didn’t report unrelated business gross
income of $1,000 or more to the IRS on
Form 990-T, in response to line 35b.
d. “No” response to line 44d.
Other. Use Schedule O (Form 990 or 990-
EZ) to provide narrative explanations and
descriptions in response to other specific
questions. The narrative provided should
refer and relate to a particular line and
response on the form.
Don’t include on Schedule O (Form
990 or 990-EZ) any social security
number(s), because this CAUTION
schedule will be made available for public
inspection.
▲ !
Schedule A (Form 990 or 990-EZ) 2020
SCHEDULE A
(Form 990 or 990-
EZ)
Department of the
Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1)
nonexempt charitable trust.
▶ Attach to Form 990 or Form 990-EZ.
▶ Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization Employer identification number
Part I Reason for Public Charity Status. (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1A
church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)
3A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital’s name, city, and state:
5An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II.)
6A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II.)
8A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant
college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the
college or university:
10An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions, subject to certain exceptions; and (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). (Complete Part III.)
11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
12 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the
purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See
section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete
lines 12e, 12f, and 12g.
aType I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving
the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the
supporting organization. You must complete Part IV, Sections A and B.
bType II. A supporting organization supervised or controlled in connection with its supported organization(s), by having
control or management of the supporting organization vested in the same persons that control or manage the supported
organization(s). You must complete Part IV, Sections A and C.
cType III functionally integrated. A supporting organization operated in connection with, and functionally integrated with,
its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. dType III non-
functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not
functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness
requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
eCheck this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally
integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations . . . . . . . . . .
. . . . . . . . . . . . g Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization
(described on lines 1–10
above (see instructions))
(iv) Is the organization
listed in your governing
document?
(v) Amount of monetary
support (see
instructions)
(vi) Amount of
other support (see
instructions)
Yes No
(A)
(B)
Schedule A (Form 990 or 990-EZ) 2020 Page 2
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat. No. 11285F
Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
▶
1 Gifts, grants, contributions, and
membership fees received. (Do not include
any “unusual grants.”) . . .
2 Tax revenues levied for the
organization’s benefit and either paid to or
expended on its behalf . . . .
3 The value of services or facilities
furnished by a governmental unit to the
organization without charge . . . . 4 Total.
Add lines 1 through 3 . . . .
5 The portion of total contributions by
each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2% of the amount
shown on line 11, column (f) . .
. .
6 Public support. Subtract line 5 from
line 4
(a)2016 (b)2017 (c)2018 (d)2019 (e)2020 (f)Total
Section B. Total Support
Calendar year (or fiscal year beginning in)
▶
7 Amounts from line 4 . .
. . . .
8 Gross income from interest, dividends,
payments received on securities loans,
rents, royalties, and income from similar
sources . . . . . . . .
9 Net income from unrelated business
activities, whether or not the business is
regularly carried on . . . . . .
10 Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . . . . .
11 Total support. Add lines 7 through 10
12 Gross receipts from related activities, etc.
(see instructions)
(a)2016 (b)2017 (c)2018 (d)2019 (e)2020 (f)Total
. . . . . . . .. . . . 12
13 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . ▶
Schedule A (Form 990 or 990-EZ) 2020 Page 3
Schedule A (Form 990 or 990-EZ) 2020
Section C. Computation of Public Support Percentage
14 Public support percentage for 2020 (line 6, column (f), divided by line 11, column (f)) .
15 Public support percentage from 2019 Schedule A, Part II, line 14 . .
. . . . .
.
.
.
.
.
.
14 %
15 %
16a 331/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and
stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . ▶
b 331/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check
this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . ▶
17 a 10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10%
or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in
Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported
organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
b 10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is
10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI
how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
Schedule A (Form 990 or 990-EZ) 2020
Part III Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
1
2
3
4
5
6
7a
b
c
8
Calendar year (or fiscal year beginning in)
▶
Gifts, grants, contributions, and
membership fees received. (Do not
include any “unusual grants.”) Gross
receipts from admissions, merchandise
sold or services performed, or facilities
furnished in any activity that is related to
the organization’s tax-exempt purpose .
. .
Gross receipts from activities that are
not an unrelated trade or business under
section 513 Tax revenues levied for the
organization’s benefit and either paid to
or expended on its behalf . . . .
The value of services or facilities
furnished by a governmental unit to the
organization without charge . . . .
Total. Add lines 1 through 5 . .
. . Amounts included
on lines 1, 2, and 3 received from
disqualified persons . Amounts
included on lines 2 and 3 received from
other than disqualified persons that
exceed the greater of $5,000
or 1% of the amount on line 13 for the
year
Add lines 7a and 7b . . . . . .
Public support. (Subtract line 7c from
line 6.) . . . . . . . . . . .
(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
Schedule A (Form 990 or 990-EZ) 2020 Page 4
Section B. Total Support
14 First 5 years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . ▶
Section C. Computation of Public Support Percentage
15 Public support percentage for 2020 (line 8, column (f), divided by line 13, column (f)) . . . 16 Public
support percentage from 2019 Schedule A, Part III, line 15 . . . . . . . . .
.
.
.
.
15 %
16 %
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2020 (line 10c, column (f), divided by line 13, column (f)) .
18 Investment income percentage from 2019 Schedule A, Part III, line 17 . . . .
. . . .
.
.
.
.
17 %
18 %
19a 331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line
17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . ▶
b 331/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and
line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization ▶
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ▶
Part IV Supporting Organizations
(Complete only if you checked a box in line 12 on Part I. If you checked box 12a, Part I, complete Sections A
and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete
Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
1
2
3a
b
c
Yes No
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
Did the organization have any supported organization that does not have an IRS determination of status under
section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported
organization was described in section 509(a)(1) or (2).
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer
lines 3b and 3c below.
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and
satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the
organization made the determination.
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)
purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use.
1
2
3a
Schedule A (Form 990 or 990-EZ) 2020 Page 5
Schedule A (Form 990 or 990-EZ) 2020
4a
b
c
5a
b
c
6
7
8
9a
b
c
10a
b
Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,”
and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign
supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion
despite being controlled or supervised by or in connection with its supported organizations.
Did the organization support any foreign supported organization that does not have an IRS determination under
sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure
that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,”
answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN
numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action;
(iii) the authority under the organization’s organizing document authorizing such action; and (iv) how the action
was accomplished (such as by amendment to the organizing document).
Type I or Type II only. Was any added or substituted supported organization part of a class already designated
in the organization’s organizing document?
Substitutions only. Was the substitution the result of an event beyond the organization’s control?
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited
by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit
one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
(as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with
regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If
“Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified
persons, as defined in section 4946 (other than foundation managers and organizations described in section
509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the
supporting organization had an interest? If “Yes,” provide detail in Part VI.
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit
from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
Was the organization subject to the excess business holdings rules of section 4943 because of section
4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting
organizations)? If “Yes,” answer line 10b below.
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to
determine whether the organization had excess business holdings.)
3b
3c
4a
4b
4c
5a
5b
5c
6
7
8
9a
9b
9c
Schedule A (Form 990 or 990-EZ) 2020 Page 6
10a
10b
Schedule A (Form 990 or 990-EZ) 2020
Part IV Supporting Organizations (continued)
11 Has the organization accepted a gift or contribution from any of the following persons?
a A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c
below, the governing body of a supported organization?
b A family member of a person described in line 11a above?
c A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to line 11a, 11b, or 11c,
provide detail in Part VI.
Yes No
11a
11b
11c
Section B. Type I Supporting Organizations
1
2
Did the governing body, members of the governing body, officers acting in their official capacity, or membership
of one or more supported organizations have the power to regularly appoint or elect at least a majority of the
organization’s officers, directors, or trustees at all times during the tax year? If “No,” describe in Part VI how the
supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the
organization had more than one supported organization, describe how the powers to appoint and/or remove
officers, directors, or trustees were allocated among the supported organizations and what conditions or
restrictions, if any, applied to such powers during the tax year.
Did the organization operate for the benefit of any supported organization other than the supported
organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI
how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised,
or controlled the supporting organization.
Yes No
1
2
Section C. Type II Supporting Organizations
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or
trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or
management of the supporting organization was vested in the same persons that controlled or managed the
supported organization(s).
Yes No
1
Section D. All Type III Supporting Organizations
1
2
3
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior
tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of
the organization’s governing documents in effect on the date of notification, to the extent not previously
provided?
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported
organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how
the organization maintained a close and continuous working relationship with the supported organization(s).
By reason of the relationship described in line 2, above, did the organization’s supported organizations have a
significant voice in the organization’s investment policies and in directing the use of the organization’s income
Yes No
1
2
Schedule A (Form 990 or 990-EZ) 2020 Page 7
Schedule A (Form 990 or 990-EZ) 2020
or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported
organizations played in this regard.
3
Section E. Type III Functionally Integrated Supporting Organizations
1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
a The organization satisfied the Activities Test. Complete line 2 below.
b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization
supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions).
2
a
b
3
Activities Test. Answer lines 2a and 2b below. Yes No
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of
the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify
those supported organizations and explain how these activities directly furthered their exempt purposes,
how the organization was responsive to those supported organizations, and how the organization determined
that these activities constituted substantially all of its activities.
Did the activities described in line 2a, above, constitute activities that, but for the organization’s involvement,
one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in
Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in
these activities but for the organization’s involvement.
Parent of Supported Organizations. Answer lines 3a and 3b below.
2a
2b
a
b
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees
of each of the supported organizations? If “Yes” or “No,” provide details in Part VI.
Did the organization exercise a substantial degree of direction over the policies, programs, and activities of
each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this
regard.
3a
3b
1 Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See
instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A—Adjusted Net Income
(A) Prior Year
(B) Current Year
(optional)
1 Net short-term capital gain 1
2 Recoveries of prior-year distributions 2
3 Other gross income (see instructions) 3
4 Add lines 1 through 3. 4
5 Depreciation and depletion 5
6 Portion of operating expenses paid or incurred for production or collection of
gross income or for management, conservation, or maintenance of property
held for production of income (see instructions) 6
7 Other expenses (see instructions) 7
8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) 8
Section B—Minimum Asset Amount (A) Prior Year
(B) Current Year
(optional)
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
Schedule A (Form 990 or 990-EZ) 2020 Page 8
1 Aggregate fair market value of all non-exempt-use assets (see instructions
for short tax year or assets held for part of year):
a Average monthly value of securities 1a
b Average monthly cash balances 1b
c Fair market value of other non-exempt-use assets 1c
d Total (add lines 1a, 1b, and 1c) 1d
e Discount claimed for blockage or other factors (explain
in detail in Part VI):
2 Acquisition indebtedness applicable to non-exempt-use assets 2
3 Subtract line 2 from line 1d. 3
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount,
see instructions). 4
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5
6 Multiply line 5 by 0.035. 6
7 Recoveries of prior-year distributions 7
8 Minimum Asset Amount (add line 7 to line 6) 8
Section C—Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, column A) 1
2 Enter 0.85 of line 1. 2
3 Minimum asset amount for prior year (from Section B, line 8, column A) 3
4 Enter greater of line 2 or line 3. 4
5 Income tax imposed in prior year 5
6 Distributable Amount. Subtract line 5 from line 4, unless subject to
emergency temporary reduction (see instructions). 6
7 Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see
instructions).
Schedule A (Form 990 or 990-EZ) 2020
Schedule A (Form 990 or 990-EZ) 2020 Page 9
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D—Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported
organizations, in excess of income from activity 2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3
4 Amounts paid to acquire exempt-use assets 4
5 Qualified set-aside amounts (prior IRS approval required—provide details in Part VI) 5
6 Other distributions (describe in Part VI). See instructions. 6
7 Total annual distributions. Add lines 1 through 6. 7
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions. 8
9 Distributable amount for 2020 from Section C, line 6 9
10 Line 8 amount divided by line 9 amount 10
Section E—Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2020
(iii)
Distributable
Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2020
(reasonable cause required—explain in Part VI). See
instructions.
3 Excess distributions carryover, if any, to 2020
a From 2015 . . . . .
b From 2016 . . . . .
c From 2017 . . . . .
d From 2018 . . . . .
e From 2019 . . . . .
f Total of lines 3a through 3e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4 Distributions for 2020 from
Section D, line 7: $
Schedule A (Form 990 or 990-EZ) 2020 Page 10
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if
any. Subtract lines 3g and 4a from line 2. For result
greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines
3h and 4b from line 1. For result greater than zero, explain
in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j
and 4c.
8 Breakdown of line 7:
a Excess from 2016 . . .
b Excess from 2017 . . .
c Excess from 2018 . . .
d Excess from 2019 . . .
e Excess from 2020 . . .
Schedule A (Form 990 or 990-EZ) 2020
Part VI Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part
III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section
B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a,
2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V,
Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990 or 990-EZ) 2020 Page 11
Schedule A (Form 990 or 990-EZ) 2020
Schedule B
Organization type (check one):
Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See
instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or
more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a
contributor’s total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the
regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line
13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1)
$5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one
contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific,
literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering
“N/A” in column (b) instead of the contributor name and address), II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one
contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions
totaled 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. Don’t complete any of the parts unless the General Rule applies
to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more
during the year . . . . . . . . . . . . . . . . . . ▶ $
(Form 990, 990-EZ, or
990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
▶Attach to Form 990, Form 990-EZ, or Form 990-PF.
▶Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Name of the organizatio n Employer identification number
Filers of: Section:
Form 990 or 990-EZ 501(c)( ) (enter number) organization
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
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
Caution: An organization that isn’t covered by the General Rule and/or the Special Rules doesn’t file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its
Form 990-PF, Part I, line 2, to certify that it doesn’t meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF. Cat. No. 30613X Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
Part I
Name of organization Employer identification number
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 3
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for
noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
Name of organization Employer identification number
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 4
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions.)
(d)
Date received
$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Name of organization Employer identification number
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or
(10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and
the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) ▶ $
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
(a) No.
from
Part I (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 5
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee’s name, address, and ZIP + 4 Relationship of transferor to transferee
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
General Instructions
Section references are to the Internal Revenue
Code unless otherwise noted.
Future developments. For the latest
information about developments related to
Schedule B (Form 990, 990-EZ, or 990-PF),
such as legislation enacted after the schedule
and its instructions were published, go to
www.irs.gov/Form990.
Note: Terms in bold are defined in the
Glossary of the Instructions for Form 990.
Reminders
Certain tax-exempt organizations are no longer
required to report the names and addresses of
their contributors on Schedule B (Form 990 or
990-EZ). However, these organizations must
continue to keep this information in their books
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 6
and records. Organizations described in
section 501(c)(3) and section 527 are still
required to report the names and addresses of
their contributors on Schedule B. See
Regulations section 1.6033-2 (T.D. 9898),
2020-25 I.R.B. 935, and General Rule, later.
Purpose of Schedule
Schedule B (Form 990, 990-EZ, or 990-
PF) is used to provide information on
contributions the organization reported on:
• Form 990, Return of Organization Exempt
From Income Tax, Part VIII, Statement of
Revenue, line 1;
• Form 990-EZ, Short Form Return of
Organization Exempt From Income Tax, Part I,
line 1; or
• Form 990-PF, Return of Private Foundation,
Part I, line 1.
Who Must File
Every organization must complete and attach
Schedule B to its Form 990, 990-EZ, or 990PF,
unless it certifies that it doesn’t meet the filing
requirements of this schedule by:
• Answering “No” on Form 990, Part IV,
Checklist of Required Schedules, line 2; or
• Checking the box on:
• Form 990-EZ, line H; or
• Form 990-PF, Part I, Analysis of Revenue
and Expenses, line 2. See the separate
instructions for these lines on those forms.
If an organization isn’t required to file Form
990, 990-EZ, or 990-PF but chooses to do so,
it must file a complete return and provide all of
the information requested, including the
required schedules.
Accounting Method
When completing Schedule B (Form 990,
990EZ, or 990-PF), the organization must use
the same accounting method it checked on
Form 990, Part XII, Financial Statements and
Reporting, line 1; Form 990-EZ, line G; or
Form 990-PF, line J.
Public Inspection
Note: Don’t include social security numbers of
contributors as this information may be made
public.
• Schedule B is open to public
inspection for an organization that files Form
990-PF.
• Schedule B is open to public
inspection for a section 527 political
organization that files Form 990 or 990-EZ.
• For all other organizations that file
Form 990 or 990-EZ, the names and
addresses of contributors aren’t required to be
made available for public inspection. All other
information, including the amount of
contributions, the description of noncash
contributions, and any other information, is
required to be made available for public
inspection unless it clearly identifies the
contributor.
If an organization files a copy of Form 990 or
990-EZ, and attachments, with any state, it
shouldn’t include its Schedule B (Form 990,
990-EZ, or 990-PF) in the attachments for the
state, unless a schedule of contributors is
specifically required by the state. States that
don’t require the information might
inadvertently make the schedule available for
public inspection along with the rest of the
Form 990 or 990-EZ.
See the instructions for Form 990, 990-EZ,
or 990-PF for information on telephone
assistance and the public inspection rules for
these forms and their attachments.
Contributions To Be
Included on Part I
A contributor (person) includes individuals,
fiduciaries, partnerships, corporations,
associations, trusts, and exempt organizations.
In addition, section 509(a)(2), 170(b)(1)(A)(iv),
and 170(b)(1)(A)(vi) organizations must also
report governmental units as contributors.
Contributions
Contributions reportable on Schedule B (Form
990, 990-EZ, or 990-PF) are contributions,
grants, bequests, devises, and gifts of money
or property, whether or not for charitable
purposes. For example, political contributions
to section 527 political organizations are
included. Contributions don’t include fees for
the performance of services. See the
instructions for Form 990, Part VIII, line 1, for
more detailed information on contributions.
General Rule
Unless the organization is covered by one of
the Special Rules, later, it must report in Part I
contributions from all persons who contribute
$5,000 or more (in money or other property)
during the tax year. As described below,
certain organizations report only total
contribution amounts. Contributions may be
made directly or indirectly and may take the
form of money, securities, or any other type of
property.
Include all separate and independent gifts
that are $1,000 or more to determine a
contributor’s total contribution. Gifts that are
less than $1,000 may be disregarded. Include
each contribution reported on Form 990, Part
VIII, line 1. For example, if an organization that
uses the accrual method of accounting reports
a pledge of noncash property in Part VIII, line
1, it must include the value of that contribution
in calculating whether the contributor meets
the General Rule (or one of the Special Rules,
if applicable), even if the organization didn’t
receive the property during the tax year.
Certain organizations not required to report
contributor names and addresses. Certain
organizations are no longer required to report
the names and addresses of their contributors
on Schedule B. Such organizations are those
other than:
• Section 501(c)(3) organizations (including
section 4947(a)(1) nonexempt charitable
trusts and nonexempt private foundations
described in section 6033(d)), or
• Section 527 political organizations.
Organizations not required to report the
names and addresses should enter “N/A”
in Part I, column (b). These organizations
must continue to:
• Collect the names and addresses of their
contributors,
• Keep this information in their records and
books, and
• Make the information available to the IRS
upon request.
Section 501(c)(3) organizations (including
section 4947(a)(1) nonexempt charitable trusts
and nonexempt private foundations described
in section 6033(d)), and section 527 political
organizations must report the names and
addresses of their contributors in Part I,
column (b), on Schedule B.
Special Rules
Section 501(c)(3) organizations that file
Form 990 or 990-EZ. For an organization
described in section 501(c)(3) that meets the
331/3% support test of the regulations under
sections 509(a)(1) and 170(b)(1)(A)(vi), and
not just the 10% support test (whether or not
the organization is otherwise described in
section 170(b)(1)(A)), list in Part I only those
contributors whose contribution of $5,000 or
more during the tax year is greater than 2% of
the amount reported on Form 990, Part VIII,
line 1h(A); or Form 990-EZ, line 1. An
organization that claims the benefit of this
special rule must either (1) establish on
Schedule A (Form 990 or 990-EZ), Part II, that
it met the 331/3% support test for the current
year or prior year; or (2) check the box on
Schedule A (Form 990 or 990-EZ), Part I, line
7 or 8, and the box on Schedule A, Part II, line
13, as a section 170(b)(1)(A)(vi) organization
in its first 5 years.
Example. A section 501(c)(3) organization,
of the type described above, reported
$700,000 in total contributions, gifts, grants,
and similar amounts received on Form 990,
Part VIII, line 1h. The organization is only
required to list in Parts I and II of its Schedule
B each person who contributed more than the
greater of $5,000 or 2% of $700,000 ($14,000)
during the tax year. Thus, a contributor who
gave a total of $11,000 wouldn’t be reported in
Parts I and II for this section 501(c)(3)
organization. Even though the $11,000
contribution to the organization was greater
than $5,000, it didn’t exceed $14,000.
Section 501(c)(7), (8), or (10) organizations.
For contributions to these social and
recreational clubs, fraternal beneficiary and
domestic fraternal societies, orders, or
associations that weren’t for an exclusively
religious, charitable, etc., purpose, list in Part I
contributions from each contributor who
contributed $5,000 or more during the tax
year, as described under General Rule, earlier.
For contributions to a section 501(c)(7), (8), or
(10) organization received for use exclusively
for religious, charitable, scientific, literary, or
educational purposes, or for the prevention of
cruelty to children or animals (section
170(c)(4), 2055(a)(3), or 2522(a)(3)), list in
Part I contributions from each contributor
whose aggregate contributions for an
exclusively religious, charitable, etc., purpose
were more than $1,000 during the tax year. To
determine the more-than-$1,000 amount, total
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 7
all of a contributor’s gifts for the tax year
(regardless of amount). For a noncash
contribution, complete Part II.
All section 501(c)(7), (8), or (10)
organizations that listed an exclusively
religious, charitable, etc., contribution in Part I
or II must also complete Part III to provide
further information on such contributions of
more than $1,000 during the tax year and
show the total amount received from such
contributions that were for $1,000 or less
during the tax year.
All section 501(c)(7), (8), or (10)
organizations listing contributions under this
special rule should enter “N/A” in Part I,
column (b), and should not enter the name and
address of any contributor.
However, if a section 501(c)(7), (8), or (10)
organization didn’t receive total contributions
of more than $1,000 from a single contributor
during the tax year for exclusively religious,
charitable, etc., purposes and consequently
wasn’t required to complete Parts I through III
with respect to these contributions, it need only
check the third Special Rules box on the front
of Schedule B and enter, in the space
provided, the total contributions it received
during the tax year for an exclusively religious,
charitable, etc., purpose.
Specific Instructions
Don’t attach substitutes for
Schedule B or attachments to
Schedule B with information on
CAUTION contributors. Parts I, II,
and III of Schedule B may be duplicated as
needed to provide adequate space for listing
all contributors. Number each page of each
part (for example, Page 2 of 5, Part II).
Part I. In column (a), identify the first
contributor listed as No. 1 and the second
contributor as No. 2, etc. Number
consecutively. In column (b), section 501(c)(3)
organizations (including section 4947(a)(1)
nonexempt charitable trusts and section
501(c)(3) nonexempt private foundations) and
section 527 organizations enter the
contributor’s name, address, and ZIP code.
Identify a donor as “anonymous” only if the
organization doesn’t know the donor’s identity.
Other organizations would enter “N/A” in
place of each contributor’s name, address, and
ZIP code. In column (c), enter the amount of
total contributions for the tax year for the
contributor listed.
In column (d), check the type of contribution.
Check all that apply for the contributor listed. If
a cash contribution came directly from a
contributor (other than through payroll
deduction), check the “Person” box. A cash
contribution includes contributions paid by
cash, credit card, check, money order,
electronic fund or wire transfer, and other
charges against funds on deposit at a financial
institution.
If an employee’s cash contribution was
forwarded by an employer (indirect
contribution), check the “Payroll” box. If an
employer withholds contributions from
employees’ pay and periodically gives them to
the organization, report only the employer’s
name and address or “N/A,” as applicable, and
the total amount given unless you know that a
particular employee gave enough to be listed
separately.
Check the “Noncash” box in column (d) for
any contribution of property other than cash
during the tax year, and complete Part II of this
schedule. For example, if an organization that
uses the accrual method of accounting reports
a pledge of noncash property on Form 990,
Part VIII, line 1g, it must check the “Noncash”
box and complete Part II even if the
organization didn’t receive the property during
the tax year.
For a section 527 organization that files a
Form 8871, Political Organization Notice of
Section 527 Status, the names and addresses
of contributors that aren’t reported on Form
8872, Political Organization Report of
Contributions and Expenditures, don’t need to
be reported in Part I if the organization paid
the amount specified by section 527(j)(1). In
this case, enter “Pd. 527(j)(1)” in column (b)
instead of a name, address, and ZIP code; but
you must enter the amount of contributions in
column (c).
Part II. In column (a), show the number that
corresponds to the contributor’s number in
Part I. In column (b), describe the noncash
contribution received by the organization
during the tax year, regardless of the value of
that noncash contribution. Note the public
inspection rules discussed earlier.
In columns (c) and (d), report property with
readily determinable market value (for
example, market quotations for securities) by
listing its fair market value (FMV). If the
organization immediately sells securities
contributed to the organization (including
through a broker or agent), the contribution
must still be reported as a gift of property
(rather than cash) in the amount of the net
proceeds plus the broker’s fees and expenses.
See the instructions for Form 990, Part VIII,
line 1g, which provide an example to illustrate
this point. If the property isn’t immediately sold,
measure market value of marketable securities
registered and listed on a recognized
securities exchange by the average of the
highest and lowest quoted selling prices (or the
average between the bona fide bid and asked
prices) on the contribution date. See
Regulations section 20.2031-2 to determine
the value of contributed stocks and bonds.
When FMV can’t be readily determined, use an
appraised or estimated value. To determine
the amount of a noncash contribution subject
to an outstanding debt, subtract the debt from
the property’s FMV. Enter the date the
property was received by the organization, but
only if the donor has fully given up use and
enjoyment of the property at that time.
The organization must report the value of
any qualified conservation contributions
and contributions of conservation easements
listed in Part II consistently with how it reports
revenue from such contributions in its books,
records, and financial statements and in Form
990, Part VIII, Statement of Revenue.
For more information on noncash
contributions, see the instructions for Schedule
M (Form 990), Noncash Contributions.
If the organization received a partially
completed Form 8283, Noncash Charitable
Contributions, from a donor, complete it and
return it so the donor can get a charitable
contribution deduction. Keep a copy for your
records.
Original (first) and successor donee
(recipient) organizations must file Form 8282,
Donee Information Return, if they sell,
exchange, consume, or otherwise dispose of
(with or without consideration) charitable
deduction property (property other than money
or certain publicly traded securities) within 3
years after the date the original donee
received the property.
Part III. Section 501(c)(7), (8), or (10)
organizations that received contributions for
use exclusively for religious, charitable, etc.,
purposes during the tax year must complete
Parts I through III for each person whose gifts
totaled more than $1,000 during the tax year.
Show also, in the heading of Part III, the total
of gifts to these organizations that were $1,000
or less for the tax year and were for
exclusively religious, charitable, etc.,
purposes. Complete this information only on
the first Part III page if you use duplicate
copies of Part III.
If an amount is set aside for an exclusively
religious, charitable, etc., purpose, show in
column (d) how the amount is held (for
example, whether it is commingled with
amounts held for other purposes). If the
organization transferred the gift to another
organization, show the name and address of
the transferee organization in column (e) and
explain the relationship between the two
organizations.
▲ !
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
▶Complete if the organization answered “Yes” on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
▶Attach to Form 990.
▶Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization Employer identification number
Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.
Complete if the organization answered “Yes” on Form 990, Part IV, line 6.
1
2
3
4
Total number at end of year . . . . . . . . Aggregate
value of contributions to (during year) . Aggregate
value of grants from (during year) . . Aggregate
value at end of year . . . . . . .
(a)Donor advised funds (b)Funds and other accounts
5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the
organization’s property, subject to the organization’s exclusive legal control? . . . . . .YesNo
6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used
only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose
conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . .
.YesNo
Part II Conservation Easements.
Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
1 Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (for example, recreation or education)Preservation of a historically important
land area
Protection of natural habitatPreservation of a certified historic structure
Preservation of open space
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
easement on the last day of the tax year. a Total number of conservation easements . . . . . . . . .
. . . . . . . . b Total acreage restricted by conservation easements . . . . . . . . . . . . . . c Number of
conservation easements on a certified historic structure included in (a) . . . . d Number of
conservation easements included in (c) acquired after 7/25/06, and not on a historic structure
listed in the National Register . . . . . . . . . . . . . . .
3 Number of conservation easements modified, transferred, released, extinguished, or terminated
by the organization during the tax year ▶
4 Number of states where property subject to conservation easement is located ▶
5 Does the organization have a written policy regarding the periodic monitoring, inspection,
handling of
violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . Yes No
6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during
the year
▶
7 Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the
year
▶$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)
and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance
sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the
organization’s accounting for conservation easements.
Held at the End of the Tax Year
2a
2b
2c
2d
Schedule D (Form 990) 2020 Page 2
Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1 a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide in Part XIII the text of the footnote to its financial statements that describes these items.
b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide
the following amounts relating to these items:
(i)Revenue included on Form 990, Part VIII, line 1 . . . . . . . . .
. . . . . . . ▶ $
(ii) Assets included in Form 990, Part X . . . . . . . . . .
. . . . . . . . . . ▶ $
2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following
amounts required to be reported under FASB ASC 958 relating to these items:
a Revenue included on Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . ▶ $
b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . ▶ $
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 52283D Schedule D (Form 990) 2020
Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3 Using the organization’s acquisition, accession, and other records, check any of the following that make significant use of its
collection items (check all that apply):
a Public exhibition dLoan or exchange program b Scholarly research
eOther
c Preservation for future generations
4 Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part
XIII.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to
raise funds rather than to be maintained as part of the organization’s collection? . . Yes No
Part IV Escrow and Custodial Arrangements.
Complete if the organization answered “Yes” on Form 990, Part IV, line 9, or reported an amount on Form
990, Part X, line 21.
1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? . . . . . . . . . . .
. . . . . . . . . . . . . .
. Yes No b If “Yes,” explain the arrangement in Part XIII and complete the following table:
Amount
1c
1d
1e
1f
Schedule D (Form 990) 2020 Page 3
c Beginning balance . . . . . . . . . . . .
. . . . . . . . . . d Additions during the year .
. . . . . . . . . . . . . .
. . . .
b
1a Beginning of year balance
b Contributions .
.
c Net investment earnings, gains, and
losses . . . . .
d Grants or scholarships
e Other expenditures for facilities and
programs . . . . f Administrative expenses .
g End of year balance
2 a Board designated or quasi-endowment b Permanent endowment
The percentages on lines 2a, 2b, and 2c should equal 100%.
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by:
(i) Unrelated organizations . . . . . . . . . .
. . . . . . . . . . . . .
. . . . (ii) Related organizations . . . . . .
. . . . . . . . . . . . .
. . . . . . . . b If “Yes” on line 3a(ii), are the related
organizations listed as required on Schedule R? . . . . . . . .
4 Describe in Part XIII the intended uses of the organization’s endowment funds.
Part VI Land, Buildings, and Equipment.
Complete if the organization answered “Yes” on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) (b) Cost or other basis
(other) (c) Accumulated
depreciation (d) Book value
1a
b
c
Land . . .
. . .
. . .
Buildings . . .
.
.
.
.
.
.
Yes No
3a(i)
3a(ii)
3b
Schedule D (Form 990) 2020 Page 4
d
e
. . .
. . Leasehold
improvements . .
Equipment . .
. . .
. . Other . .
. . .
. . .
.
.
.
.
.
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.) . . . . . ▶
Schedule D (Form 990) 2020
Part VII Investments—Other Securities.
Complete if the organization answered “Yes” on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a)Description of security or category
(including name of security)
(b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives . . . . .
. . . . . . .
. .
(2) Closely held equity interests . . . . .
. . . . . . .
(3) Other
.
.
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.) . ▶
Part VIII Investments—Program Related.
Complete if the organization answered “Yes” on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a)Description of investment (b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Schedule D (Form 990) 2020 Page 5
(9)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 13.) . ▶
Part IX Other Assets.
Complete if the organization answered “Yes” on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements . . . . . . .
. . 1
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments . . . .
. . . . . 2a b Donated services and
use of facilities . . . . . . .
. . . . 2b c Recoveries of prior year grants .
. . . . . . . . .
. . . . 2c d Other (Describe in Part XIII.) .
. . . . . . . . .
. . . . . 2d
e Add lines 2a through 2d . . . . . . . . . .
. . . . . . . . . . . .
. . . 2e 3 Subtract line 2e from line 1 . . . . .
. . . . . . . . . . . .
. . . . . . . 3
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .
. 4a b Other (Describe in Part XIII.) . . . .
. . . . . . . . .
. . 4b
c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 4c
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) . . . . . . . 5
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.
Schedule D (Form 990) 2020 Page 6
Complete if the organization answered “Yes” on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements . . . . 2 Amounts
included on line 1 but not on Form 990, Part IX, line 25: a Donated services
and use of facilities . . . . . . . . . . . b Prior year adjustments . . . . . . . . . . . . . .
. . c Other losses . . . . . . . . . . . . . . . . . . . . d Other (Describe in Part XIII.) . .
. . . . . . . . . . . . .
e Add lines 2a through 2d . . . . . .
. . . . . . . .
. . 3 Subtract line 2e from line 1 . . .
. . . . . . . .
. . . .
4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a
Investment expenses not included on Form 990, Part VIII, line 7b . . b Other
(Describe in Part XIII.) . . . . . . . . . . . . . . . c Add lines 4a and 4b . . . . . . . . . .
. . . . . . .
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line
18.) .
. .
2a
. . . . . . . 1
2b
2c
2d
. .
. .
4a
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2e
3
4b
. . . .
.
.
.
.
.
.
.
.
.
.
.
4c
5
Part XIII Supplemental Information.
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line
2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Schedule D (Form 990) 2020 Page 7
Schedule D (Form 990) 2020
Part XIII Supplemental Information (continued)
Schedule D (Form 990) 2020 Page 8
Schedule D (Form 990)
2020
Schedule I (Form 990) 2020
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
Complete if the organization answered “Yes” on Form 990, Part IV, line 21 or 22.
▶Attach to Form 990.
▶Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization Employer identification number
Part I General Information on Grants and Assistance
1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees’ eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
2 Describe in Part IV the organization’s procedures for monitoring the use of grant funds in the United States.
Part II Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered “Yes” on Form 990,
Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name and address of organization or
government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash
grant
(e) Amount of noncash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2 Enter total number of section 501(c)(3) and government organizations listed in the line 1 table . . . . . . . . .
. . . . . . . . . ▶
3 Enter total number of other organizations listed in the line 1 table . . . . . . . . . . . .
. . . . . . . . . . . . . . . ▶
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50055P Schedule I (Form 990) 2020
Page 2
Part III Grants and Other Assistance to Domestic Individuals. Complete if the organization answered “Yes” on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients (c) Amount of cash
grant (d) Amount of noncash
assistance (e) Method of valuation (book,
FMV, appraisal, other) (f) Description of noncash assistance
1
2
3
4
5
6
7
Part IV Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Schedule I (Form 990) 2020
Schedule I (Form 990) 2020
Schedule I (Form 990) 2020
Section references are to the Internal Revenue
Code unless otherwise noted.
General Instructions
Future developments. For the latest
information about developments related to
Schedule I (Form 990), such as legislation
enacted after the schedule was published, go
to www.irs.gov/Form990.
Note. Terms in bold are defined in the
Glossary of the Instructions for Form 990.
Purpose of Schedule
Schedule I (Form 990) is used by an
organization that files Form 990 to provide
information on grants and other assistance
made by the filing organization during the tax
year to domestic organizations, domestic
governments, and domestic individuals.
Report activities conducted by the organization
directly. Also, report activities conducted by
the organization indirectly through a
disregarded entity or a joint venture treated
as a partnership.
Grants and other assistance include awards,
prizes, contributions, noncash assistance,
cash allocations, stipends, scholarships,
fellowships, research grants, and similar
payments and distributions made by the
organization during the tax year. For purposes
of Schedule I, grants and other assistance
don’t include:
• Salaries or other compensation to
employees, or payments to independent
contractors if the primary purpose of such
payments is to serve the direct and immediate
needs of the organization (such as legal,
accounting, or fundraising services).
• The payment of any benefit by a
501(c)(9) voluntary employees’ beneficiary
association (VEBA) to employees of a
sponsoring organization or contributing
employer, if such payment is made under the
terms of the VEBA trust and in compliance
with section 505.
• Grants to affiliates that aren’t
organized as legal entities separate from the
filing organization, or payments made to
branch offices, accounts, or employees of the
organization located in the United States. A
domestic organization includes a corporation
or partnership created or organized in the
United States or under the law of the United
States or of any state or possession. A trust is
a domestic organization if a court within the
United States or a U.S. possession is able to
exercise primary supervision over the
administration of the trust, and one or more
U.S. persons (or persons in U.S.
possessions) have the authority to control all
substantial decisions of the trust.
A domestic government is a state, a U.S.
possession, a political subdivision of a state or
U.S. possession, the United States, or the
District of Columbia. A grant to a U.S.
government agency must be included on this
schedule regardless of where the agency is
located or operated.
A domestic individual is a person,
including a foreign citizen, who lives or resides
in the United States (or a U.S. possession) and
not outside the United States (or a U.S.
possession).
Parts II and III of this schedule may be
duplicated to list additional grantees (Part II) or
types of grants/assistance (Part III) that don’t
fit on the first page of these parts. Number
each page of each part.
Don’t report on this schedule foreign grants
or assistance, including grants or assistance
provided to domestic organizations,
domestic governments, or domestic
individuals for the purpose of providing grants
or other assistance to a designated foreign
organization, foreign government, or
foreign individual. Instead, report them on
Schedule F (Form 990), Statement of Activities
Outside the United States.
Who Must File
An organization that answered “Yes” on
Form 990, Part IV, Checklist of Required
Schedules, line 21 or 22, must complete Part I
and either Part II or Part III of this schedule
and attach it to Form 990.
If an organization isn’t required to file Form
990 but chooses to do so, it must file a
complete return and provide all of the
information requested, including the required
schedules.
Specific Instructions
Part I. General Information on
Grants and Assistance
Complete this part if the organization
answered “Yes” on Form 990, Part IV, line 21
or 22.
Lines 1 and 2. On line 1, indicate “Yes” or
“No” regarding whether the organization
maintains records to substantiate amounts,
eligibility, and selection criteria used for
grants. In general terms, describe how the
organization monitors its grants to ensure that
such grants are used for proper purposes and
aren’t otherwise diverted from the intended
use. For example, the organization can
describe the periodic reports required or field
investigations conducted. Use Part IV for the
organization’s narrative response to line 2.
Part II. Grants and Other
Assistance to Domestic
Organizations and Domestic
Governments
Line 1. Complete line 1 if the organization
answered “Yes” on Form 990, Part IV, line 21.
A “Yes” response means that the organization
reported more than $5,000 on Form 990, Part
IX, line 1, column (A). Enter information only
for each recipient domestic organization or
domestic government that received more
than $5,000 aggregate of grants or assistance
from the organization during the tax year.
Enter the details of each organization or
entity on a separate line of Part II. If there are
more organizations or entities to report in Part
II than space available, report the additional
organizations or entities on duplicate copies of
Part II. Use as many duplicate copies as
needed, and number each page. Use Part IV if
additional space is needed for descriptions of
particular column entries.
Page 3
Column (a). Enter the full legal name and
mailing address of each recipient organization
or government entity.
Column (b). Enter the employer
identification number (EIN) of the grant
recipient.
Column (c). Enter the section of the
Internal Revenue Code under which the
organization receiving the assistance is tax
exempt, if applicable (for example, a school
described in section 501(c)(3) or a social club
described in section 501(c)(7)). If a recipient is
a government entity, enter the name of the
government entity. If a recipient is neither a
tax-exempt nor a government entity, leave
column (c) blank.
Column (d). Enter the total dollar amount of
cash grants to each recipient organization or
entity for the tax year. Cash grants include
grants and allocations paid by cash, check,
money order, electronic fund or wire transfer,
and other charges against funds on deposit at
a financial institution.
Columns (e) and (f). Enter the fair market
value of noncash property. Describe the
method of valuation. Report property with a
readily determinable market value (for
example, market quotations for securities) at
its fair market value. For marketable securities
registered and listed on a recognized
securities exchange, measure market value on
the date the property is distributed to the
grantee by the average of the highest and
lowest quoted selling prices or the average
between the bona fide bid and asked prices.
When fair market value can’t be readily
determined, use an appraised or estimated
value.
Column (g). For noncash property or
assistance, enter a description of the property
or assistance. List all that apply. Examples of
noncash assistance include medical supplies
or equipment, pharmaceuticals, blankets, and
books or other educational supplies.
Column (h). Describe the purpose or
ultimate use of the grant funds or other
assistance. Don’t use general terms, such as
charitable, educational, religious, or scientific.
Use more specific descriptions, such as
general support, payments for nursing
services, or laboratory construction. Enter the
type of assistance, such as medical, dental, or
free care for indigent hospital patients. In the
case of disaster assistance, include a
description of the disaster and the assistance
provided (for example, “Food, shelter, and
clothing for Organization A’s assistance to
victims of Colorado wildfires”). Use Part IV if
additional space is needed for descriptions. If
the organization checks “Accrual”
on Form 990, Part XII, line 1;
follows Financial Accounting
Standards Board Accounting
Standards Codification (FASB
ASC 958) (formerly “SFAS 116”) (see
instructions for Form 990, Part IX); and makes
a grant during the tax year to be paid in future
years to a domestic organization or
TIP
Schedule I (Form 990) 2020
domestic government, it should report the
grant’s present value in Part II, line 1, column
(d) or (e), and report any accruals of present
value increments in future years.
Line 2. Add the number of recipient
organizations listed on Schedule I (Form 990),
Part II, line 1, that (a) have been recognized by
the Internal Revenue Service as exempt from
federal income tax as described in section
501(c)(3); (b) are churches, including
synagogues, temples, and mosques; (c) are
integrated auxiliaries of churches and
conventions or association of churches; or (d)
are domestic governments. Enter the total.
Line 3. Add the number of recipient
organizations listed on Schedule I (Form 990),
Part II, line 1, that aren’t described on line 2.
This number should include both organizations
that aren’t tax-exempt and organizations that
are tax-exempt under section 501(c) but not
section 501(c)(3).
Part III. Grants and Other
Assistance to Domestic
Individuals
Complete Part III if the organization answered
“Yes” on Form 990, Part IV, line 22. A “Yes”
response means that the organization reported
more than $5,000 on Form 990, Part IX, line 2,
column (A).
Enter information for grants and other
assistance made to or for the benefit of
individual recipients. Don’t complete Part III for
grants or assistance provided to individuals
through another organization or entity, unless
the grant or assistance is earmarked by the
filing organization for the benefit of one or
more specific domestic individuals. Instead,
complete Part II, earlier. For example, report a
payment to a hospital designated to cover the
medical expenses of particular domestic
individuals in Part III and report a contribution
to a hospital designated to provide some
service to the general public or to unspecified
domestic charity patients in Part II.
Enter the details of each type of assistance
to individuals on a separate line of Part III. If
there are more types of assistance than space
available, report the types of assistance on
duplicate copies of Part III. Use as many
duplicate copies as needed, and number each
page. Use Part IV if additional space is needed
for descriptions of particular column entries.
Column (a). Specify type(s) of assistance
provided, or describe the purpose or use of
grant funds. Don’t use general terms, such as
charitable, educational, religious, or scientific.
Use more specific descriptions, such as
scholarships for students attending a particular
school; provision of books or other
educational supplies; food, clothing, and
shelter for indigents, or direct cash assistance
to indigents; etc. In the case of specific
disaster assistance, include a description of
the type of assistance provided and identify
the disaster (for example, “Food, shelter, and
clothing for immediate relief for victims of
Colorado wildfires”).
Column (b). Enter the number of recipients for
each type of assistance. If the organization is
unable to determine the actual number,
provide an estimate of the number. Explain in
Part IV how the organization arrived at the
estimate.
Column (c). Enter the aggregate dollar
amount of cash grants for each type of grant or
assistance. Cash grants include grants and
allocations paid by cash, check, money order,
electronic fund or wire transfer, and other
charges against funds on deposit at a financial
institution. Columns (d) and (e). Enter the fair
market value of noncash property. Describe
the method of valuation. Report property with
a readily determinable market value (for
example, market quotations for securities) at
Page 4
its fair market value. For marketable securities
registered and listed on a recognized
securities exchange, measure market value by
the average of the highest and lowest quoted
selling prices or the average between the
bona fide bid and asked prices, on the date the
property is distributed to the grantee. When
fair market value can’t be readily determined,
use an appraised or estimated value.
Column (f). For noncash grants or assistance,
enter descriptions of property. List all that
apply. Examples of noncash assistance
include medical supplies or equipment,
pharmaceuticals, blankets, and books or other
educational supplies.
If the organization checks
“Accrual” on Form 990, Part XII,
line 1; follows Financial
Accounting Standards Board
Accounting Standards
Codification (FASB ASC 958) (formerly
“SFAS 116”) (see instructions for Form 990,
Part IX); and makes a grant during the tax
year to be paid in future years to a domestic
individual, it should report the grant’s present
value in Part III, column (c) or (d), and report
any accruals of present value increments in
future years.
Part IV. Supplemental Information
Use Part IV to provide narrative information
required in Part I, line 2, regarding monitoring
of funds, and in Part III, column (b), regarding
how the organization estimated the number of
recipients for each type of grant or assistance.
Also use Part IV to provide other narrative
explanations and descriptions, as needed.
Identify the specific part and line(s) that the
response supports. Part IV can be duplicated
if more space is needed.
TIP
October 7, 2022
Agency: Table to Table
Questions:
1. T2T states that it costs $93,000 annually to deliver to Coralville partners. Can T2T
provide a similar estimate for Iowa City partners?
There are two ways we typically look at costs of service, percent of the food received and
number of routes/deliveries made per community. Since no municipality covers the full cost of
service to their community, we do not track this specifically in our budget. The number given for
Coralville was based on the percentage of food received of the total allocated by our programs
in FY22. Using the same metric for Iowa City (66%), the estimated cost of Table to Table
service to Iowa City in the coming year will be $394,241.
In considering other metrics, Table to Table makes (on average) 92 deliveries on 28 routes to
Iowa City agencies per week vs. 31 deliveries on 22 routes to all other communities combined.
2. Can T2T provide pounds of food distributed to partner agencies each year for the last
three years?
This chart represents the food distributed to Iowa City partner agencies in FY20,21, and 22.
Total Pounds
Distributed
High Need Foods
(Produce, Meat,
Dairy, Prepared)
Dry goods/
non-perishable/
personal care Bakery
FY 2020 1,667,560.10 862,947 472,534 332,079
FY2021 1,545,347.81 912,067 380,214 253,067
FY2022 1,338,428.50 812,301 298,226 227,903
Distribution change in
pounds 2020 to 2022 -329,132 -50,646 -174,309 -104,176
Distribution change
by percent 2020 to
2022 -19.7%-5.9%-36.9% -31.4%
3. How many partners has T2T had each year the last three years?
FY20 agency numbers represent those we served from July 2019 through June 2020. By the
end of the fiscal year, many partners had opted out of deliveries due to the pandemic and T2T
paused service to a few others who were not emergency food relief programs. Through the last
quarter of FY20 and the first three quarters of FY21, Table to Table served between 25 and 30
agencies. We brought service back to all previous agencies who wished to continue by the end
of FY21. Some partners who opted out have closed their food distribution or their operations
entirely due to the pandemic.
Agenda Item #5
T2T
October 7, 2022
Year Total Number of
Partners
Total Number of IC
Partners
FY20 51 40
FY21 46 40
FY22 46 36
The number of organizations served is the way we report service numbers through the joint
funding application, because we have been instructed to leave the agency demographics form
in the application blank (arriving at an unduplicated number from all agencies with
demographics is challenging).
The number of agencies served it isn’t necessarily how we quantify and assess our work. At any
given time we may have 5+ organizations on a waitlist. We prioritize new partnerships with
emergency food relief programs that aren’t duplicative or serving the same populations as other
partners. We try to keep the partner numbers in line with the amount of food available so that
partners can consistently rely on us as a foundational food source.
Because we don’t use number of agencies as a metric, I’d also like to share with you the service
numbers Iowa City partners have shared with us (80% of our partners are able to provide a
number, so the totals listed are slightly lower than actual).
Pantry Households Served Per Week IC Pantry Visits Per Year
2020 1112 57,824
2021 1208 59,280
2022 1349 (current) 66,508 (projected with current increase)
% Increase 21% 15%
In addition, our Iowa City meal site, shelter, and youth program partners are serving more than
5,000 meals per week. We don’t have readily available historical data from these partners, but
we know their nights of shelter and number of youth served has increased since the start of the
pandemic.
Agenda Item #5
CommUnity
October 7, 2022
Agency: Aging Services (formerly Pathways)
Questions:
1.Form C shows a negative carrying balance of nearly $2 million dollars for FY23. Is this
accurate?
The information submitted on Form C had an error. Our team jumped ahead and tried
to do the work that the table would do for us. The original figures in Form C in revenue
is our net income. Below is an updated table the reflects our revenue appropriately with
an updated ending fund balance.
Fund Balance FY21 FY22 FY23
Revenue $559,564.00 $742,326.50 $701025.00
Total Expense $547,785.00 $678,474.00 $665989.00
Ending Fund Balance $11,779.00 $63,852.50 $35,036.00
2.What are the plans to fill the budget shortfall?
Our updated numbers in Form C show that there is not a shortfall to address. With that said,
funding from Iowa City is vital to ensure that individuals who are not able to access services due
to income are able to continue to attend this necessary service.
Agenda Item #5
Aging Services
October 7, 2022
Agency: RVAP
Questions:
1.Does RVAP have a plan to increase revenue and/or decrease expenses – perhaps
through a strategic plan?
Yes, with the continued cuts in funding from our state and federal governments each year, RVAP is
working to diversify our funding streams. The vast majority of our budget supports staffing, so our focus
is and will continue to be on people – the amazing people who dedicate their lives to advance RVAP’s
mission, and on the people we are privileged to know and support along their healing journeys. The
continued financial support from local municipalities through Aid to Agencies funding is critical to our
sustainability as we strive to provide our critical services throughout the community. Additionally, this
financial investment demonstrates through meaningful action that our community leaders recognize
sexual violence as an issue that needs and deserves attention, support, and financial resources.
With the goal of establishing a sustainable strategy for diversifying our funding stream, prioritizing our
programming, and increasing access to services we began the steps of developing a new five-year
strategic plan this past Spring as we invited four experts from throughout the country to assess our
program and provide guidance to our team. This departmental program review process is empowering
RVAP to critically evaluate our organizational structure, programming, financial sustainability, and
ultimately our impact and effectiveness in the communities we serve through a lens of continuous
improvement. The four reviewers were:
(1)Dr. Erin Stresow (Assistant Director, UI Diversity Resources)
(2)Rosa Beltré (Executive Director of the Ohio Alliance to End Sexual Violence)
(3)Tana Fedewa (Director of the Michigan State University Center for Survivors)
(4)Sue Prochaszca (former director of Tristate Coalition, the agency that provided SA & DV
services to victims/survivors in Southeast Iowa prior to 2014)
In May of this year these leaders met with all RVAP staff and many stakeholders and collaborative
partners to familiarize themselves with our work. In July this committee presented our team with a
report that clearly evaluates the strengths and weaknesses they recognized, and our team is spending
time this fall to integrate this guidance into a five-year strategic plan for future action and improvement.
2.Why did RVAP report only two years of demographic data?
I apologize as this was an administrative oversight on my part. We have new staff supporting these
reports, and I did not make sure they recognized that FY23 demographics were to be added as a
projection rather than actual data as we reported for FY21 and FY22. Thank you for pointing this
out. Here are our projections for FY23:
Agenda Item #5
RVAP
October 7, 2022
Gender *FY23
Male 725
Female 1100
Non-binary 175
Race
Asian 75
Black or African American 375
American Indian or Alaska native 5
Multiple Races 145
White 950
Other 450
Native Hawaiian or Other Pacific Islander 0
Ethnicity
Hispanic, Latino or Spanish origin 250
Not of Hispanic, Latino or Spanish origin 1750
Age
0-5 10
6-17 1500
18-29 225
30-61 250
62-75 15
75+ Years 0
Area Median Income
<30% AMI 0
<50% AMI 0
<80% AMI 0
>80% AMI 0
October 7, 2022
Geographic Location
Johnson County (Combined, unduplicated) 2000
Iowa City 1100
Coralville 400
North Liberty 400
*projected data
October 7, 2022
Agency: The Arc of SE Iowa
Questions:
1.Is it correct that 95% of budget are from fees for services?—Yes, that is correct.
2.In-kind support – are hours reported on application?—No, volume of hours were
calculated into dollars ($10/hour).
3.Is it correct that Arc plans to increase the number of CCA slots from 30 to 70 with Aid to
Agencies funding?—The Arc intends to continue reserving 25% of enrollment slots for
CCA recipients. Our total daycare/preschool enrollment will increase from 30-70 slots.
The Arc will utilize Aid to Agency funds to support the program operations and additional
staffing for children with special needs.
4.Are there more recent financial statement available? The letter was signed May 23, 2021
for statements on the year ending June 30, 2020.—We have a draft copy that I have
included as a separate attachment. This is a final version, but it still needs final board
approval. Our board is scheduled to meet again in November and will vote on approval
at that time.
5.Will the remodeling referenced cause disruption to City funded childcare services in
FY24?—No, remodeling will be completed by the end of FY23. Completion of remodel is
anticipated by March 1, 2023. Existing services have continued throughout the remodel
project. Following completion of the renovations, The Arc will be able to work on offering
increased enrollment.
6.What happened to East Central Mental Health funding in FY23?—Many grants were
available through the East Central MHDS Region (ECR) in previous years as a result of
pandemic related funding. We do not anticipate that these will remain as consistent
funding sources. We will continue to apply for relevant funding options with ECR but are
uncertain what will be available.
Agenda Item #5
Arc
Agenda Item #5
Arc
October 7, 2022
Agency: Inside Out Reentry
Questions:
1.Is the $100,000 HTFJC grant listed twice?
a.They are separate funds. Inside Out will receive a $100,000 grant/forgivable loan
from HTFJC as well as a loan of $100,000. Both are towards the purchase of our
Reentry House.
2.Can Inside Out justify the difference in funding requests for Coralville and Iowa City
when the number of Coralville clients is virtually the same as the number served in Iowa
City.
a.IO applied for the same amount of funding from Iowa City that we received in the
previous year. IO has yet to receive funding from the city of Coralville. To
determine a relevant asking amount in this request, IO reached out to receive a
list of the amounts that Coralville funded for organizations previously. We applied
for an amount similar to how they funded other small nonprofit organizations.
3.Letter with financial statements is dated February 5, 2021. Are more recent financial
statements or other records available?
a.Due to our smaller organizational size, IO currently does not yet conduct an
annual audit, however we have had two audits conducted at this time. We are
currently in the process of completing our Form 990 for our last fiscal year.
Included in a separate document is our Form 990 for fiscal year ending 7/31/21.
4.The request is over 20% of the agency’s total budget. What other funding sources are
being explored by Inside Out?
a.IO is consistently seeking additional funding sources and working to diversify our
funding streams. In the past 6 months, IO has submitted applications to 8 new
grantors. IO has also invested in building our fundraising capacity for the last two
years with staff and volunteers.
Agenda Item #5
IOR
Agenda Item #5
IOR
October 7, 2022
Agency: Community and Family Resources (formerly Prelude)
Questions:
1.Form C lists a negative carryover balance of more than -$2 million the last three fiscal
years. Is this accurate? The FY’21 and FY’22 budgets were Prelude Behavioral only,
and the FY’23 merged under CFR. The negative balance of $2,398,652 from Prelude
was carried over to the FY’23 merged CFR budget. The ending carryover balance was
a negative $2,050,699 but was improved since taking on Prelude. If we weren’t required
to carryover the balance from Prelude (alone) CFR would not be negative. The
carryover would be a positive $347,953. Our ending fund balance of $947,953 less the
restrictive balance of $600,000 is how we came up with the $347,953. We based the
way we filled the forms out on the historical applications that had been submitted by
Prelude. Perhaps we were not supposed to carry over the negative balance from
Prelude.
2.What efforts are planned given significant gap in employees?
The following efforts to increase staffing levels are underway and will continue until
staffing issues are resolved.
•Use of a Recruiter.
•Advertising for open positions: Indeed.com (with sponsorships to maintain a spot
at the top of the jobs listed), Facebook, and Zip Recruiter.
•Employee Referral program in which staff who refer outside applicants to open
positions within the agency receive a gift card upon successful onboarding and a
financial incentive if the referred staff remain with the company for one year.
•Working with students to fulfill internships and offering employment if the student
has done well and is interested in a full-time position.
•Speaking events at colleges and universities about the career paths for
behavioral health.
•Attendance at Career Fairs with openings available.
•Staffing agencies have been utilized.
•Sign-on and retention bonuses.
Agenda Item #5
CFR
October 7, 2022
•Salary study and an increase in base salaries for positions which were found to
be low.
•Staff with experience from other locations have been assisting with training and
filling in as needed.
•Take open positions information including sign-on information to community
meetings.
•Work with several colleges and universities to promote open positions throughout
the year.
•Implemented use of an HR Tracking System that notifies managers of new
applicants immediately so they can be followed up on quickly.
•More flexibility being offered for positions where it is possible.
3.Financial records submitted seem to predate the shift from Prelude to CFR. Are more
recent financial records available?
We can provide the Financial Statement and CFR’s Financial Audit from FY’21 along
with Prelude’s Financial for FY’21. As the FY22 and FY23 Audits are approved by our
Board of Directors we will provide as they become available.
4. This application was submitted after the deadline. What was the reason?
Difficulty in marking individual forms as complete and the timer went off as I was doing
this. It took me some time to reach the United Way office to find out if I could submit.
5.What is the proposed breakdown of spending for:
a.Rents (number of clients and number of months each client is eligible for rent
subsidies). Client is only eligible for rent subsidies in Transitional Housing for 24
months and then the expectation is that they move to permanent housing. We
currently have some that have been in Transitional Housing longer than 24
months due to the COVID 19 pandemic.
Of the $41,788, we anticipate spending approximately $20,000 on rent for the
clients and spending the other $21,788 on activities and any repairs that might be
needed before or after someone moves in. This is somewhat flexible as each
client’s needs are assessed individually and all arrive with different levels of
October 7, 2022
income and circumstances. Although clients are eligible for up to 24 months
some will move to permanent housing sooner which sometimes facilitates the
need to make repairs. Based on the current clients we anticipate that we may
have 6 clients move within the next year and each apartment is gone through for
damages and repairs after they move.
We have 11 units occupied and of 12 units. We base our subsidies on each
client’s circumstances for example how long it takes for their Section 8 Housing
application to go through, or if their children are sick and they have to stay home
from work to care for them.
b.Security deposits (number of clients to receive security deposits)
Up to 6 clients will receive security deposits.
c.Proposed budget for repair and improvements at facilities – are these CFR
owned facilities?
These are facilities that are owned by CFR. The budget for repair and
improvements is included with activities to promote family bonding. This overall
budget is $21,788 and needs in these areas are assessed quarterly. If there are
activities that will benefit clients and their families, they are prioritized over
repairs and improvements.
6.Outcomes listed on the application do not appear to correlate to use of funds. What
specific outcomes are anticipated to be achieved with this funding source?
Yes, the outcomes that are listed are incorrect. Because the application is closed we
cannot see the exact outcomes/performance measures that can be selected. These are
the outcomes of Transitional Housing: The goal of Transitional Housing is to provide
safe, affordable rental housing for persons in recovery from substance abuse and their
families. Transitional housing facilitates the movement of families to permanent housing
within 24 months. This temporary housing is combined with supportive services to
enable individuals and families to live as independently as possible. Supportive services
help promote residential stability, increased skill level and/or income, and greater self-
determination.
October 7, 2022
These goals would fall into Health and/or Income areas for Performance Measures.
7.Does CFR partner with CommUnity for security deposit assistance?
As you are aware CFR has only been involved and working with the former Prelude
financials for a short period of time. There is currently nothing in financial records that
shows there has been a partnership with CommUnity for security deposit assistance.
We are willing to check on how we could collaborate with this organization.
Agenda Item #5
FLP
Agenda Item #5
FLP
Agenda Item #5
FLP
Jul '21 - Jun 22
Ordinary Income/Expense
Income
Contributions
Individuals - General 23,457.27
Business-General 50.00
Religious Orgs-General 7,826.00
Foundations/Orgs-General 20,383.11
United Way
UWay Grants Donor Designated 6,618.49
Comm Impact Grants (monthly)7,200.00
Total United Way 13,818.49
Total Contributions 65,534.87
Government
City of Iowa City 14,103.75
Johnson County Block Grant 3,200.00
Government - Other 2,140.00
Total Government 19,443.75
Interest/Dividends 852.50
Total Income 85,831.12
Gross Profit 85,831.12
Expense
Program Expense
Facility Costs 322.00
Rent 28,080.00
Direct Luncheon Expenses
Food & Beverages 5,702.66
Holiday 0.00
Kitchen Supplies 14,246.78
Kitchen/Dining Equipment 2,636.49
Total Direct Luncheon Expenses 22,585.93
Payroll Expense
Directors 66,480.13
Custodian 2,306.90
Payroll Taxes 5,208.96
Workers Compensation Insurance 1,133.00
SUTA 0.00
Payroll Expense - Other -683.50
Total Payroll Expense 74,445.49
Total Program Expense 125,433.42
6:14 PM Free Lunch Program
07/23/22 Profit & Loss
Cash Basis July 2021 through June 2022
Page 1
Agenda Item #5
FLP
Jul '21 - Jun 22
Administrative Expense
Membership Fees 228.74
Office Equipment 0.00
Office Supplies 219.30
Postage, Mailing Service 27.50
Phone/Internet Service/Software 0.00
Facility Supplies 929.22
Fundraising Expense 999.67
Training/Travel 351.50
Accounting Fees 1,715.00
Bank Fees/SDep Box/Penalties 290.65
Insurance
Commercial Package 2,390.06
Total Insurance 2,390.06
Total Administrative Expense 7,151.64
Total Expense 132,585.06
Net Ordinary Income -46,753.94
Net Income -46,753.94
6:14 PM Free Lunch Program
07/23/22 Profit & Loss
Cash Basis July 2021 through June 2022
Page 2
Agenda Item #5
FLP
Schedule is subject to change.
FY24 Legacy Aid to Agencies
Upcoming Tentative HCDC Dates
Step Timeframe Status
1 HCDC approves application materials. July 28,
2022
2 Application window open. August 5,
2022
3 Applicant training session and Q&A with United Way staff:
https://us06web.zoom.us/j/84303963812?pwd=VGN4aFE2d0FFL
2JENnB2cGdjNTdFQT09
August 24,
2022 at 2pm
4 Applications due. September 15,
2022 at 5pm
5 Applications shared with HCDC. September 16,
2022
6 Staff provide HCDC with application summary sheets. September 30,
2022
7 HCDC submits questions for agencies to staff. October 6,
2022
8 Staff send questions from HCDC to agencies. October 7,
2022
9 Written responses from agencies due. October 13,
2022
10 Staff to post HCDC packet which will include written responses
from agencies.
October 14,
2022
11 HCDC Q&A discussion session. October 20,
2022 at 6:30pm
12 Staff provide scores and funding recommendation to HCDC for
consideration.
November 1,
2022
13 Commissioner scores and funding recommendations due to staff. November 8,
2022
14 Staff to post HCDC packet with compiled score and funding
information
November 10,
2022
15 HCDC discusses scores, rankings, and staff recommendations. November 17,
2022 at 6:30pm
16 HCDC discusses and considers a budget recommendation to
Council.
January 19,
2023 at 6:30pm
17 Council considers approval of budget. Spring 2023
18 Surveys sent to Legacy Agencies for feedback on the funding
process.
Spring 2023
19 FY24 funds become available. July 1, 2023
20 FY25 funds are prorated based on FY24 allocations and available
budget.
July 1, 2024
Agenda Item #6