990-EZ INTERFAITH HOSPITALITY NETWORK OF GREATER ROCHESTER Telephone number F Group Exemption Number u 811 7TH ST NW

Transcription

1 Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except lack lung enefit trust or private foundation) } Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512()(13) must file Form 990 (see instructions). All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form. } The organization may have to use a copy of this return to satisfy state reporting requirements. OMB Open to Pulic Inspection A B G I J K Check if applicale: Address change Name change Initial return Terminated Amended return Application pending Accounting Method: Wesite: u Name of organization Numer and street (or P.O. ox, if mail is not delivered to street address) City or town, state or country, and ZIP + 4 Room/suite Check u required to attach Schedule B Tax-exempt status (check only one) 501(c)(3) 501(c) ( ) (insert no.) 4947(a)(1) or 527 (Form 990, 990-EZ, or 990-PF). Check u if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $50,000. A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may e required (see instructions). But if the organization chooses if the organization is not L Add lines 5, 6c, and 7, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) elow) are $500,000 or more, file Form 990 instead of Form 990-EZ.. u $ Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I.) Check if the organization used Schedule O to respond to any question in this Part I. 1 Contriutions, gifts, grants, and similar amounts received Program service revenue including government fees and contracts. 2 3 Memership dues and assessments. 3 4 Investment income Net Assets Expenses Revenue For the 2010 calendar year, or tax year eginning to file a return, e sure to file a complete return. 5a 6 7a c a c d c C Gross amount from sale of assets other than inventory.... 5a Less: cost or other asis and sales expenses... 5 Gain or (loss) from sale of assets other than inventory (Sutract line 5 from line 5a).. Gaming and fundraising events $15,000).. Gross income from fundraising events (not including $ sum of such gross income and contriutions exceeds $15,000)... 6 Less: direct expenses from gaming and fundraising events 6c Net income or (loss) from gaming and fundraising events (add lines 6a and 6 and sutract line 6c)... Gross sales of inventory, less returns and allowances a Less: cost of goods sold Gross profit or (loss) from sales of inventory (Sutract line 7 from line 7a) Other revenue (descrie in Schedule O)... Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and Grants and similar amounts paid (list in Schedule O).. Benefits paid to or for memers..... Salaries, other compensation, and employee enefits. Professional fees and other payments to independent contractors.. Occupancy, rent, utilities, and maintenance Printing, pulications, postage, and shipping..... Other expenses (descrie in Schedule O).. Total expenses. Add lines 10 through Excess or (deficit) for the year (Sutract line 17 from line 9).. Net assets or fund alances at eginning of year (from line 27, column (A)) (must agree with Other changes in net assets or fund alances (explain in Schedule O).... Net assets or fund alances at end of year. Comine lines 18 through For Paperwork Reduction Act tice, see the separate instructions., and ending INTERFAITH HOSPITALITY NETWORK OF GREATER ROCHESTER 811 7TH ST NW ROCHESTER MN Cash Accrual Other (specify) u Gross income from gaming (attach Schedule G if greater than from fundraising events reported on line 1) (attach Schedule G if the 22,508 6a of contriutions end-of-year figure reported on prior year's return). H D E 1,359 Employer identification numer Telephone numer F Group Exemption Numer u 5c 6d 7c , ,890 1,519-1,359 10, ,553 96,248 14,129 68, ,404 19, , ,445 Form 990-EZ (2010)

2 Form 990-EZ (2010) What is the organization's primary exempt purpose? SEE SCHEDULE O Descrie what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, descrie the services provided, the numer of persons enefited, or other relevant information for each program title PROVIDED MEALS, ROOM NIGHTS... OF... LODGING, 2514 BED..... AND..... ASSISTANCE.. TO HOMELESS..... FAMILIES,. INCLUDING CHILDREN, UNDER.. AGE ,.... WHILE FOSTERING. THE..... DEVELOPMENT... AND..... INVOLVEMENT... OF.... INTERFAITH. NETWORK. (Grants $ ) If this amount includes foreign grants, check here... u 28a 29.. PROVIDE.... HOUSING.... FOR..... FAMILIES..... WHO..... HAVE. BEEN IN.... THE..... NETWORK... OVER. SI..... WEEKS,.. BUT..... NEED. ADDITIONAL. TIME TO.... SECURE..... HOUSING... (Grants $ ) If this amount includes foreign grants, check here... u 29a 30 Part II Part III Balance Sheets. (see the instructions for Part II.) Check if the organization used Schedule O to respond to any question in this Part II (A) Beginning of year (B) End of year 22 Cash, savings, and investments Land and uildings Other assets (descrie in Schedule O) Total assets Total liailities (descrie in Schedule O) Net assets or fund alances (line 27 of column (B) must agree with line 21) Statement of Program Service Accomplishments (see the instructions for Part III.) Check if the organization used Schedule O to respond to any question in this Part III (Grants $ ) If this amount includes foreign grants, check here... u 31 Other program services (descrie in Schedule O).. (Grants $ ) If this amount includes foreign grants, check here... u 31a 32 Total program service expenses (add lines 28a through 31a)... u ,184 Part IV List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (see the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV..... (a) Title and average (c) Compensation (d) Contriutions to (e) Expense (a) Name and address hours per week (If not paid, employee enefit plans & account and devoted to position enter -0-.) deferred compensation other allowances. JOANNE.. MARKEE. ROCHESTER. REV. PAUL BAUCH... ROCHESTER. FR... JERRY.. MAHON.... ROCHESTER. JOE..... MURPHY.... ROCHESTER. MICHAEL.... ADKINS..... ROCHESTER. JOHN EDMONDS... ROCHESTER. KAY..... FRICK.... ROCHESTER. WARREN.. HARMON. ROCHESTER. WARREN.. KEMPLIN. ROCHESTER. REV..... BECKY. JO.... THILGES..... ROCHESTER. SYLVIA.. QUIRK. ROCHESTER. BRENDA.. VALADEZ. ROCHESTER.... EEC. DIR 30a Expenses (Required for section 501(c)(3) and 501(c)(4) organizations and section Page 2 134, ,439 48,308 48, , , , , ,142 93, , , (a)(1) trusts; optional for others.) 148,523 1, , PRESIDENT VICE PRES. TREASURER Form 990-EZ (2010)

3 Form 990-EZ (2010) Page a Initiation fees and capital contriutions included on line 9 39a Gross receipts, included on line 9, for pulic use of clu facilities a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 u ; section 4912 u ; section 4955 u 41 c Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess enefit transaction during the year, or did it engage in an excess enefit transaction in a prior year, that has not een reported on any of its prior Forms 990 or 990-EZ? If "," complete Schedule L, Part I.. Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and u d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimursed y the organization.. u e All organizations. At any time during the tax year, was the organization a party to a prohiited tax shelter 42a 43 Part V a 37a 38a 39 c Other Information (te the statement requirements in the instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V Did the organization engage in any activity not previously reported to the IRS? If, provide a detailed description of each activity in Schedule O.... Were any significant changes made to the organizing or governing documents? If "," attached a conformed copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the change on Schedule O (see instructions).... If the organization had income from usiness activities, such as those reported on lines 2, 6a, and 7a (among others), ut not reported on Form 990-T, explain in Schedule O why the organization did not report the income on Form 990-T. Did the organization have unrelated usiness gross income of $1,000 or more or was it a section 501(c)(4), 501(c)(5), or 501(c)(6) organization suject to section 6033(e) notice, reporting, and proxy tax requirements?.... If "," has it filed a tax return on Form 990-T for this year (see instructions)?.... Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "," complete applicale parts of Schedule N Enter amount of political expenditures, direct or indirect, as descried in the instructions.. u 37a Did the organization file Form 1120-POL for this year? Did the organization orrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered y this return?. If, complete Schedule L, Part II and enter the total amount involved 38 Section 501(c)(7) organizations. Enter: transaction? If, complete Form 8886-T 40e List the states with which a copy of this return is filed. u MN The organization's ooks are in care of u.. JOE MURPHY... Telephone no. u FIRST AVE SW Located at u ROCHESTER..... MN.... ZIP + 4 u At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a ank account, securities account, or other financial account)?... If "," enter the name of the foreign country: u See the instructions for exceptions and filing requirements for Form TD F , Report of Foreign Bank and Financial Accounts. At any time during the calendar year, did the organization maintain an office outside of the U.S.? c If "," enter the name of the foreign country: u Section 4947(a)(1) nonexempt charitale trusts filing Form 990-EZ in lieu of Form 1041 Check here u and enter the amount of tax-exempt interest received or accrued during the tax year u a 35 38a a c d Did the organization maintain any donor advised funds during the year? If "," Form 990 must e completed instead of Form 990-EZ... Did the organization operate one or more hospital facilities during the year? If "," Form 990 must e completed instead of Form 990-EZ... Did the organization receive any payments for indoor tanning services during the year?. If "," to line 44c, has the organization filed a Form 720 to report these payments? If "," provide an explanation in Schedule O 44a 44 44c 44d Form 990-EZ (2010)

4 Form 990-EZ (2010) Part VI 49a 50 a Is any related organization a controlled entity of the organization within the meaning of section 512()(13)?..... Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512()(13)? If "," Form 990 and Schedule R may need to e completed instead of Form 990-EZ (see instructions) 46 Did the organization engage, directly or indirectly, in political campaign activities on ehalf of or in opposition to candidates for pulic office? If "," complete Schedule C, Part I.. 46 Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitale trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitale trusts must answer questions and 52, and complete the tales for lines 50 and 51. Check if the organization used Schedule O to respond to any question in this Part VI..... Did the organization engage in loying activities? If, complete Schedule C, Part II Is the organization a school as descried in section 170()(1)(A)(ii)? If, complete Schedule E... Did the organization make any transfers to an exempt non-charitale related organization?.... If, was the related organization a section 527 organization?..... Complete this tale for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter ne. () Title and average (c) Compensation (d) Contriutions to (a) Name and address of each employee paid more hours per week employee enefit plans & than $100,000 devoted to position deferred compensation. NONE a a 49 Page 4 (e) Expense account and other allowances f 51 Total numer of other employees paid over $100, Complete this tale for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter ne. (a) Name and address of each independent contractor paid more than $100,000 () Type of service (c) Compensation... NONE d Total numer of other independent contractors each receiving over $100, Did the organization complete Schedule A? te: All section 501(c)(3) organizations and 4947(a)(1) nonexempt charitale trusts must attach a completed Schedule A.. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than officer) is ased on all information of which preparer has any knowledge. Sign Here Paid Preparer Use Only Signature of officer Type or print name and title BRUCE L. SWANSON BRUCE L. SWANSON 11/01/11 self-employed P Firm's name } WOLTER & RAAK, LTD. Firm's EIN } Firm's address } Phone no. May the IRS discuss this return with the preparer shown aove? See instructions... JOE MURPHY Print/Type preparer's name Preparer's signature TH AVE NW STE 301 ROCHESTER, MN Date TREASURER Date Check if PTIN Form 990-EZ (2010)

5 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Part I (i) Name of supported organization Pulic Charity Status and Pulic Support Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitale trust. u Attach to Form 990 or Form 990-EZ. u See separate instructions. INTERFAITH HOSPITALITY NETWORK OF GREATER ROCHESTER Reason for Pulic Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines 1 through 11, check only one ox.) A church, convention of churches, or association of churches descried in section 170()(1)(A)(i). A school descried in section 170()(1)(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization descried in section 170()(1)(A)(iii). OMB Open to Pulic Inspection Employer identification numer A medical research organization operated in conjunction with a hospital descried in section 170()(1)(A)(iii). Enter the hospital's name, city, and state:... An organization operated for the enefit of a college or university owned or operated y a governmental unit descried in section 170()(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit descried in section 170()(1)(A)(v). An organization that normally receives a sustantial part of its support from a governmental unit or from the general pulic descried in section 170()(1)(A)(vi). (Complete Part II.) A community trust descried in section 170()(1)(A)(vi). (Complete Part II.) 9 An organization that normally receives: (1) more than 33 1/3% of its support from contriutions, memership fees, and gross e f g h (A) receipts from activities related to its exempt functions suject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated usiness taxale income (less section 511 tax) from usinesses acquired y the organization after June 30, See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for pulic safety. See section 509(a)(4). An organization organized and operated exclusively for the enefit of, to perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the ox that descries the type of supporting organization and complete lines 11e through 11h. a Type I Type II c Type III Functionally integrated d Type III Other By checking this ox, I certify that the organization is not controlled directly or indirectly y one or more disqualified persons other than foundation managers and other than one or more pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this ox... Since August 17, 2006, has the organization accepted any gift or contriution from any of the following persons? (i) A person who directly or indirectly controls, either alone or together with persons descried in (ii) and (iii) elow, the governing ody of the supported organization?. (ii) A family memer of a person descried in (i) aove?... (iii) A 35% controlled entity of a person descried in (i) or (ii) aove?.. Provide the following information aout the supported organization(s). (ii) EIN (iii) Type of organization (descried on lines 1 9 aove or IRC section (see instructions) ) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? 11g(i) 11g(ii) 11g(iii) (vii) Amount of support (B) (C) (D) (E) Total For Paperwork Reduction Act tice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2010

6 Schedule A (Form 990 or 990-EZ) 2010 Part II Support Schedule for Organizations Descried in Sections 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you checked the ox 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 elow, please complete Part III.) Section A. Pulic Support Calendar year (or fiscal year eginning in) u (a) 2006 () 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total Page Gifts, grants, contriutions, and memership fees received. (Do not include any "unusual grants.")... Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of services or facilities furnished y a governmental unit to the organization without charge..... Total. Add lines 1 through The portion of total contriutions y each person (other than a governmental unit or pulicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).... Pulic support. Sutract line 5 from line 4 Section B. Total Support Calendar year (or fiscal year eginning in) u 7 Amounts from line 4 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources. (a) 2006 () 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total Net income from unrelated usiness activities, whether or not the usiness is regularly carried on.... Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) Total support. Add lines 7 through 10 Gross receipts from related activities, etc. (see instructions)..... First five 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 ox and stop here. Section C. Computation of Pulic Support Percentage 14 Pulic support percentage for 2010 (line 6, column (f) divided y line 11, column (f)) a Pulic support percentage from 2009 Schedule A, Part II, line /3% support test If the organization did not check the ox on line 13, and line 14 is 33 1/3% or more, check this % % 17a ox and stop here. The organization qualifies as a pulicly supported organization. 33 1/3% support test If the organization did not check a ox on line 13 or 16a, and line 15 is 33 1/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization. 10%-facts-and-circumstances test If the organization did not check a ox on line 13, 16a, or 16, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this ox and stop here. Explain in Part IV how the organization meets the facts-and-circumstances test. The organization qualifies as a pulicly supported organization. 10%-facts-and-circumstances test If the organization did not check a ox on line 13, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this ox and stop here. Explain in Part IV how the organization meets the facts-and-circumstances test. The organization qualifies as a pulicly supported organization Private foundation. If the organization did not check a ox on line 13, 16a, 16, 17a, or 17, check this ox and see instructions.. Schedule A (Form 990 or 990-EZ) 2010

7 Schedule A (Form 990 or 990-EZ) 2010 Page 3 Part III Support Schedule for Organizations Descried in Section 509(a)(2) (Complete only if you checked the ox on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed elow, please complete Part II.) Section A. Pulic Support Calendar year (or fiscal year eginning in) u Gifts, grants, contriutions, and memership 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 usiness under section 513 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of services or facilities furnished y a governmental unit to the organization without charge a Total. Add lines 1 through 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... c Add lines 7a and 7 8 Pulic support (Sutract line 7c from line 6.).. Section B. Total Support Calendar year (or fiscal year eginning in) u 9 10a Amounts from line 6 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.... Unrelated usiness taxale income (less section 511 taxes) from usinesses acquired after June 30, (a) 2006 () 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total 135, , , , , ,940 (a) 2006 () ,260 3,964 10,503 19, , , , , , ,172 (c) 2008 (d) 2009 (e) ,172 (f) Total 135, , , , , , ,316 1,519 4,240 c Add lines 10a and ,316 1,519 4, Net income from unrelated usiness activities not included in line 10, whether or not the usiness is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 13 Total support. (Add lines 9, 10c, 11, 14 First five 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 ox and stop here. Section C. Computation of Pulic Support Percentage 15 Pulic support percentage for 2010 (line 8, column (f) divided y line 13, column (f)) Pulic support percentage from 2009 Schedule A, Part III, line 15 Section D. Computation of Investment Income Percentage a Investment income percentage for 2010 (line 10c, column (f) divided y line 13, column (f)).... Investment income percentage from 2009 Schedule A, Part III, line /3% support tests If the organization did not check the ox on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization /3% support tests If the organization did not check a ox on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization Private foundation. If the organization did not check a ox on line 14, 19a, or 19, check this ox and see instructions and 12.). 136, , , , , , % % Schedule A (Form 990 or 990-EZ) % %

8 Supplemental Information. Complete this part to provide the explanations required y Part II, line 10; Part II, line 17a or 17; and Part III, line 12. Also complete this part for any additional information. (See instructions). Schedule A (Form 990 or 990-EZ) 2010 Part IV Page 4... Schedule A (Form 990 or 990-EZ) 2010

9 Schedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Service Name of the organization Organization type (check one): Schedule of Contriutors u Attach to Form 990, 990-EZ, or 990-PF. OMB Employer identification numer INTERFAITH HOSPITALITY NETWORK OF GREATER ROCHESTER Filers of: Section: 3 Form 990 or 990-EZ 501(c)( ) (enter numer) organization 4947(a)(1) nonexempt charitale trust not treated as a private foundation 527 political organization Form 990-PF 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitale trust treated as a private foundation 501(c)(3) taxale private foundation Check if your organization is covered y the General Rule or a Special Rule. te. Only a section 501(c)(7), (8), or (10) organization can check oxes for oth 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, $5,000 or more (in money or property) from any one contriutor. Complete Parts I and II. Special Rules For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections 509(a)(1) and 170()(1)(A)(vi), and received from any one contriutor, during the year, a contriution 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 a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contriutor, during the year, aggregate contriutions of more than $1,000 for use exclusively for religious, charitale, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contriutor, during the year, contriutions for use exclusively for religious, charitale, etc., purposes, ut these contriutions did not aggregate to more than $1,000. If this ox is checked, enter here the total contriutions that were received during the year for an exclusively religious, charitale, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization ecause it received nonexclusively religious, charitale, etc., contriutions of $5,000 or more during the year $ Caution. An organization that is not covered y the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF), ut it must answer on Part IV, line 2 of its Form 990, or check the ox on line H of its Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF). For Paperwork Reduction Act tice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

10 Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page of of Part I Name of organization Part I Contriutors (see instructions) Employer identification numer 1 1 (a) () (c) (d). Name, address, and ZIP + 4 Aggregate contriutions Type of contriution 1 UNITED WAY OF OLMSTED COUNTY 903 W CENTER STREET ROCHESTER MN ,897 $ Person Payroll ncash (Complete Part II if there is a noncash contriution.) (a) () (c) (d). Name, address, and ZIP + 4 Aggregate contriutions Type of contriution 2 MAYO FOUNDATION 200 1ST STREET SW ROCHESTER MN ,817 $ Person Payroll ncash (Complete Part II if there is a noncash contriution.) (a) () (c) (d). Name, address, and ZIP + 4 Aggregate contriutions Type of contriution 3 MOUNT OLIVE LUTHERAN CHURCH TH AVE NW ROCHESTER MN ,720 $ Person Payroll ncash (Complete Part II if there is a noncash contriution.) (a) () (c) (d). Name, address, and ZIP + 4 Aggregate contriutions Type of contriution $ Person Payroll ncash (Complete Part II if there is a noncash contriution.) (a) () (c) (d). Name, address, and ZIP + 4 Aggregate contriutions Type of contriution $ Person Payroll ncash (Complete Part II if there is a noncash contriution.) (a) () (c) (d). Name, address, and ZIP + 4 Aggregate contriutions Type of contriution $ Person Payroll ncash (Complete Part II if there is a noncash contriution.) Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

11 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization 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. u Attach to Form 990 or 990-EZ. INTERFAITH HOSPITALITY NETWORK OF GREATER ROCHESTER FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE OMB Open to Pulic Inspection Employer identification numer DESCRIPTION AMOUNT MISCELLANEOUS $ 10,503 TOTAL $ 10,503 FORM 990-EZ, PART I, LINE 16 - OTHER EPENSES DESCRIPTION EPENSES AMOUNT OFFICE SUPPLIES $ 1,699 CONFERENCES/MEETINGS $ 1,779 INTEREST $ 6,636 INSURANCE $ 8,200 FOOD $ 138 SUPPLIES $ 291 GUEST COSTS $ 19,376 TELEPHONE $ 2,943 PRINTING & COPYING $ 1,835 POSTAGE $ 1,564 TRAVEL $ 2,319 TRANSPORTATION $ 2,256 DUE & SUBSCRIPTIONS $ 142 LICENSES & PERMITS $ 2,267 REPAIRS $ 1,695 TRANSITIONAL HOUSE $ 1,661 MISCELLANEOUS $ 3,043 For Paperwork Reduction Act tice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2010)

12 Schedule O (Form 990 or 990-EZ) (2010) Page 2 Name of the organization Employer identification numer CONTRIBUTIONS $ 176 PROFESSIONAL FEES $ 6,290 DAY CENTER EPENSE $ 3,717 TOTAL $ 68,027 FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION BEG. OF YEAR END OF YEAR PREPAID EPENSES AND DEFERRED CHARGES $ 1,571 $ 1,981 EQUIPMENT $ 246,445 $ 246,445 LESS ACCUMULATED DEPRECIATION $ 43,518 $ 54,031 TOTAL $ 204,498 $ 194,395 FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION BEG. OF YEAR END OF YEAR ACCOUNTS PAYABLE AND ACCRUED EPENSES $ 2,466 $ 1,298 UNSECURED NOTES AND LOANS PAYABLE $ 116,168 $ 92,399 FORM 990-EZ, PART III - PRIMARY EEMPT PURPOSE TO PROVIDE SAFE AND SUPPORTIVE EMERGENCY SHELTER, MEALS AND ASSISTANCE TO HOMELESS FAMILIES IN THE GEOGRAPHIC AREA. Schedule O (Form 990 or 990-EZ) (2010)