Document 6429087

Shgrl Fgrm 0MB N0 i545-iiso
. Form Return of Organization Exempt From Income Tax
* under section soiie),(except
527,black
orlung
4947(a)(1)
of the internal Revenue code 9
benefit trust or private foundation)
P Sponsoring organizations of donor advised lunds and controlling organizations as defined in section 5l2(b)(13) must file Form
Department
of the Treasury may U59 ""5 form Dpen to
Internal Revenue Service * The organization may have to use a copy of this return to satisfy state report/ng requirements Inspecuoh
990 All other organizations with gross receipts less than $500,000 and total assets less than $1,250,000 at the end of the year .
.P
A For the 2009 calendar ear, or tax year beginning , 2009, and ending ,
B Check it applicable C D Employer identification number
Please
Address Change
use IRS CRISIS PREGNANCY CENTER OF SW MS 6 4 - 0 8 0 1 934
Name Change :,a,.l,,,$: 3: P . O . 1 E Telephone number
",""*"a*"e*"*" 252* MCC0MBf M5 39649 601-684-3987
Amended
return "ons,
" F Group
Exemphon*
Application
pending
Number
lnstruc
ermination Spec(-CI
0 Sectionmust
507(c)(3)
organizations
and 4947(a%7)
nonexempt
charitable
trustsED.
G ACCOUUUUQ
attach
a completed
Schedule
(Form 990
or 9.90
Other (s ecimeihod- lil C3511 D ACCFUSI
H Check * if the organization is not
I Website: * N/A required to a tach Schedule
B (Form 990,
4.
J Tax-eiemgisiaiusichecioniyonei- IXI soiig (3 )1(inseri noi I Iieiiiaigipoi D527 990"EZ-f"990"PF)­
K Check * if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than
$25,000. A orm 990-EZ or Form 990 return is not required, but if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts, if $500,000 or more, file Form 990
instead of Form 990-EZ * S 97, 309 .
IPart tl 1 Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.)
1 Contributions, gifts, grants, and similar amounts received 1 96, 889 .
4 Investment income . . . 420 .
2 Program service revenue including government fees and contracts
3 Membership dues and assessments . .
b Gross
Less.amount
cost or
other
and
sales
E
5a
from
sale basis
of assets
other
thanexpenses
inventory I .5aI
" 1 .l.. - .
. 1 - : a wi ii- ,#1 eo asts other than inventory (Subtract In 5b from ln 5a) n 5c
Rwli-1-g .jm ivities (omplete applicable parts of Schedule G). If any amount is from gaming, check here * Ll
ross revenue (not i ding S of contributions
repor onlin 1) O , Sai
b5l1eQls.l@%gct/-ehtpense C0t er than fundraising expenses E "
c Net income or (loss pecil events agd activities (Subtract line 6b from line 6a)
Lili, ,le I, oqhtr, less ret rns and allowances 1 I
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a)
8 Other revenue (describe *
9
10
11
12
13
14
Total revenue. Add lines 1, 2, 3, 4, 5c, Gc, 7c, and 8 * 9 97, 309 .
Grants and similar amounts paid (attach schedule) 10
Benefits
paid to or for members . . 11
Salaries, other compensation, and employee benefits 12 43, 897 .
Professional fees and other payments to independent contractors 13 2, 400 .
Occupancy,
rent, utilities,postage,
and maintenance
. 14 14,
259 ..
15
Printing,
publications,
and
shipping
15
879
16 Other expenses (describe * SEE STATEMENT 1 ) 16 31, 238 .
17
Total expenses. Add lines 10 through 16 . * 17
92, 673 .
18 4 , 63 6 .
18 Excess or (deficit) for the year (Subtract line 17 from line 9) .
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year 3
figure reported on prior year"s return) . . 19 89, 163 .
20 Other changes in net assets or fund balances (attach explanation) . 20
* 21 20 93, 799 .
assets or fund balances at end of year. Combine lines 18 through
I-P311 BHIBFICS $116615. If Total assets on line 25, column (B) are $1,250,000 or more, file Form 990 instead of Form 990-EZ.
(See the instructions for Part ll.) (A) Beginning of year (B) End of year
Cash,
savings,
and investments
. . . 61, 943 . 65, 197 .
Land
and
buildings
.
.
.
Other assets (describe * SEE STATEMENT 2 ) 62 514 60, 427 .
Total assets . . . . 124, 457 125, 624 .
26 Total liabilities (describe * SEE STATEMENT 3 ) 35 294.
26 31,825.
27
i
27 Net assets or fund balances (line 27 of column (B) must agree with line 21) 8 9, 163 . 93, 7 99 .
BAA For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Form 990-EZ (2009)
Teerioaosi. oi/so/io
fx?"
Form 990-EZ Q009) CRISIS PREGNANCY CENTER OF SW MS 64-0801 934 Paqe 2
ll?art,ili VStatement of Program Service Accomplishments (See the instructions.) EXPGHSGS
What is the 0rganization"s primary exempt purpose? COUNSELING g%??5Iff)daf,-?3 igftlon
-program title. for ot ers )
Describe what was achieved in carrying out the organization"s exempt purposes. ln a clear and concise manner, ogglanizations and section
describe the services provided, the number of persons benefited, or ot er relevant Information for each 4 7Sa)(l) trusts, optional
28 .PBECi*1.?51.*lf3.Y.QClULi&1?-.T1l1lf1l.Pe1i13. 21$E.GL1&N.CX.fE5lS. ................... -­
feTeFiZE """""""""" "HFFFE FFFeFnT.FeFIFeZfFfZ.Fn"gEliF1S", EFFCF FeFe """"""" "TTT zae
29
feTeFiZ 5 """""""""" F ") F F12 ZFFeFnT.FeFiFeZ EfZ.Fn"gFerFe-, FFFCF Fefe." ------ " T FI" zse
30
ZGTJFE 5 """""""""" " ") Tf i"nE Zm"eIInT.FeFnTeZ fErE.5n"gEni5f Jie? Fefe """""" " "F fl" :-me
31 Other program services (attach schedule)
$Grants $ ) If this amount includes foreign grants, check here * U 31 a
32 Total rogram service expenses (add lines 28a through 31a) * 32
lPart IV r List of Officers, Directors, Trustees, and Key Employees. Llsi each one even if net compensated. (see ine insirs.) g
(b) Title and average hours (c) Compensation (If (d) Contributions to (e) Expense account
o pos: :on e erre compensa lon
(a) Name and address per tweek devoted not paid, enter -0-.) emJilpyeedbenefit plans and and other allowances
.IRQQQR-gRg1.yE-SL ---------- u PRESIDENT 0 . o . 0 .
.10?.0. BQL.Ll1lG.W9Q0.Q1i ..... -- 1- 00
SUMMIT, Ms 39666
-Jg.M-RQQR-Iggg ---------- u VICE PRESIDENT* 0. 0. 0.
.2l1.2. k1Q@l15N.05.0.RllLE ..... -- 0
MCCOMB, Ms 39640
-sgsey-Tzgfggig ---------- H SECRETARY/TREAs 0. 0. 0.
.1lfi9.lCE.Nllb.&D
.......... -- 1-00
SUMMIT, Ms 39666
-JEQN-IME-MQTE
---------1055 MALLETTE CIRCLE
26.00 M DIRECTORI 0. 0. o.
-M3.EiToI.fIf,"Ms" 35@E """""" "
1*---1.--1-@-11-----1.--.
BAA TEEA0ai2l. oi/30/io Form 990-EZ (2009)
For)m)990-EZ 2009) CRISIS PREGNANCY CENTER OF SW MS 64-0801 934 Page 3
IPart V I"-SOther Information (Note the statement requirements in the instrs for Part V.) SEE STATEMENT 4
Yes No
each activity . . . . . . . . 33 X
33 Did the organization engage in any activity not previously reported to the IRS? lf "Yes," attach a detailed description of
34 Were any changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the changes .
35 It the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, 32
attach a statement explaining why the organization did not report the income on Form 990-T 3 1 I
reporting, and proxy tax requirements? . . . 35a X
36 X
year? If "Yes," complete applicable parts of Schedule N . .
a Did the organization have unrelated business gross income of $1,000 or more or was it subject to section 6033(e) notice,
b lf "Yes," has it filed a tax return on Form 990-T for this year?. . . 35b
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the
37a Enter amount of political expenditures, direct or indirect, as described in the instructions *I 37aI 0 . I
b Did the organization file Form 1120-POL for this year? . . . 37b X
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were ii
any such loans made in a prior year and still outstanding at the end of the period covered by this return? 38a X
amount involved 38b N/A"
b If "Yes," complete Schedule L, Part ll and enter the total ,
N/A
39
Section 501(c)(7)
organizations.
Enter:
Q on line
a Initiation
fees and capital
contributions
included
9 . 1"
35
40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under. I
bsection
Gross receipts,
on line 9,4912
for public
club facilities
4911 included
* 0 . 5 section
* 0 use
. 9 of
section
4955 *@0N/A
. 33I
b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year or is it aware that it engaged in an excess benefit transaction with a disqualified person in a
prior year, and that the transaction has not been reported on any of the organization"s prior Forms 990 or 990-EZ? If
Yes, complete Schedule L, Part l . . . 40b X
c 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 4958 . * 0 . .
d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed ,g
by
the
organization
*
0
.
1
shelter transaction? lf "Yes," complete Form 8886-T . . . 40e X
e All organizations. At any time during the tax year, was the organization a party to a prohibited tax ""
41 List the states with which a copy of this return is filed * NONE
42a The organization"s
books are in we of r ltl-E0.R,D,, .HQLL-02142 Q.S24ILIL - EIA-S ........... .. . Telephone H0- * .69 L-.53 fi.-.91 2.1. - - ­
Located at * ,lQi.CQ1L1VLEBQE, ,P,*LP,1$3E-.l-V1EQ0.Ml3.1"l.S ................... -- 2"* +4 * 3294.9 ....... -­
b 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 bank account, securities account, or other financial account)?
lf "Yes," enter the name of the foreign country: . *
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report ofa Foreign Bank and Financial Accounts.
c At any time during the calendar year, did the organization maintain an office outside of the U.S.? X
If "Yes," enter the name of the foreign country: . *
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 - Check here . * CI N/A
and enter the amount of tax-exempt interest received or accrued during the tax year . . . . . *I 43 I N/A
No
of Form 990-EZ . . . . . . . . X
44 Did the organization maintain any donor advised funds? If "Yes," Form 990 must be completed instead
45 ls any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? lf "Yes,"
FormTEE/xoaizi.
990 must be completed
instead
of Form
990-EZ
45 X
BAA
oi/so/io
Form
990-EZ
(2009)
Form 990-EZ ,(2009) CRISIS PREGNANCY CENTER OF SW MS 64-0801934 Page 4
lPart"Vi l *Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section
- 501 46-49b
(c)(3) organizations
charitable trusts must answer questions
and completeand
thesection
tables 4947ga3(1)
for lines andnonexempt
51.
46 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates
for public office? If "Yes," complete Schedule C, Part I
47 Did the organization engage in lobbying activities? lf "Yes," complete Schedule C, Part ll
48 ls the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . .
49a Did the organization make any transfers to an exempt non-charitable related organization? .
b If "Yes," was the related organization a section 527 organization?
50 Complete this table 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 "None "
(b) "Ftle and average (c) Compensation (d) Contributions to em Ioyee (e) Expense
(a) Name
andthan
address
of eachdevoted
employee
hoursdeferred
per week
benefit plans ani?
and
more
$100,000
to paid
position
compensation
otheraccount
allowances
.NQ1iE. ................... -­
f Total number of other employees paid over $100,000
P
51 Complete this table 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 "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
.NQNE ....................... -­
l
d Total number of other independent contractors each receiving over $100,000 *
Si
", f1" I%-/0
- S-"A
- n*-z IV
3
Under penaltie f perjury, dec are : have examined th return, icluding accompanying schedules and statements, and to the best of my knowledge and belief, it is
t rrect complete eclaration o : epar - er 1: offic is based on all information of which preparer has any knowledge
l
Q
i
f
"
S
*
D
t
mei , ee af/L//0
""*"""" %5Liz,.@, n/me Eicfzvafzve- D/*,f&f7b,P
e or print name and title
Preparersgi- , Y 4 Y T4( ,X ae
arelfs Firm"s name (or 6(
Use Z?nj5fole?iiff * 104 COMMERCE PL.
55,9 if E2:za.azi"fiLl:zf:laSY""@ "UW"
em@yed * A
EiN * N/A
Phoneno *
BAA Form 990-EZ (2009)
Only 3fP"f$2""""" i/iccoi/IB, Ms 39648
May the IRS discuss this return with the preparer shown above? See instructions
TEEAOBI 2L Ol /30/I 0
*Xl Yes I-l No
D i t fin T ­
OMB No 1545 0047
(Q-SQIQQOUOEEQQEB Public Charity Status and Public Support
* nonexempt charitable trust. open N Wwe
Complete if the organization is a section 501(cX3) organization or a section 4947(aX1)
initgrarfaririgzgvtgnueesef/iacslaury * Attach to Form 990 or Form 990-EZ. * See separate instructions. Inspecuun
Name of the organization Employer identification number
CRISIS PREGNANCY CENTER OF SW MS 64-0801934
IPartt IReason 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 11, check only one box.)
1 - A church, convention of churches or association of churches described in section 170(b)(1)(A)(i).
2 -t A school described in section 170(b)(1XA)(ii). (Attach Schedule E.)
A hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iiD.
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii), Enter the hospitals
- name, city, and state: --------------------------------------------------- -­
5 An 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 ll.)
6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 An 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 Il.)
8 - A community trust described in section 170(b)(1XA)(vi). (Complete Part ll.)
9 X An organization that normally receives: (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receipts
*- from
activities
relatedand
to unrelated
its exemptbusiness
functionstaxable
- subject
to certain
no businesses
more than 33-1/3
% by
of its
from glross
investment
income
income
(less exceptions,
section 511 and
tax)(2)
from
acquired
thesupport
organization
a er
June 30, 1975. See section 509(a)(2). (Complete Part Ill.)
10 - An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or 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 that
describes the type of supporting organization and complete lines 11e through 11h.
- a IjType I b l:IType Il c EI Type Ill - Functionally integrated d lj Type III- Other
check this box . .
e By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified ersons other
"- than foundation managers and other than one or more publicly supported organizations described in section 509(a)(I))or section
509(a)(2).
f If the organization received a written determination from the IRS that is a Type I, Type ll or Type III supporting organization, lj
g Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
No
(i) a person
whothe
directly
or indirectlybody
controls,
or together
with persons described
below,
governing
ofeither
the alone
supported
organization?
. . . in. (ii)
. ­ and (iii)
(ii) a family member of a person described in (i) above?. . .
(iii) a 35% controlled entity of a person described in (i) or (ii) above?
h Provide the following information about the supported organizations.
(i) Name
of Supported
(ii) EIN
Type
of organization
ls the
(v) Did youin
notify
(vi) Is thein(vii)
Organization
( escribed
on(ig)
lines
I 9 or
anization in (iv)
col the
organization
organization
colAmount of Support
above or IRC section 3) listed in your col (i) of (i) organized in the
(see instrucl.ions)) (governing
ocument7
your support? U S ?
Yes No Yes No Yes No
Total 3
BAA For Privacy Act and Paperwork Reduction Act Notice, see the lnstnictions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2009
TEI-:Ao-1oiL oz/os/io
Schedule A form 990 or 990-EZ) 2009 CRISIS PREGNANCY CENTER OF SW MS 64-0801934 Page 2
lPai1ll lSupport 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 )
Section A. Public Sup-port
Calendar year (or fiscal year
beginning in) , (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total
Gifts, grants, contributions and
1
membership
fees received.
SDO
not
include "unusual
grants."
2 Tax revenues levied for the
org1anization*s
and
eit er paid to it benefit
or expended
on its behalf
3
Thel
aci yalue
i iesofurnis
san/cictesuor
eoe
organization by a governmental
unit without charge. Do not
include the value of services or
facilities
furnished to
the
publicgenerally
withou 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
li 115 *-I I-I - I-"
Section B. Total Support
Calendar year (or fiscal year
beginning in) *
7 Amounts from line 4
(a) 2005 (b) 2006 (C) 2007 (d) 2008 (e) 2009 (f) Total
Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income form
similar sources
9 Net income from unrelated
business activities, whether or
not the business is regularly
B
carried on . . .
10
Other income. Do not include
gain or loss from the sale of
capital assets (Explain in
Part IV.)
11
12
Total support. Add lines 7
through 10
Gross receipts from related activities, etc. (see instructions) I 12
organization, check this box and stop here * I-L
13 First five years. lf the Form 990 is for the organization"s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
Section C. Computation of Public Support Percentage
14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f) .
15 Public support percentage from 2008 Schedule A, Part ll, line 14 . .
14 %
%
and stop
here.
qualifies
as the
a publicly
organization.
. more, check this box , lj
16a 33-1/3
support
test -The
2009.organization
If the organization
did not check
box on linesupported
13, and the line
14 is 33-1/3 % or
b 33-1/3 support test - 2008. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization. * lj
17a 10%-facts-and-circumstances test - 2009 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 IV how
the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization. * EI
b 10%-facts-and-circumstances test - 2008. 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 IV how the
BAA Schedule A (Form 990 or 990-EZ) 2009
18 Private
foundation.
lf the organization
did not check a test.
box on
line,
13, 16a, 16b,
17a, or as
17b,
check this
box and see
instructions. *. * H
organization
meets
*facts-and-circumstances"
The
organization
qualifies
a publicly
supported
organization.
TEEA0402L I0/08/09
Schedule A Form 990 or 990-EZ) 2009 CRISIS PREGNANCY CENTER OF SW MS 64-0801934 Page 3
lPart lll I$upport Schedule for Organizations Described in Section 509(a)(2)
- (Complete only if you checked the box on line 9 of Part I.)
Section A. Public Support
Calendar year (or fiscal yr beginning in)* Q) 2005 (I3) 2006 (Q 2007 (Q) 2008 (5) 2009 Q) Total
1 Gifts, grants, contributions and
membership fees received. gDo
2 Gross receipts from
admissions, merchandise sold
or services performed, or
facilities furnished in a activity
that is related to the
not include *unusual grants." 67,852. 82,411. 84,950. 118,517. 96,889. 450,619.
purpose
.
.
0
,
under section 513 0 ,
organization*s tax-exempt
its
behalf
.
.
0
.
organization without charge 0 .
3 Gross receipts from activities that are
not an unrelated trade or business
4 Tax revenues levied for the
organization"s benefit and
either paid to or expended on
5 The value of services or
facilities furnished by a
governmental unit to the
6 Total. Add Iinesl through5 67,852. 82,411. 84,950. 118,517. 96,889. 450,619.
persons . . 0. 0. 0. 0. 0. 0.
7a Amounts included on lines 1,
2, 3 received from disqualified
b Amounts included on lines 2
and 3 received from other than
disqualified persons that
exceed the greater of 1% of
the amount on line 13 for the
year
0.
0.
0.
0.
0.
0.
cAddlines7aand7b 0. 0. 70. 0. 0. 0.
7c from line 6.) H , H-I , , H , 450, 619 .
8 Publicsupport(Subtractline if t Y as H In ,H M H A H
Section B. Total Support
Calendar year (or fiscal yr beginning in) * (9) 2005 Q) 2006 (Q 2007 (Q) 2008 (Q) 2009 (9 Total
9 Amounts from line6 67,852. 82,411. 84,950. 118,517. 96,889. 450,619.
10a Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income form
S*""*afS0"fC@S- 98. 66. 900. 420. 1,484.
b Unrelated business taxable
income (less section 511
taxes) from businesses
acquired and
after
30,
0.
cAddlines10a
10b June
0. 98. 66.
900.1975
420. 1,484.
regularly carried on 0 .
11 Net income from unrelated business
activities not included inline 10b,
whether or not the business is
12 Other income. Do not include
p .(iaaiieii.
H g Hioc.ii,iiiaiz)
H g g HS tHS 452,103
H g 0..
13Paei
Total iv.)
support.
ca ia asse
s x ain
in of
gaintolr
loss ,frog
thle sale
organization, check this box and stop here * I-L
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)
Section C. Computation of Public Support Percentage
15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f)) 15 99 . 7 %
16 Public support percentage from 2008 Schedule A, Part Ill, line 15 16 99 . 7 %
Section D. Computation of Investment Income Percentage
18Investment
Investment
income
percentage
from
Schedule
Part13,III,
line (f)).
17 .. ..I E170l 0. .33%
17
income
percentage
for 2009 (line
10c,2008
column
(f) dividedA,
by line
column
%
19a 33-1/3 support tests - 2009. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not
more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . *
b 33-1/3 support tests - 2008. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18
P
is not foundation.
more than If
33-1/3%,
check this
boxcheck
and stop
The
qualifies
publicly
supported organization . * H
20 Private
the organization
did not
a boxhere.
on line
14,organization
19a, or 19b, check
this as
boxa and
see instructions
BAA TEEAo4o3L oz/is/io Schedule A (Form 990 or 990-EZ) 2009
ScheduIeA orm 990 or 990 EZ) 2009 CRISIS PREGNANCY CENTER OF SW MS 64-0801934 Page4
IPart iV Iiiupplemental Information. Complete this part to provide the explanations required by Part ll, line 105
. Part II, line 17a or 17bg and Part III, line 12. Provide any other additional information. See instructions.
BAA TEE/xoaoat oz/os/io Schedule A (Form 990 or 990-EZ) 2009
2009 "* FEDERAL STATEMENTS PAGE 1
CLIENT E3 052 CRISIS PREGNANCY CENTER GF SIN M5 64-0801934
STATEMENT1
FORM 990-EZ, PART I, LINE 16
ADVERTISING $
OTHEREXPENSES
BENEVOLENCE . .H .
CLIENT SERVICES ..
COMUNITY AWARENESS
CONTRACT LABOR
DEPRECIATION
FUNDRAISING EXPENSE
3,869.
3,166.
5,610.
1,845.
842.
INSURANCE .
2,086.
2,088.
1,350.
OFFICE EXPENSES
2,750.
93.
MISCELLANEOUS .
P.O.BOX RENT . .
44.
29.
160.
PENALTIES
SEMINARS/TRAINING
5,595.
SILVER RING EXPENSE
1 711
TRAVEL
TOTAL 3""""""5TfE5ET
STATEMENT2
FORM 990-EZ, PART II, LINE 24
OTHER ASSETS
21
DONATED
ITEMS
$
42.
$
MISCELLANEOUS
62,210.
TO
BALANCE
. 260
UTILITY
DEPOSITS 260.
42.
60,124.
TOTAL 3 62,514. 3
60,427.
STATEMENT3
FORM 990-EZ, PART II, LINE 26
TOTAL LIABILITIES
PAYROLL
LIABILITIES $ 2,360. 5
SECURED MORTGAGES AND NOTES PAYABLE 32 934
TOTAL 3 35f294? 3
2,206.
29 619.
3IfaZ5T
STATEMENT4
FORM 990-EZ, PART V
REGARDING TRANSFERS ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS
(A) DID THE ORGANIZATION, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY OR
INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT?
(B) DID THE ORGANIZATION, DURING THE YEAR, PAY PREMIUMS, DIRECTLY OR
INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT? .
NO
NO