Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Transcription

1 Form99Q Department of lhe Treasury Internal Revenue Service I A For the 2016 calendar year, or tax year beginning B I J K Check rf applicable: Address change Name change - Initial return Frnal retum/lerminaled Amended return - Application pending - Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations),. Do not. enter social security nu!1)b rs on t is f nn as it may be made public.,. Information about Form 990 and its mstrucbons 1s at C ATTAIN HOUSING 125 STATE STREET KIRKLAND, WA F Name and address of principal officer: SAME AS C ABOVE, 2016, and ending Tax-exempt status IXI SOl(c)(3) I I so1cc> < )... (insert no.) I I 4947(a)(I) or I I 527 Website:,. Form of organization:!xi Corporation I I Trust I I Association I I Other l( -a l ; 1 Summary 1 QI e QI 2 3 4,n.!!! 5 :i:: > Cl) ::I > Cl) a: C: GI c.. = i_ -- : "' m ;" z MB No Open to Public '. Inspection D Employer identillcatlon number E Telephone number G Gross receipts $ H(1) Is this a group return lor subordinates? Yes H(b) Are all subordinates included? II 'No,' attach a lisl. (see instructions) Yes H(c) Group exemption number.., IL Yearoffo,mahon: 1990 I M Slate of legal domicile: WA Briefly describe the organization's mission or most significant activities:transitional HOUSING WITH CASE MANAGEMENT AND PERMANENT HOUSING WITH RENT ESTABLISHED AS A PERCENT OF INCOME Check this box,. if the organization discontinued its opera\ions or disposed of more than 25% of its net assets. Number of voling members of the governing body (Part VI, line la) Number of independent voting members of the governing body (Part VI, line lb) Total number of individuals employed in calendar year 2016 (Part V, line 2a) '... Total number of volunteers (estimate if necessary) ' 6...! 7a Total unrelated business revenue from Part VIII, column (C), line a 0. b Net unrelated business taxable income from Form 99O-T, line ,.,....,... 7b 0 Prior Year Contributions and grants (Part VII I, line 1 h) Program service revenue (Part VIII, line 2g)...,, Investment income (Part VIII, column (A), lines 3, 4, and 7d)... Other revenue (Part VIII, column (A), lines 5, 6d, Sc, 9c, 1Oc, and 1 le)... Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)... Grants and similar amounts paid (Part IX, column (A), lines 1-3)... Benefits paid to or for members (Part IX, column (A), line 4)... Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)... 16a Professional fundraising fees (Part IX, column (A), line 1 le) b Total fundraising expenses (Part IX, column (D), line 25),. 120,320. Other expenses (Part IX, column (A), lines 11 a-11 d, 1 lf-24e) , Total expenses. Add lines (must equal Part IX, column (A), line 25)... Revenue less expenses. Subtract line 18 from line Total assets (Part X, line 16) Total liabilities (Part X, line 26) Net assets or fund balances. Subtract line 21 from line 20.. l 1 P:31tA[\:I Signature Block , ;, 't , , < Beginning of Current Vear 5 126,425. 2,736,588. 2, No No Current Year 271, ,017. 4, , , ,862.?" ' End of Year 5.168,525 2,713,362 2, Under penalties of perjury. I declare that I 11ave examined this return, including acxompanying schedules and statements. and to the best of my knowledge and belief. ii is true, corf'ect. and complete. Oeclarat,on of preparer (ouier than officer) is based on all rnformation of which preparer has any knowlec!qe. Sign Here Paid Preparer Use Only.. = TERRY SCHULZE Type or print name and title PrinVType preparers name HOLLY CHAN F11m's name.. JOHNSON & SHUTE, P Firm s address, NE 33RD PLACE, SUITE 102 BELLEVUE, WA May the IRS discuss this return with the preparer shown above? (see instructions).... BAA For Paperwork Reduction Act Notice, see the separate instructions. Date PRESIDENT Check TEEA0113L 11116/16 sett-employed Firm'sEIN Ph<rne no. if I PTIN P

2 Form 990 (2016) ATTAIN HOUSING Page 2 IP. tnn ] Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part Ill Briefly describe the organization's mission: SEE SCHEDULE O.. IBl 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ?... If 'Yes,' describe these new services on Schedule 0. 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services?. If 'Yes,' describe these changes on Schedule 0. 0 Yes No 0 Yes No 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501 (c)(3) and 501 (c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 485,335. including grants of $ 27,655. ) (Revenue $ 204,407.) TRANSITIONAL HOUSING IS A_24 MONTH PROGRAM THAT PROVIDES HOUSING OR RENTAL ASSISTANCE_ ALONG WITH CASE MANAGEMENT SUPPORT TO FAMILIES AT_RISK OF HOMELESSNESS. THE PROGRAM OUTCOME IS TO PROVIDE EACH FAMILY WITH THE SKILLS_AND SUPPORT THEY _NEED TO SECURE AND_ MAINTAIN PERMANENT HOUSING. 4 b (Code: ) (Expenses $ 7 9, 174. including grants of $ _ ) (Revenue $ 2 9, 61 O. ) PERMANENT HOUSING_SUPPORTS FORMERLY HOMELESS FAMILIES WITH A STABLE HOUSING SITUATION_ WITH AFFORDABLE RENTS_ (BASED ON A PERCENT OF CLIENT'S GROSS INCOME). 4c (Code: ) (Expenses $ 42,630. including grants of $ ) (Revenue $ COMMUNITY_SERVICE PROGRAMS PROVIDE SUPPORT FOR FAMILIES IN OUR HOUSING AS WELL AS INDIVIDUALS AND FAMILIES IN OUR COMMUNITY AT RISK OF HOMELESSNESS THROUGH HOLIDAY ASSISTANCE AND MEAL PROGRAMS. COMMUNITY SUPPER OPERATES 1 DAY A WEEK 52 WEEKS_PER YEAR, _ PROVIDES NUTRITIOUS AND WELCOMING FAMILY STYLE DINNER. 4d Other program services (Describe in Schedule 0.) (Expenses $ including grants of $ 4e Total program service expenses 607 t 139. BAA TEEA0102L 11116/16 ) (Revenue $ Form 990 (2016)

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30