|
EXTENDED TO NOVEMBER 15, 2017
<br />Return of Organization Exempt From income Tax OMB No. t545-0047
<br />Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2016
<br />Department of the Treasury ► Do not enter social security numbers on this form as it may be made public. pert:,to Publto
<br />Internal RevenueSevtce Information about Form 990 and its instructions is at www.1.rs. ovlform990. -lr specteon,;`
<br />A For the 2016 calendar year, or tax year beginning and ending
<br />B check if C Name of organization D Employer identification number
<br />applicable:
<br />F ichange6 NEAR NORTHWEST NEIGHBORHOOD, INC.
<br />L]change ooing business as 2 3— 7 414 7 2 9
<br />[::]iaurn Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number
<br />Final 1007 PORTAGE AVE 574-232-9182
<br />return/
<br />termin-
<br />ated City or town, state or province, country, and ZIP or foreign postal code G Gross receipts $ 980,472.
<br />Lreturnded SOUTH BEND, IN 46616 H(a) Is this a group return
<br />OApplica- � Yes 0 No
<br />Gon F Name and address of principal officer:KATHY SCHUTH for subordinates? ......
<br />pending � Yes 0 No
<br />SAME AS C ABOVE t"f(b)Are all subwdinatesd7 inciude
<br />Tax exem t status:LXJ 501(c)(3) 501(c) ( ) (insert no.) LJ 4947(a)(1) or 527 If "No," attach a list. (see instructions)
<br />J Website. ► NEARNORTHWEST.ORG H(c) Group exemption number ►
<br />K Form of ornanization: LXj Corporation Trust Association Other► L_Year of formation: 19 9 01 M State of legal domicile: IN
<br />.::......
<br />. summary
<br />1 Briefly describe the organization's mission or most significant activities: TO IMPROVE THE PHYSICAL, SOCIAL
<br />c
<br />AND ECONOMIC ENVIRONMENT OF THE NEAR NORTH-WEST SECTION OF THE CITY
<br />m
<br />F
<br />2 Check this box ► if the organization discontinued its operations or disposed of more than 250/o of its net assets.
<br />ID
<br />8
<br />3 Number of voting members of the governing body (Part VI, line 1a)............................................................ 3 11
<br />caca
<br />4 Number of independent voting members of the governing body (Part VI, line 1 b) ..---.,- 4 11
<br />y
<br />5 Total number of individuals employed in calendar year 2016 (Part V, line 2a)................................................ 5 11
<br />6 Total number of volunteers (estimate if necessary)....................................................................................... 6 200
<br />Q7a
<br />Total unrelated business revenue from Part Vill, column (C), line 12............. ........................... 7a 0
<br />b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
<br />Prior Year
<br />Current Year
<br />y
<br />8 Contributions and grants (Part Vill, line 1 h) ..................
<br />987,173.
<br />904,213.
<br />0 •
<br />22,068.
<br />9 Program service revenue (Part VIII, line 2g)...........
<br />...................................
<br />10 Investment income (Part Vlli, column (A); lines 3, 4, and 7d) ................ ..... .
<br />- 0 2 , 7 5 0 •
<br />- 4 5 -5, 8 9 6 .
<br />27,780.
<br />25,715.
<br />11 Other revenue (Part Vlil, column (A), lines 5, 6d, 8c, 9c, 10c, and 11 e).......................
<br />612,203.
<br />496,100.
<br />12 Total revenue - add lines 8 through 11 must equal Part VIII, column (A), line 12
<br />13 Grants and similar amounts paid (Part IX, column (A), lines 1-3).................................
<br />4,280.
<br />100.
<br />0 •
<br />0 •
<br />14 Benefits paid to or for members (Part IX, column (A), line 4)
<br />175,505.
<br />190 , 720.
<br />a
<br />15 Salaries, other compensation, employee benefits (Part IX, coiumn (A), lines 5-10) .--,-„-,
<br />0.
<br />0.
<br />i
<br />c
<br />16a Professional fundraising fees (Part IX, column (A), line 11 e) ...... ....................................
<br />o.
<br />x
<br />b Total fundraising expenses (Part column (), line ) ► 7 , 2 61
<br />dPt IXlDli25
<br />523, 910.
<br />408,713.
<br />fU
<br />17 Other expenses (Part IX, column (A), lines 11 a-11 d, 11 f-24e) ........... _
<br />703, 695.
<br />599,533.
<br />18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) ........... ..............
<br />- 91 , 4 9 2 .
<br />-10 3 , 4 3 3 .
<br />19 Revenue less expenses. Subtract line 18 from line 12................................................
<br />oU
<br />Beginning of Current Year
<br />End of Year
<br />1,850,510.
<br />1,605,612.
<br />4> �
<br />20 Total assets (Part X, line 16}
<br />a21
<br />Total liabilities (Part X, line 26).................................................................................
<br />305,192.
<br />163,727.
<br />1,545,338.
<br />1, 4 41, 8 8 5 .
<br />-2
<br />22 Net assets or fund balances. Subtract line 21 from line 20..........................................
<br />11NM71
<br />Signature Block
<br />Under penalties of por)ury, I declare that I have examined this return, including accompanying scnenuies ana statements, ano to ine nest of my Knowledge duU Miller, It IS
<br />true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
<br />Sign 'Signature of officer ate
<br />Here , KATHY SCHUTH, EXECUTIVE DIRECTOR
<br />Type or print name add title
<br />Print/Type prepa€er's name Preparer's signature a e 11
<br />Paid AMES B . CHAMPER AMES B . CHAMPER 0 6 / 0 9 / 17 self-employed �00956831
<br />Preparer Firm's name kKRUGGEL, LAWTON & COMPANY, LLC Fifm's EIN 3 5 —13 0 7 7 01
<br />Use Only Firm'saddrosso, 317 W. FRANKLIN ST.
<br />ELKHART, IN 46516 Phoneno.574-264-2247
<br />Ma the IRS discuss this return with the ereparer shown above? see instructions W Yes No
<br />632001 11-11-16 LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2016)
<br />SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION
<br />
|